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222 Chain-Owned Nursing Homes in Iowa

222 of the 388 Medicare-certified nursing homes in Iowa (57%) are chain-owned, and all are listed below. 43 of the 222 graded homes earn an A and 11 earn a D or F. They average 3.62 nursing hours per resident per day, 0.2 hours below the 3.82 for every home in Iowa. Deerfield Health Care Center in Urbandale grades highest at A (100 out of 100).

How chain-owned homes in Iowa compare

This group set against every nursing home in Iowa, from the current CMS release.

Nursing hours per resident per day

3.62

All homes in Iowa: 3.82

Worse than the local average

Nurse staff turnover

46.1%

All homes in Iowa: 44.1%

Worse than the local average

Average ElderGrade score

75.2/100

All homes in Iowa: 77.9/100

Worse than the local average

Grade spread

A
B
C

43 grade A, 120 grade B, 48 grade C, 11 grade D,

The best-graded chain-owned home in Iowa is Deerfield Health Care Center in Urbandale, IA, grade A, 100/100.

Every chain-owned nursing home in Iowa

Showing 61 to 80 of 222, best-graded first.

B

82/100

Good Samaritan - Davenport

Davenport, IA · Scott County

CMS 3/5119 bedsNon-profitMedicaid
Nurse hours
3.47 /day
Staff turnover
28%
Serious cites
0

Good Samaritan - Davenport runs on a church-affiliated nonprofit model with 119 beds, and its staff tends to stick around, turnover of 28.4% sits well under the national 45.8%, which matters when you're thinking about who's actually at the bedside month to month. Total nursing hours come in around 3.47 per resident day, roughly 10% under the national average, and weekends run about 12% lighter than weekdays, so coverage thins out when families tend to visit. The inspection record shows 17 deficiencies, none at harm or jeopardy level, though one is abuse-related. A January 2026 inspection is recent, and the quality and staffing ratings both land at 4 out of 5.

B

82/100

Ridgewood Specialty Care

Ottumwa, IA · Wapello County

CMS 3/560 bedsNon-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
44%
Serious cites
0

Ridgewood Specialty Care runs about 3.27 nursing hours per resident each day, which is roughly 15 percent under the national average of 3.86, and weekend coverage dips another 8 percent below its own weekday level. Staff turnover sits at 43.5 percent, slightly better than the 45.8 percent national figure, and the home is a nonprofit corporation. On its last inspection, dated December 22, 2025, the state cited 18 deficiencies, one of them serious enough to put a resident at risk of harm, though none involved abuse; one fine totaling $8,999 has been levied. The quality measure rating of 4 out of 5 looks good on paper, but thin staffing and that harm-level citation are what actually shape day-to-day care here.

B

82/100

Parkview Care Center

Fairfield, IA · Jefferson County

CMS 1/570 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
29%
Serious cites
0

Parkview Care Center runs 70 certified beds in Fairfield under individual for-profit ownership. The staffing numbers are the hard part: a one-star staffing rating, despite a 29.4% turnover rate that actually beats the national average of 45.8%. That gap tells you the problem is how many hands are on deck per resident, not whether people stay. Its record shows 32 deficiencies, including one at the harm or jeopardy level and one abuse-related, and the last inspection came in July 2025. Quality measures earn four stars, so the clinical tracking looks better than the day-to-day coverage suggests. Weigh those two against each other before deciding.

B

82/100

Oelwein Health Care Center

Oelwein, IA · Fayette County

CMS 3/561 bedsFor-profitMedicaid
Nurse hours
3.07 /day
Staff turnover
33%
Serious cites
0

Oelwein Health Care Center runs 61 certified beds as a for-profit corporation, and its nurse staffing sits at 3.07 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 10% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover is the brighter spot: 32.5% against a national average of 45.8%, meaning aides and nurses here tend to stay put longer than elsewhere. The current record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection dated March 26, 2026. Three stars each on health inspections, quality measures, and staffing put this home squarely in the middle.

