Nursing homes across Carroll County, Iowa, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Regency Park's inspection record is the strongest card here, a four-star health inspection and a five-star quality measure score, both built on a survey done in November 2025 with nine total deficiencies and just one at the harm level. No abuse findings on the record. Where it slips is staffing: 3.48 nurse hours per resident day, about 10% under the national average, with weekends running roughly 13% thinner than weekdays. Forty-six beds under corporate ownership means the numbers aren't hiding much. Ask how the weekend shift is covered, especially on evenings, and who's on call when it isn't.
Thomas Rest Haven runs on a city/county budget, and the staffing shows it: 4.71 nurse hours per resident day, roughly 22% above the national average. That's the strongest number here, though weekends drop about 16% below the home's own weekday coverage, so care thins out exactly when families tend to visit.
The inspection record is the bigger concern. Eighteen deficiencies on file, including two at the harm level and two abuse-related, with one fine of $11,190 and a two-star health inspection rating. Turnover sits at 46.5%, essentially the national average, so continuity isn't unusual for the industry but isn't a strength. The last inspection was September 2025, so that record is recent.
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.
St. Anthony Senior Services runs 79 certified beds as a church-affiliated nonprofit in Carroll, and its nurse staffing sits at 3.87 hours per resident day, essentially level with the national average of 3.86, though weekends run about 8% leaner than weekdays. The real concern is the inspection record: 19 deficiencies, three of them serious enough to put residents at harm or jeopardy, including one abuse-related finding, and a $12,038 fine. A recent inspection in February 2026 means the record is current, not stale. Quality measures score well, but strong clinical numbers don't offset a pattern of serious health and safety findings.