222 Chain-Owned Nursing Homes in Iowa

Nurse hours

3.60 /day

Staff turnover

43%

Serious cites

0

Azria Health Rose Vista runs 76 certified beds in Woodbine under for-profit LLC ownership, and its nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86. Weekends thin out further, roughly 14% below the home's own weekday coverage. Staff turnover is 42.6%, a touch better than the 45.8% national figure, but the inspection record is where the picture darkens: 22 deficiencies on file, including one at the harm or jeopardy level and one abuse-related. That last inspection closed in November 2025, so the findings are current, not old history.

Nurse hours

4.23 /day

Staff turnover

65%

Serious cites

0

Rolling Green Village Care Center sits in Story County with 58 certified beds and a for-profit LLC owner. The 4.23 nursing hours per resident day runs about 10% above the national figure, which sounds good until you see weekends dip roughly 12% below the home's own weekday level, coverage you can count on Monday may not be there Saturday. Staff turnover of 65% is well past the 45.8% national average, and 16 deficiencies on record, two of them at harm or jeopardy level, carry a $14,380 fine. The last inspection was January 14, 2026. Three stars across health, quality, and staffing tell you the same thing the numbers do: adequate, not strong.

Nurse hours

4.01 /day

Staff turnover

51%

Serious cites

0

Harmony Marshalltown runs 4.01 nurse hours per resident per day, a bit above the national average of 3.86. But weekends drop roughly 9% below its own weekday staffing, and turnover sits at 50.7% against a national 45.8%. Those two facts matter more than the headline staffing number, because they mean the coverage you see on paper isn't evenly distributed. The inspection record is where the real concern lives: 46 deficiencies, 4 at harm or jeopardy level, 1 abuse-related, and a $78,878 fine. CMS gave it 1 out of 5 stars on health inspections, though quality measures came in at 3. The most recent inspection was January 2026. Corporate-owned, 72 beds.

Nurse hours

3.01 /day

Staff turnover

70%

Serious cites

0

Valley Vista runs about 3.01 nurse hours per resident per day, roughly a fifth below the national figure of 3.86, and weekend coverage dips further from its own weekday level. That thin staffing sits alongside a 70.4% annual turnover rate, well above the 45.8% national average, and a two-out-of-five CMS staffing rating. The health inspection record shows 36 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with the most recent inspection in August 2025. Quality measures score five out of five, but a limited liability for-profit operator with that turnover and those survey findings is the fuller picture.

Nurse hours

3.54 /day

Staff turnover

41%

Serious cites

0

Accura Healthcare of Spirit Lake runs 80 certified beds under corporate, for-profit ownership, and its inspection record is the weak spot: 23 deficiencies on file, including three tied to abuse and one serious enough to reach harm or jeopardy level. That produced a $34,567 fine, and the most recent inspection dates to October 2025. Staffing cuts both ways, 3.54 nurse hours per resident day sits about 8% under the national average, and weekends drop roughly 14% below the home's own weekday levels, though turnover at 40.8% is better than the 45.8% national figure. A 2/5 inspection rating against 4/5 staffing tells you where the problems concentrate.

Nurse hours

4.15 /day

Staff turnover

27%

Serious cites

0

Grandview Healthcare Center runs 72 certified beds in Oelwein under for-profit limited liability ownership, and its nurse staffing sits at 4.15 hours per resident day, roughly 7% above the national average of 3.86. Weekend coverage drops about 15% below its own weekday levels, so the weekday numbers aren't the whole picture. Staff turnover is 27%, well under the national 45.8%, which matters for whether caregivers actually know the residents. The inspection record shows 12 deficiencies, none at harm or jeopardy level, but one is abuse-related. Its last inspection was April 2026, so the record is recent. Quality measure scores run low while inspection scores run high, worth asking about specific care outcomes.

Nurse hours

3.14 /day

Staff turnover

38%

Serious cites

0

Accura Healthcare of Newton East runs 54 beds under for-profit LLC ownership, and its staffing sits at 3.14 nurse hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 17% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 38.2%, actually better than the 45.8% national figure, which makes the thin hours look more like a budget decision than a retention problem. The inspection record is the harder part: 39 deficiencies, including one at harm or jeopardy level and four tied to abuse, plus a $19,744 fine. The most recent inspection was February 2026.

