166 Independent Nursing Homes in Iowa

Nurse hours

3.71 /day

Staff turnover

44%

Serious cites

0

St. Luke Lutheran runs a lean weekend crew, about 7% thinner than its own weekday coverage, and overall nurse staffing sits at 3.71 hours per resident day, roughly 4% under the national average. Turnover lands near the middle of the pack at 44.1%, so that's not the problem here. The problem is the inspection record: 24 deficiencies, two of them serious enough to involve harm or jeopardy, five tied to abuse, and $90,076 in fines across two penalties. The most recent inspection closed in September 2025, so it's recent. A low inspection rating paired with real abuse findings is the piece families should weigh hardest, even with steady staffing and decent quality scores.

Nurse hours

3.70 /day

Staff turnover

57%

Serious cites

0

Rotary Senior Living runs 46 beds in Eagle Grove under nonprofit ownership, and the staffing numbers are the first thing to look at. At 3.70 nurse hours per resident day, it sits below the national average, and weekends drop about 8% below its own weekday coverage, that's when gaps tend to show up. Annual turnover of 56.8% is well above the national figure, meaning many of the people providing care are still learning the building. The inspection record is heavier than you'd want: 22 deficiencies, including two at the harm level and two tied to abuse, with one fine of $65,036. Quality measures look strong on paper, but ask about staffing consistency and any recent repeat citations before deciding.

Nurse hours

4.16 /day

Staff turnover

44%

Serious cites

0

Cedar Manor sits in Tipton with 54 certified beds and a nonprofit owner, and its day-to-day staffing is genuinely better than most, 4.16 nurse hours per resident, roughly 8 percent above the national average, with turnover at 43.6 percent, a bit under the national figure. The catch is weekends, when coverage drops about 14 percent below the home's own weekday level, and that gap matters when falls and infections don't check the calendar. The inspection record is where the concerns concentrate: 15 deficiencies, four of them serious enough to put residents at risk of harm, plus one abuse-related finding and $32,289 in fines. The most recent inspection was November 2025, so the picture is current rather than stale.

Nurse hours

3.29 /day

Staff turnover

52%

Serious cites

0

Rose Haven runs about 15% leaner on nurse staffing than the national average, 3.29 hours per resident day against 3.86, and weekends dip roughly 11% below its own weekday coverage, which is when families tend to notice. Turnover sits at 52.1% versus 45.8% nationally, so the aides and nurses on the floor change often. The current inspection record carries 26 deficiencies, including one at the harm or jeopardy level and eight tied to abuse. A single fine of $10,062 is on file, and the last full inspection was December 11, 2025. For-profit corporate ownership, 58 beds.

Nurse hours

5.48 /day

Staff turnover

52%

Serious cites

0

Tripoli Nursing & Rehab runs a small, 28-bed nonprofit home where the aides and nurses clock 5.48 hours per resident day, roughly 42% more hands-on time than the national average, which is the main thing this place has going for it. But that staffing drops about 16% on weekends, and 52.2% of the staff turned over in the past year, higher than the national 45.8%, so the faces around a resident change often. The record shows 25 deficiencies, four tied to abuse, though none rose to actual harm or jeopardy; the most recent inspection was July 2025. Extra hours help, but the quality measure score and the abuse findings are worth asking about directly.

Nurse hours

3.62 /day

Staff turnover

56%

Serious cites

0

Westview Acres runs a tight ship on inspections, a clean 4-star health rating, no deficiencies at the harm level, and a survey completed just months ago in June 2025. But look at the staffing math and a different picture emerges. At 3.62 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 14% below its own weekday coverage, which matters when a resident needs help on a Saturday night. Turnover at 55.8% is well above the 45.8% national figure, meaning caregivers cycle through faster than average. Two abuse-related deficiencies on record are worth asking about directly. The care is decent, but consistency is the open question.

Nurse hours

3.74 /day

Staff turnover

50%

Serious cites

0

Exira Care Center runs 60 certified beds as a nonprofit, and its staffing sits just under the national average at 3.74 nurse hours per resident day. Weekends dip about 8% below its own weekday coverage, and turnover runs 50% against a national 45.8%, a workforce that's churning faster than average. The inspection record shows 21 deficiencies, one serious enough to involve harm or jeopardy, plus one fine of $22,880. Its most recent inspection was in August 2025, so the picture is current. Quality and inspection measures both land at 2 out of 5 stars, while staffing holds at 4. That gap matters: the hands-on care is there, but the outcomes and compliance history aren't keeping pace.

