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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 81 to 100 of 222, best-graded first.

B

80/100

Southridge Specialty Care

Marshalltown, IA · Marshall County

CMS 2/582 bedsNon-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
29%
Serious cites
0

Southridge Specialty Care runs on a nonprofit model with 82 certified beds, and its staffing tells a mixed story. At 3.65 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends dip roughly 13% below its own weekday coverage. What stands out is retention: 29.2% turnover against a 45.8% national average means caregivers here tend to stay, which matters for consistency of care. The inspection record is where the concern sits. Twenty-five deficiencies, two at harm or jeopardy level, and two tied to abuse, with a $45,406 fine on file from a May 2025 inspection. Quality and staffing star ratings both land at 4, but the health inspection rating is 2, that gap between good numbers on paper and problems found in person is worth asking about directly.

B

80/100

Corydon Specialty Care

Corydon, IA · Wayne County

CMS 4/571 bedsNon-profitMedicaid
Nurse hours
3.52 /day
Staff turnover
35%
Serious cites
0

Corydon Specialty Care runs about 3.52 nurse hours per resident each day, which is roughly 9% under the national average of 3.86, and weekends dip another 10% below its own weekday staffing. Turnover sits at 35.1%, better than the 45.8% national figure, and the home carries 14 deficiencies on its current record, one of them serious enough to involve harm or jeopardy, though none tied to abuse. Its last inspection was in January 2026. The non-profit ownership and four-star inspection and quality ratings suggest a stable operation, but the thin weekday staffing and the weekend drop are the numbers worth asking about directly.

B

80/100

Centerville Specialty Care

Centerville, IA · Appanoose County

CMS 3/546 bedsNon-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
34%
Serious cites
0

Centerville Specialty Care runs 46 certified beds as a nonprofit corporation, and its last full health inspection came in December 2025 with 15 deficiencies on record, none of them at the harm or jeopardy level, and no abuse findings. Staffing sits at 3.24 nurse hours per resident day, roughly 16% under the national average of 3.86, and weekends drop about 13% below the home's own weekday coverage. Turnover is the bright spot: 34.1% against a national average of 45.8%, which suggests people stay. The lower weekday-to-weekend staffing gap and the clean harm record are what keep this one in solid territory despite the thin hours.

B

80/100

Rehabilitation Center Of Des Moines

Des Moines, IA · Polk County

CMS 3/574 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
36%
Serious cites
0

The Rehabilitation Center of Des Moines runs 74 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.91 hours per resident day, barely a nose above the national average of 3.86. Weekends thin out about 13% from weekday coverage, so the care you'd see on a Saturday looks lighter than midweek. Turnover is 35.9%, better than the 45.8% national figure, which matters for continuity. What pulls the record down is inspection history: 34 deficiencies on file, including one at harm or jeopardy level and three tied to abuse, with the last survey dated September 2025. The quality measure score of 5 out of 5 contrasts sharply with a 2 out of 5 on both staffing and health inspections, worth asking about directly before deciding.

B

80/100

Oakwood Care Center

Clear Lake, IA · Cerro Gordo County

CMS 3/576 bedsFor-profitMedicaid
Nurse hours
3.42 /day
Staff turnover
40%
Serious cites
0

Oakwood Care Center runs 76 certified beds in Clear Lake under corporate ownership, and the staffing numbers are the main thing to know. At 3.42 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 40.3%, a bit better than the 45.8% national figure, which suggests some stability in the workforce. The health inspection record shows 12 deficiencies, none at the harm level and none abuse-related, with a survey completed at the end of 2025. Quality measures score well; staffing is the softer spot.

B

80/100

Rehabilitation Center Of Belmond

Belmond, IA · Wright County

CMS 5/544 bedsFor-profitMedicaid
Nurse hours
3.37 /day
Staff turnover
47%
Serious cites
0

The Rehabilitation Center of Belmond runs lean on direct care. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly 12% below its own weekday numbers, so the thinnest coverage lands when families tend to visit. Turnover is 47.2% a year, slightly above the national 45.8%, which means aides and nurses cycle through fairly often. What keeps this home in decent shape is its record: 11 deficiencies on file, none at the harm level and none abuse-related, with an inspection dated April 2026. The clinical quality measures score at the top of CMS's scale, and inspections hold up well too. It's a for-profit LLC with 44 beds. Ask about weekday-versus-weekend staffing before you decide.

B

80/100

Accura Healthcare Of Pomeroy, Llc

Pomeroy, IA · Calhoun County

CMS 3/530 bedsFor-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
45%
Serious cites
0

Accura Healthcare of Pomeroy runs 30 beds in Calhoun County under for-profit LLC ownership, and its staffing is the clearest strength here: 4.39 nurse hours per resident day, roughly 14% above the national average. Weekends dip about 12% below its own weekday level, though, so coverage isn't perfectly even across the week. Turnover sits at 45.2%, essentially matching the national rate. The inspection record shows 19 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026. Quality measure scores are the weak spot at 2 out of 5 stars, which pulls against otherwise solid staffing numbers.

