New Hampton, IA · Chickasaw County
★★★★☆CMS 4/552 bedsFor-profitMedicaid
- Nurse hours
- 6.02 /day
- Staff turnover
- 21%
- Serious cites
- 0
Accura Healthcare of New Hampton runs on 6.02 nursing hours per resident day, roughly 56% above the national average, and its staff turnover sits at 21.4%, less than half the national rate. That stability matters more than any single inspection finding, since consistent caregivers tend to notice changes in a resident's condition sooner. The trade-off is a three-out-of-five on health inspections, with 18 deficiencies on record, including one abuse-related citation, though none rose to the level of actual harm or jeopardy. The most recent inspection was July 31, 2025, so the picture is current. For-profit corporate ownership, 52 beds, and weekend staffing that dips about 5% below weekday levels, worth asking about if your visits fall on Saturdays or Sundays.
Le Mars, IA · Plymouth County
★★★☆☆CMS 3/546 bedsFor-profitMedicaid
- Nurse hours
- 4.51 /day
- Staff turnover
- 26%
- Serious cites
- 0
Accura Healthcare Of Le Mars runs a 46-bed for-profit home in Plymouth County, and the staffing numbers are its strongest card. At 4.51 nurse hours per resident day, it sits about 17% above the national average, and weekend coverage dips only about 9% below its own weekday level, modest by industry standards. Turnover is 26.1%, well under the national 45.8%, which suggests people stay. The caution is on the inspection side: 17 deficiencies on the current record, including 2 at the harm level and 1 abuse-related. That's a meaningful count for a home this size. Staffing is clearly doing the heavy lifting here.
Karlstad, MN · Kittson County
★★★★★CMS 5/546 bedsFor-profitMedicaid
- Nurse hours
- 3.95 /day
- Staff turnover
- 17%
- Serious cites
- 0
Karlstad Healthcare Center runs on a steady crew. Nurse staffing sits at 3.95 hours per resident day, a bit above the national average, and the 17.2% turnover rate is far below the 45.8% most homes average, that kind of retention usually shows up in how consistently residents see familiar faces. Inspections back it up: a five-star health inspection rating, with just five deficiencies on record and none at the harm or jeopardy level, though one is abuse-related. Weekend staffing dips about 12% below weekdays, worth asking about. The last inspection was May 2026, so the record is current.
Hartington, NE · Cedar County
★★★★★CMS 5/547 bedsFor-profitMedicaid
- Nurse hours
- 3.41 /day
- Staff turnover
- 31%
- Serious cites
- 0
Accura Healthcare of Hartington sits in a small Cedar County town, and its numbers are mostly steady. The building runs lean on nursing hours, 3.41 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday coverage, so ask how that gap gets filled when a resident needs help on a Saturday. Turnover is the bright spot: 31.4% against a national 45.8%, which suggests people stay. Six deficiencies on record, none at harm level, one abuse-related, and a February 2026 inspection. For-profit, limited liability ownership. Worth a visit, worth asking about weekend staffing specifically.
Bancroft, IA · Kossuth County
★★★★★CMS 5/525 bedsFor-profitMedicaid
- Nurse hours
- 4.61 /day
- Staff turnover
- 39%
- Serious cites
- 0
Accura Healthcare of Bancroft runs about 4.61 nurse hours per resident day, roughly 19% above the national figure, and that staffing shows up in the numbers CMS cares about. Weekend coverage dips about 12% below weekday levels, so ask how that plays out on Saturdays. Staff turnover sits at 39.3%, better than the 45.8% national rate, which matters in a 25-bed home where residents know their caregivers by name. The current record shows seven deficiencies, none at the harm level and none abuse-related, with the last inspection in June 2025. Quality measure scores come in at 2 out of 5, the weakest part of the picture.
Aurelia, IA · Cherokee County
★★★☆☆CMS 3/541 bedsFor-profitMedicaid
- Nurse hours
- 3.79 /day
- Staff turnover
- 38%
- Serious cites
- 0
Accura Healthcare of Aurelia runs 41 certified beds under for-profit, limited-liability ownership in Cherokee County. Nurse staffing sits at 3.79 hours per resident day, slightly under the national average of 3.86, and weekends run about 11% thinner than weekdays, worth knowing if your family visits mainly on Saturdays and Sundays. Staff turnover is 37.8%, actually better than the 45.8% national figure, which suggests less churn than many peers. The current inspection record shows 14 deficiencies, including one at the harm or jeopardy level and two tied to abuse; the most recent inspection was January 29, 2026, so that record is fresh. Quality measures and staffing both earned 4 of 5 stars, while health inspections landed at 3.
