Nursing homes across Marshall County, Iowa, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
The Iowa Veterans Home in Marshalltown runs 702 certified beds as a state government operation, and the numbers behind its record are unusually steady. Nurse staffing sits at 4.74 hours per resident day, about 23 percent above the national average of 3.86, and weekend coverage dips only about 14 percent below its own weekday level, a gap that's common but worth knowing if your visits fall on Saturdays or Sundays. Staff turnover is 24.7 percent against a national average of 45.8 percent, meaning caregivers here tend to stay. The home carries just two deficiencies on its current record, neither at the harm level and none abuse-related, with its last inspection dated April 16, 2026.
State Center Specialty Care runs 39 certified beds as a nonprofit operation, and its staffing sits at 3.41 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts are predictable. Turnover lands at 40%, a bit better than the 45.8% national figure. Twenty deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 22, 2026. The quality and staffing stars both come in at 5 out of 5, while health inspections sit at 3. Worth asking how the home covers weekends and what those 20 deficiencies involved.
Southridge Specialty Care runs on a nonprofit model with 82 certified beds, and its staffing tells a mixed story. At 3.65 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends dip roughly 13% below its own weekday coverage. What stands out is retention: 29.2% turnover against a 45.8% national average means caregivers here tend to stay, which matters for consistency of care.
The inspection record is where the concern sits. Twenty-five deficiencies, two at harm or jeopardy level, and two tied to abuse, with a $45,406 fine on file from a May 2025 inspection. Quality and staffing star ratings both land at 4, but the health inspection rating is 2, that gap between good numbers on paper and problems found in person is worth asking about directly.
Harmony Marshalltown runs 4.01 nurse hours per resident per day, a bit above the national average of 3.86. But weekends drop roughly 9% below its own weekday staffing, and turnover sits at 50.7% against a national 45.8%. Those two facts matter more than the headline staffing number, because they mean the coverage you see on paper isn't evenly distributed.
The inspection record is where the real concern lives: 46 deficiencies, 4 at harm or jeopardy level, 1 abuse-related, and a $78,878 fine. CMS gave it 1 out of 5 stars on health inspections, though quality measures came in at 3. The most recent inspection was January 2026. Corporate-owned, 72 beds.
Accura Healthcare Of Marshalltown is a for-profit, 84-bed home in Marshall County, and its record is thin in the places that matter most. Nurse staffing runs 3.60 hours per resident day, about 7% under the national average, and drops roughly another 10% on weekends, which is when families often visit and notice. The current inspection record carries 42 deficiencies, including three at the harm or jeopardy level and four tied to abuse, and the latest inspection was March 2026. Staff turnover, at 42.3%, is actually slightly better than the national 45.8%, so the problem isn't retention alone; it's what's happening on the floor and in the survey record.