Every Medicare-certified nursing home in Iowa, graded on inspections, staffing, turnover
and enforcement history.
12 homes in the state sit in the federal Special Focus programme.
Accura Healthcare of Pleasantville runs 46 certified beds as a for-profit corporation, and the staffing numbers are the first thing I'd flag: 3.45 nurse hours per resident day, roughly 11% under the national average, with weekends dipping about 15% below its own weekday coverage. Annual turnover sits at 53.7%, well above the 45.8% national figure, so the people caring for your family member are cycling through quickly. The inspection history is the heavier concern, 45 deficiencies on record, three at harm or jeopardy level and four tied to abuse, plus a $28,724 fine. That record earned a one-star health inspection rating, and the most recent survey was April 2026.
Estherville Community Care Center runs 46 certified beds under corporate, for-profit ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 13% under the national average of 3.86. Weekend coverage drops about 16% below the home's own weekday level, a gap that matters when a resident needs help on a Saturday. The current inspection record carries 22 deficiencies, including one at the harm or jeopardy level and four flagged as abuse-related; the last inspection was September 25, 2025. Staff turnover is 46.2%, essentially matching the national 45.8%, so retention here isn't the outlier, the inspection findings and weekend thinness are what stand out.
Accura Healthcare of Carlisle runs 80 beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.11 nurse hours per resident day, it sits about 19% under the national average of 3.86, and weekends drop roughly 7% below its own weekday coverage. Turnover runs 52.1% against a national 45.8%, so the faces around your relative change often.
The inspection record is heavier than that staffing gap suggests: 46 deficiencies on file, three at harm or jeopardy level, two tied to abuse, plus a $37,177 fine. The most recent inspection was July 2025, so it's current. Ask about weekend coverage and the abuse-related findings specifically before you decide.
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.
Good Samaritan, Algona runs 72 certified beds as a nonprofit corporation, and it last cleared inspection in December 2025. Its nurses give 3.06 hours of care per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. Turnover sits at 41.8%, a bit better than the 45.8% national figure. The current record carries 27 deficiencies, three at harm or jeopardy level and four tied to abuse, plus one fine of $7,070. Quality measures scored 2 of 5 stars, so what's on paper is a home getting thinner weekday coverage than most and carrying a heavier-than-typical enforcement history.
Caring Acres runs 41 beds in Anita under for-profit LLC ownership, and the numbers split sharply depending on where you look. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, with weekend coverage roughly 9% thinner than weekdays, and annual turnover of 73.3% against a national 45.8% means most of the people caring for residents are new to the building. The current record carries 53 deficiencies, including 7 at harm or jeopardy level and 11 tied to abuse; CMS has placed the home in its Special Focus Facility program and fined it $73,488 across two penalties. The most recent inspection was February 12, 2026.
Tabor Manor Care Center runs 46 beds under corporate ownership, and the numbers worth knowing are on the inspection side. The current record carries 59 deficiencies, including one at the harm or jeopardy level and five tied to abuse, a heavy load for a home this size, and the federal inspection rating sits at 1 out of 5. Staffing lands slightly under the national average at 3.76 hours per resident day, and weekends run about 15% thinner than weekdays. Annual turnover of 60.4% is well above the 45.8% national figure, meaning familiar faces are hard to count on. Four fines totaling $17,996 round out the record, with the most recent inspection dated March 2026.
Mississippi Valley runs 5.67 nurse hours per resident day, roughly 47% above the national average of 3.86, and its 36.8% turnover sits below the national 45.8%. Those are real strengths. The rest of the record is harder to read. State inspectors cited 25 deficiencies, four of them at harm or jeopardy level and two tied to abuse, with $19,663 in fines across two penalties. Quality measures score 2 out of 5, and weekends run about 21% thinner than weekdays, so the staffing cushion doesn't hold steady across the week. The last inspection was April 2025. A for-profit LLC operates the 83-bed home. Strong hours, but a deficiency record that includes harm and abuse findings is what families should weigh hardest.
Silver Oak runs on 3.55 nurse hours per resident day, about 8% under the national average, and weekends drop roughly 15% below its own weekday staffing. The 55.4% annual turnover is well above the 45.8% national figure, so the faces around your relative change often. Its record shows 60 deficiencies, three at harm or jeopardy level and six tied to abuse, with $29,107 in CMS fines and a one-star inspection rating; the most recent inspection was April 2026. Ownership is for-profit, a limited liability company. Quality measures score mid-range and staffing scores well on paper, but the inspection history is where the concern sits.
Granger Nursing & Rehabilitation Center runs on thinner staffing than almost anywhere else, 3.17 nurse hours per resident day against a national average of 3.86, and weekends dip about 11% below what the home manages on weekdays. That gap matters, because the workforce itself barely holds still: turnover sits at 97.2% a year, more than double the national figure, meaning the aides and nurses your family member sees are constantly new. Inspectors logged 24 deficiencies, including one abuse-related citation, though none rose to actual harm or jeopardy, and the last visit was recent. A for-profit limited liability company owns the 67-bed home. Quality scores look decent on paper, but steady hands matter more.
