Manly, IA · Worth County
★★★☆☆CMS 3/544 bedsNon-profitMedicaid
- Nurse hours
- 3.60 /day
- Staff turnover
- 27%
- Serious cites
- 0
Manly Specialty Care runs a nonprofit home with 44 certified beds, and the staffing picture is mixed. Nurses provide 3.60 hours per resident day, roughly 7% under the national average of 3.86, and weekends dip about 8% below the home's own weekday coverage. Retention is a genuine strength: 27% turnover against a national 45.8%. Where the record gets concerning is inspections, a 2-out-of-5 health inspection rating, 21 deficiencies on file including one at the harm level and four tied to abuse, plus a $13,627 fine. The most recent inspection was March 5, 2026. Steady caregivers matter, but the enforcement history is what a family should ask about directly.
Lake Mills, IA · Winnebago County
★★★★☆CMS 4/561 bedsFor-profitMedicaid
- Nurse hours
- 3.62 /day
- Staff turnover
- 25%
- Serious cites
- 0
Lake Mills Care Center runs 61 certified beds under corporate ownership, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. Weekends drop about 12% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 25% annually against a national 45.8%, meaning aides and nurses here tend to stay. The inspection record shows six deficiencies, one serious enough to involve harm or jeopardy, with nothing abuse-related; the last survey was April 2026. Quality measures score well, but staffing and health inspection results both land mid-range, which is what holds this home back from the top tier.
Indianola, IA · Warren County
★★★★★CMS 5/571 bedsFor-profitMedicaid
- Nurse hours
- 4.00 /day
- Staff turnover
- 28%
- Serious cites
- 0
Westview Of Indianola runs about 4.00 nurse hours per resident day, a bit above the national average, and weekend coverage dips roughly 7% below its own weekday level, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 27.8%, well under the national 45.8%, which matters because consistent caregivers know residents' routines. The inspection record is clean: zero deficiencies, none at the harm level, none abuse-related, with the last visit in December 2025. It's a for-profit LLC with 71 beds, and on the federal stars it earns fives for inspections and quality measures, four for staffing.
Boone, IA · Boone County
★★★☆☆CMS 3/576 bedsNon-profitMedicaid
- Nurse hours
- 4.13 /day
- Staff turnover
- 40%
- Serious cites
- 0
Eastern Star Masonic Home runs on 4.13 nurse staffing hours per resident day, about 7% above the national average, and turnover sits at 39.5%, lower than the 45.8% typical elsewhere. Those are real strengths. The trade-offs show up in the inspection record: 19 deficiencies, two of them abuse-related, though none rose to actual harm or jeopardy. Weekend staffing drops roughly 13% below its own weekday level, so care can thin out on Saturdays and Sundays. The last inspection was in April 2025, so the picture is reasonably current. For a 76-bed nonprofit in Boone, this reads as a generally solid home with a specific weekend and abuse-reporting pattern worth asking about directly.
Washington, IA · Washington County
★★★★☆CMS 4/554 bedsNon-profitMedicaid
- Nurse hours
- 4.26 /day
- Staff turnover
- 40%
- Serious cites
- 0
Halcyon House sits in Washington, Iowa, with 54 certified beds and a nonprofit owner. The staffing numbers are strong, 4.25 nurse hours per resident day, roughly 10% above the national average, with weekend coverage dipping about 11% below weekdays. Turnover runs 40%, better than the 45.8% national figure, and CMS gives top marks for staffing and quality measures. The tension is in inspections: a 2/5 health inspection rating, five deficiencies on record, one serious enough to reach harm or jeopardy level. No abuse citations. The most recent inspection was March 2026. Good hands on deck, but the survey history is where the concern lives.
Algona, IA · Kossuth County
★★★★★CMS 5/546 bedsFor-profitMedicaid
- Nurse hours
- 3.62 /day
- Staff turnover
- 33%
- Serious cites
- 0
Algona Manor Care Center runs 46 beds under corporate ownership, and its staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 8% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 33.3% against a national 45.8%, meaning aides and nurses here tend to stay longer than is typical. The inspection record is current (June 2025) with 12 deficiencies, none at harm or jeopardy level, though one is abuse-related, worth asking about directly. A 4/5 inspection rating and 5/5 quality measures round out a solid, if not richly staffed, picture.
Atlantic, IA · Cass County
★★★★★CMS 5/561 bedsNon-profitMedicaid
- Nurse hours
- 3.96 /day
- Staff turnover
- 33%
- Serious cites
- 0
Heritage House runs a nonprofit operation with 61 beds in Atlantic, and the staffing numbers are the first thing worth noticing. At 3.96 nurse hours per resident day, it sits just above the national average, and weekend coverage dips about 11% below its own weekday level, a gap families should ask about directly. Staff turnover is 33.3%, well under the 45.8% national figure, which matters for whether your parent sees the same faces week to week. The inspection record shows 11 deficiencies, none involving harm or abuse, with the most recent state visit in September 2025. Ownership is nonprofit, which often means steadier budgets and less pressure to trim direct care hours.
