George, IA · Lyon County
★★★★★CMS 5/536 bedsNon-profitMedicaid
- Nurse hours
- 3.34 /day
- Staff turnover
- 38%
- Serious cites
- 0
Good Samaritan, George runs 36 beds as a nonprofit, and its staff stick around longer than most, turnover of 37.9% beats the national 45.8%, but there aren't many of them: 3.34 nurse hours per resident day, about 13% under the national average, thinning further on weekends. The quality and staffing stars look strong, yet the inspection record shows 21 deficiencies, including two at harm or jeopardy level and three tied to abuse, with $18,142 in fines and a survey completed in August 2025. Stable caregivers, lighter coverage, and a cited record, weigh all three before deciding.
Inwood, IA · Lyon County
★★★★☆CMS 4/540 bedsNon-profitMedicaid
- Nurse hours
- 5.44 /day
- Staff turnover
- n/a
- Serious cites
- 0
Fellowship Village sits in Inwood, a small town in Lyon County, and it's run by a nonprofit corporation, which tends to mean any surplus goes back into the building rather than out to shareholders. On paper, the care side looks solid: four stars each on health inspections and quality measures, and just six deficiencies on the current record with none rising to harm or jeopardy and nothing abuse-related. The catch is staffing, where it earns only one star, well below what you'd want for 40 residents. Inspections were recent, in November 2025, so the picture is current. The takeaway: good outcomes so far, but ask directly how many aides are on the floor during evenings and weekends.
Rock Rapids, IA · Lyon County
★★★★☆CMS 4/545 bedsNon-profitMedicaid
- Nurse hours
- 2.77 /day
- Staff turnover
- 50%
- Serious cites
- 0
Lyon Specialty Care runs on 2.77 nurse hours per resident per day, roughly 28 percent under the national average of 3.86, and weekends dip about 9 percent below its own weekday staffing. That thin margin matters more in a 45-bed nonprofit home where turnover sits at 50 percent, above the national 45.8 percent. The inspection record is a mixed picture: 18 deficiencies on file, none at the harm or jeopardy level, but two tied to abuse. A June 2025 inspection is recent, and four out of five stars on both health inspections and quality measures suggest care is being delivered well despite the staffing shortfall. Ask about weekend coverage and how they handle the two abuse-related findings.