Heritage Specialty Care runs 171 beds in Cedar Rapids under corporate ownership, and its last inspection in May 2026 left a record of 50 deficiencies, six of them serious enough to cause harm or jeopardy. Nurse staffing sits at 3.53 hours per resident day, roughly 9 percent under the national average, and weekends drop about 8 percent below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover runs near 49 percent, a few points above average. No abuse citations appear on the record, and the single fine totals $14,365, but the inspection and quality ratings both sit at the bottom of CMS's five-point scale.
Azria Health Longview runs 100 beds in Missouri Valley under for-profit partnership ownership, and the numbers that stand out most are the inspection and quality scores, both one star out of five. Its current record carries 42 deficiencies, three of them at the level where a resident was actually harmed or put in jeopardy, and two tied to abuse. Staffing sits at 3.81 hours per resident day, just under the national average, but weekend coverage drops about 11% below its own weekday level, and annual turnover runs 60.9% against a national 45.8%. The last inspection was June 2025.
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.
Harmony West Des Moines runs 113 beds under corporate ownership, and the numbers explain the record. Nurse staffing sits at 3.59 hours per resident day against a national average of 3.86, and weekends dip roughly 10% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Staff turnover is 58.9%, well above the 45.8% national figure, which makes consistent care hard to sustain.
The inspection history is the heavier problem: 46 deficiencies on the current record, including one at the harm level and five tied to abuse. The health inspection rating is 1 out of 5, with the most recent inspection dated March 5, 2026. Quality measures score better at 3 out of 5, but that sits alongside a 2 out of 5 for staffing.
Good Samaritan, Indianola runs 105 certified beds as a nonprofit corporation, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.19 hours per resident day against a national average of 3.86, weekends run about 16% thinner than weekdays, and annual turnover hits 60.5% when the national figure is 45.8%, that combination makes consistent care hard to guarantee. The inspection record compounds it: 43 deficiencies, four of them at harm or jeopardy level, one abuse-related, and two fines totaling $20,316. Its most recent inspection was May 2026, so the picture is current, not stale. Families should ask directly how the home covers weekend shifts and what it has changed since that last survey.
Harmony Waterloo runs 88 certified beds under for-profit LLC ownership, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.24 hours per resident day, roughly 16 percent under the national average, and weekends dip about 10 percent below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection history is the bigger concern: 21 deficiencies on the current record, including one at the harm or jeopardy level and two tied to abuse. One fine totaling $95,440 has been issued, and turnover runs 48.8 percent. The most recent inspection was January 14, 2026.
Harmony Dubuque runs on thinner nurse coverage than most homes, 3.39 hours per resident day against a national average of 3.86, and weekends dip about 8% below what the home itself staffs on weekdays. That gap matters most when a resident needs help on a Saturday, and it's harder to absorb when more than seven in ten workers leave over a year, well above the 45.8% national rate. On inspections the home has drawn a two-star rating, with 33 deficiencies on record, three serious enough to cause harm and one tied to abuse, plus two fines totaling $19,371. Its last inspection was January 14, 2026.
Embassy Rehab and Care Center runs 60 certified beds in Sergeant Bluff under for-profit LLC ownership, and the staffing picture is mixed. Nurses provide 3.51 hours per resident day, about 9% under the national average of 3.86, and weekends drop roughly 18% below the home's own weekday coverage. Annual turnover sits at 54.2%, well above the 45.8% national figure. Inspections tell the heavier story: 27 deficiencies on the current record, four of them abuse-related, though none rose to harm or jeopardy level, and the health inspection rating lands at 2 out of 5. A recent inspection date of May 2026 means the record is current, not stale.
Casa De Paz runs about 2.79 nurse hours per resident day, roughly 28% under the national average of 3.86, and weekends drop another 25% below its own weekday staffing. That thin coverage shows up in the numbers: a 2/5 CMS staffing rating, 60.3% annual turnover against a national 45.8%, and 36 deficiencies on record, including two tied to abuse. No deficiencies were flagged at the harm or jeopardy level, and the 4/5 quality measure rating suggests some clinical measures are being met. But with a for-profit LLC structure, a recent April 2026 inspection, and a 2/5 health inspection rating, the staffing pattern is the thing to ask about directly before deciding.
Oakland Manor runs on 3.05 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage drops about 15% below what it manages during the week. That thin staffing sits alongside a one-star health inspection rating and 68 deficiencies on the current record, including three at the harm or jeopardy level and 11 tied to abuse. Federal regulators have placed it in the Special Focus Facility program, the toughest track CMS uses, and the home carries a $15,593 fine. Ownership is for-profit through a limited liability company. The last inspection was January 8, 2026.