222 Chain-Owned Nursing Homes in Iowa

Nurse hours

3.96 /day

Staff turnover

33%

Serious cites

0

Heritage House runs a nonprofit operation with 61 beds in Atlantic, and the staffing numbers are the first thing worth noticing. At 3.96 nurse hours per resident day, it sits just above the national average, and weekend coverage dips about 11% below its own weekday level, a gap families should ask about directly. Staff turnover is 33.3%, well under the 45.8% national figure, which matters for whether your parent sees the same faces week to week. The inspection record shows 11 deficiencies, none involving harm or abuse, with the most recent state visit in September 2025. Ownership is nonprofit, which often means steadier budgets and less pressure to trim direct care hours.

Nurse hours

3.96 /day

Staff turnover

37%

Serious cites

0

Kahl Home has a strange split on its record. The clinical quality measures come in at the top of CMS's scale and staffing is solidly above average, 3.96 nurse hours per resident day, a bit ahead of the 3.86 national figure, with turnover at 37.2% against a 45.8% national rate. But the health inspection side tells a different story: 15 deficiencies on the current record, two of them serious enough to involve harm or jeopardy, and CMS rates inspections just 2 out of 5. Weekend coverage also dips about 7% below weekday levels. The most recent inspection, in March 2026, is recent enough to trust. The B reflects real strengths in care delivery weighed against unresolved problems with how the building is run day to day.

Nurse hours

4.10 /day

Staff turnover

46%

Serious cites

0

The Village in Indianola runs on a nonprofit model and staffs above the national average, 4.10 nurse hours per resident day against 3.86, though weekends dip about 10% below its own weekday coverage, so ask how that gap gets filled. Turnover sits at 45.9%, essentially the national average, which means retention here isn't a crisis but isn't a strength either. Seven deficiencies appear on the current record, one serious enough to involve harm or jeopardy, with nothing abuse-related. The last inspection was January 15, 2026, recent enough to trust. Four stars on health inspections and quality measures, five on staffing, with 54 beds, small enough that you can reasonably expect staff to know residents by name.

Nurse hours

3.34 /day

Staff turnover

38%

Serious cites

0

Good Samaritan, George runs 36 beds as a nonprofit, and its staff stick around longer than most, turnover of 37.9% beats the national 45.8%, but there aren't many of them: 3.34 nurse hours per resident day, about 13% under the national average, thinning further on weekends. The quality and staffing stars look strong, yet the inspection record shows 21 deficiencies, including two at harm or jeopardy level and three tied to abuse, with $18,142 in fines and a survey completed in August 2025. Stable caregivers, lighter coverage, and a cited record, weigh all three before deciding.

Nurse hours

3.43 /day

Staff turnover

44%

Serious cites

0

Corning Specialty Care runs 40 certified beds as a nonprofit, and its nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 8% below its own weekday levels, so coverage thins out right when families tend to visit. Annual turnover lands at 43.5%, slightly better than the national 45.8%. Its inspection record shows 19 deficiencies, none at the harm or jeopardy level, though one is abuse-related. The most recent inspection was in February 2026, so the picture is current. Quality measure scores are strong and staffing scores are solid. The tradeoff here is real: good clinical outcomes and low-severity findings, but thinner daily coverage than the typical home.

Nurse hours

3.24 /day

Staff turnover

26%

Serious cites

0

Laporte City Specialty Care runs a tight ship on inspections, a four-star health inspection record with only three deficiencies and none tied to abuse. The catch is staffing. At 3.24 nurse hours per resident day, it sits about 16% under the national average, and weekends dip roughly 12% below its own weekday levels, which matters if your family visits or calls on Saturdays and Sundays. The good news: turnover is 25.7%, well below the 45.8% national figure, so the people who are there tend to stay. Its last inspection was recent, in February 2026. For 46 beds under nonprofit ownership, that's a decent overall picture, just go in knowing the daily coverage is leaner than most.

Nurse hours

3.41 /day

Staff turnover

37%

Serious cites

0

Wapello Specialty Care runs on thinner nurse coverage than most homes, about 3.4 hours per resident each day against a national figure near 3.9, and weekends dip roughly 11% below what the home staffs on weekdays. Turnover sits at 37%, which sounds high until you note the national average is closer to 46%, so this nonprofit keeps its people longer than typical. The inspection record is where the picture gets muddier: 29 deficiencies on file, including three at the level where residents were actually harmed or put in jeopardy, and two tied to abuse. The last full inspection was in late 2025, so that record is current. Strong quality and staffing scores from CMS sit alongside that citation history.