Nurse hours

3.26 /day

Staff turnover

48%

Serious cites

0

Creston Specialty Care runs 74 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86. Weekends drop about 14% below the home's own weekday levels, so coverage thins out right when families tend to visit. Staff turnover is 48.1%, a bit above the 45.8% national figure. The current inspection record shows 17 deficiencies, including 2 at the harm or jeopardy level and 1 tied to abuse, with two fines totaling $19,663; the most recent inspection was May 8, 2025. All three CMS star ratings, health inspections, quality measures, and staffing, land at 3 out of 5.

Nurse hours

3.31 /day

Staff turnover

27%

Serious cites

0

Pinnacle Specialty Care is a 100-bed for-profit home in Cedar Falls, and the numbers point in a few different directions. Nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average, and weekends run about 8% thinner than weekdays, which is when families tend to visit and notice. Turnover, though, is genuinely low at 27.4% against a 45.8% national figure, so the people who are there tend to stay. The inspection record is the bigger concern: 20 deficiencies, one serious enough to reach harm or jeopardy level, with a $8,362 fine and a 2-star health inspection rating. That's a lot of citations for a home this size, and it's what pulls the overall picture down.

Nurse hours

3.31 /day

Staff turnover

52%

Serious cites

0

Correctionville Specialty Care runs 39 certified beds as a nonprofit corporation, and the staffing picture is mixed. Nurse coverage sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86, and weekends dip about 10% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover is 51.6%, above the 45.8% national figure, which matters for how well aides know residents. The inspection record is the harder read: 42 deficiencies, seven at harm or jeopardy level, seven abuse-related, two fines totaling $60,316, and a survey completed December 31, 2025. Quality measures rate mid-range, but that inspection history is what drives the low overall mark.

Nurse hours

3.02 /day

Staff turnover

53%

Serious cites

0

Maple Manor Village runs on 3.02 nurse hours per resident day, roughly a fifth below the national figure, and weekend coverage drops further below what it manages on weekdays. About 52.6% of staff turned over in the past year, higher than the 45.8% national rate, that's a lot of new faces for a 42-bed home. The current record shows seven deficiencies, none rising to harm or jeopardy, though two are abuse-related. Inspectors were last in on February 18, 2026, and the health inspection rating sits at 4 of 5, which is genuinely good; the staffing rating of 2 tells the other half of the story.

Nurse hours

3.72 /day

Staff turnover

67%

Serious cites

0

The Village of Ackley runs 3.72 nurse hours per resident day, roughly 4% under the national average of 3.86, and weekends dip about 9% below its own weekday coverage. Staff turnover is the number that stands out: 66.7% annually against a 45.8% national average, meaning most of the people caring for residents were not there a year ago. The inspection record shows 33 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with two fines totaling $47,149. The last inspection was March 2026, so the picture is current. Quality and staffing star ratings both sit at 4/5, but the deficiency history and turnover tell a different story than the stars suggest.

Nurse hours

3.86 /day

Staff turnover

63%

Serious cites

0

Salem Lutheran Home in Elk Horn runs 64 beds under corporate ownership, and its staffing numbers look solid at first glance, 3.86 nurse hours per resident day, right at the national average, with a four-star staffing rating. But weekends drop about 18% below weekday levels, and turnover sits at 63% against a national average of 45.8%, meaning most of the aides and nurses caring for residents are relatively new to the building. The health inspection record is the real concern: 46 deficiencies, including 7 tied to abuse and 3 serious enough to put residents in harm's way. State inspectors were last on site in June 2025.

Nurse hours

2.93 /day

Staff turnover

44%

Serious cites

0

Accura Healthcare of Carroll runs on 2.93 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 15% below what the home staffs on weekdays. That thin coverage shows up in its inspection record: 53 deficiencies, including 2 at the harm or jeopardy level and 6 tied to abuse. The health inspection rating sits at 1 out of 5, and the home was last inspected on April 2, 2026. Staff turnover of 44.2% is close to the national average of 45.8%, so retention isn't the outlier here, the numbers point to staffing hours and inspection findings as the real concerns.

