Here are 388 Nursing Homes in Iowa

Nurse hours

2.94 /day

Staff turnover

n/a

Serious cites

0

West Bend Health and Rehabilitation runs 45 certified beds under corporate ownership, and its nurse staffing sits at 2.94 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 10% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. The inspection record shows 24 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed May 1, 2025. CMS rates its quality measures 5 out of 5, which reflects good clinical outcomes on paper, but the staffing and inspection scores land at 3. If you're weighing this one, ask how the weekend schedule actually gets covered.

Nurse hours

3.09 /day

Staff turnover

36%

Serious cites

0

Timely Mission Nursing Home runs on a leaner staffing budget than most Iowa homes, 3.09 nurse hours per resident day against a national average of 3.86, and weekends dip about 16% below its own weekday coverage. That's worth asking about directly, especially if your family member needs help at predictable times. The tradeoff is a clean inspection record: zero deficiencies at the harm level, nothing abuse-related, and a survey completed just months ago. Staff turnover sits at 36%, better than the national 45.8%, which suggests people tend to stay. The nonprofit ownership and 42-bed size mean a small, stable operation, fewer moving parts, but also fewer nurses on the floor at any given hour.

Nurse hours

3.92 /day

Staff turnover

61%

Serious cites

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Friendship Home Association in Audubon runs 46 beds as a nonprofit, and its nurse staffing sits just above the national average at 3.92 hours per resident day. That edge narrows on weekends, when coverage drops roughly 15% below the home's own weekday levels. Staff turnover is the bigger concern: 60.5% of employees leave annually, well above the 45.8% national rate, which matters for residents who value seeing the same faces. Inspections look solid on paper, a 4-out-of-5 health inspection rating and a visit as recent as June 2025, but the current record still carries 15 deficiencies, including one at the harm level and one tied to abuse, plus five fines totaling $30,227.

Nurse hours

3.66 /day

Staff turnover

44%

Serious cites

0

Shell Rock Senior Living runs 41 certified beds under corporate for-profit ownership, and its most recent inspection in September 2025 left 29 deficiencies on the record, two of them serious enough to involve harm or jeopardy, plus two tied to abuse. That's a heavy inspection load for a home this size, and CMS rates its health inspection results at just one star out of five. Daily nurse staffing sits at 3.66 hours per resident, roughly 5% under the national average, and weekends drop about 13% below what the home itself staffs on weekdays. Annual turnover of 43.6% is slightly better than the 45.8% national figure. One fine on record totals $17,167.

Nurse hours

3.11 /day

Staff turnover

40%

Serious cites

0

Nora Springs Care Center runs on thin staffing. At 3.11 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 40.4%, a bit better than the 45.8% national figure, which suggests some stability among the aides and nurses who stay. The inspection record is genuinely strong: nine deficiencies, none at harm or jeopardy level, with one abuse-related citation, and a survey as recent as May 2025. The for-profit LLC ownership and that 2-out-of-5 staffing rating are the real story here. Quality measures and inspections look good; the daily coverage is what you'd want to ask about.

Nurse hours

2.96 /day

Staff turnover

40%

Serious cites

0

Accura Healthcare of Ames runs 75 certified beds under corporate for-profit ownership, and its nurse staffing sits at 2.96 hours per resident day, roughly 23% under the national mark of 3.86. Weekends drop about 13% below what the home itself provides on weekdays, so the thinnest coverage lands when families tend to visit. Turnover is 39.7%, better than the 45.8% national average. Inspections show 19 deficiencies on record, one serious enough to involve harm or jeopardy, none abuse-related. The most recent inspection was April 2026, and CMS gives the home mid-range marks for health inspections and staffing, with a stronger 4 out of 5 on quality measures.

Nurse hours

4.06 /day

Staff turnover

56%

Serious cites

0

Faith Lutheran Home runs on a church-affiliated nonprofit model with 50 beds in Osage, and the numbers mostly hold up. Nurse staffing sits at 4.06 hours per resident day, roughly 5% above the national average, and the home carries just two deficiencies on its current record, none at the harm level, none tied to abuse, with a fresh inspection from July 2025. The catch is retention: annual turnover of 56.1% runs well ahead of the 45.8% national figure, and weekend coverage drops about 13% below weekday levels. That churn is worth asking about directly, since steady caregivers matter as much as raw staffing hours.

