Titonka, IA · Kossuth County
★★★★★CMS 5/526 bedsNon-profitMedicaid
- Nurse hours
- 4.15 /day
- Staff turnover
- 25%
- Serious cites
- 0
Titonka Care Center runs on a nonprofit model with 26 beds, and the staffing numbers are its strongest card: 4.15 nurse hours per resident day, about 7% above the national average. Turnover sits at 25% against a national 45.8%, which matters in a small rural home where knowing residents is half the job. The catch is weekends, when coverage drops roughly 22% below its own weekday level. Nine deficiencies are on record, none involving harm or abuse, and the most recent inspection was April 2026, so the picture is current. Quality and inspection ratings both land at 4 out of 5, staffing at 5.
Algona, IA · Kossuth County
★★★★★CMS 5/546 bedsFor-profitMedicaid
- Nurse hours
- 3.62 /day
- Staff turnover
- 33%
- Serious cites
- 0
Algona Manor Care Center runs 46 beds under corporate ownership, and its staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 8% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 33.3% against a national 45.8%, meaning aides and nurses here tend to stay longer than is typical. The inspection record is current (June 2025) with 12 deficiencies, none at harm or jeopardy level, though one is abuse-related, worth asking about directly. A 4/5 inspection rating and 5/5 quality measures round out a solid, if not richly staffed, picture.
Bancroft, IA · Kossuth County
★★★★★CMS 5/525 bedsFor-profitMedicaid
- Nurse hours
- 4.61 /day
- Staff turnover
- 39%
- Serious cites
- 0
Accura Healthcare of Bancroft runs about 4.61 nurse hours per resident day, roughly 19% above the national figure, and that staffing shows up in the numbers CMS cares about. Weekend coverage dips about 12% below weekday levels, so ask how that plays out on Saturdays. Staff turnover sits at 39.3%, better than the 45.8% national rate, which matters in a 25-bed home where residents know their caregivers by name. The current record shows seven deficiencies, none at the harm level and none abuse-related, with the last inspection in June 2025. Quality measure scores come in at 2 out of 5, the weakest part of the picture.
Algona, IA · Kossuth County
★★★☆☆CMS 3/572 bedsNon-profitMedicaid
- 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.