222 Chain-Owned Nursing Homes in Iowa

Nurse hours

3.57 /day

Staff turnover

49%

Serious cites

0

Good Samaritan - Estherville runs 62 certified beds as a nonprofit corporation, and the numbers tell a mixed story. Nurse staffing sits at 3.57 hours per resident day, roughly 8% under the national average, and weekends drop about 16% below what the home itself staffs on weekdays, so care thins out right when families tend to visit. Annual turnover is 49.1%, a few points above the national mark. The current record carries 26 deficiencies, none at harm or jeopardy level, though two are abuse-related. Inspections were last done in January 2026, and both the health inspection and quality measure ratings come in at 2 out of 5, while staffing earns 4.

Nurse hours

3.10 /day

Staff turnover

53%

Serious cites

0

West Ridge Specialty Care runs on thinner nurse coverage than most homes, 3.10 hours per resident day against a national average of 3.86, and weekends drop about 17% below what the building staffs during the week. That gap matters most on Saturdays and Sundays, when families often visit and notice. Turnover sits at 53.2%, well above the 45.8% national figure, so many of the people caring for residents are still learning the building. The current record shows 13 deficiencies, none at the harm level, though two are abuse-related, and the last full inspection was in July 2024. It's a nonprofit home with 78 beds, and its quality measure scores run low even as staffing earns a higher mark. Worth asking about weekend coverage and the abuse citations directly.

Nurse hours

3.47 /day

Staff turnover

53%

Serious cites

0

Accura Healthcare of Knoxville runs 60 beds under corporate ownership, and its nurse staffing sits about 10% under the national average, roughly 3.47 hours per resident day against 3.86 nationally. Weekends are the bigger gap: coverage drops about 19% below the home's own weekday levels, and annual turnover hits 53.2% versus 45.8% nationally, so familiar faces are harder to count on. The inspection record carries 15 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a single fine of $16,153. The most recent inspection was February 19, 2026, so the picture is current rather than stale. Ask about weekend staffing and how the abuse-related findings were resolved before deciding.

Nurse hours

3.15 /day

Staff turnover

59%

Serious cites

0

Careage Hills runs 44 certified beds in Cherokee under individual for-profit ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 18% under the national average of 3.86. Weekends drop about 17% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 59.3%, well above the 45.8% national figure. The inspection record shows 20 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with the most recent inspection dated March 5, 2026. Federal ratings split on this home: staffing scores well at 4 of 5, quality measures land at 3, but health inspections come in at 2 of 5.

Nurse hours

2.77 /day

Staff turnover

50%

Serious cites

0

Lyon Specialty Care runs on 2.77 nurse hours per resident per day, roughly 28 percent under the national average of 3.86, and weekends dip about 9 percent below its own weekday staffing. That thin margin matters more in a 45-bed nonprofit home where turnover sits at 50 percent, above the national 45.8 percent. The inspection record is a mixed picture: 18 deficiencies on file, none at the harm or jeopardy level, but two tied to abuse. A June 2025 inspection is recent, and four out of five stars on both health inspections and quality measures suggest care is being delivered well despite the staffing shortfall. Ask about weekend coverage and how they handle the two abuse-related findings.

Nurse hours

3.50 /day

Staff turnover

49%

Serious cites

0

Azria Health Prairie Ridge runs 62 certified beds in Mediapolis under corporate for-profit ownership. Nurse staffing sits at 3.50 hours per resident day, roughly 9% under the national average, and weekends drop about 14% below its own weekday level, so coverage thins exactly when families tend to visit. Annual turnover is 49.2%, above the national 45.8%. The current record shows 61 deficiencies, including one at the harm or jeopardy level and four tied to abuse; the most recent inspection was August 6, 2025. CMS gives the home 1 of 5 stars on health inspections, 2 on quality measures, and 4 on staffing.

Nurse hours

3.01 /day

Staff turnover

64%

Serious cites

0

Avoca Specialty Care runs 46 certified beds as a nonprofit, and its nurse staffing sits at 3.01 hours per resident day, roughly 22% under the national average of 3.86. Weekend coverage drops about another 10% below its own weekday levels, and annual turnover hits 63.9% against a national 45.8%, so the same faces aren't always there. The inspection record carries 68 deficiencies, including one at the harm or jeopardy level and four tied to abuse, and the most recent inspection was in early 2026. Quality measures score better than that record suggests, but the staffing hours and the deficiency count are what a family should weigh when deciding.