Nurse hours

3.51 /day

Staff turnover

32%

Serious cites

0

Westbrook Acres runs about 3.51 nurse hours per resident day, roughly 9% under the national average of 3.86, and weekends dip about 15% below its own weekday staffing. Turnover sits at 32.4%, better than the 45.8% national figure, and its last inspection was recent (March 2026), yet the record carries 14 deficiencies, including one at the harm level and three tied to abuse. State inspectors gave it 4 of 5 stars, but the federal quality measures come in at just 1, which is worth asking about directly.

Nurse hours

3.71 /day

Staff turnover

44%

Serious cites

0

St. Luke Lutheran runs a lean weekend crew, about 7% thinner than its own weekday coverage, and overall nurse staffing sits at 3.71 hours per resident day, roughly 4% under the national average. Turnover lands near the middle of the pack at 44.1%, so that's not the problem here. The problem is the inspection record: 24 deficiencies, two of them serious enough to involve harm or jeopardy, five tied to abuse, and $90,076 in fines across two penalties. The most recent inspection closed in September 2025, so it's recent. A low inspection rating paired with real abuse findings is the piece families should weigh hardest, even with steady staffing and decent quality scores.

Nurse hours

3.70 /day

Staff turnover

57%

Serious cites

0

Rotary Senior Living runs 46 beds in Eagle Grove under nonprofit ownership, and the staffing numbers are the first thing to look at. At 3.70 nurse hours per resident day, it sits below the national average, and weekends drop about 8% below its own weekday coverage, that's when gaps tend to show up. Annual turnover of 56.8% is well above the national figure, meaning many of the people providing care are still learning the building. The inspection record is heavier than you'd want: 22 deficiencies, including two at the harm level and two tied to abuse, with one fine of $65,036. Quality measures look strong on paper, but ask about staffing consistency and any recent repeat citations before deciding.

Nurse hours

4.16 /day

Staff turnover

44%

Serious cites

0

Cedar Manor sits in Tipton with 54 certified beds and a nonprofit owner, and its day-to-day staffing is genuinely better than most, 4.16 nurse hours per resident, roughly 8 percent above the national average, with turnover at 43.6 percent, a bit under the national figure. The catch is weekends, when coverage drops about 14 percent below the home's own weekday level, and that gap matters when falls and infections don't check the calendar. The inspection record is where the concerns concentrate: 15 deficiencies, four of them serious enough to put residents at risk of harm, plus one abuse-related finding and $32,289 in fines. The most recent inspection was November 2025, so the picture is current rather than stale.

Nurse hours

3.29 /day

Staff turnover

52%

Serious cites

0

Rose Haven runs about 15% leaner on nurse staffing than the national average, 3.29 hours per resident day against 3.86, and weekends dip roughly 11% below its own weekday coverage, which is when families tend to notice. Turnover sits at 52.1% versus 45.8% nationally, so the aides and nurses on the floor change often. The current inspection record carries 26 deficiencies, including one at the harm or jeopardy level and eight tied to abuse. A single fine of $10,062 is on file, and the last full inspection was December 11, 2025. For-profit corporate ownership, 58 beds.

Nurse hours

3.73 /day

Staff turnover

n/a

Serious cites

0

Hallmark Care Center in Mount Vernon runs a 55-bed for-profit operation, and its nurse staffing sits at 3.73 hours per resident day, just under the national average of 3.86. That gap widens on weekends, when coverage drops roughly 10% below the home's own weekday level, a pattern families often notice as thinner attention on Saturdays and Sundays. The current inspection record shows 18 deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent survey dates to April 2026. State health inspectors handed out 2 out of 5 stars, while quality measures and staffing each earned 3. That split tells you the care outcomes look steadier than the inspection history does.

