222 Chain-Owned Nursing Homes in Iowa

Nurse hours

3.53 /day

Staff turnover

30%

Serious cites

0

Accura Healthcare of Milford runs 46 beds under corporate ownership, and its inspection record is the strongest thing it has going, a five-star health inspection rating with the most recent visit in July 2025. Eight deficiencies are on file, none causing actual harm, though one is abuse-related and worth asking about directly. Where it slips is care quality: a one-star rating on the federal quality measures. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends run about 7% thinner than weekdays. Turnover at 30.2% is better than the 45.8% national figure, which means aides tend to stick around.

Nurse hours

3.73 /day

Staff turnover

63%

Serious cites

0

Harmony Utica Ridge runs 115 certified beds under corporate ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.73 hours per resident day, about 4% under the national average, and weekends drop roughly 10% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is the sharper concern at 62.8%, well above the 45.8% national figure, meaning many of the people caring for residents are still learning the building. The inspection record shows 33 deficiencies, including two at harm or jeopardy level and three tied to abuse, with $51,292 in fines. Quality measures score well; staffing and inspections do not.

Nurse hours

2.86 /day

Staff turnover

35%

Serious cites

0

Accura Healthcare of Muscatine runs about 2.86 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 9% below its own weekday level. Turnover sits at 34.7%, better than the 45.8% national figure, so the people who stay tend to stay. The current record shows 28 deficiencies, none at harm or jeopardy level, but three are abuse-related, which is worth asking about directly. Quality measures score 1 out of 5 and inspections 3 out of 5, with the last survey in May 2025. Corporate-owned, 100 beds. The picture is thin daily staffing against a fairly clean harm record, ask how they cover weekends.

Nurse hours

3.30 /day

Staff turnover

46%

Serious cites

0

Grundy Care Center runs 40 certified beds in Grundy Center, Iowa, under corporate for-profit ownership. Nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86, and weekend coverage drops another 8% below its own weekday level. Staff turnover is 45.8%, which matches the national average rather than beating or trailing it. The inspection record is the harder part. Thirty-five deficiencies are on file, three of them at the harm or jeopardy level and three flagged as abuse-related, with two fines totaling $65,677. CMS gave the health inspection domain one star out of five, while the quality measure domain scored four. That combination, thin staffing, a recent inspection in January 2026, and a serious deficiency history, is what pulls the overall picture down. If you're considering this home, ask directly how those abuse-related findings were resolved and what weekend coverage looks like now.

Nurse hours

3.71 /day

Staff turnover

54%

Serious cites

0

Southfield Wellness Community runs 65 certified beds as a for-profit limited liability company, and its state inspection record is the thing you'd want to look at first: 58 deficiencies on file, including four at the harm or jeopardy level and six tied to abuse. Two fines total $71,897, and the most recent inspection was in February 2026. Nurse staffing sits at 3.71 hours per resident day, roughly 4% under the national average of 3.86, with weekends about 12% thinner than weekdays. Annual turnover is 53.6% against a national 45.8%, so the people caring for residents keep changing. Ask about that inspection history and how they cover weekends before deciding anything.

Nurse hours

3.85 /day

Staff turnover

43%

Serious cites

0

Lutheran Living Senior Campus runs 155 certified beds as a church-affiliated nonprofit, and its nurse staffing comes in at 3.85 hours per resident day, basically dead even with the national average of 3.86. That sounds fine until you look at the inspection record: 43 deficiencies, seven of them at the harm or jeopardy level and five tied to abuse, with $253,886 in fines across three penalties. Staff turnover sits at 42.9%, slightly better than the 45.8% national figure, but weekend coverage drops about 11% below weekday levels. The most recent inspection was February 13, 2026. The quality measure rating is mid-range at 3 out of 5, but a 1-out-of-5 inspection star tells you where the real trouble lives.

Nurse hours

3.35 /day

Staff turnover

30%

Serious cites

0

Ravenwood Specialty Care is a 176-bed nonprofit home in Waterloo, and the numbers pull in two directions. Staffing sits at 3.35 nurse hours per resident day, about 13 percent under the national average, and weekends run roughly 8 percent thinner than weekdays. Turnover, though, is a genuine bright spot at 30.2 percent against a national average near 46. What drags the picture down is the inspection record: 36 deficiencies, two of them serious enough to involve harm or jeopardy, and a one-star health inspection rating. The last inspection was recent, in November 2025, so that record reflects current conditions rather than old problems. A 2/5 on quality measures doesn't offset it. Plenty of direct-care hours have left the building, and the state has documented what that looks like.