Nurse hours

3.18 /day

Staff turnover

60%

Serious cites

0

Rehabilitation Centers Of Independence West Campus runs 70 certified beds under corporate for-profit ownership, and its nursing hours come to 3.18 per resident day, roughly 18% under the national average of 3.86. Weekends dip about 11% below its own weekday staffing, and annual turnover sits at 60.4% against a national 45.8%, meaning well over half the nursing staff leaves each year. The inspection record shows 15 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $22,740 in fines across two penalties. The most recent inspection was December 11, 2025. Families weighing this one should look hard at that deficiency history and the staffing shortfall together.

Nurse hours

3.62 /day

Staff turnover

53%

Serious cites

0

Park View Rehabilitation Center runs 77 certified beds in Sac City under corporate ownership, and the staffing numbers are the place to start. At 3.62 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 12% below its own weekday coverage. Staff turnover lands at 53.2% against a national 45.8%, so nearly half the workforce is cycling through each year. The inspection record shows 19 deficiencies, including 2 at harm or jeopardy level and 1 tied to abuse; the most recent inspection was March 2026, so that record is current. Quality and health inspection measures both rate 2 out of 5.

Nurse hours

3.27 /day

Staff turnover

46%

Serious cites

0

Nurse staffing at Rehabilitation Center Of Hampton runs about 15% under the national average, roughly 3.27 hours per resident day against 3.86, and weekend coverage drops another 14% below its own weekday levels, so the thinnest shifts are when families tend to visit. The current record shows eight deficiencies, including one at the harm or jeopardy level and one abuse-related citation, though the last inspection was recent, in May 2025. Turnover sits at 46.4%, essentially the national average. The for-profit limited liability company that owns the 52-bed home posts strong marks on inspections and quality measures; the staffing number is what pulls it down.

Nurse hours

3.72 /day

Staff turnover

49%

Serious cites

0

Aspire of Pleasant Valley is a 44-bed for-profit home in Scott County, and the numbers tell a mixed story. Nurse staffing sits at 3.72 hours per resident day, a bit under the national average, and weekends run about 11 percent thinner than weekdays, so coverage gets lightest exactly when families tend to visit. Annual turnover of 48.5% is higher than the national figure of 45.8%. The bigger concern is the inspection record: 35 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection in August 2025. Federal ratings put health inspections and quality measures both at 2 out of 5 stars, while staffing scores 4. That gap is worth asking about directly.

Nurse hours

4.49 /day

Staff turnover

54%

Serious cites

0

Luther Manor At Hillcrest runs a for-profit shop with 103 certified beds, and the numbers split in two directions. Nurse staffing sits at 4.49 hours per resident day, about 16 percent above the national average of 3.86, but weekends drop roughly 11 percent below the home's own weekday coverage, and annual turnover is 54.3 percent against a national 45.8. That combination means bodies are scheduled, though not always the same ones. The inspection record is where the trouble concentrates: a one-out-of-five health inspection rating, 24 deficiencies including three at harm or jeopardy level, and $42,406 in fines across two events. No abuse citations appear. The most recent inspection was February 12, 2026. Quality measures score two out of five. Ask about weekend coverage and the plan for the three harm-level findings before you decide.

Nurse hours

3.42 /day

Staff turnover

63%

Serious cites

0

Great River Care Center in McGregor runs 39 beds under for-profit LLC ownership, and its recent inspections look solid, four stars for health inspections and quality measures, with the last survey in August 2025. The staffing picture is where it gets shakier. At 3.42 nurse hours per resident day, it sits about 12% under the national average, and weekends drop roughly 16% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 63% is well above the 45.8% national figure, which matters for continuity of care. Five deficiencies sit on the current record, one serious enough to involve harm or jeopardy, plus a single $8,281 fine.