Nurse hours

4.11 /day

Staff turnover

37%

Serious cites

0

Lakeside Lutheran Home runs on 4.11 nurse hours per resident day, roughly 7% above the national average, and it holds a five-star staffing rating. Weekend coverage dips about 8% below its own weekday level. Turnover sits at 37.2%, better than the 45.8% national figure. The tradeoff shows up in care quality: a one-star quality measure rating and a three-star inspection rating, with 22 deficiencies on record, one at harm level and seven tied to abuse. State inspectors were last in the building in February 2026. Nonprofit ownership, steady staffing, and a thin quality record point in different directions, worth asking about the abuse deficiencies directly.

Nurse hours

4.10 /day

Staff turnover

96%

Serious cites

0

Westhaven Community runs 4.10 nurse hours per resident day, about 6% above the national average, which helps explain its decent staffing marks, but weekends drop roughly 11% below its own weekday coverage, so care thins out exactly when families tend to visit. The bigger concern is turnover: 96.1% of staff leave each year, more than double the national rate of 45.8%, meaning the people delivering care are constantly new. Add 13 deficiencies on record, including one at the harm level, and an April 2025 inspection that's already aging, and you've got a home with real strengths sitting alongside real instability. It's nonprofit-owned, so nobody's paying dividends, but that doesn't make the churn any easier on residents.

Nurse hours

4.05 /day

Staff turnover

47%

Serious cites

0

Ramsey Village runs a nonprofit home of 78 beds in Des Moines, and its staffing is the strongest part of the picture: 4.05 nurse hours per resident day, roughly 5% above the national average. The catch is consistency, weekend coverage drops about 11% below weekday levels, and turnover sits at 47.1%, just above the national figure. The inspection record is where families should slow down. Thirty-one deficiencies are on file, including one at the harm level and two tied to abuse, and the last inspection was August 2025. A 2/5 health inspection rating alongside that count tells you the day-to-day care environment has drawn repeated federal scrutiny, even while direct care hours look adequate on paper.

Nurse hours

3.34 /day

Staff turnover

44%

Serious cites

0

Sunny View Care Center in Ankeny runs 94 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.34 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends dip roughly 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 44.4% is essentially at the national average, meaning the workforce churns steadily without being an outlier either way. The bigger concern is the inspection record: 42 deficiencies on file, one serious enough to reach harm or jeopardy level, with the last inspection dated January 2026. Quality and staffing measures land mid-range, but that inspection history is what pulls the overall picture down.

Nurse hours

3.17 /day

Staff turnover

50%

Serious cites

0

Monticello Nursing & Rehab runs 75 certified beds, and its nursing hours come in around 3.17 per resident day, roughly 18% under the national average of 3.86. Weekend coverage drops about 30% below what the home staffs on weekdays, which is worth asking about if your family tends to visit or need answers on Saturdays and Sundays. Annual turnover sits at 50%, a bit above the 45.8% national figure, so expect some unfamiliar faces. The inspection record is the stronger part: a 4-out-of-5 health inspection rating with 19 deficiencies on file, none at harm level, though two are abuse-related. One fine, $4,194, and a January 2026 inspection round out the picture.

Nurse hours

4.19 /day

Staff turnover

36%

Serious cites

0

Davenport Lutheran Home is a church-affiliated nonprofit with 98 beds, and its staffing is the clearest strength: 4.19 nurse hours per resident day, about 8% above the national average, with a 4-out-of-5 CMS staffing rating. Turnover sits at 36%, below the 45.8% national figure, which matters for consistency of care. The concerns show up elsewhere. Inspectors cited 21 deficiencies on the current record, three at harm or jeopardy level and three abuse-related, with two fines totaling $43,310, and the most recent inspection was December 11, 2025. Weekend staffing drops roughly 14% below its own weekday level, so coverage thins when families tend to visit. Strong hands on staff, but a recent inspection record that warrants questions.