Brooklyn, IA · Poweshiek County
★★★★★CMS 5/550 bedsFor-profitMedicaid
- Nurse hours
- 3.48 /day
- Staff turnover
- 26%
- Serious cites
- 0
Brooklyn Community Estates runs a tight ship on inspections, one deficiency on its current record, none involving harm or abuse, and a survey done just this year. Turnover tells a similar story: 25.7% is well under the national average of 45.8%, so the people caring for residents tend to stick around. Where it gives ground is daily staffing hours, which sit about 10% below the national average, and weekends run roughly 11% thinner than weekdays. That combination, steady, experienced staff but fewer of them on the floor, especially Saturdays and Sundays, is the main tradeoff here. For a 50-bed for-profit home, the compliance record is the strong part.
Waterloo, IA · Black Hawk County
★★★★★CMS 5/572 bedsNon-profitMedicaid
- Nurse hours
- 4.78 /day
- Staff turnover
- 28%
- Serious cites
- 0
Friendship Village Retirement runs on a nonprofit model with 72 certified beds in Waterloo, and the staffing numbers are the clearest strength here: 4.78 nurse hours per resident day, roughly a quarter above the national average, with weekend coverage dipping only about 8% from weekday levels. Turnover sits at 28.3%, well under the national 45.8%, which matters for continuity of care. The tradeoffs show up elsewhere. Inspections in November 2025 turned up eight deficiencies, including one at the harm level and one tied to abuse, and the quality measure rating comes in at 2 out of 5, a gap worth asking about directly, since staffing strength doesn't automatically translate into clinical outcomes.
Davenport, IA · Scott County
★★★☆☆CMS 3/5135 bedsNon-profitMedicaid
- Nurse hours
- 3.96 /day
- Staff turnover
- 37%
- Serious cites
- 0
Kahl Home has a strange split on its record. The clinical quality measures come in at the top of CMS's scale and staffing is solidly above average, 3.96 nurse hours per resident day, a bit ahead of the 3.86 national figure, with turnover at 37.2% against a 45.8% national rate. But the health inspection side tells a different story: 15 deficiencies on the current record, two of them serious enough to involve harm or jeopardy, and CMS rates inspections just 2 out of 5. Weekend coverage also dips about 7% below weekday levels. The most recent inspection, in March 2026, is recent enough to trust. The B reflects real strengths in care delivery weighed against unresolved problems with how the building is run day to day.
Sioux Center, IA · Sioux County
★★★★☆CMS 4/599 bedsNon-profitMedicaid
- Nurse hours
- 4.88 /day
- Staff turnover
- 28%
- Serious cites
- 0
Crown Pointe Estates runs 4.88 nurse hours per resident day, well above the national average of 3.86, and the weekend drop is modest at around 12 percent. Staff turnover sits at 27.8 percent against a national figure of 45.8, meaning workers tend to stick around here longer than at most homes. The tradeoff shows up elsewhere: 18 deficiencies on the current record, though none reached harm or jeopardy level and none involved abuse, with the most recent inspection in June 2025. Quality measure scores land below average even as staffing earns top marks, so the picture is a well-staffed nonprofit that hasn't yet turned that advantage into strong clinical outcomes on paper.
Indianola, IA · Warren County
★★★★★CMS 5/554 bedsNon-profitMedicaid
- Nurse hours
- 4.10 /day
- Staff turnover
- 46%
- Serious cites
- 0
The Village in Indianola runs on a nonprofit model and staffs above the national average, 4.10 nurse hours per resident day against 3.86, though weekends dip about 10% below its own weekday coverage, so ask how that gap gets filled. Turnover sits at 45.9%, essentially the national average, which means retention here isn't a crisis but isn't a strength either. Seven deficiencies appear on the current record, one serious enough to involve harm or jeopardy, with nothing abuse-related. The last inspection was January 15, 2026, recent enough to trust. Four stars on health inspections and quality measures, five on staffing, with 54 beds, small enough that you can reasonably expect staff to know residents by name.
Iowa City, IA · Johnson County
★★★★★CMS 5/562 bedsFor-profitMedicaid
- Nurse hours
- 3.88 /day
- Staff turnover
- 44%
- Serious cites
- 0
Briarwood Healthcare Center runs 62 certified beds in Iowa City under corporate for-profit ownership, and the numbers hold up better than most. Nurse staffing sits at 3.88 hours per resident day, essentially level with the national average, and turnover at 43.8% actually comes in slightly under the national rate, which matters because stable staff usually means residents see familiar faces. The inspection record is the real story: eight deficiencies on file, none at the harm level, none related to abuse, and a survey completed in December 2025. For a for-profit home that size, that combination of recent, low-severity findings and steady staffing is what separates it from the pack.
