Nursing homes across Dallas County, Iowa, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Spurgeon Manor runs on 5.21 nursing hours per resident per day, which is about a third more than the national average of 3.86. That extra coverage holds up on weekends too, down roughly 8% from its own weekdays, but still well above what most homes staff any day. Staff turnover sits at 36.6%, noticeably under the 45.8% national figure, so the people caring for residents tend to stick around. The nonprofit's inspection record shows 8 deficiencies, none at the harm level and none abuse-related, with a state survey completed in September 2025. Its staffing and quality ratings both come in at 5 out of 5.
Walnut Ridge runs on unusually generous staffing for a 60-bed for-profit home, 4.89 nurse hours per resident day, roughly a quarter above the national average, and that's the main reason it holds up well under scrutiny. Weekend coverage dips about 8% from weekday levels, so ask how that plays out on a Sunday. Turnover sits at 24.4%, well under the 45.8% national figure, which suggests people stay. The tradeoff is a longer deficiency record: 13 citations on file, including one tied to abuse, though none rose to actual harm or jeopardy. A July 2025 inspection means the state looked recently.
Cedar Ridge Village runs 40 beds in West Des Moines under corporate ownership, and its nurse staffing sits at 4.13 hours per resident day, roughly 7% above the national average, though weekends drop about 15% below what the home staffs on weekdays. That gap matters if your family tends to visit Saturday or Sunday. Annual turnover is 56.5%, well above the 45.8% national figure, so the people caring for your relative may not be the ones who were there a year ago. The current record shows 20 deficiencies, three tied to abuse, with none at the harm level; the last inspection was in August 2025.
Perry Lutheran Home runs 70 certified beds as a nonprofit corporation, and its staffing sits right at the national average of 3.86 nurse hours per resident day, with weekend coverage dropping roughly 7% below its own weekday levels. Turnover is 49.3%, a bit worse than the 45.8% national figure, so the faces change more often than average. The bigger issue is the inspection record: 22 deficiencies, 8 at harm or jeopardy level, and 4 abuse-related, with one fine of $16,351. A recent inspection date doesn't erase that history. If you're considering this home, ask specifically how those abuse-related findings were resolved and who supervises residents on weekends.
Arbor Springs runs 5.38 nurse hours per resident each day, well above the national average, but that number hides a problem: nearly every aide and nurse is new, with turnover at 96.8% against a national 45.8%. Weekend coverage also drops about 11% below weekday levels, so care depends on who happens to be on shift. Inspectors found 17 deficiencies on the current record, including two at the harm level and one tied to abuse, with the last visit in May 2025. The for-profit LLC behind it has clear strengths and real gaps, and the staffing score reflects that split honestly.
Granger Nursing & Rehabilitation Center runs on thinner staffing than almost anywhere else, 3.17 nurse hours per resident day against a national average of 3.86, and weekends dip about 11% below what the home manages on weekdays. That gap matters, because the workforce itself barely holds still: turnover sits at 97.2% a year, more than double the national figure, meaning the aides and nurses your family member sees are constantly new. Inspectors logged 24 deficiencies, including one abuse-related citation, though none rose to actual harm or jeopardy, and the last visit was recent. A for-profit limited liability company owns the 67-bed home. Quality scores look decent on paper, but steady hands matter more.
Perry Lutheran Homes Eden Acres sits in Dallas County with 57 certified beds and a for-profit LLC owner. The staffing picture is mixed: 3.43 nurse hours per resident day lands about 11% under the national average, and weekends run roughly 15% lighter than weekdays, but turnover at 36.2% beats the national 45.8%, a sign this home can hold onto aides better than most. What stands out is the inspection record: six deficiencies, two at harm or jeopardy level and two tied to abuse, plus a $9,110 fine, with the most recent inspection in June 2025. Those harm-level and abuse findings are the kind regulators treat seriously, and they're the real weight on this home's record.
Adel Acres is a 50-bed for-profit home in Dallas County, and the numbers there split in two directions. The care itself measures well, a 4 out of 5 on quality measures, but the staffing behind that care runs thin: 3.02 nurse hours per resident day, roughly 22 percent under the national average, and weekends drop about 19 percent below the home's own weekday level. Inspections tell the harder story. The current record carries 44 deficiencies, five serious enough to involve harm or jeopardy, three tied to abuse, plus one fine of $16,544. The last inspection was in April 2025. If you're weighing this one, ask how they cover weekends and what's changed since that inspection.