Kanawha, IA · Hancock County
★★★★★CMS 5/526 bedsFor-profitMedicaid
- Nurse hours
- 4.52 /day
- Staff turnover
- 39%
- Serious cites
- 0
Kanawha Community Home runs a tight ship for a 26-bed for-profit in Hancock County. Nurse staffing sits at 4.52 hours per resident day, roughly 17 percent above the national average, and the health inspection record is clean where it counts: three deficiencies total, none at the harm or jeopardy level, none tied to abuse, with the last inspection in September 2025. Staff turnover lands at 38.5 percent against a national average near 46, which for this industry is stability, not churn. The one soft spot is weekends, when coverage dips about 8 percent below the home's own weekday levels. A small building with low turnover and steady weekday staffing can absorb that; families should still ask who's on duty Saturday and Sunday.
Britt, IA · Hancock County
★★★★★CMS 5/567 bedsFor-profitMedicaid
- Nurse hours
- 3.56 /day
- Staff turnover
- 34%
- Serious cites
- 0
Westview Care Center runs a tight operation, zero deficiencies on its current record, no abuse findings, and a recent inspection from July 2025 that came back clean. Staffing sits at 3.56 hours per resident day, roughly 8% under the national average of 3.86, and weekends dip about 10% below its own weekday coverage, so afternoons and Saturdays may feel leaner than the numbers suggest. What stands out is retention: turnover at 34.4% beats the national 45.8%, meaning the people caring for residents tend to stick around. For a 67-bed for-profit LLC in Britt, that combination of a spotless inspection history and a stable workforce is the real story here.
Garner, IA · Hancock County
★★★★★CMS 5/546 bedsFor-profitMedicaid
- Nurse hours
- 3.50 /day
- Staff turnover
- 53%
- Serious cites
- 0
Concord Care Center runs 46 beds in Garner under for-profit LLC ownership, and the inspection record is the strongest part of the picture, the state visited in September 2025 and found 11 deficiencies, none of which rose to harm or jeopardy. The one abuse-related citation is worth asking about directly. Where the home gives ground is staffing: 3.50 nurse hours per resident day sits about 9% under the national average, weekend coverage dips roughly 12% below its own weekday levels, and 53.2% of staff turned over in a year against a 45.8% national rate. That combination, solid surveys, thinner and less stable coverage, is what keeps this from grading higher despite strong quality measure scores.