Nurse hours

5.48 /day

Staff turnover

52%

Serious cites

0

Tripoli Nursing & Rehab runs a small, 28-bed nonprofit home where the aides and nurses clock 5.48 hours per resident day, roughly 42% more hands-on time than the national average, which is the main thing this place has going for it. But that staffing drops about 16% on weekends, and 52.2% of the staff turned over in the past year, higher than the national 45.8%, so the faces around a resident change often. The record shows 25 deficiencies, four tied to abuse, though none rose to actual harm or jeopardy; the most recent inspection was July 2025. Extra hours help, but the quality measure score and the abuse findings are worth asking about directly.

Nurse hours

n/a /day

Staff turnover

50%

Serious cites

0

Iowa City Rehab & Health Care runs 89 certified beds under for-profit LLC ownership, and its federal stars split sharply: quality measures score 4 out of 5, while inspection and staffing each land at 1. Staff turnover sits at 50%, above the 45.8% national average. The current record carries 42 deficiencies, two of them abuse-related, though none rose to the harm or jeopardy level. A May 2026 inspection is recent enough to reflect current conditions. The strong quality numbers suggest clinical care goals are being met on paper, but thin staffing and frequent turnover make that hard to sustain, and the inspection history is the number I'd weigh heaviest when deciding.

Nurse hours

3.62 /day

Staff turnover

56%

Serious cites

0

Westview Acres runs a tight ship on inspections, a clean 4-star health rating, no deficiencies at the harm level, and a survey completed just months ago in June 2025. But look at the staffing math and a different picture emerges. At 3.62 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 14% below its own weekday coverage, which matters when a resident needs help on a Saturday night. Turnover at 55.8% is well above the 45.8% national figure, meaning caregivers cycle through faster than average. Two abuse-related deficiencies on record are worth asking about directly. The care is decent, but consistency is the open question.

Nurse hours

3.38 /day

Staff turnover

40%

Serious cites

0

Southern Hills Specialty Care runs a 90-bed nonprofit home in Osceola, and its staffing sits at 3.38 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 12% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 40.4%, a bit better than the 45.8% national figure, which suggests some stability in the workforce even if raw hours run light. The current record shows 8 deficiencies with none at harm or jeopardy level, though 2 are abuse-related and one fine of $36,865 has been assessed. The last inspection was August 2025. Nothing here is alarming on its face, but the abuse citations and light staffing are worth asking about directly.

Nurse hours

3.63 /day

Staff turnover

n/a

Serious cites

0

Manor House Care Center runs 55 beds in Sigourney under for-profit LLC ownership, and its nurse staffing sits at 3.63 hours per resident day, roughly 6% under the national average of 3.86, with weekends running about 15% lighter than its own weekdays. That thin weekend coverage matters more when you look at the inspection record: 14 deficiencies currently on file, including one at the harm or jeopardy level and one abuse-related citation, with the most recent inspection dated May 15, 2025. CMS rates its health inspections and staffing at 2 out of 5 stars each, while quality measures come in at 4. The quality scores look better than the day-to-day staffing and oversight picture, and that gap is worth asking about directly.

Nurse hours

3.65 /day

Staff turnover

40%

Serious cites

0

Guttenberg Care Center runs a tight ship on inspections, zero deficiencies on its current record, none at the harm level, nothing abuse-related, and a five-star health inspection rating from CMS, with its last survey in November 2025. Staffing is thinner than average, though: 3.65 nurse hours per resident day against 3.86 nationally, and weekends run about 9% leaner than weekdays, which matters most when families visit and needs don't pause. Turnover sits at 40%, better than the 45.8% national figure, suggesting the crew that's there tends to stay. For 46 beds under limited-liability ownership, the picture is a clean inspection history paired with below-average daily coverage, worth asking the administrator how weekends are actually staffed.

Nurse hours

3.19 /day

Staff turnover

48%

Serious cites

0

New London Specialty Care runs 43 certified beds as a nonprofit, and its most recent inspection in February 2026 left four deficiencies on record, none at the harm level, but one tied to abuse, which is worth asking about directly. Nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86, and weekends run about 12% thinner than weekdays, so coverage isn't evenly spread. Annual turnover of 47.7% edges past the national 45.8%, meaning nearly half the nursing staff turns over each year. Inspections and quality measures both rate well; staffing is the weaker leg holding this home up.