B

80/100

Valley View Village

Des Moines, IA · Polk County

CMS 3/579 bedsNon-profitMedicaid
Nurse hours
4.46 /day
Staff turnover
50%
Serious cites
0

Valley View Village is a nonprofit home in Des Moines with 79 beds, and its staffing is genuinely its strong point, 4.46 nurse hours per resident day, about 16% above the national average. Weekend coverage dips roughly 9% below weekday levels, which is common but worth knowing if you're visiting on a Saturday. The harder numbers sit elsewhere: staff turnover of 50% runs above the 45.8% national average, and the current record carries 23 deficiencies, including two at the harm or jeopardy level. The last inspection was in May 2025, and one fine totaling $9,110 has been levied. Consistent nursing hours are a real plus, but the inspection history and turnover suggest asking pointed questions about consistency of care.

B

80/100

Prairie Gate

Council Bluffs, IA · Pottawattamie County

CMS 2/572 bedsNon-profitMedicaid
Nurse hours
4.21 /day
Staff turnover
48%
Serious cites
0

Prairie Gate runs a nonprofit shop with 72 beds, and the staffing numbers are the strongest part of the picture, 4.21 nurse hours per resident day, roughly 9% above the national average, with weekend coverage dipping about 10% below its own weekday levels. That staffing strength is offset by a health inspection record that produced 23 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $27,630; the most recent inspection was July 2025. Staff turnover sits at 47.5%, slightly above the national 45.8%. The quality measure rating of 4/5 suggests clinical outcomes look better than the inspection history would imply.

B

79.5/100

Newton Village Health Care Center

Newton, IA · Jasper County

CMS 4/524 bedsNon-profitMedicaid
Nurse hours
5.01 /day
Staff turnover
59%
Serious cites
0

Newton Village runs a tight ship on the clinical side: five stars each for staffing and quality measures, and its 5.01 nurse hours per resident day sits about 30% above the national average. Seven deficiencies on record, but none at the harm level and none tied to abuse, with an inspection dated April 2026. The catch is people. Nearly 59% of staff turned over in a year, well above the 45.8% national figure, and weekend coverage drops roughly 15% below its own weekday level. That churn is what keeps this from grading higher. The care numbers look strong; whether the same faces keep showing up is the harder question.

B

79/100

Harmony Davenport

Davenport, IA · Scott County

CMS 2/588 bedsFor-profitMedicaid
Nurse hours
3.77 /day
Staff turnover
38%
Serious cites
0

Harmony Davenport runs 3.77 nurse hours per resident day, about 2% under the national average, and weekend coverage drops roughly 10% below its own weekday staffing. The tradeoff is retention: turnover sits at 37.5% against a national 45.8%, so the aides you meet are more likely to still be there next year. The current inspection record shows 34 deficiencies, two serious enough to involve harm or jeopardy, though none abuse-related, and the last survey was April 2026. Quality measures score well; the health inspection side is where the record is weakest.

B

79/100

Madrid Home For The Aged

Madrid, IA · Boone County

CMS 3/564 bedsNon-profitMedicaid
Nurse hours
3.70 /day
Staff turnover
47%
Serious cites
0

Madrid Home for the Aged runs 64 certified beds as a nonprofit corporation, and its last inspection came in March 2026, so the record is current. Nurse staffing sits at 3.70 hours per resident day, about 4% under the national average of 3.86, and weekends drop roughly 8% below the home's own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Annual turnover of 46.8% edges slightly past the national 45.8%. Fourteen deficiencies appear on the current record, none at the harm or jeopardy level but two tied to abuse, which is the kind of item you'd want explained directly rather than assumed.

B

79/100

Cherokee Specialty Care

Cherokee, IA · Cherokee County

CMS 3/562 bedsNon-profitMedicaid
Nurse hours
3.67 /day
Staff turnover
41%
Serious cites
0

Cherokee Specialty Care runs 3.67 nurse hours per resident day, about 5% under the national average of 3.86, and weekends dip roughly 6% below its own weekday staffing. Turnover sits at 41.3%, a bit better than the 45.8% national figure, though not by much. What stands out is the inspection record: 34 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse. That's a lot to carry for a 62-bed nonprofit, and it explains the 2-star health inspection rating. The last inspection was in May 2025, so the findings are recent.

B

79/100

Belle Plaine Specialty Care

Belle Plaine, IA · Benton County

CMS 4/546 bedsNon-profitMedicaid
Nurse hours
3.02 /day
Staff turnover
55%
Serious cites
0

Belle Plaine Specialty Care runs 46 certified beds under nonprofit ownership, and its staffing sits about 22% under the national average at 3.02 nurse hours per resident day. Weekends drop roughly 11% below the home's own weekday coverage, and annual turnover hits 54.8% against a national 45.8%, so the people who stay are stretched thinner, and not many stay long. The inspection record shows 20 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in August 2025, so the record is current and free of serious findings. Quality measures score well. Where this home lands depends on how much weight you put on thin, churning staffing versus a clean inspection sheet.

