222 Chain-Owned Nursing Homes in Iowa

Nurse hours

3.53 /day

Staff turnover

49%

Serious cites

0

The Rehabilitation Center of Lisbon runs 64 certified beds under for-profit LLC ownership, and its staffing sits at 3.53 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 13% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Annual turnover is 49.3%, a few points above the 45.8% national figure. On the plus side, its inspection record is clean: three deficiencies total, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 21, 2026. Quality and staffing each earned 3 of 5 stars from CMS, while inspections earned 4.

Nurse hours

5.14 /day

Staff turnover

n/a

Serious cites

0

Grand Meadows runs 32 certified beds in Asbury under corporate for-profit ownership, and the numbers are worth walking through before you tour. Twenty deficiencies sit on its current record, including one that rose to the level of actual harm or jeopardy and three tied to abuse, that combination matters more than the single $16,448 fine on file. Staffing is where this home falls furthest behind, landing at the bottom of CMS's rating scale, which means the people doing the daily hands-on care are stretched thin relative to what federal reviewers expect. The last inspection, in March 2026, is recent, so these findings reflect how the place operates now, not a fix from years ago.

Nurse hours

3.29 /day

Staff turnover

18%

Serious cites

0

Good Samaritan - Red Oak runs on a stable, non-profit operation with unusually low turnover, 17.9% against a national average near 46%, and weekday nurse staffing that earns a solid federal rating. The problem sits squarely in its inspection history: 34 deficiencies on the current record, including three at the harm or jeopardy level and four tied to abuse, plus a $29,894 fine. Weekend coverage drops roughly 21% below weekday levels, and overall nurse hours per resident sit about 15% under the national average. The last inspection closed in April 2026. Staff consistency is a real strength here, but the harm-level and abuse findings are the kind of thing families should ask about directly before deciding.

Nurse hours

3.63 /day

Staff turnover

42%

Serious cites

0

Kingsley Specialty Care is a 43-bed nonprofit home in Plymouth County with a staffing picture that looks better on paper than it does on weekends. Its 3.63 nurse hours per resident day sit about 6% under the national average, and weekend coverage drops roughly 17% below what the home staffs during the week. Turnover runs 42.4%, a bit 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: 38 deficiencies on file, including one at the harm level and one abuse-related, plus a $27,378 fine, with the most recent inspection in August 2025.

Nurse hours

2.94 /day

Staff turnover

n/a

Serious cites

0

West Bend Health and Rehabilitation runs 45 certified beds under corporate ownership, and its nurse staffing sits at 2.94 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 10% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. The inspection record shows 24 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed May 1, 2025. CMS rates its quality measures 5 out of 5, which reflects good clinical outcomes on paper, but the staffing and inspection scores land at 3. If you're weighing this one, ask how the weekend schedule actually gets covered.

Nurse hours

3.66 /day

Staff turnover

44%

Serious cites

0

Shell Rock Senior Living runs 41 certified beds under corporate for-profit ownership, and its most recent inspection in September 2025 left 29 deficiencies on the record, two of them serious enough to involve harm or jeopardy, plus two tied to abuse. That's a heavy inspection load for a home this size, and CMS rates its health inspection results at just one star out of five. Daily nurse staffing sits at 3.66 hours per resident, roughly 5% under the national average, and weekends drop about 13% below what the home itself staffs on weekdays. Annual turnover of 43.6% is slightly better than the 45.8% national figure. One fine on record totals $17,167.

Nurse hours

3.11 /day

Staff turnover

40%

Serious cites

0

Nora Springs Care Center runs on thin staffing. At 3.11 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 40.4%, a bit better than the 45.8% national figure, which suggests some stability among the aides and nurses who stay. The inspection record is genuinely strong: nine deficiencies, none at harm or jeopardy level, with one abuse-related citation, and a survey as recent as May 2025. The for-profit LLC ownership and that 2-out-of-5 staffing rating are the real story here. Quality measures and inspections look good; the daily coverage is what you'd want to ask about.

