222 Chain-Owned Nursing Homes in Iowa

Nurse hours

5.31 /day

Staff turnover

26%

Serious cites

0

Deerfield Health Care Center is a 30-bed nonprofit home in Urbandale, church-affiliated, and the numbers behind it are unusually steady. Nurse staffing runs 5.31 hours per resident day, roughly 38% above the national average, and weekends hold within about 2% of weekday coverage, a gap that sinks plenty of homes. Staff turnover sits at 25.8% against a national average of 45.8%, which matters because aides who stay know the residents. The inspection record shows three deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey completed March 27, 2025. At 30 beds, this is a small enough building that consistent staffing and low turnover show up directly in daily care.

Nurse hours

6.02 /day

Staff turnover

21%

Serious cites

0

Accura Healthcare of New Hampton runs on 6.02 nursing hours per resident day, roughly 56% above the national average, and its staff turnover sits at 21.4%, less than half the national rate. That stability matters more than any single inspection finding, since consistent caregivers tend to notice changes in a resident's condition sooner. The trade-off is a three-out-of-five on health inspections, with 18 deficiencies on record, including one abuse-related citation, though none rose to the level of actual harm or jeopardy. The most recent inspection was July 31, 2025, so the picture is current. For-profit corporate ownership, 52 beds, and weekend staffing that dips about 5% below weekday levels, worth asking about if your visits fall on Saturdays or Sundays.

Nurse hours

4.23 /day

Staff turnover

33%

Serious cites

0

Terrace Glen Village runs 4.23 nurse hours per resident per day, roughly 10% above the national average, but weekends dip about 10% below its own weekday coverage, worth asking how that gap gets covered. Staff turnover sits at 32.6%, well under the 45.8% national figure, which suggests people stay. Inspections in November 2025 turned up 10 deficiencies, 3 serious enough to involve harm or jeopardy, though none abuse-related, and the 4/5 health inspection rating reflects that mixed record. Quality and staffing measures both came back 5/5. Corporate for-profit ownership of a 40-bed home means fewer layers between decisions and residents.

Nurse hours

4.51 /day

Staff turnover

26%

Serious cites

0

Accura Healthcare Of Le Mars runs a 46-bed for-profit home in Plymouth County, and the staffing numbers are its strongest card. At 4.51 nurse hours per resident day, it sits about 17% above the national average, and weekend coverage dips only about 9% below its own weekday level, modest by industry standards. Turnover is 26.1%, well under the national 45.8%, which suggests people stay. The caution is on the inspection side: 17 deficiencies on the current record, including 2 at the harm level and 1 abuse-related. That's a meaningful count for a home this size. Staffing is clearly doing the heavy lifting here.

Nurse hours

3.41 /day

Staff turnover

40%

Serious cites

0

State Center Specialty Care runs 39 certified beds as a nonprofit operation, and its staffing sits at 3.41 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts are predictable. Turnover lands at 40%, a bit better than the 45.8% national figure. Twenty deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 22, 2026. The quality and staffing stars both come in at 5 out of 5, while health inspections sit at 3. Worth asking how the home covers weekends and what those 20 deficiencies involved.

Nurse hours

4.10 /day

Staff turnover

35%

Serious cites

0

Highland Ridge runs a nonprofit home in Williamsburg with 59 certified beds, and the staffing picture is the strongest thing it has going: 4.10 nurse hours per resident day, roughly 6% above the national average, with weekend coverage dipping about 9% below its own weekday level. Turnover sits at 34.9%, well under the national 45.8%, which suggests people tend to stay. The trouble is on the inspection side, 16 deficiencies on the current record, four of them at harm or jeopardy level and two tied to abuse, plus a $36,752 fine. The most recent inspection was September 2025. Good staffing doesn't erase a record like that.

