Le Mars, IA · Plymouth County
★★★☆☆CMS 3/546 bedsFor-profitMedicaid
- Nurse hours
- 4.51 /day
- Staff turnover
- 26%
- Serious cites
- 0
Accura Healthcare Of Le Mars runs a 46-bed for-profit home in Plymouth County, and the staffing numbers are its strongest card. At 4.51 nurse hours per resident day, it sits about 17% above the national average, and weekend coverage dips only about 9% below its own weekday level, modest by industry standards. Turnover is 26.1%, well under the national 45.8%, which suggests people stay. The caution is on the inspection side: 17 deficiencies on the current record, including 2 at the harm level and 1 abuse-related. That's a meaningful count for a home this size. Staffing is clearly doing the heavy lifting here.
Akron, IA · Plymouth County
★★★★☆CMS 4/545 bedsGovernmentMedicaid
- Nurse hours
- 3.80 /day
- Staff turnover
- 40%
- Serious cites
- 0
Akron Care Center is city-owned, which is unusual, most Iowa nursing homes are for-profit. Inspectors have found four deficiencies on its current record, none of them causing harm or involving abuse, and the most recent visit was in May 2025. Nurse staffing sits at 3.80 hours per resident day, a hair under the national average of 3.86, and weekends run about 11% thinner than weekdays, which is worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover is 40.4%, better than the 45.8% national figure but still meaning roughly two in five caregivers left within a year. Quality measure scores lag behind its inspection and staffing results.
Remsen, IA · Plymouth County
★★★★☆CMS 4/562 bedsNon-profitMedicaid
- Nurse hours
- 3.30 /day
- Staff turnover
- 53%
- Serious cites
- 0
Happy Siesta runs lean on nursing hours, 3.30 per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday staffing. That gap matters because a 52.5% annual turnover rate means many of the aides and nurses on the floor are still learning the building, and it sits well above the 45.8% national figure. The current inspection record shows six deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse. The last state visit was June 2025, so the picture is recent. Quality measures score well, but staffing hours and staff retention tell a different story than the star ratings alone suggest.
Kingsley, IA · Plymouth County
★☆☆☆☆CMS 1/543 bedsNon-profitMedicaid
- 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.
Le Mars, IA · Plymouth County
★★★★☆CMS 4/564 bedsNon-profitMedicaid
- 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.