Nurse hours

2.96 /day

Staff turnover

40%

Serious cites

0

Accura Healthcare of Ames runs 75 certified beds under corporate for-profit ownership, and its nurse staffing sits at 2.96 hours per resident day, roughly 23% under the national mark of 3.86. Weekends drop about 13% below what the home itself provides on weekdays, so the thinnest coverage lands when families tend to visit. Turnover is 39.7%, better than the 45.8% national average. Inspections show 19 deficiencies on record, one serious enough to involve harm or jeopardy, none abuse-related. The most recent inspection was April 2026, and CMS gives the home mid-range marks for health inspections and staffing, with a stronger 4 out of 5 on quality measures.

Nurse hours

3.73 /day

Staff turnover

n/a

Serious cites

0

Hallmark Care Center in Mount Vernon runs a 55-bed for-profit operation, and its nurse staffing sits at 3.73 hours per resident day, just under the national average of 3.86. That gap widens on weekends, when coverage drops roughly 10% below the home's own weekday level, a pattern families often notice as thinner attention on Saturdays and Sundays. The current inspection record shows 18 deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent survey dates to April 2026. State health inspectors handed out 2 out of 5 stars, while quality measures and staffing each earned 3. That split tells you the care outcomes look steadier than the inspection history does.

Nurse hours

n/a /day

Staff turnover

50%

Serious cites

0

Iowa City Rehab & Health Care runs 89 certified beds under for-profit LLC ownership, and its federal stars split sharply: quality measures score 4 out of 5, while inspection and staffing each land at 1. Staff turnover sits at 50%, above the 45.8% national average. The current record carries 42 deficiencies, two of them abuse-related, though none rose to the harm or jeopardy level. A May 2026 inspection is recent enough to reflect current conditions. The strong quality numbers suggest clinical care goals are being met on paper, but thin staffing and frequent turnover make that hard to sustain, and the inspection history is the number I'd weigh heaviest when deciding.

Nurse hours

3.38 /day

Staff turnover

40%

Serious cites

0

Southern Hills Specialty Care runs a 90-bed nonprofit home in Osceola, and its staffing sits at 3.38 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 12% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 40.4%, a bit better than the 45.8% national figure, which suggests some stability in the workforce even if raw hours run light. The current record shows 8 deficiencies with none at harm or jeopardy level, though 2 are abuse-related and one fine of $36,865 has been assessed. The last inspection was August 2025. Nothing here is alarming on its face, but the abuse citations and light staffing are worth asking about directly.

Nurse hours

3.63 /day

Staff turnover

n/a

Serious cites

0

Manor House Care Center runs 55 beds in Sigourney under for-profit LLC ownership, and its nurse staffing sits at 3.63 hours per resident day, roughly 6% under the national average of 3.86, with weekends running about 15% lighter than its own weekdays. That thin weekend coverage matters more when you look at the inspection record: 14 deficiencies currently on file, including one at the harm or jeopardy level and one abuse-related citation, with the most recent inspection dated May 15, 2025. CMS rates its health inspections and staffing at 2 out of 5 stars each, while quality measures come in at 4. The quality scores look better than the day-to-day staffing and oversight picture, and that gap is worth asking about directly.

Nurse hours

3.65 /day

Staff turnover

40%

Serious cites

0

Guttenberg Care Center runs a tight ship on inspections, zero deficiencies on its current record, none at the harm level, nothing abuse-related, and a five-star health inspection rating from CMS, with its last survey in November 2025. Staffing is thinner than average, though: 3.65 nurse hours per resident day against 3.86 nationally, and weekends run about 9% leaner than weekdays, which matters most when families visit and needs don't pause. Turnover sits at 40%, better than the 45.8% national figure, suggesting the crew that's there tends to stay. For 46 beds under limited-liability ownership, the picture is a clean inspection history paired with below-average daily coverage, worth asking the administrator how weekends are actually staffed.

