222 Chain-Owned Nursing Homes in Iowa

Nurse hours

2.99 /day

Staff turnover

21%

Serious cites

0

Traditions Memory Care of Newton runs lean on the floor. At 2.99 nurse hours per resident day, it sits about 23% under the national average, and weekends dip roughly 8% below its own weekday levels, the stretch when families tend to visit and when staffing gaps show most. What offsets that is stability: 21.2% turnover against a national 45.8% means the aides and nurses here largely stay, which matters more in memory care than almost anywhere. Seven deficiencies on record, none at harm or jeopardy level and none abuse-related, with a fresh July 2025 inspection behind those numbers. The corporate owner takes profit, and the low staffing score reflects that choice; the people working there appear to be doing right by residents anyway.

Nurse hours

4.21 /day

Staff turnover

40%

Serious cites

0

Martin Health Center runs on unusually solid staffing for a 50-bed nonprofit home in Cedar Falls, 4.21 nurse hours per resident day, roughly 9% above the national average, and enough to earn a top staffing rating from CMS. Weekend coverage dips about 8% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 39.7%, better than the 45.8% national figure, no small thing when consistent caregivers matter. The tradeoffs show up elsewhere: 11 deficiencies on record, one serious enough to involve harm or jeopardy, and a mid-range quality measure score. The last inspection was recent, in May 2025, so the picture is current.

Nurse hours

4.19 /day

Staff turnover

35%

Serious cites

0

Wesley Park Centre in Newton runs a nonprofit operation with 66 certified beds, and the staffing numbers are the strongest part of the picture: 4.19 nurse hours per resident day, roughly 8% above the national average, with a five-star CMS staffing rating to match. Weekend coverage dips about 11% below weekday levels, though, and turnover sits at 35.2%, better than the 45.8% national figure, but still a third of the staff leaving annually. The inspection record is where it gets cloudier: 10 deficiencies on file, two of them serious enough to involve harm or jeopardy, plus one fine of $17,345, with the most recent inspection in January 2026. Solid staffing, moderate inspection history.

Nurse hours

4.63 /day

Staff turnover

32%

Serious cites

0

Lenox Care Center runs on an unusual split: five stars for staffing, two for health inspections. The 4.63 nurse hours per resident day beat the national average by about 20%, and turnover of 31.6% sits well under the 45.8% national figure, that kind of retention suggests people stay. Weekends thin out, though, running about 16% below the home's own weekday coverage. On the inspection side, 28 deficiencies sit on the record, two tied to abuse, none flagged at the harm or jeopardy level. The most recent inspection was March 2026, so the picture is current. For-profit partnership ownership, 36 beds. Strong hands on deck; the paperwork history is where questions remain.

Nurse hours

3.74 /day

Staff turnover

37%

Serious cites

0

Accura Healthcare of Sioux City runs 46 beds under corporate ownership, and its last inspection was recent, December 2025, with 21 deficiencies on record but none involving harm or abuse, which matters more than the raw count. Nurse staffing sits at 3.74 hours per resident day, a touch under the national 3.86, and weekends drop roughly 18% below weekday coverage, so ask how that gap gets filled. Staff turnover is 37%, better than the 45.8% national figure, which suggests people tend to stay. Federal ratings put quality and staffing at 4 stars each, inspection at 3.

Nurse hours

3.35 /day

Staff turnover

33%

Serious cites

0

Good Samaritan, Holstein runs 60 certified beds as a nonprofit, and its nursing hours come in around 3.35 per resident day, roughly 13% under the national average of 3.86, with weekends dropping about 12% below its own weekday coverage. That thinner weekend floor matters because the home carries 24 deficiencies on its current record, including two at the harm or jeopardy level and four tied to abuse, plus a $99,103 fine. Staff turnover of 33.3% is meaningfully better than the 45.8% national figure, and its quality measure score is strong, but a recent inspection with that many open findings is what holds the overall picture back.

Nurse hours

3.63 /day

Staff turnover

31%

Serious cites

0

Good Samaritan in Ottumwa runs 126 certified beds as a nonprofit, and its staffing sits a bit under the national average, 3.63 nurse hours per resident day against 3.86, with weekends about 8% lighter than weekdays. That modest shortfall is worth knowing if your family member needs help on Saturdays and Sundays. What stands out more is retention: turnover of 31.2% against a national 45.8% means aides and nurses tend to stay, which usually translates into more consistent care. But the inspection record carries real weight: 33 deficiencies, three at harm or jeopardy level, two tied to abuse, and $91,569 in fines across two penalties. The most recent inspection was December 2025. Quality and staffing both rate 4 out of 5; health inspections come in at 3.