B

79/100

Accura Healthcare Of Cherokee, Llc

Cherokee, IA · Cherokee County

CMS 3/544 bedsFor-profitMedicaid
Nurse hours
3.69 /day
Staff turnover
43%
Serious cites
0

Accura Healthcare of Cherokee runs 44 beds under corporate ownership, and its staffing sits at 3.69 nurse hours per resident day, just under the 3.86 national average, with weekends running about 10% thinner than weekdays. Turnover lands at 42.9%, a touch better than the 45.8% national figure. The inspection record shows 11 deficiencies, one serious enough to reach harm or jeopardy level, though nothing abuse-related, and one fine of $8,021. The most recent inspection was January 8, 2026, so the picture is current. What you're looking at is a home that's roughly average on care quality and inspection history, slightly understaffed overall, with a weekend dip worth asking about directly.

B

79/100

Jackson Ridge Healthcare Center

Maquoketa, IA · Jackson County

CMS 2/575 bedsFor-profitMedicaid
Nurse hours
3.34 /day
Staff turnover
44%
Serious cites
0

Jackson Ridge runs 3.34 nurse hours per resident day against a national average of 3.86, so hands-on time here sits roughly 13 percent under what's typical, and weekends dip about 6 percent below the home's own weekday pace. Staff turnover lands at 43.5 percent, which is actually a touch better than the 45.8 percent national figure. The 18 deficiencies on record include none flagged for harm or jeopardy and none tied to abuse, and the most recent inspection came in June 2025. It's a for-profit limited liability company with 75 certified beds, and its federal ratings sit at three stars across health inspections, quality measures, and staffing.

B

78/100

Accura Healthcare Of Lake City, Llc

Lake City, IA · Calhoun County

CMS 2/546 bedsFor-profitMedicaid
Nurse hours
3.69 /day
Staff turnover
37%
Serious cites
0

Accura Healthcare of Lake City runs 46 beds under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.69 hours per resident day, about 4% under the national average, and weekends run roughly 12% thinner than weekdays, worth asking about if your family visits on Saturdays or Sundays. Turnover is 37%, which is actually better than the 45.8% national figure, so the same faces are more likely to stick around. What pulls the record down is the inspection side: 40 deficiencies on file, including 2 at the harm level and 3 tied to abuse, plus $38,610 in fines across two penalties. The most recent inspection was April 2026.

B

78/100

Denison Care Center

Denison, IA · Crawford County

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

Denison Care Center runs 46 beds under corporate for-profit ownership, and its staffing sits at 3.63 hours per resident day, about 6% under the national average, with weekends roughly 5% leaner than weekdays. What stands out is retention: 28.6% annual turnover against a national 45.8%, so the aides and nurses here tend to stay, even if there aren't quite as many of them per resident as elsewhere. The health inspection record is strong (four stars, most recent visit July 2025), but nine deficiencies are on file, one serious enough to involve harm or jeopardy. Quality measures lag at two stars, which often reflects resident outcomes like falls or antipsychotic use rather than the survey itself.

B

78/100

The Alverno Health Care Facility

Clinton, IA · Clinton County

CMS 3/5112 bedsNon-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
45%
Serious cites
0

The Alverno Health Care Facility runs 112 certified beds in Clinton as a nonprofit, and its staffing sits slightly under the national mark, 3.71 total nurse hours per resident day against 3.86 nationally. Weekends dip about 10% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 45.4% is basically the national rate. What stands out is the inspection record: 21 deficiencies, one abuse-related, and a 2-out-of-5 health inspection rating, though none of those deficiencies reached harm or jeopardy. The last inspection was February 2026, so the picture is current. Nonprofit ownership and a 4-out-of-5 staffing rating help, but the deficiency count is the number worth asking about.

B

78/100

Parkview Manor Care Center

Reinbeck, IA · Grundy County

CMS 1/528 bedsFor-profitMedicaid
Nurse hours
4.15 /day
Staff turnover
47%
Serious cites
0

Parkview Manor in Reinbeck runs 28 beds under corporate ownership, and the staffing numbers are genuinely better than most: 4.15 nurse hours per resident day, roughly 7% above the national average, with a four-star staffing rating to match. Weekends dip about 9% below weekday coverage, which matters in a building this small, and turnover sits at 47.1%, slightly above the national figure. The trouble is the inspection record, 31 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, plus a $23,813 fine. A one-star health inspection rating against a three-star quality score tells you the day-to-day care metrics look fine while the state's own findings say otherwise. The last inspection was August 2025.

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