Nurse hours

3.17 /day

Staff turnover

47%

Serious cites

0

Good Samaritan, Le Mars runs 64 beds under nonprofit ownership, and its inspection record is the strongest part of the picture: six deficiencies on file, none at the harm level and none tied to abuse, with a survey completed in May 2026. Staffing is where it thins out. At 3.17 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekend coverage drops roughly 11% below its own weekday level. Turnover lands at 47.4%, slightly above the 45.8% national figure. For a family weighing this one, the care practices look sound on paper, but the daily staffing margin is worth asking about directly.

Nurse hours

4.58 /day

Staff turnover

57%

Serious cites

0

The Summit of Bettendorf runs a 39-bed for-profit home where nurses give about 4.58 hours of care per resident per day, roughly 18 percent more than the national average, a real strength. Two things temper that. Weekend staffing drops about 8 percent below the home's own weekday level, so families visiting Saturday or Sunday may see fewer hands. And turnover sits at 56.9 percent against a national 45.8 percent, meaning the people providing that extra care keep changing. The current inspection record carries nine deficiencies, one at the harm or jeopardy level and one abuse-related, along with a single $26,358 fine. The last inspection was in December 2025, so the record is recent rather than stale.

Nurse hours

3.26 /day

Staff turnover

60%

Serious cites

0

Good Samaritan - West Union runs 52 beds as a nonprofit, and its quality measures look strong, a 4 out of 5 on CMS's clinical scoring. The staffing side is where the picture shifts. At 3.26 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 15% below its own weekday coverage. Annual turnover of 60% is well above the 45.8% national figure, which matters more at a small home where residents see fewer familiar faces. Inspections found 13 deficiencies, none causing harm or jeopardy, though one is abuse-related, worth asking about directly. The most recent inspection was March 2026, so the record is current.

Nurse hours

3.63 /day

Staff turnover

36%

Serious cites

0

Eagle Point runs lean on nurse staffing, 3.63 hours per resident day against a national average of 3.86, and weekends are thinner still, about 11% below what the home staffs on weekdays. That gap matters most when families visit Saturday and Sunday and wonder who's actually on the floor. On the other hand, turnover sits at 36.1%, better than the 45.8% national figure, so the aides and nurses who are there tend to stay. The inspection record is clean where it counts: nine deficiencies, none at the harm level, none tied to abuse, with the most recent survey completed in April 2026. For-profit LLC ownership, 75 beds.

Nurse hours

3.17 /day

Staff turnover

44%

Serious cites

0

Good Samaritan, Waukon runs 60 certified beds as a nonprofit corporation, and its staffing sits at 3.17 nurse hours per resident day, about 18% under the national average of 3.86, with weekends roughly 15% thinner than its own weekdays. Turnover lands at 43.5%, a touch better than the 45.8% national figure. The inspection record shows 16 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse, and a single fine of $8,281. Two stars each on health inspections and quality measures tell you where the trouble sits. The last survey was April 30, 2026, so the picture is current.

Nurse hours

2.90 /day

Staff turnover

50%

Serious cites

0

Panora Specialty Care runs 46 beds as a nonprofit, and the numbers show a home that's decent on care quality but stretched on staff. Nurse staffing sits at 2.90 hours per resident day, roughly a quarter below the national average of 3.86, and weekends run about 9% thinner than weekdays, a gap families often feel on Saturday and Sunday. Annual turnover is 50%, higher than the 45.8% national figure, meaning aides and nurses cycle through fairly often. The health inspection record shows 12 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in January 2026. Quality measures score well; staffing is where the strain shows.

Nurse hours

3.20 /day

Staff turnover

31%

Serious cites

0

Northern Mahaska Specialty Care runs leaner on nursing hours than most homes, 3.20 per resident day against a national average of 3.86, and weekends dip about 13% below its own weekday coverage, so Saturday and Sunday shifts are where you'd feel that most. The trade-off is stability: staff turnover sits at 31.3%, well under the national 45.8%, and the nonprofit owner isn't cycling through administrators the way some for-profits do. What pulls the record down is the inspection side. Ten deficiencies, including one at the harm level and one tied to abuse, plus a $39,033 fine, with the most recent inspection in late 2025. The care measures land middle of the pack.