Nurse hours

3.19 /day

Staff turnover

48%

Serious cites

0

New London Specialty Care runs 43 certified beds as a nonprofit, and its most recent inspection in February 2026 left four deficiencies on record, none at the harm level, but one tied to abuse, which is worth asking about directly. Nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86, and weekends run about 12% thinner than weekdays, so coverage isn't evenly spread. Annual turnover of 47.7% edges past the national 45.8%, meaning nearly half the nursing staff turns over each year. Inspections and quality measures both rate well; staffing is the weaker leg holding this home up.

Nurse hours

3.40 /day

Staff turnover

33%

Serious cites

0

Woodland Health and Rehabilitation runs 62 beds in Mount Pleasant under corporate ownership, and its staffing sits about 12 percent under the national average, with weekends thinner still. That thin coverage shows up in the inspection record: 17 deficiencies, two of them serious enough to put residents in harm's way and three tied to abuse, plus roughly $34,000 in fines. The one clear bright spot is that caregivers stay longer than average here, with turnover well below the national rate. Clinical quality scores look strong on paper, but the last inspection only happened this April, so that record is fresh and unresolved.

Nurse hours

4.36 /day

Staff turnover

54%

Serious cites

0

The Vistas At Bettendorf runs 4.36 nurse hours per resident day, roughly 13% above the national average, and that staffing shows up in its four-star rating there. Weekends dip about 6% below its own weekday levels, so coverage holds fairly steady. Turnover is the soft spot: 53.8% of staff leave each year against a 45.8% national figure, which is worth asking about directly. Its 13 deficiencies include none at the harm level and none abuse-related, and the most recent inspection was August 2025. Quality measures score two stars, the weakest area on record. Owned by a for-profit limited liability company.

Nurse hours

2.72 /day

Staff turnover

44%

Serious cites

0

Cedar Falls Health Care Center runs 70 certified beds under for-profit LLC ownership, and its 2.72 nurse staffing hours per resident day sit roughly 30% under the national average of 3.86, a real gap when direct care time is what residents actually feel. Weekend staffing drops about 8% below weekday levels, so the leanest shifts get leaner. The inspection record is the bigger concern: 37 deficiencies, two at harm or jeopardy level and one abuse-related, with a 2/5 health inspection rating. Annual turnover at 43.8% is slightly better than the 45.8% national figure, and quality and staffing star ratings both come in at 4/5, but the January 2026 inspection and that deficiency count are what families should ask about directly.

Nurse hours

3.04 /day

Staff turnover

98%

Serious cites

0

Regency Park in Jefferson runs 46 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.04 hours per resident day, roughly 21% under the national average of 3.86. That shortfall gets worse on weekends, when coverage drops about 12% below the home's own weekday level. The bigger number is turnover: 97.5% annually against a national average of 45.8%, meaning the staff caring for residents turns over almost completely every year. Its record shows 24 deficiencies, one of them serious enough to reach harm or jeopardy level, though none are abuse-related. The most recent inspection was December 31, 2025, so the picture is current.

Nurse hours

3.02 /day

Staff turnover

31%

Serious cites

0

Pleasant Acres runs about 3.02 nurse hours per resident day, roughly 22 percent under the national average of 3.86, and weekends drop another 14 percent below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and needs don't pause. Turnover sits at 31 percent, better than the 45.8 percent national figure, so the crew that is there tends to stay. The current record shows 23 deficiencies, none at harm or jeopardy level and none tied to abuse, with the most recent inspection in February 2026. Quality measure scores lag at 2 out of 5 stars while staffing holds at 4, which tells you the care process numbers aren't keeping pace with the hours on the floor.

Nurse hours

3.54 /day

Staff turnover

66%

Serious cites

0

The Rehabilitation Center of Allison runs on thinner nurse coverage than most homes, 3.54 hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekday pace. That staffing picture is strained further by 65.5% annual turnover, well above the 45.8% national figure, meaning nearly two-thirds of the nurse workforce turns over each year. State inspectors cited 17 deficiencies on the current record, two at harm or jeopardy level and two abuse-related, after a visit in August 2024. The quality measure score looks strong, but it sits alongside a two-star inspection history, and the home is owned by a for-profit limited liability company.