Nursing homes across Page County, Iowa, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Azria Health Clarinda runs a 70-bed for-profit home in Page County, and the staffing numbers are the first thing worth noticing: 3.66 nurse hours per resident day sits below the national average, and weekends drop about 16% below the home's own weekday coverage. Turnover at 32.8% is actually better than the national 45.8%, so the people who stay tend to stay, but the quality measure rating of 1 out of 5 is a real signal, and there's one deficiency at the harm level plus an abuse-related citation among the 14 on record, with a $16,448 fine. The last inspection was May 2025, so the record is current.
Accura Healthcare Of Shenandoah runs 42 beds under for-profit LLC ownership, and the numbers behind its D grade are worth walking through slowly. Nurse staffing sits at 3.63 hours per resident day, roughly 6% under the national average, and weekends drop about 12% below what the home itself staffs on weekdays, so coverage thins exactly when families tend to visit. Staff turnover is 60.4% against a national 45.8%, meaning most of the people caring for residents are relatively new. The current record shows 32 deficiencies, three at harm or jeopardy level and two tied to abuse, with a $8,414 fine and an inspection dated September 2025. All three CMS star ratings, health inspection, quality measures, staffing, sit at 1 out of 5.
Garden View Care Center is a 50-bed for-profit home in Shenandoah, and the numbers here deserve a hard look. Staff turnover runs at 55.3% a year against a national average of 45.8%, and the home carries 93 deficiencies on its current record, including 10 serious enough to involve harm or jeopardy to residents and 10 tied to abuse. Three CMS fines add up to $168,858, and the agency has placed Garden View in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor care. The most recent inspection was December 8, 2025. If you're considering this home for someone you love, ask the administrator directly what's changed since that inspection and how they're keeping residents safe.