Nurse hours

3.49 /day

Staff turnover

31%

Serious cites

0

Good Samaritan - Forest City runs on a church-affiliated nonprofit model with 43 beds, and its staff tends to stay: turnover is 31%, well under the 45.8% national average. That stability matters in a small home. But daily nurse coverage sits at 3.49 hours per resident, about 10% under the national 3.86, and weekends drop roughly 9% below its own weekday staffing, so the hours thin out exactly when families tend to visit. The inspection record shows 9 deficiencies, including 2 at harm or jeopardy level and 1 abuse-related, with $25,945 in fines across 2 penalties. The most recent inspection was August 2025. Quality measure scores come in at 2 out of 5 stars. Ask about the abuse-related citation and what changed since.

Nurse hours

3.41 /day

Staff turnover

98%

Serious cites

0

University Park runs on thinner nurse staffing than most homes, 3.41 hours per resident day against a national average of 3.86, and weekends dip about 10% below what it manages during the week. The bigger number is turnover: 97.5% of nursing staff leaving annually, roughly double the national rate, which means the people caring for residents are constantly new. Inspections in March 2026 turned up 22 deficiencies, one tied to abuse, though none rose to the level of actual harm. Its quality measure scores look strong on paper, but those rest on data the staff has to collect and report accurately, and a workforce that turns over almost completely every year makes consistency hard. For-profit corporate ownership, 108 beds.

Nurse hours

3.27 /day

Staff turnover

45%

Serious cites

0

Parkridge Specialty Care runs 90 certified beds in Pleasant Hill under nonprofit corporate ownership, and its staffing sits at 3.27 nurse hours per resident day, roughly 15% under the national average of 3.86, with weekends dropping about 10% below its own weekday levels. Turnover is 44.9%, essentially in line with the national 45.8%. The inspection record is the harder part: 49 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus one fine of $34,450, and the most recent inspection was October 2025. A 1-star health inspection rating against a 3-star staffing rating tells you where the problems cluster, not necessarily in raw hours, but in how care is delivered and documented when regulators look closely.

Nurse hours

3.66 /day

Staff turnover

57%

Serious cites

0

Emmetsburg Care Center is a 46-bed for-profit home where the numbers point in different directions. Nurse staffing sits at 3.66 hours per resident day, a bit under the national average, and it thins out further on weekends, dropping about 11% below its own weekday levels. Staff turnover is the bigger concern: 56.9% a year against a national average of 45.8%, meaning more than half the nursing staff leaves annually. Its inspection record shows 22 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with a $25,695 fine. The most recent inspection was July 2025. Quality measures score well, but that sits against the weakest possible inspection rating.

Nurse hours

2.83 /day

Staff turnover

45%

Serious cites

0

Clarion Wellness and Rehabilitation Center runs 76 certified beds under corporate for-profit ownership, and its staffing is the number to sit with first: 2.83 nurse hours per resident per day, roughly 27% under the national average of 3.86. Weekend coverage dips about 11% below its own weekday level, so the thinnest shifts land when families often visit. The current inspection record carries 37 deficiencies, four at the harm or jeopardy level, four abuse-related, plus one fine of $24,174; the last inspection was August 28, 2025. Annual turnover of 44.9% sits near the national 45.8%, meaning the staff who remain are stretched thin, and the one-star health inspection rating reflects what surveyors have found.

Nurse hours

3.99 /day

Staff turnover

72%

Serious cites

0

Elm Crest Retirement Community runs 50 certified beds in Harlan under nonprofit ownership, and its overall nurse staffing of 3.99 hours per resident day sits modestly above the national average of 3.86, roughly 3% higher. That edge narrows on weekends, when coverage drops about 14% below the home's own weekday level, and annual staff turnover reaches 71.7% against a national figure of 45.8%, meaning most of the people providing care are relatively new to the building. The current record shows 18 deficiencies, one of them serious enough to involve harm or jeopardy, with none tied to abuse. Inspectors last visited in January 2026.