Nursing homes across Sioux County, Iowa, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Crown Pointe Estates runs 4.88 nurse hours per resident day, well above the national average of 3.86, and the weekend drop is modest at around 12 percent. Staff turnover sits at 27.8 percent against a national figure of 45.8, meaning workers tend to stick around here longer than at most homes. The tradeoff shows up elsewhere: 18 deficiencies on the current record, though none reached harm or jeopardy level and none involved abuse, with the most recent inspection in June 2025. Quality measure scores land below average even as staffing earns top marks, so the picture is a well-staffed nonprofit that hasn't yet turned that advantage into strong clinical outcomes on paper.
Prairie Ridge is city-and-county owned in Orange City, and the staffing numbers are the strongest thing it has going. At 3.91 nurse hours per resident day, it sits just above the national average, and weekend coverage dips only about 8% below weekdays, smaller than what many homes run. Turnover is 34%, well under the 45.8% national figure, which matters for whether you see the same faces. The tradeoff shows up elsewhere: eight deficiencies on record, none at harm level but one abuse-related, and a 2/5 on quality measures. The last inspection was April 2025, so the record is fairly current.
Nurse staffing at Hegg Memorial runs 4.02 hours per resident day, about 4% above the national average, and weekends dip roughly 14% below the home's own weekday coverage, a gap worth asking about if your family visits mainly on Saturdays and Sundays. The bigger story is retention: 21.1% annual turnover against a national average of 45.8% means aides and nurses here tend to stay, which matters more for daily care than almost anything else on paper. Eleven deficiencies sit on the current record, none at the harm level and none abuse-related, with the last inspection in November 2025. This is a nonprofit corporation in Rock Valley, and the numbers describe a stable, adequately staffed home rather than an outstanding one.
Pleasant Acres runs about 3.02 nurse hours per resident day, roughly 22 percent under the national average of 3.86, and weekends drop another 14 percent below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and needs don't pause. Turnover sits at 31 percent, better than the 45.8 percent national figure, so the crew that is there tends to stay. The current record shows 23 deficiencies, none at harm or jeopardy level and none tied to abuse, with the most recent inspection in February 2026. Quality measure scores lag at 2 out of 5 stars while staffing holds at 4, which tells you the care process numbers aren't keeping pace with the hours on the floor.
Hillcrest runs on 3.11 nursing hours per resident day, roughly a fifth below the national average, and weekends drop another 18 percent below its own weekday coverage. Staff turnover sits at 75 percent against a national rate near 46 percent, so the people providing care change often. The inspection record carries 73 deficiencies, including three at the level where residents were actually harmed or put in jeopardy, plus four tied to abuse; two fines total $25,450, and the most recent inspection was March 2026. Ownership is a for-profit limited liability company. The quality measure score looks acceptable, but that reflects charted care, not the staffing and oversight problems the state has repeatedly cited.