Maquoketa, IA · Jackson County
★★☆☆☆CMS 2/575 bedsFor-profitMedicaid
- Nurse hours
- 3.34 /day
- Staff turnover
- 44%
- Serious cites
- 0
Jackson Ridge runs 3.34 nurse hours per resident day against a national average of 3.86, so hands-on time here sits roughly 13 percent under what's typical, and weekends dip about 6 percent below the home's own weekday pace. Staff turnover lands at 43.5 percent, which is actually a touch better than the 45.8 percent national figure. The 18 deficiencies on record include none flagged for harm or jeopardy and none tied to abuse, and the most recent inspection came in June 2025. It's a for-profit limited liability company with 75 certified beds, and its federal ratings sit at three stars across health inspections, quality measures, and staffing.
Glenwood, IA · Mills County
★★★☆☆CMS 3/569 bedsNon-profitMedicaid
- Nurse hours
- 4.96 /day
- Staff turnover
- 43%
- Serious cites
- 0
Glen Haven Village runs a leaner ship than most on the floor: 4.96 nurse hours per resident day, about 28% above the national average, enough to earn the top CMS staffing rating. Weekend coverage dips roughly 9% below weekday levels, and turnover sits at 43%, slightly better than the national 45.8%. The trouble is everything else. Inspectors have cited 23 deficiencies on the current record, four serious enough to risk harm, one tied to abuse, and three fines totaling $35,913. The most recent inspection was June 2025, and a 2-out-of-5 health inspection rating tells you those findings weren't minor paperwork issues. Good staffing, uneven care.
Fort Dodge, IA · Webster County
★★★★★CMS 5/590 bedsNon-profitMedicaid
- Nurse hours
- 4.06 /day
- Staff turnover
- 38%
- Serious cites
- 0
Marian Home runs a tight ship on the staffing side. At 4.06 nurse hours per resident day, it sits about 5% above the national average, and its 37.8% turnover beats the 45.8% national figure, meaning the people caring for your relative are more likely to still be there next year than at the typical Iowa home. The tradeoff shows up on the clinical side. CMS gives it just 2 of 5 stars on quality measures, and its one deficiency on record is flagged at the harm level, which the agency doesn't take lightly. Weekend staffing also dips about 11% below weekday levels, worth asking about directly.
Des Moines, IA · Polk County
★☆☆☆☆CMS 1/5120 bedsNon-profitMedicaid
- Nurse hours
- 3.83 /day
- Staff turnover
- 26%
- Serious cites
- 0
Trinity Center At Luther Park runs on a nonprofit model with 120 certified beds in Des Moines, and its staffing numbers land close to the national average, 3.83 nurse hours per resident day against 3.86 nationally, though weekends dip roughly 10% below its own weekday coverage. What stands out more is retention: 26.3% turnover versus a national average of 45.8%, meaning workers here tend to stay. The trouble sits in inspections. Thirteen deficiencies are on record, including one at the harm level and two tied to abuse, plus a single fine of $162,205. The most recent inspection was December 23, 2025. Families weighing this home should ask directly about those abuse-related findings and what changed since.
Council Bluffs, IA · Pottawattamie County
★☆☆☆☆CMS 1/562 bedsFor-profitMedicaid
- Nurse hours
- 3.91 /day
- Staff turnover
- 55%
- Serious cites
- 0
North Crest Living Center runs 62 beds in Council Bluffs under for-profit LLC ownership, and its staffing sits just barely above the national average, 3.91 nurse hours per resident day against 3.86 nationally. That thin margin narrows further on weekends, when coverage drops roughly 18% below its own weekday levels, and annual turnover of 54.5% runs well above the 45.8% national figure, meaning the people providing that care keep changing. The bigger concern is inspections: a 1-out-of-5 health inspection rating, 34 deficiencies on the current record including one abuse-related citation, and a most recent inspection in July 2025. Quality measures rate better, and no deficiency reached actual harm, but the inspection record is what family members should weigh hardest.
Sumner, IA · Bremer County
★★★☆☆CMS 3/561 bedsNon-profitMedicaid
- Nurse hours
- 4.43 /day
- Staff turnover
- 29%
- Serious cites
- 0
Hillcrest Home runs on strong staffing, 4.43 nurse hours per resident day, about 15% above the national average, and a 5/5 staffing star. Turnover sits at 28.6%, well under the 45.8% national figure, which suggests people stay. The care side is thinner: a 2/5 quality measure star, 13 deficiencies on record including two at harm or jeopardy level and one tied to abuse. Weekend staffing drops roughly 17% below its own weekday level, so coverage thins when families often visit. The last inspection was May 2025, so the record is recent. Nonprofit ownership, steady staff, mediocre quality marks, and some serious past findings, a mixed picture worth asking about directly.
Lake City, IA · Calhoun County
★★☆☆☆CMS 2/546 bedsFor-profitMedicaid
- Nurse hours
- 3.69 /day
- Staff turnover
- 37%
- Serious cites
- 0
Accura Healthcare of Lake City runs 46 beds under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.69 hours per resident day, about 4% under the national average, and weekends run roughly 12% thinner than weekdays, worth asking about if your family visits on Saturdays or Sundays. Turnover is 37%, which is actually better than the 45.8% national figure, so the same faces are more likely to stick around. What pulls the record down is the inspection side: 40 deficiencies on file, including 2 at the harm level and 3 tied to abuse, plus $38,610 in fines across two penalties. The most recent inspection was April 2026.
