Waterloo, IA · Black Hawk County
★★☆☆☆CMS 2/594 bedsNon-profitMedicaid
- Nurse hours
- 3.29 /day
- Staff turnover
- 47%
- Serious cites
- 0
Northcrest Specialty Care runs 94 beds in Waterloo under nonprofit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.29 hours per resident day, roughly 15 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 record is the bigger concern: 32 deficiencies, including one at the harm level and one tied to abuse. Annual turnover of 46.7 percent tracks close to the national figure. Quality and staffing measures score well, but a recent February 2026 inspection and that deficiency count are what a family should ask about directly.
Lansing, IA · Allamakee County
★★★★★CMS 5/540 bedsNon-profitMedicaid
- Nurse hours
- 3.88 /day
- Staff turnover
- 39%
- Serious cites
- 0
Thornton Manor is a 40-bed nonprofit home in Lansing, and its strongest asset is staffing. At 3.88 nurse hours per resident day, it sits essentially at the national average of 3.86, and its staff retention is meaningfully better than most: 38.5% turnover against a national 45.8%. Weekend coverage dips about 9% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. The current record shows seven deficiencies, none at the harm level and none abuse-related, with an inspection completed in April 2025. Quality measures score lower than staffing and inspections do, which is worth asking about directly.
Mount Ayr, IA · Ringgold County
★★★★☆CMS 4/582 bedsFor-profitMedicaid
- Nurse hours
- 3.25 /day
- Staff turnover
- 44%
- Serious cites
- 0
Clearview Home runs lean on nurse staffing, 3.25 hours per resident day against a national average of 3.86, roughly 16% below. Weekends dip about 11% below what the home staffs on weekdays, so coverage thins out right when families tend to visit, though turnover at 43.8% is slightly better than the national 45.8% and suggests the workforce is at least comparatively stable.
The inspection record is the stronger side: three deficiencies total, none at the harm or jeopardy level, and a recent July 2025 survey. Two of those three are abuse-related, which is worth asking about directly. Ownership is for-profit partnership.
Stratford, IA · Hamilton County
★★☆☆☆CMS 2/553 bedsNon-profitMedicaid
- Nurse hours
- 3.32 /day
- Staff turnover
- 55%
- Serious cites
- 0
Stratford Specialty Care runs 53 certified beds as a nonprofit, and its staffing numbers are the first thing worth noticing: 3.32 nurse hours per resident day sits about 14% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday level. Annual turnover hits 55% against a national 45.8%, so aides and nurses are cycling through faster than typical.
The inspection record shows 31 deficiencies, none at harm or jeopardy level, though three are abuse-related. A May 2025 inspection keeps that record current, and the 2/5 health inspection rating reflects those findings. Quality and staffing both rate 4/5, which is why the overall picture lands where it does, decent care measures, thinner coverage on the floor.
Cedar Rapids, IA · Linn County
★☆☆☆☆CMS 1/564 bedsNon-profitMedicaid
- Nurse hours
- 4.23 /day
- Staff turnover
- 39%
- Serious cites
- 0
Cottage Grove Place runs a respectable nursing floor on paper: 4.23 nurse hours per resident day sits about 9% above the national average, and staff turnover at 38.6% is meaningfully better than the 45.8% typical elsewhere. The quality measure rating reflects that, and so does staffing. The trouble is the inspection record, 23 deficiencies on file, two of them serious enough to involve harm or jeopardy to a resident, and the most recent survey dates to May 2025. Weekend coverage also dips about 8% below weekday levels, so the care you'd see on a Sunday isn't quite what the staffing average implies. Good people, uneven execution on the regulatory side.
Remsen, IA · Plymouth County
★★★★☆CMS 4/562 bedsNon-profitMedicaid
- Nurse hours
- 3.30 /day
- Staff turnover
- 53%
- Serious cites
- 0
Happy Siesta runs lean on nursing hours, 3.30 per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday staffing. That gap matters because a 52.5% annual turnover rate means many of the aides and nurses on the floor are still learning the building, and it sits well above the 45.8% national figure. The current inspection record shows six deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse. The last state visit was June 2025, so the picture is recent. Quality measures score well, but staffing hours and staff retention tell a different story than the star ratings alone suggest.
Marion, IA · Linn County
★★☆☆☆CMS 2/538 bedsNon-profitMedicaid
- Nurse hours
- 3.62 /day
- Staff turnover
- 41%
- Serious cites
- 0
Linn Manor Care Center is a 38-bed nonprofit in Marion, and its staffing record is the strongest part of the picture: 3.62 nurse hours per resident day, a bit under the national average of 3.86, with turnover at 40.5% compared to 45.8% nationally. Weekends run about 11% thinner than weekdays, which is worth asking about if your family visits then. The inspection record is where the concern sits, 17 deficiencies on file, two of them at the harm or jeopardy level and two abuse-related. The last inspection was February 2026. Quality measures land mid-range, and staffing is graded well above average. Small homes can be worth a close look, but read those inspection reports before deciding.
