Here are 388 Nursing Homes in Iowa

Nurse hours

3.41 /day

Staff turnover

98%

Serious cites

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University Park runs on thinner nurse staffing than most homes, 3.41 hours per resident day against a national average of 3.86, and weekends dip about 10% below what it manages during the week. The bigger number is turnover: 97.5% of nursing staff leaving annually, roughly double the national rate, which means the people caring for residents are constantly new. Inspections in March 2026 turned up 22 deficiencies, one tied to abuse, though none rose to the level of actual harm. Its quality measure scores look strong on paper, but those rest on data the staff has to collect and report accurately, and a workforce that turns over almost completely every year makes consistency hard. For-profit corporate ownership, 108 beds.

Nurse hours

2.92 /day

Staff turnover

33%

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Pillar of Cedar Valley runs a lean nursing floor: 2.92 nurse hours per resident day against a national average near 3.86, and weekends drop roughly 15% below what the home already provides on weekdays. That staffing pattern is worth asking about directly, since it shapes how quickly call lights get answered on a Saturday. The inspection record shows 23 deficiencies, three tied to abuse, though none reached the harm or jeopardy level as CMS defines it. Staff turnover sits at 32.7%, better than the 45.8% national figure, which suggests the people who are there tend to stay. The most recent state inspection was November 17, 2025. This is a nonprofit corporation with 114 certified beds.

Nurse hours

3.27 /day

Staff turnover

45%

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Parkridge Specialty Care runs 90 certified beds in Pleasant Hill under nonprofit corporate ownership, and its staffing sits at 3.27 nurse hours per resident day, roughly 15% under the national average of 3.86, with weekends dropping about 10% below its own weekday levels. Turnover is 44.9%, essentially in line with the national 45.8%. The inspection record is the harder part: 49 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus one fine of $34,450, and the most recent inspection was October 2025. A 1-star health inspection rating against a 3-star staffing rating tells you where the problems cluster, not necessarily in raw hours, but in how care is delivered and documented when regulators look closely.

Nurse hours

3.66 /day

Staff turnover

57%

Serious cites

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Emmetsburg Care Center is a 46-bed for-profit home where the numbers point in different directions. Nurse staffing sits at 3.66 hours per resident day, a bit under the national average, and it thins out further on weekends, dropping about 11% below its own weekday levels. Staff turnover is the bigger concern: 56.9% a year against a national average of 45.8%, meaning more than half the nursing staff leaves annually. Its inspection record shows 22 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with a $25,695 fine. The most recent inspection was July 2025. Quality measures score well, but that sits against the weakest possible inspection rating.

Nurse hours

n/a /day

Staff turnover

n/a

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Ams Memorial-Greene runs 31 certified beds in Butler County under for-profit limited liability ownership, and the federal data on its care side is thin. Its staffing score sits at 1 out of 5, meaning nurse coverage falls well short of what CMS expects for the residents living there. Inspectors cited 16 deficiencies on the current record, two of them abuse-related, though none rose to the harm or jeopardy level. The last full inspection was February 2022, so that record is now several years old, a gap worth asking about directly.

Nurse hours

2.83 /day

Staff turnover

45%

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Clarion Wellness and Rehabilitation Center runs 76 certified beds under corporate for-profit ownership, and its staffing is the number to sit with first: 2.83 nurse hours per resident per day, roughly 27% under the national average of 3.86. Weekend coverage dips about 11% below its own weekday level, so the thinnest shifts land when families often visit. The current inspection record carries 37 deficiencies, four at the harm or jeopardy level, four abuse-related, plus one fine of $24,174; the last inspection was August 28, 2025. Annual turnover of 44.9% sits near the national 45.8%, meaning the staff who remain are stretched thin, and the one-star health inspection rating reflects what surveyors have found.

Nurse hours

3.99 /day

Staff turnover

72%

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Elm Crest Retirement Community runs 50 certified beds in Harlan under nonprofit ownership, and its overall nurse staffing of 3.99 hours per resident day sits modestly above the national average of 3.86, roughly 3% higher. That edge narrows on weekends, when coverage drops about 14% below the home's own weekday level, and annual staff turnover reaches 71.7% against a national figure of 45.8%, meaning most of the people providing care are relatively new to the building. The current record shows 18 deficiencies, one of them serious enough to involve harm or jeopardy, with none tied to abuse. Inspectors last visited in January 2026.