Nurse hours

3.60 /day

Staff turnover

40%

Serious cites

0

Ennoble Nursing And Rehab runs 85 certified beds in Dubuque under for-profit limited liability ownership. The numbers that matter most here are clean: two deficiencies on the current record, none causing harm or jeopardy, none abuse-related, and a state inspection completed in June 2025. Staff turnover sits at 40%, a bit better than the 45.8% national average, though total nurse staffing of 3.60 hours per resident day lands about 7% under the national figure. Weekend coverage drops roughly 16% below its own weekday level, which is worth asking about directly. A five-star inspection rating and five-star quality measures carry real weight, but the staffing margin is thinner than those marks suggest.

Nurse hours

3.07 /day

Staff turnover

38%

Serious cites

0

Mechanicsville Specialty Care runs on a nonprofit model with 39 beds, and the numbers show a place that inspection-wise is doing a lot right. Its last survey was in September 2025, and of the 12 deficiencies on record, none rose to harm or jeopardy level and none involved abuse. Nurse staffing sits at 3.07 hours per resident day, roughly 20 percent under the national average of 3.86, and weekends dip about 3 percent below weekdays, so coverage is thinner than you'd like. Turnover, though, is 38.2 percent against a national 45.8, which suggests people tend to stay. Quality measures scored at the top of the scale.

Nurse hours

2.96 /day

Staff turnover

28%

Serious cites

0

Atlantic Specialty Care runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 12% below its own weekday staffing. That thinner coverage shows up in its two-out-of-five inspection rating and 42 deficiencies on record, though none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026. What works in its favor: staff turnover is 28.3%, well under the 45.8% national figure, suggesting a steadier workforce than many homes, and its quality measure rating sits at five out of five. As a nonprofit, it isn't answering to shareholders. The tradeoff here is real but bounded, fewer hands on weekends, strong clinical measures, no serious safety findings.

Nurse hours

3.72 /day

Staff turnover

28%

Serious cites

0

Bedford Specialty Care runs 39 certified beds as a nonprofit, and its recent inspection history is solid, the last survey wrapped in July 2025 with a 4-star health inspection rating. The 14 deficiencies on record include none at the harm or jeopardy level, though three are abuse-related, which families should ask about directly. Staff turnover sits at 27.6% against a national average of 45.8%, meaning caregivers here tend to stay. Total nurse staffing is 3.72 hours per resident day, slightly under the 3.86 national figure, and weekends run about 5% thinner than weekdays, so coverage dips when it's hardest to reach administrators.

Nurse hours

3.30 /day

Staff turnover

52%

Serious cites

0

Montezuma Specialty Care runs 41 certified beds as a nonprofit corporation, and its 3.30 nurse staffing hours per resident day sit about 14 percent under the national average of 3.86. Weekends dip roughly 7 percent below the home's own weekday levels, and annual turnover lands at 51.6 percent against a national 45.8, so the people caring for residents here are both fewer in number and changing more often than is typical. The current record shows 13 deficiencies, two tied to abuse, though none rose to harm or jeopardy. Its last inspection was April 23, 2026. Quality and staffing measures each earned four stars from CMS, with inspection at three.

Nurse hours

3.81 /day

Staff turnover

58%

Serious cites

0

Chariton Specialty Care runs 60 certified beds as a for-profit corporation, and its staffing sits just under the national average at 3.81 nurse hours per resident day. The bigger concern is who's on the floor: annual turnover hits 58.1%, well above the 45.8% national rate, and weekends run about 13% leaner than weekdays, exactly when families often visit. Inspections tell a similar story, 18 deficiencies on record, including one at the harm or jeopardy level and two tied to abuse. A single fine of $15,134 has been levied. The most recent inspection was January 14, 2026. Quality measures score well, but the direct-care and oversight picture is what a family should weigh.