B

82/100

Willow Dale Wellness Village

Battle Creek, IA · Ida County

CMS 4/540 bedsFor-profitMedicaid
Nurse hours
3.93 /day
Staff turnover
33%
Serious cites
0

Willow Dale Wellness Village runs 40 certified beds in Battle Creek under corporate for-profit ownership, and the numbers here are steadier than most. Nurse staffing sits at 3.93 hours per resident day, a bit above the national average, though weekends run about 7% thinner than weekdays, worth asking about if your family visits mostly on Saturdays and Sundays. Annual turnover of 33.3% is well below the national 45.8%, which suggests people stick around long enough to know the residents. The last inspection came in December 2025 and turned up four deficiencies, none involving harm or abuse.

B

82/100

Concord Care Center

Garner, IA · Hancock County

CMS 5/546 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
53%
Serious cites
0

Concord Care Center runs 46 beds in Garner under for-profit LLC ownership, and the inspection record is the strongest part of the picture, the state visited in September 2025 and found 11 deficiencies, none of which rose to harm or jeopardy. The one abuse-related citation is worth asking about directly. Where the home gives ground is staffing: 3.50 nurse hours per resident day sits about 9% under the national average, weekend coverage dips roughly 12% below its own weekday levels, and 53.2% of staff turned over in a year against a 45.8% national rate. That combination, solid surveys, thinner and less stable coverage, is what keeps this from grading higher despite strong quality measure scores.

B

82/100

River Hills Village In Keokuk

Keokuk, IA · Lee County

CMS 3/584 bedsFor-profitMedicaid
Nurse hours
4.28 /day
Staff turnover
40%
Serious cites
0

River Hills Village sits at 84 certified beds under for-profit LLC ownership in Keokuk, and the staffing picture is its clearest strength: 4.28 nurse hours per resident day, roughly 11% above the national average. Turnover runs 40%, better than the 45.8% norm, though weekend coverage dips about 7% below weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows 8 deficiencies, one serious enough to reach harm or jeopardy level, none abuse-related, with the most recent survey in September 2025. Quality measures score well; the health inspection side is more middle-of-the-road.

B

82/100

The Ambassador Sidney Inc

Sidney, IA · Fremont County

CMS 4/546 bedsFor-profitMedicaid
Nurse hours
3.54 /day
Staff turnover
34%
Serious cites
0

The Ambassador Sidney runs about 46 beds under corporate ownership, and its staffing sits roughly 8% under the national average at 3.54 nurse hours per resident day. Weekends thin out further, running about 13% below the home's own weekday coverage. What works in its favor: staff turnover of 34.1% beats the 45.8% national figure, and the inspection record is clean where it counts, 12 deficiencies, none at harm or jeopardy level, none tied to abuse. A recent March 2026 inspection backs that up. The tradeoff is a home that's reliably safe but thinly staffed at times, especially Saturdays and Sundays.

B

82/100

Wesley On Grand

Des Moines, IA · Polk County

CMS 4/580 bedsNon-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
45%
Serious cites
0

Wesley On Grand runs on a solid staffing base: 3.94 nurse hours per resident day, a bit above the national average of 3.86. Weekend coverage dips about 5% from weekday levels, and turnover sits at 44.7%, marginally better than the 45.8% national figure. The inspection record is clean where it matters, four deficiencies total, none causing harm or jeopardy, none abuse-related, with the most recent survey in June 2025. Quality measures land mid-range. It's a nonprofit home with 80 beds whose strongest asset is a spotless harm-level record and dependable weekday staffing; the trade-offs are thinner weekend coverage and a quality-measure score that won't impress anyone.

B

82/100

Kennybrook Village

Grimes, IA · Polk County

CMS 3/540 bedsFor-profitMedicaid
Nurse hours
4.54 /day
Staff turnover
49%
Serious cites
0

Kennybrook Village sits in Grimes with 40 certified beds and an individual for-profit owner. The nurse staffing number is the standout: 4.54 hours per resident day, roughly 18% above the national average, which is why CMS gives it 4 stars on staffing. Weekend coverage drops about 12% from weekday levels, so ask how that plays out on Saturdays. Turnover runs 49.1%, a bit above the national 45.8%, not alarming, but worth knowing. Twelve deficiencies are on record, none at harm or jeopardy level and none abuse-related, and the last inspection was January 2026. Inspection and quality measures both sit at 3 stars.

