Williamsburg, IA · Iowa County
★★★☆☆CMS 3/559 bedsNon-profitMedicaid
- Nurse hours
- 4.10 /day
- Staff turnover
- 35%
- Serious cites
- 0
Highland Ridge runs a nonprofit home in Williamsburg with 59 certified beds, and the staffing picture is the strongest thing it has going: 4.10 nurse hours per resident day, roughly 6% above the national average, with weekend coverage dipping about 9% below its own weekday level. Turnover sits at 34.9%, well under the national 45.8%, which suggests people tend to stay. The trouble is on the inspection side, 16 deficiencies on the current record, four of them at harm or jeopardy level and two tied to abuse, plus a $36,752 fine. The most recent inspection was September 2025. Good staffing doesn't erase a record like that.
Amana, IA · Iowa County
★★★☆☆CMS 3/550 bedsFor-profitMedicaid
- Nurse hours
- 3.43 /day
- Staff turnover
- 35%
- Serious cites
- 0
Colonial Manor Of Amana runs a tight ship on inspections, a five-star health inspection record with just three deficiencies on file, none causing harm and none tied to abuse. That matters more than most families realize. The tradeoff shows up in daily staffing: 3.43 nurse hours per resident, about 11% under the national average, and weekends run roughly 17% thinner than weekdays. Turnover sits at 34.8%, which is actually better than the national 45.8%, a sign this for-profit corporation retains its caregivers reasonably well. Fifty beds, inspected recently in June 2025, quality measures middling at three stars. The care appears safe and well-supervised; just know weekends may feel stretched.
North English, IA · Iowa County
★★★★★CMS 5/544 bedsFor-profitMedicaid
- Nurse hours
- 3.12 /day
- Staff turnover
- n/a
- Serious cites
- 0
English Valley runs 44 beds in North English under corporate for-profit ownership, and its inspection record is genuinely strong, a single deficiency on the books, though it did rise to the harm level, and nothing abuse-related. The bigger thing to weigh is daily coverage: 3.12 nurse hours per resident, roughly 19% under the national average of 3.86, with weekends running about 7% thinner than weekdays. A five-star health inspection and four-star quality measures suggest the care itself is sound when surveyed, but thin staffing is what families feel on a Tuesday night, not on inspection day. The most recent survey was in January 2026.
Marengo, IA · Iowa County
★★★☆☆CMS 3/558 bedsFor-profitMedicaid
- Nurse hours
- 3.29 /day
- Staff turnover
- 52%
- Serious cites
- 0
Rose Haven runs about 15% leaner on nurse staffing than the national average, 3.29 hours per resident day against 3.86, and weekends dip roughly 11% below its own weekday coverage, which is when families tend to notice. Turnover sits at 52.1% versus 45.8% nationally, so the aides and nurses on the floor change often. The current inspection record carries 26 deficiencies, including one at the harm or jeopardy level and eight tied to abuse. A single fine of $10,062 is on file, and the last full inspection was December 11, 2025. For-profit corporate ownership, 58 beds.