Here are 4 Nursing Homes in Marion County, IA

Nurse hours

4.18 /day

Staff turnover

50%

Serious cites

0

The Cottages in Pella runs a nonprofit shop with 100 certified beds, and its nurse staffing sits at 4.18 hours per resident day, roughly 8% above the national average, though weekend coverage dips about 7% below its own weekday levels, and half the staff turns over each year against a 45.8% national figure. That mix helps explain a staffing rating of 4 out of 5 and quality measures at 4 out of 5, but the health inspection side tells a harder story: 21 deficiencies on record, including 2 at the harm or jeopardy level and 3 tied to abuse, with $40,054 in fines across two penalties. The most recent inspection was August 25, 2025, so the record is current rather than stale. Good day-to-day care numbers, serious inspection findings.

Nurse hours

3.10 /day

Staff turnover

53%

Serious cites

0

West Ridge Specialty Care runs on thinner nurse coverage than most homes, 3.10 hours per resident day against a national average of 3.86, and weekends drop about 17% below what the building staffs during the week. That gap matters most on Saturdays and Sundays, when families often visit and notice. Turnover sits at 53.2%, well above the 45.8% national figure, so many of the people caring for residents are still learning the building. The current record shows 13 deficiencies, none at the harm level, though two are abuse-related, and the last full inspection was in July 2024. It's a nonprofit home with 78 beds, and its quality measure scores run low even as staffing earns a higher mark. Worth asking about weekend coverage and the abuse citations directly.

Nurse hours

3.47 /day

Staff turnover

53%

Serious cites

0

Accura Healthcare of Knoxville runs 60 beds under corporate ownership, and its nurse staffing sits about 10% under the national average, roughly 3.47 hours per resident day against 3.86 nationally. Weekends are the bigger gap: coverage drops about 19% below the home's own weekday levels, and annual turnover hits 53.2% versus 45.8% nationally, so familiar faces are harder to count on. The inspection record carries 15 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a single fine of $16,153. The most recent inspection was February 19, 2026, so the picture is current rather than stale. Ask about weekend staffing and how the abuse-related findings were resolved before deciding.

Nurse hours

3.45 /day

Staff turnover

54%

Serious cites

0

Accura Healthcare of Pleasantville runs 46 certified beds as a for-profit corporation, and the staffing numbers are the first thing I'd flag: 3.45 nurse hours per resident day, roughly 11% under the national average, with weekends dipping about 15% below its own weekday coverage. Annual turnover sits at 53.7%, well above the 45.8% national figure, so the people caring for your family member are cycling through quickly. The inspection history is the heavier concern, 45 deficiencies on record, three at harm or jeopardy level and four tied to abuse, plus a $28,724 fine. That record earned a one-star health inspection rating, and the most recent survey was April 2026.