Hartley, IA · Obrien County
★★★☆☆CMS 3/562 bedsNon-profitMedicaid
- Nurse hours
- 4.02 /day
- Staff turnover
- 41%
- Serious cites
- 0
Staffing is the strong point at Community Memorial Health Center: 4.02 nurse hours per resident day, a bit above the national average, with turnover at 41.1% that's actually lower than the typical nursing home. But weekends run about 13% thinner than weekdays, so coverage isn't even across the week. The trouble sits on the inspection side, 19 deficiencies on the current record, including two at harm or jeopardy level and four tied to abuse, plus $44,528 in fines. The most recent inspection was January 2026. Nonprofit ownership and good weekday staffing don't cancel out that record; they just mean the problems aren't about money or raw hours.
Denison, IA · Crawford County
★★★★☆CMS 4/546 bedsFor-profitMedicaid
- Nurse hours
- 3.63 /day
- Staff turnover
- 29%
- Serious cites
- 0
Denison Care Center runs 46 beds under corporate for-profit ownership, and its staffing sits at 3.63 hours per resident day, about 6% under the national average, with weekends roughly 5% leaner than weekdays. What stands out is retention: 28.6% annual turnover against a national 45.8%, so the aides and nurses here tend to stay, even if there aren't quite as many of them per resident as elsewhere. The health inspection record is strong (four stars, most recent visit July 2025), but nine deficiencies are on file, one serious enough to involve harm or jeopardy. Quality measures lag at two stars, which often reflects resident outcomes like falls or antipsychotic use rather than the survey itself.
West Liberty, IA · Muscatine County
★★★☆☆CMS 3/555 bedsNon-profitMedicaid
- Nurse hours
- 4.18 /day
- Staff turnover
- 40%
- Serious cites
- 0
Simpson Memorial Home runs a nonprofit operation of 55 beds in West Liberty, and the numbers say the day-to-day care is better staffed than most. Nurse hours work out to 4.18 per resident per day, roughly 8 percent above the national average, and staff turnover sits at 40 percent against a 45.8 percent national figure. The health inspection record is clean where it matters most: 9 deficiencies on file, none at the harm or jeopardy level, no abuse citations, and the most recent inspection was December 2025.
The catch is in the quality measures, which score near the bottom. Staffing and inspection results look strong, but whatever the clinical data is tracking, falls, medications, mood, function, tells a rougher story than the staffing numbers alone would suggest.
Story City, IA · Story County
★★☆☆☆CMS 2/5126 bedsNon-profitMedicaid
- Nurse hours
- 4.11 /day
- Staff turnover
- 39%
- Serious cites
- 0
Bethany Life runs a solid nursing floor on paper: 4.11 nurse hours per resident day, about 6% above the national average, with a CMS staffing rating of 5 out of 5 and turnover at 38.5%, better than the 45.8% national figure. Weekend coverage dips roughly 6% below weekday levels, which is common but worth knowing if your family visits on Saturdays and Sundays. The inspection record is where the picture darkens. Thirty-three deficiencies sit on the current record, five of them at harm or jeopardy level and five abuse-related, with two fines totaling $52,329 and a 1-out-of-5 health inspection rating. The most recent inspection, in March 2026, is recent enough that nothing here is stale.
Clinton, IA · Clinton County
★★★☆☆CMS 3/5112 bedsNon-profitMedicaid
- Nurse hours
- 3.71 /day
- Staff turnover
- 45%
- Serious cites
- 0
The Alverno Health Care Facility runs 112 certified beds in Clinton as a nonprofit, and its staffing sits slightly under the national mark, 3.71 total nurse hours per resident day against 3.86 nationally. Weekends dip about 10% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 45.4% is basically the national rate.
What stands out is the inspection record: 21 deficiencies, one abuse-related, and a 2-out-of-5 health inspection rating, though none of those deficiencies reached harm or jeopardy. The last inspection was February 2026, so the picture is current. Nonprofit ownership and a 4-out-of-5 staffing rating help, but the deficiency count is the number worth asking about.
Reinbeck, IA · Grundy County
★☆☆☆☆CMS 1/528 bedsFor-profitMedicaid
- Nurse hours
- 4.15 /day
- Staff turnover
- 47%
- Serious cites
- 0
Parkview Manor in Reinbeck runs 28 beds under corporate ownership, and the staffing numbers are genuinely better than most: 4.15 nurse hours per resident day, roughly 7% above the national average, with a four-star staffing rating to match. Weekends dip about 9% below weekday coverage, which matters in a building this small, and turnover sits at 47.1%, slightly above the national figure. The trouble is the inspection record, 31 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, plus a $23,813 fine. A one-star health inspection rating against a three-star quality score tells you the day-to-day care metrics look fine while the state's own findings say otherwise. The last inspection was August 2025.