Nurse hours

4.37 /day

Staff turnover

55%

Serious cites

0

Northridge Village runs lean in a way that mostly works. Nurse staffing sits at 4.37 hours per resident day, comfortably above the national average, and that shows up in its staffing rating. The catch is weekends, when coverage drops about 11% below what the home staffs on weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Turnover is the bigger flag: 54.7% annually against a national 45.8%, meaning more than half the nursing staff turned over in a year. Inspections came back recently and cleanly enough, with one deficiency serious enough to register as harm. Six deficiencies total, none tied to abuse.

Nurse hours

3.63 /day

Staff turnover

32%

Serious cites

0

Lamoni Specialty Care runs 3.63 nurse hours per resident day, about 6% under the national average of 3.86, and weekends dip roughly 15% below its own weekday coverage, so the daily help is thinner than average, especially Saturday and Sunday. That said, staff retention is strong: turnover sits at 32.3% against a national 45.8%, meaning the people caring for residents tend to stay. Inspections back that up, with a 5/5 health inspection rating, a 5/5 quality measure rating, and only 5 deficiencies on record, none at harm or jeopardy level, though one is abuse-related. The most recent inspection was February 19, 2026. This nonprofit's record is clean, but watch weekend staffing.

Nurse hours

3.66 /day

Staff turnover

29%

Serious cites

0

Evans Senior Living Community runs 43 beds in Cresco under nonprofit ownership, and its inspection record is the strongest thing about it: one deficiency on file, nothing at the harm level, and a survey completed in August 2025. The staffing picture is more mixed. At 3.66 nurse hours per resident day, it sits about 5% under the national average, and weekends drop roughly 16% below its own weekday coverage, the stretch when families often notice less attention. What offsets that is retention: 28.9% turnover against a 45.8% national rate means the people caring for your relative are more likely to still be there next year. Low deficiencies, stable staff, slightly thin weekend hours.

Nurse hours

3.73 /day

Staff turnover

31%

Serious cites

0

Odebolt Specialty Care is a small nonprofit home, 38 beds, and its staffing picture is genuinely strong: 3.73 nurse hours per resident day, close to the national average, with weekend coverage running about 9% lighter than weekdays. Turnover sits at 31%, well below the 45.8% national figure, which matters for how well aides know the residents. The trouble is the inspection record: 20 deficiencies, three of them serious enough to put residents at risk of harm, and one fine of $14,433. The most recent inspection was March 12, 2026. Consistent hands, a thinner record on safety.

Nurse hours

3.96 /day

Staff turnover

32%

Serious cites

0

Bloomfield Care Center runs 91 certified beds under corporate for-profit ownership, and the numbers here mostly hold up. Nurse staffing sits at 3.96 hours per resident day, a bit above the national average, and turnover of 31.8% is well below the 45.8% norm, that stability matters more than people realize. Weekend coverage does dip roughly 10% below weekday levels, so ask how that plays out on Saturdays. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, with a November 2025 inspection that's still recent. Quality measures land mid-range, inspections and staffing both stronger. Worth a visit, with questions about weekend shifts.

Nurse hours

4.61 /day

Staff turnover

39%

Serious cites

0

Accura Healthcare of Bancroft runs about 4.61 nurse hours per resident day, roughly 19% above the national figure, and that staffing shows up in the numbers CMS cares about. Weekend coverage dips about 12% below weekday levels, so ask how that plays out on Saturdays. Staff turnover sits at 39.3%, better than the 45.8% national rate, which matters in a 25-bed home where residents know their caregivers by name. The current record shows seven deficiencies, none at the harm level and none abuse-related, with the last inspection in June 2025. Quality measure scores come in at 2 out of 5, the weakest part of the picture.