Nurse hours

4.03 /day

Staff turnover

31%

Serious cites

0

Windmill Manor runs 120 beds in Coralville under nonprofit ownership, and its nurse staffing sits at 4.03 hours per resident day, roughly 4% above the national average, with weekend coverage dipping about 14% below weekday levels. What stands out more is the workforce stability: turnover runs 31.1%, well under the 45.8% national figure. The caution signs come from oversight. Inspectors found 23 deficiencies, including two at the harm or jeopardy level and one tied to abuse, along with a $11,213 fine. Quality measures score poorly, and the most recent inspection was April 2026. Staffing consistency is the strength here; the inspection record is the question.

Nurse hours

3.55 /day

Staff turnover

99%

Serious cites

0

The Bridges at Ankeny runs on thinner nurse coverage than most Iowa homes, 3.55 hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday level, exactly when families tend to visit. Staff turnover is the harder number to get past: 99.1% a year means roughly the entire nursing staff turns over annually, against a national rate near 46%. Its current inspection record carries 39 deficiencies, two of them serious enough to reach harm or jeopardy level, plus a $14,015 fine. The five-star quality measure score reflects how residents are doing clinically; the two-star inspection and staffing ratings reflect what's happening around them.

Nurse hours

3.22 /day

Staff turnover

50%

Serious cites

0

Accura Healthcare Of Onawa runs 46 beds under corporate for-profit ownership, and the staffing numbers are the first thing I'd flag: 3.22 nurse hours per resident day, roughly 16 percent under the national average, with weekend coverage dropping about 19 percent below its own weekday level. That matters because 50 percent of staff turned over in the past year, above the 45.8 percent national figure, so the people providing that care keep changing. The inspection record shows 30 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection in May 2025. CMS gave middling marks across its three categories, which tells you this home isn't failing outright but isn't steady either.

Nurse hours

3.45 /day

Staff turnover

54%

Serious cites

0

Accura Healthcare of Pleasantville runs 46 certified beds as a for-profit corporation, and the staffing numbers are the first thing I'd flag: 3.45 nurse hours per resident day, roughly 11% under the national average, with weekends dipping about 15% below its own weekday coverage. Annual turnover sits at 53.7%, well above the 45.8% national figure, so the people caring for your family member are cycling through quickly. The inspection history is the heavier concern, 45 deficiencies on record, three at harm or jeopardy level and four tied to abuse, plus a $28,724 fine. That record earned a one-star health inspection rating, and the most recent survey was April 2026.

Nurse hours

3.66 /day

Staff turnover

33%

Serious cites

0

Azria Health Clarinda runs a 70-bed for-profit home in Page County, and the staffing numbers are the first thing worth noticing: 3.66 nurse hours per resident day sits below the national average, and weekends drop about 16% below the home's own weekday coverage. Turnover at 32.8% is actually better than the national 45.8%, so the people who stay tend to stay, but the quality measure rating of 1 out of 5 is a real signal, and there's one deficiency at the harm level plus an abuse-related citation among the 14 on record, with a $16,448 fine. The last inspection was May 2025, so the record is current.

Nurse hours

3.06 /day

Staff turnover

42%

Serious cites

0

Good Samaritan, Algona runs 72 certified beds as a nonprofit corporation, and it last cleared inspection in December 2025. Its nurses give 3.06 hours of care per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. Turnover sits at 41.8%, a bit better than the 45.8% national figure. The current record carries 27 deficiencies, three at harm or jeopardy level and four tied to abuse, plus one fine of $7,070. Quality measures scored 2 of 5 stars, so what's on paper is a home getting thinner weekday coverage than most and carrying a heavier-than-typical enforcement history.