Sergeant Bluff, IA · Woodbury County
★☆☆☆☆CMS 1/566 bedsFor-profitMedicaid
- Nurse hours
- 3.72 /day
- Staff turnover
- 47%
- Serious cites
- 0
Pioneer Valley Living and Rehab runs 66 beds in Sergeant Bluff under for-profit LLC ownership, and its inspection record is the part that stands out: 63 deficiencies on file, five of them serious enough to reach harm or jeopardy, plus two tied to abuse. The last inspection was recent, March 2026, so this isn't stale history.
Nurse staffing sits at 3.72 hours per resident day, roughly 4% under the national average, and weekends run about 14% thinner than weekdays. Annual turnover of 46.6% is essentially the national rate, meaning the staff you meet may not be there in a year.
Worth asking the administrator directly what changed since that inspection.
Lisbon, IA · Linn County
★★★★☆CMS 4/564 bedsFor-profitMedicaid
- Nurse hours
- 3.53 /day
- Staff turnover
- 49%
- Serious cites
- 0
The Rehabilitation Center of Lisbon runs 64 certified beds under for-profit LLC ownership, and its staffing sits at 3.53 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 13% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Annual turnover is 49.3%, a few points above the 45.8% national figure. On the plus side, its inspection record is clean: three deficiencies total, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 21, 2026. Quality and staffing each earned 3 of 5 stars from CMS, while inspections earned 4.
Asbury, IA · Dubuque County
★★☆☆☆CMS 2/532 bedsFor-profitMedicaid
- Nurse hours
- 5.14 /day
- Staff turnover
- n/a
- Serious cites
- 0
Grand Meadows runs 32 certified beds in Asbury under corporate for-profit ownership, and the numbers are worth walking through before you tour. Twenty deficiencies sit on its current record, including one that rose to the level of actual harm or jeopardy and three tied to abuse, that combination matters more than the single $16,448 fine on file. Staffing is where this home falls furthest behind, landing at the bottom of CMS's rating scale, which means the people doing the daily hands-on care are stretched thin relative to what federal reviewers expect. The last inspection, in March 2026, is recent, so these findings reflect how the place operates now, not a fix from years ago.
Red Oak, IA · Montgomery County
★☆☆☆☆CMS 1/553 bedsNon-profitMedicaid
- Nurse hours
- 3.29 /day
- Staff turnover
- 18%
- Serious cites
- 0
Good Samaritan - Red Oak runs on a stable, non-profit operation with unusually low turnover, 17.9% against a national average near 46%, and weekday nurse staffing that earns a solid federal rating. The problem sits squarely in its inspection history: 34 deficiencies on the current record, including three at the harm or jeopardy level and four tied to abuse, plus a $29,894 fine. Weekend coverage drops roughly 21% below weekday levels, and overall nurse hours per resident sit about 15% under the national average. The last inspection closed in April 2026. Staff consistency is a real strength here, but the harm-level and abuse findings are the kind of thing families should ask about directly before deciding.
Conrad, IA · Grundy County
★★★☆☆CMS 3/546 bedsFor-profitMedicaid
- Nurse hours
- 3.42 /day
- Staff turnover
- 54%
- Serious cites
- 0
Oakview runs on thinner staffing than most homes its size, 3.42 nurse hours per resident day against a national average of 3.86, and weekends are where that gets sharper, with coverage dropping roughly 19% below its own weekday level. Turnover sits at 54.3%, well above the 45.8% national figure, so the people around your family member change often. The state's most recent visit, in May 2025, turned up three deficiencies, one serious enough to involve harm or jeopardy; nothing abuse-related. Corporate ownership and 46 beds mean you're one of a few, not a number in a big building, worth asking the administrator directly how they cover a weekend call-out.
Kingsley, IA · Plymouth County
★☆☆☆☆CMS 1/543 bedsNon-profitMedicaid
- Nurse hours
- 3.63 /day
- Staff turnover
- 42%
- Serious cites
- 0
Kingsley Specialty Care is a 43-bed nonprofit home in Plymouth County with a staffing picture that looks better on paper than it does on weekends. Its 3.63 nurse hours per resident day sit about 6% under the national average, and weekend coverage drops roughly 17% below what the home staffs during the week. Turnover runs 42.4%, a bit better than the 45.8% national figure, so the same faces are more likely to stick around. What pulls the record down is the inspection side: 38 deficiencies on file, including one at the harm level and one abuse-related, plus a $27,378 fine, with the most recent inspection in August 2025.
Stacyville, IA · Mitchell County
★★★☆☆CMS 3/534 bedsNon-profitMedicaid
- Nurse hours
- 4.90 /day
- Staff turnover
- 57%
- Serious cites
- 0
Stacyville Community Nursing Home runs high on nurse staffing, 4.90 hours per resident day, roughly 27% above the national average, and CMS gives it its top staffing rating. That's real, but look at how the hours land: weekends run about 16% thinner than weekdays. Staff turnover sits at 56.8%, well above the 45.8% national figure, which matters more in a 34-bed home where residents know their caregivers by name. The inspection record is the bigger concern. There are 39 deficiencies on file, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $21,986. The last inspection was June 2025.