Nurse hours

3.53 /day

Staff turnover

30%

Serious cites

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Accura Healthcare of Milford runs 46 beds under corporate ownership, and its inspection record is the strongest thing it has going, a five-star health inspection rating with the most recent visit in July 2025. Eight deficiencies are on file, none causing actual harm, though one is abuse-related and worth asking about directly. Where it slips is care quality: a one-star rating on the federal quality measures. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends run about 7% thinner than weekdays. Turnover at 30.2% is better than the 45.8% national figure, which means aides tend to stick around.

Nurse hours

3.73 /day

Staff turnover

63%

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Harmony Utica Ridge runs 115 certified beds under corporate ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.73 hours per resident day, about 4% under the national average, and weekends drop roughly 10% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is the sharper concern at 62.8%, well above the 45.8% national figure, meaning many of the people caring for residents are still learning the building. The inspection record shows 33 deficiencies, including two at harm or jeopardy level and three tied to abuse, with $51,292 in fines. Quality measures score well; staffing and inspections do not.

Nurse hours

2.86 /day

Staff turnover

35%

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Accura Healthcare of Muscatine runs about 2.86 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 9% below its own weekday level. Turnover sits at 34.7%, better than the 45.8% national figure, so the people who stay tend to stay. The current record shows 28 deficiencies, none at harm or jeopardy level, but three are abuse-related, which is worth asking about directly. Quality measures score 1 out of 5 and inspections 3 out of 5, with the last survey in May 2025. Corporate-owned, 100 beds. The picture is thin daily staffing against a fairly clean harm record, ask how they cover weekends.

Nurse hours

3.30 /day

Staff turnover

46%

Serious cites

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Grundy Care Center runs 40 certified beds in Grundy Center, Iowa, under corporate for-profit ownership. Nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86, and weekend coverage drops another 8% below its own weekday level. Staff turnover is 45.8%, which matches the national average rather than beating or trailing it. The inspection record is the harder part. Thirty-five deficiencies are on file, three of them at the harm or jeopardy level and three flagged as abuse-related, with two fines totaling $65,677. CMS gave the health inspection domain one star out of five, while the quality measure domain scored four. That combination, thin staffing, a recent inspection in January 2026, and a serious deficiency history, is what pulls the overall picture down. If you're considering this home, ask directly how those abuse-related findings were resolved and what weekend coverage looks like now.

Nurse hours

3.40 /day

Staff turnover

69%

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Wheatland Manor runs about 3.40 nurse staffing hours per resident day, roughly 12 percent under the national average, and weekend coverage dips another 12 percent below its own weekday levels. That thin margin matters more when turnover sits at 69 percent, well above the 45.8 percent national figure, because replacements are constantly learning the building. Inspections are a genuine strength: a 4-star health inspection rating and a recent survey in January 2026. But seven deficiencies are on record, two of them serious enough to reach harm or jeopardy, and one fine totaling $19,338 has been levied. The care basics look passable; keeping consistent hands on deck is the open question.

Nurse hours

3.71 /day

Staff turnover

54%

Serious cites

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Southfield Wellness Community runs 65 certified beds as a for-profit limited liability company, and its state inspection record is the thing you'd want to look at first: 58 deficiencies on file, including four at the harm or jeopardy level and six tied to abuse. Two fines total $71,897, and the most recent inspection was in February 2026. Nurse staffing sits at 3.71 hours per resident day, roughly 4% under the national average of 3.86, with weekends about 12% thinner than weekdays. Annual turnover is 53.6% against a national 45.8%, so the people caring for residents keep changing. Ask about that inspection history and how they cover weekends before deciding anything.

