Nursing homes across Woodbury County, Iowa, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Sunrise Retirement Community runs on 5.09 nurse hours per resident day, roughly a third more than the national average, and that shows up in its staffing rating. Weekend coverage dips about 10% below weekday levels, which is common but worth knowing if your visits land on Saturdays. Staff turnover sits at 37.8%, better than the 45.8% national figure, so the people caring for residents tend to stick around longer than elsewhere. The current inspection record shows 11 deficiencies, none at the harm level and none abuse-related, with the last survey in September 2025. As a nonprofit with 74 beds, it's smaller than many, and its health inspection rating holds at 4 out of 5.
Holy Spirit Retirement Home runs on a nonprofit model with 78 certified beds, and its nurse staffing sits at 4.09 hours per resident day, about 6% above the national average of 3.86. Weekend coverage drops roughly 11% below its own weekday level, so the margins are thinner on Saturdays and Sundays. Annual turnover is 44.4%, essentially in line with the national 45.8%. The inspection record carries 30 deficiencies, none at harm or jeopardy level, though two are abuse-related, and the most recent inspection was April 30, 2026. Quality measures score well above average while the health inspection side lags behind.
St. Luke's Regional Medical Center SNF is a 20-bed nonprofit unit in Sioux City, and the staffing numbers are the first thing that stand out. At 10.85 nurse hours per resident day, it runs far above the national average of 3.86, that's not a rounding difference, it's a different model of care. Weekend staffing dips about 7% below its own weekday level, worth knowing if you'll be visiting Saturdays and Sundays. On the regulatory side, the record is clean where it counts: three deficiencies total, none at the harm or jeopardy level, none abuse-related, and the last inspection was July 2025. Ownership changed within the past year, so ask how that's affected day-to-day operations.
Accura Healthcare of Sioux City runs 46 beds under corporate ownership, and its last inspection was recent, December 2025, with 21 deficiencies on record but none involving harm or abuse, which matters more than the raw count. Nurse staffing sits at 3.74 hours per resident day, a touch under the national 3.86, and weekends drop roughly 18% below weekday coverage, so ask how that gap gets filled. Staff turnover is 37%, better than the 45.8% national figure, which suggests people tend to stay. Federal ratings put quality and staffing at 4 stars each, inspection at 3.
Pioneer Valley Living and Rehab runs 66 beds in Sergeant Bluff under for-profit LLC ownership, and its inspection record is the part that stands out: 63 deficiencies on file, five of them serious enough to reach harm or jeopardy, plus two tied to abuse. The last inspection was recent, March 2026, so this isn't stale history.
Nurse staffing sits at 3.72 hours per resident day, roughly 4% under the national average, and weekends run about 14% thinner than weekdays. Annual turnover of 46.6% is essentially the national rate, meaning the staff you meet may not be there in a year.
Worth asking the administrator directly what changed since that inspection.
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.
Embassy Rehab and Care Center runs 60 certified beds in Sergeant Bluff under for-profit LLC ownership, and the staffing picture is mixed. Nurses provide 3.51 hours per resident day, about 9% under the national average of 3.86, and weekends drop roughly 18% below the home's own weekday coverage. Annual turnover sits at 54.2%, well above the 45.8% national figure. Inspections tell the heavier story: 27 deficiencies on the current record, four of them abuse-related, though none rose to harm or jeopardy level, and the health inspection rating lands at 2 out of 5. A recent inspection date of May 2026 means the record is current, not stale.
Casa De Paz runs about 2.79 nurse hours per resident day, roughly 28% under the national average of 3.86, and weekends drop another 25% below its own weekday staffing. That thin coverage shows up in the numbers: a 2/5 CMS staffing rating, 60.3% annual turnover against a national 45.8%, and 36 deficiencies on record, including two tied to abuse. No deficiencies were flagged at the harm or jeopardy level, and the 4/5 quality measure rating suggests some clinical measures are being met. But with a for-profit LLC structure, a recent April 2026 inspection, and a 2/5 health inspection rating, the staffing pattern is the thing to ask about directly before deciding.
Westwood Specialty Care is a nonprofit home with 85 beds in Sioux City, and the numbers families tend to ask about first are the inspection ones. Its record carries 79 deficiencies, including two at the harm level and one tied to abuse, plus two fines totaling $181,086, and the most recent inspection was in April 2026, so this isn't a stale file. Staffing sits at 3.20 nurse hours per resident day, roughly 17 percent under the national average, with weekends running about 13 percent thinner than weekdays and turnover at 49.3 percent. Ownership being nonprofit doesn't offset any of that on its own.