167 Non-Profit Nursing Homes That Accept Medicaid in Iowa

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

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

3.38 /day

Staff turnover

40%

Serious cites

0

Southern Hills Specialty Care runs a 90-bed nonprofit home in Osceola, and its staffing sits at 3.38 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 12% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 40.4%, a bit better than the 45.8% national figure, which suggests some stability in the workforce even if raw hours run light. The current record shows 8 deficiencies with none at harm or jeopardy level, though 2 are abuse-related and one fine of $36,865 has been assessed. The last inspection was August 2025. Nothing here is alarming on its face, but the abuse citations and light staffing are worth asking about directly.

Nurse hours

3.19 /day

Staff turnover

48%

Serious cites

0

New London Specialty Care runs 43 certified beds as a nonprofit, and its most recent inspection in February 2026 left four deficiencies on record, none at the harm level, but one tied to abuse, which is worth asking about directly. Nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86, and weekends run about 12% thinner than weekdays, so coverage isn't evenly spread. Annual turnover of 47.7% edges past the national 45.8%, meaning nearly half the nursing staff turns over each year. Inspections and quality measures both rate well; staffing is the weaker leg holding this home up.

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

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

3.57 /day

Staff turnover

49%

Serious cites

0

Good Samaritan - Estherville runs 62 certified beds as a nonprofit corporation, and the numbers tell a mixed story. Nurse staffing sits at 3.57 hours per resident day, roughly 8% under the national average, and weekends drop about 16% below what the home itself staffs on weekdays, so care thins out right when families tend to visit. Annual turnover is 49.1%, a few points above the national mark. The current record carries 26 deficiencies, none at harm or jeopardy level, though two are abuse-related. Inspections were last done in January 2026, and both the health inspection and quality measure ratings come in at 2 out of 5, while staffing earns 4.

Nurse hours

3.10 /day

Staff turnover

53%

Serious cites

0

West Ridge Specialty Care runs on thinner nurse coverage than most homes, 3.10 hours per resident day against a national average of 3.86, and weekends drop about 17% below what the building staffs during the week. That gap matters most on Saturdays and Sundays, when families often visit and notice. Turnover sits at 53.2%, well above the 45.8% national figure, so many of the people caring for residents are still learning the building. The current record shows 13 deficiencies, none at the harm level, though two are abuse-related, and the last full inspection was in July 2024. It's a nonprofit home with 78 beds, and its quality measure scores run low even as staffing earns a higher mark. Worth asking about weekend coverage and the abuse citations directly.

Nurse hours

2.77 /day

Staff turnover

50%

Serious cites

0

Lyon Specialty Care runs on 2.77 nurse hours per resident per day, roughly 28 percent under the national average of 3.86, and weekends dip about 9 percent below its own weekday staffing. That thin margin matters more in a 45-bed nonprofit home where turnover sits at 50 percent, above the national 45.8 percent. The inspection record is a mixed picture: 18 deficiencies on file, none at the harm or jeopardy level, but two tied to abuse. A June 2025 inspection is recent, and four out of five stars on both health inspections and quality measures suggest care is being delivered well despite the staffing shortfall. Ask about weekend coverage and how they handle the two abuse-related findings.

Nurse hours

3.01 /day

Staff turnover

64%

Serious cites

0

Avoca Specialty Care runs 46 certified beds as a nonprofit, and its nurse staffing sits at 3.01 hours per resident day, roughly 22% under the national average of 3.86. Weekend coverage drops about another 10% below its own weekday levels, and annual turnover hits 63.9% against a national 45.8%, so the same faces aren't always there. The inspection record carries 68 deficiencies, including one at the harm or jeopardy level and four tied to abuse, and the most recent inspection was in early 2026. Quality measures score better than that record suggests, but the staffing hours and the deficiency count are what a family should weigh when deciding.

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

3.17 /day

Staff turnover

47%

Serious cites

0

Good Samaritan, Le Mars runs 64 beds under nonprofit ownership, and its inspection record is the strongest part of the picture: six deficiencies on file, none at the harm level and none tied to abuse, with a survey completed in May 2026. Staffing is where it thins out. At 3.17 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekend coverage drops roughly 11% below its own weekday level. Turnover lands at 47.4%, slightly above the 45.8% national figure. For a family weighing this one, the care practices look sound on paper, but the daily staffing margin is worth asking about directly.

Nurse hours

3.26 /day

Staff turnover

60%

Serious cites

0

Good Samaritan - West Union runs 52 beds as a nonprofit, and its quality measures look strong, a 4 out of 5 on CMS's clinical scoring. The staffing side is where the picture shifts. At 3.26 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 15% below its own weekday coverage. Annual turnover of 60% is well above the 45.8% national figure, which matters more at a small home where residents see fewer familiar faces. Inspections found 13 deficiencies, none causing harm or jeopardy, though one is abuse-related, worth asking about directly. The most recent inspection was March 2026, so the record is current.

Nurse hours

3.17 /day

Staff turnover

44%

Serious cites

0

Good Samaritan, Waukon runs 60 certified beds as a nonprofit corporation, and its staffing sits at 3.17 nurse hours per resident day, about 18% under the national average of 3.86, with weekends roughly 15% thinner than its own weekdays. Turnover lands at 43.5%, a touch better than the 45.8% national figure. The inspection record shows 16 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse, and a single fine of $8,281. Two stars each on health inspections and quality measures tell you where the trouble sits. The last survey was April 30, 2026, so the picture is current.

Nurse hours

2.90 /day

Staff turnover

50%

Serious cites

0

Panora Specialty Care runs 46 beds as a nonprofit, and the numbers show a home that's decent on care quality but stretched on staff. Nurse staffing sits at 2.90 hours per resident day, roughly a quarter below the national average of 3.86, and weekends run about 9% thinner than weekdays, a gap families often feel on Saturday and Sunday. Annual turnover is 50%, higher than the 45.8% national figure, meaning aides and nurses cycle through fairly often. The health inspection record shows 12 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in January 2026. Quality measures score well; staffing is where the strain shows.