Nurse hours

3.85 /day

Staff turnover

43%

Serious cites

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Lutheran Living Senior Campus runs 155 certified beds as a church-affiliated nonprofit, and its nurse staffing comes in at 3.85 hours per resident day, basically dead even with the national average of 3.86. That sounds fine until you look at the inspection record: 43 deficiencies, seven of them at the harm or jeopardy level and five tied to abuse, with $253,886 in fines across three penalties. Staff turnover sits at 42.9%, slightly better than the 45.8% national figure, but weekend coverage drops about 11% below weekday levels. The most recent inspection was February 13, 2026. The quality measure rating is mid-range at 3 out of 5, but a 1-out-of-5 inspection star tells you where the real trouble lives.

Nurse hours

3.35 /day

Staff turnover

30%

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Ravenwood Specialty Care is a 176-bed nonprofit home in Waterloo, and the numbers pull in two directions. Staffing sits at 3.35 nurse hours per resident day, about 13 percent under the national average, and weekends run roughly 8 percent thinner than weekdays. Turnover, though, is a genuine bright spot at 30.2 percent against a national average near 46. What drags the picture down is the inspection record: 36 deficiencies, two of them serious enough to involve harm or jeopardy, and a one-star health inspection rating. The last inspection was recent, in November 2025, so that record reflects current conditions rather than old problems. A 2/5 on quality measures doesn't offset it. Plenty of direct-care hours have left the building, and the state has documented what that looks like.

Nurse hours

4.03 /day

Staff turnover

31%

Serious cites

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Windmill Manor runs 120 beds in Coralville under nonprofit ownership, and its nurse staffing sits at 4.03 hours per resident day, roughly 4% above the national average, with weekend coverage dipping about 14% below weekday levels. What stands out more is the workforce stability: turnover runs 31.1%, well under the 45.8% national figure. The caution signs come from oversight. Inspectors found 23 deficiencies, including two at the harm or jeopardy level and one tied to abuse, along with a $11,213 fine. Quality measures score poorly, and the most recent inspection was April 2026. Staffing consistency is the strength here; the inspection record is the question.

Nurse hours

3.55 /day

Staff turnover

99%

Serious cites

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The Bridges at Ankeny runs on thinner nurse coverage than most Iowa homes, 3.55 hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday level, exactly when families tend to visit. Staff turnover is the harder number to get past: 99.1% a year means roughly the entire nursing staff turns over annually, against a national rate near 46%. Its current inspection record carries 39 deficiencies, two of them serious enough to reach harm or jeopardy level, plus a $14,015 fine. The five-star quality measure score reflects how residents are doing clinically; the two-star inspection and staffing ratings reflect what's happening around them.

Nurse hours

3.43 /day

Staff turnover

59%

Serious cites

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Sanford Senior Care Sheldon runs 3.43 nursing hours per resident per day, roughly 11 percent under the national average, and weekends drop another 11 percent below its own weekday level. That thinner coverage adds up when you consider turnover: 58.9 percent of staff left over the past year, well above the 45.8 percent national rate. The inspection record is the harder part. Twenty deficiencies are on file, four of them serious enough to put residents at harm or jeopardy, including one tied to abuse. The last inspection was November 2025, so the picture is current, and a $11,872 fine is attached. This is a nonprofit home with 70 beds, and the numbers show a building struggling with both care quality and keeping people.

Nurse hours

3.22 /day

Staff turnover

50%

Serious cites

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Accura Healthcare Of Onawa runs 46 beds under corporate for-profit ownership, and the staffing numbers are the first thing I'd flag: 3.22 nurse hours per resident day, roughly 16 percent under the national average, with weekend coverage dropping about 19 percent below its own weekday level. That matters because 50 percent of staff turned over in the past year, above the 45.8 percent national figure, so the people providing that care keep changing. The inspection record shows 30 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection in May 2025. CMS gave middling marks across its three categories, which tells you this home isn't failing outright but isn't steady either.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

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On With Life Long Term Care is small, 40 certified beds run by a nonprofit corporation, and its inspection record is genuinely strong: a five-star health inspection rating, seven total deficiencies, and none of them at the harm or jeopardy level or tied to abuse. That's the part families worry about most, and it's clean. The weaker signal sits in the quality measures, where it rates two stars, so the day-to-day clinical outcomes the federal data tracks don't look as good as the survey history. The most recent inspection was December 31, 2025, so the picture is current. A small nonprofit with a spotless harm record is worth a visit; ask specifically about the quality measures before deciding.