B

82/100

The Cottages

Pella, IA · Marion County

CMS 1/5100 bedsNon-profitMedicaid
Nurse hours
4.18 /day
Staff turnover
50%
Serious cites
0

The Cottages in Pella runs a nonprofit shop with 100 certified beds, and its nurse staffing sits at 4.18 hours per resident day, roughly 8% above the national average, though weekend coverage dips about 7% below its own weekday levels, and half the staff turns over each year against a 45.8% national figure. That mix helps explain a staffing rating of 4 out of 5 and quality measures at 4 out of 5, but the health inspection side tells a harder story: 21 deficiencies on record, including 2 at the harm or jeopardy level and 3 tied to abuse, with $40,054 in fines across two penalties. The most recent inspection was August 25, 2025, so the record is current rather than stale. Good day-to-day care numbers, serious inspection findings.

B

81.5/100

Accura Healthcare Of Stanton

Stanton, IA · Montgomery County

CMS 3/546 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
25%
Serious cites
0

Accura Healthcare of Stanton runs 46 certified beds in Montgomery County under for-profit LLC ownership. Nurse staffing sits at 3.79 hours per resident day, below the national average of 3.86, and weekend coverage drops roughly 17% below weekday levels, so families should ask who's actually on the floor Saturday and Sunday. Turnover is the bright spot: 25%, well under the national 45.8%, meaning the people caring for residents tend to stick around. The tradeoff shows up elsewhere. The current record carries 27 deficiencies, two of them abuse-related, and the quality measure rating is 1 out of 5, even as staffing earns top marks. Last inspection was June 19, 2025.

B

81.5/100

Cedar Ridge Village

West Des Moines, IA · Dallas County

CMS 3/540 bedsFor-profitMedicaid
Nurse hours
4.13 /day
Staff turnover
57%
Serious cites
0

Cedar Ridge Village runs 40 beds in West Des Moines under corporate ownership, and its nurse staffing sits at 4.13 hours per resident day, roughly 7% above the national average, though weekends drop about 15% below what the home staffs on weekdays. That gap matters if your family tends to visit Saturday or Sunday. Annual turnover is 56.5%, well above the 45.8% national figure, so the people caring for your relative may not be the ones who were there a year ago. The current record shows 20 deficiencies, three tied to abuse, with none at the harm level; the last inspection was in August 2025.

B

81/100

Northcrest Specialty Care

Waterloo, IA · Black Hawk County

CMS 2/594 bedsNon-profitMedicaid
Nurse hours
3.29 /day
Staff turnover
47%
Serious cites
0

Northcrest Specialty Care runs 94 beds in Waterloo under nonprofit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average, and weekends dip about 10 percent below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 32 deficiencies, including one at the harm level and one tied to abuse. Annual turnover of 46.7 percent tracks close to the national figure. Quality and staffing measures score well, but a recent February 2026 inspection and that deficiency count are what a family should ask about directly.

B

81/100

Stratford Specialty Care

Stratford, IA · Hamilton County

CMS 2/553 bedsNon-profitMedicaid
Nurse hours
3.32 /day
Staff turnover
55%
Serious cites
0

Stratford Specialty Care runs 53 certified beds as a nonprofit, and its staffing numbers are the first thing worth noticing: 3.32 nurse hours per resident day sits about 14% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday level. Annual turnover hits 55% against a national 45.8%, so aides and nurses are cycling through faster than typical. The inspection record shows 31 deficiencies, none at harm or jeopardy level, though three are abuse-related. A May 2025 inspection keeps that record current, and the 2/5 health inspection rating reflects those findings. Quality and staffing both rate 4/5, which is why the overall picture lands where it does, decent care measures, thinner coverage on the floor.