Nurse hours

4.70 /day

Staff turnover

44%

Serious cites

0

Edgewater runs on a nonprofit model with 40 certified beds in West Des Moines, and the staffing numbers are the story here: 4.70 nurse hours per resident day, roughly 22% above the national average. Weekend coverage dips about 15% below its own weekday level, so care thins out on Saturdays and Sundays even though the overall floor is high. Annual turnover sits at 44%, essentially matching the national rate. The current record shows 10 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection completed June 19, 2025. Quality measures score strongly; health inspections are the softer spot.

Nurse hours

4.89 /day

Staff turnover

24%

Serious cites

0

Walnut Ridge runs on unusually generous staffing for a 60-bed for-profit home, 4.89 nurse hours per resident day, roughly a quarter above the national average, and that's the main reason it holds up well under scrutiny. Weekend coverage dips about 8% from weekday levels, so ask how that plays out on a Sunday. Turnover sits at 24.4%, well under the 45.8% national figure, which suggests people stay. The tradeoff is a longer deficiency record: 13 citations on file, including one tied to abuse, though none rose to actual harm or jeopardy. A July 2025 inspection means the state looked recently.

Nurse hours

4.47 /day

Staff turnover

37%

Serious cites

0

Prairie Vista Village runs on 4.47 nurse hours per resident day, roughly 16% above the national average, and its weekend staffing holds about 16% below its own weekday level, a dip worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 37.3%, better than the 45.8% national figure, which matters for whether your parent sees the same faces month to month. Five deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2025. It's a for-profit LLC with 46 beds, small enough that you can reasonably expect the administrator to know your mother's name.

Nurse hours

3.86 /day

Staff turnover

35%

Serious cites

0

Valley Vue Care Center runs 40 certified beds in Armstrong under for-profit LLC ownership. Nurse staffing sits at 3.86 hours per resident day, essentially right at the national average, not above it, and weekends run about 11% leaner than weekdays, so coverage thins when families tend to visit. Staff turnover of 35% beats the 45.8% national figure, meaning caregivers here tend to stick around longer than at the typical home. Inspections produced 11 deficiencies with none at harm or jeopardy level and none abuse-related, and the most recent inspection was March 12, 2026, so the record is current. CMS gives it 4 stars for health inspections, 4 for quality measures, and 5 for staffing.

Nurse hours

3.33 /day

Staff turnover

23%

Serious cites

0

Fonda Specialty Care runs leaner on nurse hours than the national average, about 3.33 per resident day, roughly 14% under, and weekends dip about 16% below its own weekday coverage, so staffing thinness is real, not a rounding error. What offsets it: turnover at 23.1% sits well below the 45.8% national figure, meaning the aides and nurses who are there tend to stay, which matters more for daily consistency than raw headcount. The 14 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, and the last inspection was in March 2026.

Nurse hours

3.39 /day

Staff turnover

29%

Serious cites

0

Edgewood Convalescent Home holds 56 certified beds in Clayton County and is run by a for-profit corporation. Its recent inspection history is clean: three deficiencies on record, none at the harm or jeopardy level and none tied to abuse, with a survey completed in September 2025. Staff turnover sits at 29.4 percent, comfortably under the national 45.8 percent, which suggests people tend to stay. The trade-off is raw staffing volume, 3.39 nurse hours per resident day, roughly 12 percent under the national average, and weekends drop about 17 percent below the home's own weekday coverage. Those weekend gaps are worth asking about directly.

Nurse hours

3.40 /day

Staff turnover

27%

Serious cites

0

Sibley Specialty Care runs 46 beds as a nonprofit, and the numbers that stand out most are on the workforce side: staff turnover of 27% sits well under the national 45.8% average, which suggests people tend to stay. Daily nurse staffing of 3.40 hours per resident is about 12% under the national figure, though, and weekends run roughly 16% lighter than weekdays, so coverage isn't uniform. Ten deficiencies appear on the current record, two tied to abuse and none at the harm level, with the most recent inspection in May 2025. The quality and staffing ratings are both strong; inspections are the softer spot.

