166 Independent Nursing Homes in Iowa

Nurse hours

3.65 /day

Staff turnover

69%

Serious cites

0

Good Shepherd Health Center runs 170 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.65 hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 5% below its own weekday coverage, and annual turnover is 68.7% against a national 45.8%, meaning most of the people caring for residents this year won't be there next year. The inspection record shows 28 deficiencies, including 2 at the harm or jeopardy level and 1 abuse-related, with one fine of $87,458. The last inspection was recent, in December 2025, so the picture is current rather than stale.

Nurse hours

2.82 /day

Staff turnover

61%

Serious cites

0

Living Center West runs lean on nursing staff, 2.82 hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday levels. That staffing shortfall shows up in a 61.4% annual turnover rate, well above the national 45.8%, so the aides and nurses at the bedside keep changing. The inspection record is heavy: 33 deficiencies, seven at harm or jeopardy level, five tied to abuse, and $72,070 in fines. A 5/5 quality measure rating and a non-profit owner don't offset a 2/5 on inspections and 1/5 on staffing.

Nurse hours

3.84 /day

Staff turnover

57%

Serious cites

0

Abuse icon on record

Pine Acres holds 140 certified beds in West Des Moines under for-profit LLC ownership, and the nurse staffing figure, 3.84 hours per resident day, sits roughly even with the national average, though weekends run about 7% thinner than weekdays. The record is where the trouble shows: 85 deficiencies, nine of them at harm or jeopardy level and three abuse-related, plus $353,109 in fines across three CMS actions. Staff turnover is 56.9% against a national 45.8%, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently poor performers. The last inspection was January 8, 2026.

Nurse hours

4.88 /day

Staff turnover

n/a

Serious cites

0

Special Focus Facility

Chapters Living Of Council Bluffs has real staffing strength, 4.88 nurse hours per resident day, well above the national average, though weekends run thinner than weekdays. The inspection record tells a different story: 68 deficiencies, including nine tied to abuse and one serious enough to put residents in harm's way, plus a $163,800 fine. That combination landed it in CMS's Special Focus Facility program, which is reserved for the country's most troubled homes. A recent inspection in January 2026 means the state is watching closely. For families weighing this one, the question isn't whether aides are present, it's what those inspections keep finding.

Nurse hours

3.02 /day

Staff turnover

n/a

Serious cites

0

Special Focus Facility

Adel Acres is a 50-bed for-profit home in Dallas County, and the numbers there split in two directions. The care itself measures well, a 4 out of 5 on quality measures, but the staffing behind that care runs thin: 3.02 nurse hours per resident day, roughly 22 percent under the national average, and weekends drop about 19 percent below the home's own weekday level. Inspections tell the harder story. The current record carries 44 deficiencies, five serious enough to involve harm or jeopardy, three tied to abuse, plus one fine of $16,544. The last inspection was in April 2025. If you're weighing this one, ask how they cover weekends and what's changed since that inspection.

Nurse hours

3.14 /day

Staff turnover

57%

Serious cites

0

Special Focus Facility

Northbrook Healthcare and Rehabilitation Center runs 130 certified beds under for-profit LLC ownership, and the numbers worth your attention start with staffing. At 3.14 nurse hours per resident day, it sits roughly 19% under the national average, and weekends drop about 11% below its own weekday levels, with annual turnover at 56.8% against a national 45.8%. Inspections tell a harder story: a 1-out-of-5 health inspection rating, 53 deficiencies on the current record, three at harm or jeopardy level, two tied to abuse, and one fine totaling $38,787. The most recent inspection was August 2025. Quality measures rate mid-range, but staffing and inspection history are where the concerns concentrate.