Nurse hours

3.26 /day

Staff turnover

32%

Serious cites

0

Oakwood Specialty Care runs a 54-bed nonprofit home in Albia, and the staffing numbers are the main thing to weigh. Nurses give residents about 3.26 hours of care per day, roughly 15% under the national average, and weekends dip another 13% below what the home itself manages on weekdays. Turnover sits at 31.7%, which is better than the 45.8% national figure. Eighteen deficiencies show on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in September 2025. Quality measures score well; the day-to-day staffing is where this home is thinner than most.

Nurse hours

4.53 /day

Staff turnover

47%

Serious cites

0

Green Hills runs on a strong direct-care workforce: 4.53 nurse hours per resident day is about 17 percent more than the national average, and that shows up in a five-star staffing rating. The catch is consistency, weekend coverage drops roughly 13 percent below weekday levels, and turnover sits at 47.1 percent, slightly worse than the national average, so the faces around your family member may change often. Seven deficiencies on record, none involving harm, jeopardy, or abuse, and a January 2026 inspection is recent enough to trust. Quality measures are the weak spot at two stars, which is worth asking about directly even though the care hours look good on paper.

Nurse hours

4.57 /day

Staff turnover

55%

Serious cites

0

Brio Of Johnston runs a for-profit limited liability operation with 36 certified beds in Polk County, and its nurse staffing sits at 4.57 hours per resident day, roughly 18% above the national average. That margin narrows on weekends, when coverage drops about 10% below the home's own weekday pace. Staff turnover lands at 55.1%, nearly ten points above the national figure, which means the people delivering that care are cycling through faster than average. Twelve deficiencies sit on the current record, one serious enough to involve harm or jeopardy, with a single fine of $6,923 and an inspection dated April 2026. The staffing and quality measure ratings hold at 4 stars each; inspection results sit lower at 3.

Nurse hours

4.46 /day

Staff turnover

51%

Serious cites

0

Hallmar Village runs a church-affiliated nonprofit with 55 beds, and its staffing is the clear strength: 4.46 nurse hours per resident day, roughly 15% above the national average, with weekend coverage only about 8% below weekday levels. The tradeoffs show up elsewhere. Staff turnover sits at 51.4%, higher than the 45.8% national figure, and the current inspection record carries 21 deficiencies, three of them serious enough to involve harm or jeopardy. No abuse citations, and one fine totaling $11,960. The last inspection was in October 2025, so the picture is fairly current. Strong bedside hours can offset a lot, but a turnover rate above average plus three harm-level findings is what holds this home back.

Nurse hours

3.48 /day

Staff turnover

n/a

Serious cites

0

Regency Park's inspection record is the strongest card here, a four-star health inspection and a five-star quality measure score, both built on a survey done in November 2025 with nine total deficiencies and just one at the harm level. No abuse findings on the record. Where it slips is staffing: 3.48 nurse hours per resident day, about 10% under the national average, with weekends running roughly 13% thinner than weekdays. Forty-six beds under corporate ownership means the numbers aren't hiding much. Ask how the weekend shift is covered, especially on evenings, and who's on call when it isn't.

Nurse hours

3.25 /day

Staff turnover

36%

Serious cites

0

Good Samaritan - Manson runs 42 beds as a nonprofit, and its strongest number is staffing stability: turnover at 35.7% sits well under the 45.8% national average, which matters in a small rural home where familiar faces do the work. The catch is raw hours, 3.25 nurse hours per resident day is about 16% under the national average, and weekends drop roughly 20% below its own weekday coverage, so care thins out exactly when families tend to visit. Fourteen deficiencies on the current record include one abuse-related citation, though none rose to harm or jeopardy. The last inspection was May 2025. Quality measures score well; the inspection history is the weaker half of the picture.

Nurse hours

3.73 /day

Staff turnover

55%

Serious cites

0

Elkader Care Center runs 40 beds as a for-profit LLC, and its inspection record is genuinely strong, a 4-out-of-5 health inspection rating with a recent survey from December 2025. But look at the direct-care picture: 3.73 nurse hours per resident per day sits slightly under the national average of 3.86, and weekends drop about 17% below the home's own weekday staffing. Annual turnover of 54.5% tops the national 45.8%, which means the people helping your relative bathe and eat are changing often. Four deficiencies are on record, one involving harm or jeopardy and one tied to abuse. Good inspections, thinner hands-on coverage, worth asking about.