Here are 388 Nursing Homes in Iowa

Nurse hours

3.74 /day

Staff turnover

50%

Serious cites

0

Exira Care Center runs 60 certified beds as a nonprofit, and its staffing sits just under the national average at 3.74 nurse hours per resident day. Weekends dip about 8% below its own weekday coverage, and turnover runs 50% against a national 45.8%, a workforce that's churning faster than average. The inspection record shows 21 deficiencies, one serious enough to involve harm or jeopardy, plus one fine of $22,880. Its most recent inspection was in August 2025, so the picture is current. Quality and inspection measures both land at 2 out of 5 stars, while staffing holds at 4. That gap matters: the hands-on care is there, but the outcomes and compliance history aren't keeping pace.

Nurse hours

3.40 /day

Staff turnover

33%

Serious cites

0

Woodland Health and Rehabilitation runs 62 beds in Mount Pleasant under corporate ownership, and its staffing sits about 12 percent under the national average, with weekends thinner still. That thin coverage shows up in the inspection record: 17 deficiencies, two of them serious enough to put residents in harm's way and three tied to abuse, plus roughly $34,000 in fines. The one clear bright spot is that caregivers stay longer than average here, with turnover well below the national rate. Clinical quality scores look strong on paper, but the last inspection only happened this April, so that record is fresh and unresolved.

Nurse hours

4.11 /day

Staff turnover

37%

Serious cites

0

Lakeside Lutheran Home runs on 4.11 nurse hours per resident day, roughly 7% above the national average, and it holds a five-star staffing rating. Weekend coverage dips about 8% below its own weekday level. Turnover sits at 37.2%, better than the 45.8% national figure. The tradeoff shows up in care quality: a one-star quality measure rating and a three-star inspection rating, with 22 deficiencies on record, one at harm level and seven tied to abuse. State inspectors were last in the building in February 2026. Nonprofit ownership, steady staffing, and a thin quality record point in different directions, worth asking about the abuse deficiencies directly.

Nurse hours

4.10 /day

Staff turnover

96%

Serious cites

0

Westhaven Community runs 4.10 nurse hours per resident day, about 6% above the national average, which helps explain its decent staffing marks, but weekends drop roughly 11% below its own weekday coverage, so care thins out exactly when families tend to visit. The bigger concern is turnover: 96.1% of staff leave each year, more than double the national rate of 45.8%, meaning the people delivering care are constantly new. Add 13 deficiencies on record, including one at the harm level, and an April 2025 inspection that's already aging, and you've got a home with real strengths sitting alongside real instability. It's nonprofit-owned, so nobody's paying dividends, but that doesn't make the churn any easier on residents.

Nurse hours

4.05 /day

Staff turnover

47%

Serious cites

0

Ramsey Village runs a nonprofit home of 78 beds in Des Moines, and its staffing is the strongest part of the picture: 4.05 nurse hours per resident day, roughly 5% above the national average. The catch is consistency, weekend coverage drops about 11% below weekday levels, and turnover sits at 47.1%, just above the national figure. The inspection record is where families should slow down. Thirty-one deficiencies are on file, including one at the harm level and two tied to abuse, and the last inspection was August 2025. A 2/5 health inspection rating alongside that count tells you the day-to-day care environment has drawn repeated federal scrutiny, even while direct care hours look adequate on paper.

Nurse hours

4.36 /day

Staff turnover

54%

Serious cites

0

The Vistas At Bettendorf runs 4.36 nurse hours per resident day, roughly 13% above the national average, and that staffing shows up in its four-star rating there. Weekends dip about 6% below its own weekday levels, so coverage holds fairly steady. Turnover is the soft spot: 53.8% of staff leave each year against a 45.8% national figure, which is worth asking about directly. Its 13 deficiencies include none at the harm level and none abuse-related, and the most recent inspection was August 2025. Quality measures score two stars, the weakest area on record. Owned by a for-profit limited liability company.

Nurse hours

3.34 /day

Staff turnover

44%

Serious cites

0

Sunny View Care Center in Ankeny runs 94 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.34 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends dip roughly 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 44.4% is essentially at the national average, meaning the workforce churns steadily without being an outlier either way. The bigger concern is the inspection record: 42 deficiencies on file, one serious enough to reach harm or jeopardy level, with the last inspection dated January 2026. Quality and staffing measures land mid-range, but that inspection history is what pulls the overall picture down.

Nurse hours

2.72 /day

Staff turnover

44%

Serious cites

0

Cedar Falls Health Care Center runs 70 certified beds under for-profit LLC ownership, and its 2.72 nurse staffing hours per resident day sit roughly 30% under the national average of 3.86, a real gap when direct care time is what residents actually feel. Weekend staffing drops about 8% below weekday levels, so the leanest shifts get leaner. The inspection record is the bigger concern: 37 deficiencies, two at harm or jeopardy level and one abuse-related, with a 2/5 health inspection rating. Annual turnover at 43.8% is slightly better than the 45.8% national figure, and quality and staffing star ratings both come in at 4/5, but the January 2026 inspection and that deficiency count are what families should ask about directly.

Nurse hours

3.04 /day

Staff turnover

98%

Serious cites

0

Regency Park in Jefferson runs 46 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.04 hours per resident day, roughly 21% under the national average of 3.86. That shortfall gets worse on weekends, when coverage drops about 12% below the home's own weekday level. The bigger number is turnover: 97.5% annually against a national average of 45.8%, meaning the staff caring for residents turns over almost completely every year. Its record shows 24 deficiencies, one of them serious enough to reach harm or jeopardy level, though none are abuse-related. The most recent inspection was December 31, 2025, so the picture is current.