Nurse hours

3.79 /day

Staff turnover

38%

Serious cites

0

Accura Healthcare of Aurelia runs 41 certified beds under for-profit, limited-liability ownership in Cherokee County. Nurse staffing sits at 3.79 hours per resident day, slightly under the national average of 3.86, and weekends run about 11% thinner than weekdays, worth knowing if your family visits mainly on Saturdays and Sundays. Staff turnover is 37.8%, actually better than the 45.8% national figure, which suggests less churn than many peers. The current inspection record shows 14 deficiencies, including one at the harm or jeopardy level and two tied to abuse; the most recent inspection was January 29, 2026, so that record is fresh. Quality measures and staffing both earned 4 of 5 stars, while health inspections landed at 3.

Nurse hours

4.06 /day

Staff turnover

35%

Serious cites

0

Fieldstone Of Dewitt runs on 4.06 nurse hours per resident day, a bit above the national average of 3.86, and weekend coverage dips roughly 7% below its own weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. Annual turnover sits at 34.9%, well below the 45.8% national figure, so the people caring for residents tend to stick around, which matters more than any single inspection score. The home carries four deficiencies on its current record, none at the harm level and none abuse-related, with a health inspection from July 2025. Quality measures land mid-range while staffing and inspections score higher.

Nurse hours

4.12 /day

Staff turnover

33%

Serious cites

0

Creekside runs on 4.12 nurse hours per resident day, roughly 7% above the national average, and its staff turnover of 33.3% is well below the 45.8% national figure, two signs of a stable, adequately staffed building. Weekend coverage dips about 7% from weekday levels, worth asking about if your family visits Saturdays or Sundays. The inspection record is thin: one deficiency total, none at harm level, none abuse-related, with the most recent survey in December 2025. The weaker spot is the 2/5 quality measure rating, so ask what specific clinical measures are dragging that down.

Nurse hours

4.32 /day

Staff turnover

29%

Serious cites

0

Mount Carmel Bluffs runs on 4.32 nurse hours per resident day, about 12 percent above the national average, and its staff tends to stay, 29 percent turnover against a national 45.8. That steadiness shows up in the inspection record: seven deficiencies, none at the harm level, none tied to abuse, with a survey completed in late February 2026. The trade-off is quality measures, where the home scores low despite the strong staffing. Weekend coverage slips roughly 10 percent below its own weekday level, so ask how that gap gets filled. It's a for-profit limited liability company with 60 beds.

Nurse hours

3.58 /day

Staff turnover

36%

Serious cites

0

Dunlap Specialty Care runs a 46-bed nonprofit home in Harrison County, and the numbers pull in different directions. Nurse staffing sits at 3.58 hours per resident day, roughly 7 percent under the national average, and weekends dip about 7 percent below the home's own weekday levels. Turnover is the brighter spot: 35.5 percent against a national 45.8 percent, so people tend to stay. What weighs the record down is the inspection history, 41 deficiencies on file, including 5 at the harm or jeopardy level and 4 tied to abuse, plus one fine of $10,062. The last inspection was in May 2025, so the record is current. Strong family satisfaction scores and staffing stars don't erase that harm-level citation count, and families should ask directly what changed since.

Nurse hours

2.94 /day

Staff turnover

28%

Serious cites

0

Good Samaritan, Saint Ansgar runs on a leaner nursing crew than most homes nationally, 2.94 nurse hours per resident day against a 3.86 average, and weekends dip about 15% below its own weekday coverage. The offset is stability: staff turnover sits at 27.8%, well under the 45.8% national figure, so the people there tend to stay. Its inspection record is clean where it counts, with four deficiencies on file and none involving harm, jeopardy, or abuse, and the most recent state visit came in April 2025. For a 42-bed nonprofit, that mix of low turnover and no-harm findings is doing more work than the raw staffing number suggests.

Nurse hours

3.56 /day

Staff turnover

34%

Serious cites

0

Westview Care Center runs a tight operation, zero deficiencies on its current record, no abuse findings, and a recent inspection from July 2025 that came back clean. Staffing sits at 3.56 hours per resident day, roughly 8% under the national average of 3.86, and weekends dip about 10% below its own weekday coverage, so afternoons and Saturdays may feel leaner than the numbers suggest. What stands out is retention: turnover at 34.4% beats the national 45.8%, meaning the people caring for residents tend to stick around. For a 67-bed for-profit LLC in Britt, that combination of a spotless inspection history and a stable workforce is the real story here.