Nurse hours

3.55 /day

Staff turnover

55%

Serious cites

0

Silver Oak runs on 3.55 nurse hours per resident day, about 8% under the national average, and weekends drop roughly 15% below its own weekday staffing. The 55.4% annual turnover is well above the 45.8% national figure, so the faces around your relative change often. Its record shows 60 deficiencies, three at harm or jeopardy level and six tied to abuse, with $29,107 in CMS fines and a one-star inspection rating; the most recent inspection was April 2026. Ownership is for-profit, a limited liability company. Quality measures score mid-range and staffing scores well on paper, but the inspection history is where the concern sits.

Nurse hours

3.17 /day

Staff turnover

97%

Serious cites

0

Granger Nursing & Rehabilitation Center runs on thinner staffing than almost anywhere else, 3.17 nurse hours per resident day against a national average of 3.86, and weekends dip about 11% below what the home manages on weekdays. That gap matters, because the workforce itself barely holds still: turnover sits at 97.2% a year, more than double the national figure, meaning the aides and nurses your family member sees are constantly new. Inspectors logged 24 deficiencies, including one abuse-related citation, though none rose to actual harm or jeopardy, and the last visit was recent. A for-profit limited liability company owns the 67-bed home. Quality scores look decent on paper, but steady hands matter more.

Nurse hours

3.53 /day

Staff turnover

49%

Serious cites

0

Heritage Specialty Care runs 171 beds in Cedar Rapids under corporate ownership, and its last inspection in May 2026 left a record of 50 deficiencies, six of them serious enough to cause harm or jeopardy. Nurse staffing sits at 3.53 hours per resident day, roughly 9 percent under the national average, and weekends drop about 8 percent below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover runs near 49 percent, a few points above average. No abuse citations appear on the record, and the single fine totals $14,365, but the inspection and quality ratings both sit at the bottom of CMS's five-point scale.

Nurse hours

3.81 /day

Staff turnover

61%

Serious cites

0

Azria Health Longview runs 100 beds in Missouri Valley under for-profit partnership ownership, and the numbers that stand out most are the inspection and quality scores, both one star out of five. Its current record carries 42 deficiencies, three of them at the level where a resident was actually harmed or put in jeopardy, and two tied to abuse. Staffing sits at 3.81 hours per resident day, just under the national average, but weekend coverage drops about 11% below its own weekday level, and annual turnover runs 60.9% against a national 45.8%. The last inspection was June 2025.

Nurse hours

3.63 /day

Staff turnover

60%

Serious cites

0

Accura Healthcare Of Shenandoah runs 42 beds under for-profit LLC ownership, and the numbers behind its D grade are worth walking through slowly. Nurse staffing sits at 3.63 hours per resident day, roughly 6% under the national average, and weekends drop about 12% below what the home itself staffs on weekdays, so coverage thins exactly when families tend to visit. Staff turnover is 60.4% against a national 45.8%, meaning most of the people caring for residents are relatively new. The current record shows 32 deficiencies, three at harm or jeopardy level and two tied to abuse, with a $8,414 fine and an inspection dated September 2025. All three CMS star ratings, health inspection, quality measures, staffing, sit at 1 out of 5.

Nurse hours

3.59 /day

Staff turnover

59%

Serious cites

0

Harmony West Des Moines runs 113 beds under corporate ownership, and the numbers explain the record. Nurse staffing sits at 3.59 hours per resident day against a national average of 3.86, and weekends dip roughly 10% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Staff turnover is 58.9%, well above the 45.8% national figure, which makes consistent care hard to sustain. The inspection history is the heavier problem: 46 deficiencies on the current record, including one at the harm level and five tied to abuse. The health inspection rating is 1 out of 5, with the most recent inspection dated March 5, 2026. Quality measures score better at 3 out of 5, but that sits alongside a 2 out of 5 for staffing.

Nurse hours

3.19 /day

Staff turnover

61%

Serious cites

0

Good Samaritan, Indianola runs 105 certified beds as a nonprofit corporation, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.19 hours per resident day against a national average of 3.86, weekends run about 16% thinner than weekdays, and annual turnover hits 60.5% when the national figure is 45.8%, that combination makes consistent care hard to guarantee. The inspection record compounds it: 43 deficiencies, four of them at harm or jeopardy level, one abuse-related, and two fines totaling $20,316. Its most recent inspection was May 2026, so the picture is current, not stale. Families should ask directly how the home covers weekend shifts and what it has changed since that last survey.