Council Bluffs, IA · Pottawattamie County
★☆☆☆☆CMS 1/5112 bedsNon-profitMedicaid
- Nurse hours
- 3.99 /day
- Staff turnover
- 30%
- Serious cites
- 0
Bethany Lutheran Home has a staffing story worth noting: 3.99 nurse hours per resident day, slightly above the national average, with a 4-star staffing rating and turnover at 30.4%, well below the national 45.8%. That kind of retention matters. The problem sits elsewhere. Its inspection record shows 43 deficiencies, five at harm or jeopardy level and two abuse-related, with three fines totaling $46,914. The most recent inspection was October 2025. Quality measures land at 3 out of 5 stars, so day-to-day care indicators are middling. Strong staffing and low turnover don't cancel out a weak inspection history, ask about those harm-level findings and what's changed since.
Dubuque, IA · Dubuque County
★★★★☆CMS 4/577 bedsGovernmentMedicaid
- Nurse hours
- 4.34 /day
- Staff turnover
- 38%
- Serious cites
- 0
Sunnycrest Manor is county-owned, and the numbers show a home that's better staffed than most, 4.34 nurse hours per resident day, roughly 12% above the national figure. Turnover sits at 38.4%, well under the 45.8% national average, which matters for whether your family sees the same faces month to month. The tradeoff shows up in care quality measures, where it scores near the bottom, and in 14 deficiencies on its current record, though none involved actual harm or abuse. Weekend coverage drops about 11% below weekday levels, so ask about Saturday and Sunday staffing specifically. Its last inspection was in March 2026, so the record is recent.
Denver, IA · Bremer County
★★★★☆CMS 4/531 bedsNon-profitMedicaid
- Nurse hours
- 3.97 /day
- Staff turnover
- 40%
- Serious cites
- 0
Denver Sunset Home runs 31 certified beds as a nonprofit, and its staffing sits slightly above the national average, 3.97 nurse hours per resident day against 3.86. Weekends dip about 9% below its own weekday levels, so ask how that gap gets covered. Annual turnover of 40% is better than the 45.8% national figure, which matters in a small building where residents see the same faces. The current inspection record shows nine deficiencies, none at the harm level and none tied to abuse, and the last inspection was recent. The 4/5 health inspection and staffing ratings carry more weight here than the 3/5 on quality measures.
Perry, IA · Dallas County
★☆☆☆☆CMS 1/570 bedsNon-profitMedicaid
- Nurse hours
- 3.86 /day
- Staff turnover
- 49%
- Serious cites
- 0
Perry Lutheran Home runs 70 certified beds as a nonprofit corporation, and its staffing sits right at the national average of 3.86 nurse hours per resident day, with weekend coverage dropping roughly 7% below its own weekday levels. Turnover is 49.3%, a bit worse than the 45.8% national figure, so the faces change more often than average. The bigger issue is the inspection record: 22 deficiencies, 8 at harm or jeopardy level, and 4 abuse-related, with one fine of $16,351. A recent inspection date doesn't erase that history. If you're considering this home, ask specifically how those abuse-related findings were resolved and who supervises residents on weekends.
Emmetsburg, IA · Palo Alto County
★★★★☆CMS 4/522 bedsGovernmentMedicaid
- Nurse hours
- 3.07 /day
- Staff turnover
- 18%
- Serious cites
- 0
Palo Alto County Hospital runs a small 22-bed unit, and the numbers suggest it's well run. Staff turnover sits at 17.6%, very low next to the 45.8% national figure, which matters for familiarity and continuity in a place this size. The tradeoff is hours: 3.07 nurse staffing hours per resident day is about 21% under the national average, and weekends drop roughly 25% below the home's own weekday levels. One deficiency on the current record, none at harm level, no abuse findings, and a recent July 2025 inspection back that up. County-owned and financially steady, it looks like a home that keeps its people, with fewer hands on weekends.
New Hampton, IA · Chickasaw County
★★★★☆CMS 4/546 bedsFor-profitMedicaid
- Nurse hours
- 3.32 /day
- Staff turnover
- 28%
- Serious cites
- 0
New Hampton Nursing & Rehab runs 46 beds as a for-profit corporation, and its staffing sits at 3.32 nurse hours per resident day, roughly 14% under the national average of 3.86. Weekends thin out further, about 17% below the home's own weekday level, so coverage is lightest exactly when families tend to visit. Turnover is the bright spot: 27.6% against a national 45.8%, which suggests aides and nurses tend to stay. But the current inspection record includes five deficiencies, one at the harm or jeopardy level and three tied to abuse, with the most recent inspection in July 2025. Staff retention helps; the survey history is what a family should ask about directly.
