Nursing homes across Howard County, Iowa, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Evans Senior Living Community runs 43 beds in Cresco under nonprofit ownership, and its inspection record is the strongest thing about it: one deficiency on file, nothing at the harm level, and a survey completed in August 2025. The staffing picture is more mixed. At 3.66 nurse hours per resident day, it sits about 5% under the national average, and weekends drop roughly 16% below its own weekday coverage, the stretch when families often notice less attention. What offsets that is retention: 28.9% turnover against a 45.8% national rate means the people caring for your relative are more likely to still be there next year. Low deficiencies, stable staff, slightly thin weekend hours.
Colonial Manor Of Elma runs 40 beds under for-profit LLC ownership, and its nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average of 3.86. Weekends drop about 12% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 62.2% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 16 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, with $44,768 in fines across two penalties and a February 2026 inspection.
Accura Healthcare Of Cresco is a 46-bed for-profit home where the numbers matter more than any single grade. Its nurse staffing sits at 3.91 hours per resident day, only about 1% above the national average, and that thin margin erodes on weekends, when coverage drops roughly 21% below the home's own weekday level. Annual turnover is 80.6%, well above the 45.8% national figure, meaning the people caring for residents are constantly changing. The inspection record shows 57 deficiencies, including one at the harm or jeopardy level and six tied to abuse. The last inspection was January 29, 2026. Every CMS star rating here, health inspections, quality measures, and staffing, comes in at the lowest tier. Ask about weekend coverage and how they keep residents safe when staff turns over that fast.