Laurens, IA · Pocahontas County
★★★★☆CMS 4/538 bedsNon-profitMedicaid
- Nurse hours
- 4.30 /day
- Staff turnover
- 42%
- Serious cites
- 0
Laurens Care Center runs on 4.30 nurse hours per resident day, roughly 11% above the national average, and that staffing depth is the main thing holding its record together. Weekend coverage dips about 10% below its own weekday level, so care thins out somewhat on Saturdays and Sundays. Staff turnover sits at 42.4%, a bit better than the 45.8% national figure. The inspection history is mixed: 15 deficiencies on record, none at the harm or jeopardy level, but two tied to abuse, with the last inspection dated April 2026. Pocahontas County's nonprofit home isn't coasting on reputation, it's earning its marks through consistent nurse coverage, while those abuse-related findings deserve a direct question.
George, IA · Lyon County
★★★★★CMS 5/536 bedsNon-profitMedicaid
- Nurse hours
- 3.34 /day
- Staff turnover
- 38%
- Serious cites
- 0
Good Samaritan, George runs 36 beds as a nonprofit, and its staff stick around longer than most, turnover of 37.9% beats the national 45.8%, but there aren't many of them: 3.34 nurse hours per resident day, about 13% under the national average, thinning further on weekends. The quality and staffing stars look strong, yet the inspection record shows 21 deficiencies, including two at harm or jeopardy level and three tied to abuse, with $18,142 in fines and a survey completed in August 2025. Stable caregivers, lighter coverage, and a cited record, weigh all three before deciding.
Inwood, IA · Lyon County
★★★★☆CMS 4/540 bedsNon-profitMedicaid
- Nurse hours
- 5.44 /day
- Staff turnover
- n/a
- Serious cites
- 0
Fellowship Village sits in Inwood, a small town in Lyon County, and it's run by a nonprofit corporation, which tends to mean any surplus goes back into the building rather than out to shareholders. On paper, the care side looks solid: four stars each on health inspections and quality measures, and just six deficiencies on the current record with none rising to harm or jeopardy and nothing abuse-related. The catch is staffing, where it earns only one star, well below what you'd want for 40 residents. Inspections were recent, in November 2025, so the picture is current. The takeaway: good outcomes so far, but ask directly how many aides are on the floor during evenings and weekends.
Corning, IA · Adams County
★★★★☆CMS 4/540 bedsNon-profitMedicaid
- Nurse hours
- 3.43 /day
- Staff turnover
- 44%
- Serious cites
- 0
Corning Specialty Care runs 40 certified beds as a nonprofit, and its nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 8% below its own weekday levels, so coverage thins out right when families tend to visit. Annual turnover lands at 43.5%, slightly better than the national 45.8%.
Its inspection record shows 19 deficiencies, none at the harm or jeopardy level, though one is abuse-related. The most recent inspection was in February 2026, so the picture is current. Quality measure scores are strong and staffing scores are solid. The tradeoff here is real: good clinical outcomes and low-severity findings, but thinner daily coverage than the typical home.
La Porte City, IA · Black Hawk County
★★★★☆CMS 4/546 bedsNon-profitMedicaid
- Nurse hours
- 3.24 /day
- Staff turnover
- 26%
- Serious cites
- 0
Laporte City Specialty Care runs a tight ship on inspections, a four-star health inspection record with only three deficiencies and none tied to abuse. The catch is staffing. At 3.24 nurse hours per resident day, it sits about 16% under the national average, and weekends dip roughly 12% below its own weekday levels, which matters if your family visits or calls on Saturdays and Sundays. The good news: turnover is 25.7%, well below the 45.8% national figure, so the people who are there tend to stay. Its last inspection was recent, in February 2026. For 46 beds under nonprofit ownership, that's a decent overall picture, just go in knowing the daily coverage is leaner than most.
Council Bluffs, IA · Pottawattamie County
★★★★☆CMS 4/594 bedsFor-profitMedicaid
- Nurse hours
- 3.78 /day
- Staff turnover
- 41%
- Serious cites
- 0
Midlands Living Center runs 3.78 nurse hours per resident day, a bit under the national average of 3.86, and weekends dip about 13% below its own weekday staffing. Turnover sits at 40.8%, which is better than the 45.8% national figure, worth noting since consistent caregivers matter for residents who need familiar faces. The inspection record shows 16 deficiencies, none at the harm level, but one abuse-related citation stands out and deserves a direct question when you tour. The last inspection was January 2026, so the record is recent. Quality measures score well; the staffing and inspection pictures are more mixed.
Wapello, IA · Louisa County
★★★★★CMS 5/549 bedsNon-profitMedicaid
- Nurse hours
- 3.41 /day
- Staff turnover
- 37%
- Serious cites
- 0
Wapello Specialty Care runs on thinner nurse coverage than most homes, about 3.4 hours per resident each day against a national figure near 3.9, and weekends dip roughly 11% below what the home staffs on weekdays. Turnover sits at 37%, which sounds high until you note the national average is closer to 46%, so this nonprofit keeps its people longer than typical. The inspection record is where the picture gets muddier: 29 deficiencies on file, including three at the level where residents were actually harmed or put in jeopardy, and two tied to abuse. The last full inspection was in late 2025, so that record is current. Strong quality and staffing scores from CMS sit alongside that citation history.