Montrose, IA · Lee County
★★★☆☆CMS 3/544 bedsFor-profitMedicaid
- Nurse hours
- 3.32 /day
- Staff turnover
- 44%
- Serious cites
- 0
Montrose Health Center runs 44 certified beds under corporate ownership, and its roughly 3.32 nurse staffing hours per resident day sit about 14 percent under the national average. Weekends are thinner still, dropping around 19 percent below the home's own weekday numbers, so coverage varies depending on when you visit. The inspection record is the harder read: 15 deficiencies, four of them serious enough to involve harm or jeopardy, plus one abuse-related finding and $43,079 in fines across two penalties. Last inspection was October 2025, so that picture is current. Turnover at 43.6 percent is slightly better than the national rate, and resident care measures score well, but staffing shortfalls and a heavy deficiency count are what hold this one back.
Anamosa, IA · Jones County
★★★★★CMS 5/564 bedsFor-profitMedicaid
- Nurse hours
- 3.27 /day
- Staff turnover
- 51%
- Serious cites
- 0
Anamosa Care Center runs a 64-bed for-profit operation in Jones County with a strong inspection history and top marks on quality measures, but the staffing picture is thinner than it should be. Nurses provide about 3.27 hours of care per resident each day, roughly 15% below the national average, and weekends drop another 17% below the home's own weekday level, so coverage gets leanest exactly when families tend to visit. Annual turnover sits at 50.9%, above the national 45.8%, meaning more than half the staff leaves each year. The current record shows eight deficiencies, including one at the harm level and one tied to abuse.
Ogden, IA · Boone County
★★★★☆CMS 4/546 bedsFor-profitMedicaid
- Nurse hours
- 3.21 /day
- Staff turnover
- 29%
- Serious cites
- 0
Accura Healthcare of Ogden runs 46 beds under corporate ownership, and its state inspection record sits at two stars, with 22 deficiencies logged. None of those reached the harm or jeopardy level, and none involved abuse, worth knowing, since "22 deficiencies" can sound worse than it is. Staffing is the interesting part: 3.21 nurse hours per resident day is roughly 17% under the national average, and weekends drop about 19% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover, though, is 29% against a national 45.8%, meaning the people who are there tend to stay. The last inspection was September 2025.
Red Oak, IA · Montgomery County
★★★☆☆CMS 3/558 bedsFor-profitMedicaid
- Nurse hours
- 3.54 /day
- Staff turnover
- 45%
- Serious cites
- 0
Red Oak Rehab And Care Center runs 58 certified beds under for-profit LLC ownership, and its staffing sits about 8% under the national average at 3.54 nurse hours per resident day. Weekends dip roughly 4% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover is 44.8%, essentially tracking the national rate. The current inspection record shows 20 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, worth asking about directly, given the most recent survey was September 2025. Quality measure scores are on the low side while staffing scores hold up better, a split that says the hands are there more than the outcomes show it.
Marshalltown, IA · Marshall County
★★☆☆☆CMS 2/582 bedsNon-profitMedicaid
- Nurse hours
- 3.65 /day
- Staff turnover
- 29%
- Serious cites
- 0
Southridge Specialty Care runs on a nonprofit model with 82 certified beds, and its staffing tells a mixed story. At 3.65 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends dip roughly 13% below its own weekday coverage. What stands out is retention: 29.2% turnover against a 45.8% national average means caregivers here tend to stay, which matters for consistency of care.
The inspection record is where the concern sits. Twenty-five deficiencies, two at harm or jeopardy level, and two tied to abuse, with a $45,406 fine on file from a May 2025 inspection. Quality and staffing star ratings both land at 4, but the health inspection rating is 2, that gap between good numbers on paper and problems found in person is worth asking about directly.
Corydon, IA · Wayne County
★★★★☆CMS 4/571 bedsNon-profitMedicaid
- Nurse hours
- 3.52 /day
- Staff turnover
- 35%
- Serious cites
- 0
Corydon Specialty Care runs about 3.52 nurse hours per resident each day, which is roughly 9% under the national average of 3.86, and weekends dip another 10% below its own weekday staffing. Turnover sits at 35.1%, better than the 45.8% national figure, and the home carries 14 deficiencies on its current record, one of them serious enough to involve harm or jeopardy, though none tied to abuse. Its last inspection was in January 2026. The non-profit ownership and four-star inspection and quality ratings suggest a stable operation, but the thin weekday staffing and the weekend drop are the numbers worth asking about directly.
Centerville, IA · Appanoose County
★★★☆☆CMS 3/546 bedsNon-profitMedicaid
- Nurse hours
- 3.24 /day
- Staff turnover
- 34%
- Serious cites
- 0
Centerville Specialty Care runs 46 certified beds as a nonprofit corporation, and its last full health inspection came in December 2025 with 15 deficiencies on record, none of them at the harm or jeopardy level, and no abuse findings. Staffing sits at 3.24 nurse hours per resident day, roughly 16% under the national average of 3.86, and weekends drop about 13% below the home's own weekday coverage. Turnover is the bright spot: 34.1% against a national average of 45.8%, which suggests people stay. The lower weekday-to-weekend staffing gap and the clean harm record are what keep this one in solid territory despite the thin hours.