Nurse hours

3.47 /day

Staff turnover

56%

Serious cites

0

The New Homestead Care Center runs on thinner staffing than most Iowa nursing homes. At 3.47 nurse hours per resident day, it sits about 10% under the national average, and weekends dip roughly 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 56.3% is well above the 45.8% national figure, meaning aides and nurses cycle through faster than residents can get used to them. The current record shows 24 deficiencies, none at harm or jeopardy level, but one abuse-related citation is worth asking about directly. A 4/5 quality measure score suggests the clinical tracking looks decent, though the 2/5 inspection rating and April 2025 survey date tell you oversight hasn't been spotless.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

On With Life runs 28 certified beds in Ankeny under nonprofit ownership, and its inspection record is about as light as it gets: one deficiency total, none at the level of actual harm or jeopardy, and nothing abuse-related. The state visited in September 2025, so what you're seeing is current, not a stale five-star rating coasting on an old survey. Quality measures come in at 4 out of 5, meaning outcomes are good but not flawless next to the national pool. The honest caveat is size, with 28 beds, a single bad quarter can move the numbers more than it would at a 120-bed building, so read trends rather than one report.

Nurse hours

3.00 /day

Staff turnover

n/a

Serious cites

0

Sunny Hill Care Center runs 57 beds in Tama under for-profit LLC ownership, and its nursing hours come in at 3.00 per resident day, roughly 22% under the national average of 3.86. Weekends drop about another 10% below the home's own weekday staffing. The inspection record is the real concern: 14 deficiencies currently on file, four of them serious enough to involve harm or jeopardy, and three tied to abuse. Two fines total $24,756, and the most recent inspection was March 5, 2026. Quality and staffing measures both sit mid-range at three stars, but the health inspection rating of one star reflects what those deficiency counts show.

Nurse hours

3.33 /day

Staff turnover

n/a

Serious cites

0

Hawkeye Care Center Dubuque runs about 3.33 nursing hours per resident each day, roughly 14% under the national average of 3.86, and weekend coverage dips slightly below its own weekday staffing. The 80-bed home is owned by a for-profit limited liability company and carries ten deficiencies on its current record, one of them serious enough to reach harm or jeopardy level, though none are abuse-related. Its last inspection was September 18, 2025, and CMS gives it three stars each for health inspections, quality measures, and staffing. That's a home sitting squarely in the middle, decent marks across the board, but staffing hours that fall short of what most residents need.

Nurse hours

5.38 /day

Staff turnover

97%

Serious cites

0

Arbor Springs runs 5.38 nurse hours per resident each day, well above the national average, but that number hides a problem: nearly every aide and nurse is new, with turnover at 96.8% against a national 45.8%. Weekend coverage also drops about 11% below weekday levels, so care depends on who happens to be on shift. Inspectors found 17 deficiencies on the current record, including two at the harm level and one tied to abuse, with the last visit in May 2025. The for-profit LLC behind it has clear strengths and real gaps, and the staffing score reflects that split honestly.

Nurse hours

3.47 /day

Staff turnover

48%

Serious cites

0

Wellington Place runs on thinner staffing than most homes nationally, 3.47 nurse hours per resident day against a 3.86 average, and weekends dip about 16% below what it manages during the week, which matters when a resident needs help on a Saturday. The inspection record shows three deficiencies, two of them serious enough to involve harm or jeopardy, plus one fine of $29,689; the most recent inspection was in August 2025, so that picture is current. Turnover sits at 48.1%, slightly above the national 45.8%, and the quality measure rating comes in at 1 out of 5 even as inspections and staffing each rate 4. The nonprofit ownership and recent survey work are the steadier parts here.

Nurse hours

3.28 /day

Staff turnover

56%

Serious cites

0

Greenfield Rehabilitation & Health Care Center runs 46 beds under corporate ownership, and its staffing is the clearest number here: 3.28 nurse hours per resident day against a national average of 3.86. Weekends drop roughly 16% below the home's own weekday coverage, and turnover sits at 55.8%, ten points above the national rate. The inspection record shows 20 deficiencies, one serious enough to reach harm or jeopardy level, though none are abuse-related, and a single fine of $4,516. The last inspection was July 2025, so this picture is recent. Quality measures score well, but low staffing and high turnover are worth asking about directly before committing.