B

81/100

Cottage Grove Place

Cedar Rapids, IA · Linn County

CMS 1/564 bedsNon-profitMedicaid
Nurse hours
4.23 /day
Staff turnover
39%
Serious cites
0

Cottage Grove Place runs a respectable nursing floor on paper: 4.23 nurse hours per resident day sits about 9% above the national average, and staff turnover at 38.6% is meaningfully better than the 45.8% typical elsewhere. The quality measure rating reflects that, and so does staffing. The trouble is the inspection record, 23 deficiencies on file, two of them serious enough to involve harm or jeopardy to a resident, and the most recent survey dates to May 2025. Weekend coverage also dips about 8% below weekday levels, so the care you'd see on a Sunday isn't quite what the staffing average implies. Good people, uneven execution on the regulatory side.

B

81/100

Linn Manor Care Center

Marion, IA · Linn County

CMS 2/538 bedsNon-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
41%
Serious cites
0

Linn Manor Care Center is a 38-bed nonprofit in Marion, and its staffing record is the strongest part of the picture: 3.62 nurse hours per resident day, a bit under the national average of 3.86, with turnover at 40.5% compared to 45.8% nationally. Weekends run about 11% thinner than weekdays, which is worth asking about if your family visits then. The inspection record is where the concern sits, 17 deficiencies on file, two of them at the harm or jeopardy level and two abuse-related. The last inspection was February 2026. Quality measures land mid-range, and staffing is graded well above average. Small homes can be worth a close look, but read those inspection reports before deciding.

B

80.5/100

New Hampton Nursing & Rehab Center

New Hampton, IA · Chickasaw County

CMS 4/546 bedsFor-profitMedicaid
Nurse hours
3.32 /day
Staff turnover
28%
Serious cites
0

New Hampton Nursing & Rehab runs 46 beds as a for-profit corporation, and its staffing sits at 3.32 nurse hours per resident day, roughly 14% under the national average of 3.86. Weekends thin out further, about 17% below the home's own weekday level, so coverage is lightest exactly when families tend to visit. Turnover is the bright spot: 27.6% against a national 45.8%, which suggests aides and nurses tend to stay. But the current inspection record includes five deficiencies, one at the harm or jeopardy level and three tied to abuse, with the most recent inspection in July 2025. Staff retention helps; the survey history is what a family should ask about directly.

B

80.5/100

Accura Healthcare Of Ogden, Llc

Ogden, IA · Boone County

CMS 4/546 bedsFor-profitMedicaid
Nurse hours
3.21 /day
Staff turnover
29%
Serious cites
0

Accura Healthcare of Ogden runs 46 beds under corporate ownership, and its state inspection record sits at two stars, with 22 deficiencies logged. None of those reached the harm or jeopardy level, and none involved abuse, worth knowing, since "22 deficiencies" can sound worse than it is. Staffing is the interesting part: 3.21 nurse hours per resident day is roughly 17% under the national average, and weekends drop about 19% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover, though, is 29% against a national 45.8%, meaning the people who are there tend to stay. The last inspection was September 2025.

B

80/100

Red Oak Rehab And Care Center

Red Oak, IA · Montgomery County

CMS 3/558 bedsFor-profitMedicaid
Nurse hours
3.54 /day
Staff turnover
45%
Serious cites
0

Red Oak Rehab And Care Center runs 58 certified beds under for-profit LLC ownership, and its staffing sits about 8% under the national average at 3.54 nurse hours per resident day. Weekends dip roughly 4% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover is 44.8%, essentially tracking the national rate. The current inspection record shows 20 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, worth asking about directly, given the most recent survey was September 2025. Quality measure scores are on the low side while staffing scores hold up better, a split that says the hands are there more than the outcomes show it.

Frequently asked questions

How many chain-owned nursing homes are there in Iowa?
There are 222 chain-owned Medicare-certified nursing homes in Iowa, 57% of the 388 nursing homes there.
Are chain-owned nursing homes better staffed?
In Iowa they average 3.62 total nursing hours per resident per day, against 3.82 for all nursing homes in Iowa, a difference of -0.2 hours. Staff turnover averages 46.1% against 44.1%.
Which chain-owned nursing home grades best in Iowa?
Deerfield Health Care Center in Urbandale, IA, grade A, 100 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 222 graded chain-owned homes in Iowa, 43 grade A and 11 grade D or F.
Do chain-owned nursing homes in Iowa accept Medicaid?
220 of the 222 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Iowa