Nurse hours

4.58 /day

Staff turnover

37%

Serious cites

0

Mill-Pond runs on 4.58 nurse hours per resident day, roughly 19% above the national average, and that staffing shows up in the five-star rating CMS gives it for workforce. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 37.1%, better than the 45.8% national figure. The current record lists 10 deficiencies, none at the harm or jeopardy level, though 3 are abuse-related, worth asking about directly. The last inspection was March 2026, and the health inspection and quality measure ratings both came in at 4 out of 5.

Nurse hours

4.56 /day

Staff turnover

44%

Serious cites

0

The Suites At Western Home Communities runs about 4.56 nurse hours per resident day, roughly 18% above the national average, and weekend staffing only dips about 5% below weekday levels, a small gap, which matters because weekends are where a lot of homes quietly thin out. Turnover sits at 43.6%, slightly better than the 45.8% national figure but still meaning nearly half the nursing staff turning over in a year. The inspection record shows 13 deficiencies, none at the harm or jeopardy level, though two are abuse-related, worth asking about directly. With a nonprofit owner, a recent March 2026 inspection, and 4s across health inspection and quality measures alongside that 5 on staffing, the numbers point to a home that's well-staffed and currently in good standing.

Nurse hours

3.43 /day

Staff turnover

32%

Serious cites

0

Good Samaritan - Villisca runs 46 beds as a nonprofit, and its staff turnover of 32.4% sits well below the national average of 45.8%, that kind of retention matters when you're relying on the same people to notice changes in a resident's condition. Nurse staffing, though, is 3.43 hours per resident day, roughly 11% under the national average, and weekends run about 18% lighter than weekdays, so coverage thins out exactly when families tend to visit. The current inspection record carries 18 deficiencies, including one at the harm level and two related to abuse, with the last inspection dated January 29, 2026.

Nurse hours

3.60 /day

Staff turnover

27%

Serious cites

0

Manly Specialty Care runs a nonprofit home with 44 certified beds, and the staffing picture is mixed. Nurses provide 3.60 hours per resident day, roughly 7% under the national average of 3.86, and weekends dip about 8% below the home's own weekday coverage. Retention is a genuine strength: 27% turnover against a national 45.8%. Where the record gets concerning is inspections, a 2-out-of-5 health inspection rating, 21 deficiencies on file including one at the harm level and four tied to abuse, plus a $13,627 fine. The most recent inspection was March 5, 2026. Steady caregivers matter, but the enforcement history is what a family should ask about directly.

Nurse hours

3.62 /day

Staff turnover

25%

Serious cites

0

Lake Mills Care Center runs 61 certified beds under corporate ownership, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. Weekends drop about 12% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 25% annually against a national 45.8%, meaning aides and nurses here tend to stay. The inspection record shows six deficiencies, one serious enough to involve harm or jeopardy, with nothing abuse-related; the last survey was April 2026. Quality measures score well, but staffing and health inspection results both land mid-range, which is what holds this home back from the top tier.

Nurse hours

4.00 /day

Staff turnover

28%

Serious cites

0

Westview Of Indianola runs about 4.00 nurse hours per resident day, a bit above the national average, and weekend coverage dips roughly 7% below its own weekday level, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 27.8%, well under the national 45.8%, which matters because consistent caregivers know residents' routines. The inspection record is clean: zero deficiencies, none at the harm level, none abuse-related, with the last visit in December 2025. It's a for-profit LLC with 71 beds, and on the federal stars it earns fives for inspections and quality measures, four for staffing.

Nurse hours

4.26 /day

Staff turnover

40%

Serious cites

0

Halcyon House sits in Washington, Iowa, with 54 certified beds and a nonprofit owner. The staffing numbers are strong, 4.25 nurse hours per resident day, roughly 10% above the national average, with weekend coverage dipping about 11% below weekdays. Turnover runs 40%, better than the 45.8% national figure, and CMS gives top marks for staffing and quality measures. The tension is in inspections: a 2/5 health inspection rating, five deficiencies on record, one serious enough to reach harm or jeopardy level. No abuse citations. The most recent inspection was March 2026. Good hands on deck, but the survey history is where the concern lives.