Wall Lake, IA · Sac County
★★★★★CMS 5/539 bedsNon-profitMedicaid
- Nurse hours
- 4.07 /day
- Staff turnover
- 35%
- Serious cites
- 0
Twilight Acres runs on a nonprofit model with 39 beds in Wall Lake, and the numbers behind it look steady. Nurse staffing sits at 4.07 hours per resident day, about 6% above the national average, though weekends dip roughly 9% below what the home staffs on weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Annual turnover is 34.5%, noticeably lower than the 45.8% national figure, which suggests caregivers tend to stay. The inspection record shows 7 deficiencies, none at the harm level, but one is abuse-related, so ask directly how that was resolved. Its last inspection was in December 2025, and quality measures score at the top of the federal scale.
Odebolt, IA · Sac County
★★★☆☆CMS 3/538 bedsNon-profitMedicaid
- Nurse hours
- 3.73 /day
- Staff turnover
- 31%
- Serious cites
- 0
Odebolt Specialty Care is a small nonprofit home, 38 beds, and its staffing picture is genuinely strong: 3.73 nurse hours per resident day, close to the national average, with weekend coverage running about 9% lighter than weekdays. Turnover sits at 31%, well below the 45.8% national figure, which matters for how well aides know the residents. The trouble is the inspection record: 20 deficiencies, three of them serious enough to put residents at risk of harm, and one fine of $14,433. The most recent inspection was March 12, 2026. Consistent hands, a thinner record on safety.
Sac City, IA · Sac County
★☆☆☆☆CMS 1/577 bedsFor-profitMedicaid
- Nurse hours
- 3.62 /day
- Staff turnover
- 53%
- Serious cites
- 0
Park View Rehabilitation Center runs 77 certified beds in Sac City under corporate ownership, and the staffing numbers are the place to start. At 3.62 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 12% below its own weekday coverage. Staff turnover lands at 53.2% against a national 45.8%, so nearly half the workforce is cycling through each year. The inspection record shows 19 deficiencies, including 2 at harm or jeopardy level and 1 tied to abuse; the most recent inspection was March 2026, so that record is current. Quality and health inspection measures both rate 2 out of 5.