Nurse hours

3.02 /day

Staff turnover

31%

Serious cites

0

Pleasant Acres runs about 3.02 nurse hours per resident day, roughly 22 percent under the national average of 3.86, and weekends drop another 14 percent below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and needs don't pause. Turnover sits at 31 percent, better than the 45.8 percent national figure, so the crew that is there tends to stay. The current record shows 23 deficiencies, none at harm or jeopardy level and none tied to abuse, with the most recent inspection in February 2026. Quality measure scores lag at 2 out of 5 stars while staffing holds at 4, which tells you the care process numbers aren't keeping pace with the hours on the floor.

Nurse hours

3.17 /day

Staff turnover

50%

Serious cites

0

Monticello Nursing & Rehab runs 75 certified beds, and its nursing hours come in around 3.17 per resident day, roughly 18% under the national average of 3.86. Weekend coverage drops about 30% below what the home staffs on weekdays, which is worth asking about if your family tends to visit or need answers on Saturdays and Sundays. Annual turnover sits at 50%, a bit above the 45.8% national figure, so expect some unfamiliar faces. The inspection record is the stronger part: a 4-out-of-5 health inspection rating with 19 deficiencies on file, none at harm level, though two are abuse-related. One fine, $4,194, and a January 2026 inspection round out the picture.

Nurse hours

3.54 /day

Staff turnover

66%

Serious cites

0

The Rehabilitation Center of Allison runs on thinner nurse coverage than most homes, 3.54 hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekday pace. That staffing picture is strained further by 65.5% annual turnover, well above the 45.8% national figure, meaning nearly two-thirds of the nurse workforce turns over each year. State inspectors cited 17 deficiencies on the current record, two at harm or jeopardy level and two abuse-related, after a visit in August 2024. The quality measure score looks strong, but it sits alongside a two-star inspection history, and the home is owned by a for-profit limited liability company.

Nurse hours

4.19 /day

Staff turnover

36%

Serious cites

0

Davenport Lutheran Home is a church-affiliated nonprofit with 98 beds, and its staffing is the clearest strength: 4.19 nurse hours per resident day, about 8% above the national average, with a 4-out-of-5 CMS staffing rating. Turnover sits at 36%, below the 45.8% national figure, which matters for consistency of care. The concerns show up elsewhere. Inspectors cited 21 deficiencies on the current record, three at harm or jeopardy level and three abuse-related, with two fines totaling $43,310, and the most recent inspection was December 11, 2025. Weekend staffing drops roughly 14% below its own weekday level, so coverage thins when families tend to visit. Strong hands on staff, but a recent inspection record that warrants questions.

Nurse hours

3.47 /day

Staff turnover

56%

Serious cites

0

The New Homestead Care Center runs on thinner staffing than most Iowa nursing homes. At 3.47 nurse hours per resident day, it sits about 10% under the national average, and weekends dip roughly 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 56.3% is well above the 45.8% national figure, meaning aides and nurses cycle through faster than residents can get used to them. The current record shows 24 deficiencies, none at harm or jeopardy level, but one abuse-related citation is worth asking about directly. A 4/5 quality measure score suggests the clinical tracking looks decent, though the 2/5 inspection rating and April 2025 survey date tell you oversight hasn't been spotless.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

On With Life runs 28 certified beds in Ankeny under nonprofit ownership, and its inspection record is about as light as it gets: one deficiency total, none at the level of actual harm or jeopardy, and nothing abuse-related. The state visited in September 2025, so what you're seeing is current, not a stale five-star rating coasting on an old survey. Quality measures come in at 4 out of 5, meaning outcomes are good but not flawless next to the national pool. The honest caveat is size, with 28 beds, a single bad quarter can move the numbers more than it would at a 120-bed building, so read trends rather than one report.

Nurse hours

3.57 /day

Staff turnover

49%

Serious cites

0

Good Samaritan - Estherville runs 62 certified beds as a nonprofit corporation, and the numbers tell a mixed story. Nurse staffing sits at 3.57 hours per resident day, roughly 8% under the national average, and weekends drop about 16% below what the home itself staffs on weekdays, so care thins out right when families tend to visit. Annual turnover is 49.1%, a few points above the national mark. The current record carries 26 deficiencies, none at harm or jeopardy level, though two are abuse-related. Inspections were last done in January 2026, and both the health inspection and quality measure ratings come in at 2 out of 5, while staffing earns 4.

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

3.15 /day

Staff turnover

59%

Serious cites

0

Careage Hills runs 44 certified beds in Cherokee under individual for-profit ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 18% under the national average of 3.86. Weekends drop about 17% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 59.3%, well above the 45.8% national figure. The inspection record shows 20 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with the most recent inspection dated March 5, 2026. Federal ratings split on this home: staffing scores well at 4 of 5, quality measures land at 3, but health inspections come in at 2 of 5.

Nurse hours

3.00 /day

Staff turnover

n/a

Serious cites

0

Sunny Hill Care Center runs 57 beds in Tama under for-profit LLC ownership, and its nursing hours come in at 3.00 per resident day, roughly 22% under the national average of 3.86. Weekends drop about another 10% below the home's own weekday staffing. The inspection record is the real concern: 14 deficiencies currently on file, four of them serious enough to involve harm or jeopardy, and three tied to abuse. Two fines total $24,756, and the most recent inspection was March 5, 2026. Quality and staffing measures both sit mid-range at three stars, but the health inspection rating of one star reflects what those deficiency counts show.