Newton, IA · Jasper County
★★★☆☆CMS 3/546 bedsFor-profitMedicaid
- Nurse hours
- 2.99 /day
- Staff turnover
- 21%
- Serious cites
- 0
Traditions Memory Care of Newton runs lean on the floor. At 2.99 nurse hours per resident day, it sits about 23% under the national average, and weekends dip roughly 8% below its own weekday levels, the stretch when families tend to visit and when staffing gaps show most. What offsets that is stability: 21.2% turnover against a national 45.8% means the aides and nurses here largely stay, which matters more in memory care than almost anywhere. Seven deficiencies on record, none at harm or jeopardy level and none abuse-related, with a fresh July 2025 inspection behind those numbers. The corporate owner takes profit, and the low staffing score reflects that choice; the people working there appear to be doing right by residents anyway.
Sioux City, IA · Woodbury County
★★★★☆CMS 4/546 bedsFor-profitMedicaid
- Nurse hours
- 3.74 /day
- Staff turnover
- 37%
- Serious cites
- 0
Accura Healthcare of Sioux City runs 46 beds under corporate ownership, and its last inspection was recent, December 2025, with 21 deficiencies on record but none involving harm or abuse, which matters more than the raw count. Nurse staffing sits at 3.74 hours per resident day, a touch under the national 3.86, and weekends drop roughly 18% below weekday coverage, so ask how that gap gets filled. Staff turnover is 37%, better than the 45.8% national figure, which suggests people tend to stay. Federal ratings put quality and staffing at 4 stars each, inspection at 3.
Inver Grove Heights, MN · Dakota County
★★☆☆☆CMS 2/579 bedsFor-profitMedicaid
- Nurse hours
- 3.82 /day
- Staff turnover
- 40%
- Serious cites
- 0
Woodlyn Heights runs 79 certified beds under corporate for-profit ownership, and its inspection record is the weak spot: 50 deficiencies on file, including one at the harm level and one tied to abuse. That's a lot of paperwork for a home this size, and the two-star health inspection rating reflects it. Staffing looks steadier, 3.82 nurse hours per resident day, roughly a hair under the national average, with weekend coverage dropping about 11% below weekdays. Turnover at 40.3% actually beats the national 45.8%, which suggests workers stay longer than at the typical home. Quality measures score well at 4/5 stars, so day-to-day care metrics look solid even though the inspection history is what I'd bring up first with the family.
Stanton, IA · Montgomery County
★★★☆☆CMS 3/546 bedsFor-profitMedicaid
- Nurse hours
- 3.79 /day
- Staff turnover
- 25%
- Serious cites
- 0
Accura Healthcare of Stanton runs 46 certified beds in Montgomery County under for-profit LLC ownership. Nurse staffing sits at 3.79 hours per resident day, below the national average of 3.86, and weekend coverage drops roughly 17% below weekday levels, so families should ask who's actually on the floor Saturday and Sunday. Turnover is the bright spot: 25%, well under the national 45.8%, meaning the people caring for residents tend to stick around. The tradeoff shows up elsewhere. The current record carries 27 deficiencies, two of them abuse-related, and the quality measure rating is 1 out of 5, even as staffing earns top marks. Last inspection was June 19, 2025.
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.
Pomeroy, IA · Calhoun County
★★★☆☆CMS 3/530 bedsFor-profitMedicaid
- Nurse hours
- 4.39 /day
- Staff turnover
- 45%
- Serious cites
- 0
Accura Healthcare of Pomeroy runs 30 beds in Calhoun County under for-profit LLC ownership, and its staffing is the clearest strength here: 4.39 nurse hours per resident day, roughly 14% above the national average. Weekends dip about 12% below its own weekday level, though, so coverage isn't perfectly even across the week. Turnover sits at 45.2%, essentially matching the national rate. The inspection record shows 19 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026. Quality measure scores are the weak spot at 2 out of 5 stars, which pulls against otherwise solid staffing numbers.
Cherokee, IA · Cherokee County
★★★☆☆CMS 3/544 bedsFor-profitMedicaid
- Nurse hours
- 3.69 /day
- Staff turnover
- 43%
- Serious cites
- 0
Accura Healthcare of Cherokee runs 44 beds under corporate ownership, and its staffing sits at 3.69 nurse hours per resident day, just under the 3.86 national average, with weekends running about 10% thinner than weekdays. Turnover lands at 42.9%, a touch better than the 45.8% national figure. The inspection record shows 11 deficiencies, one serious enough to reach harm or jeopardy level, though nothing abuse-related, and one fine of $8,021. The most recent inspection was January 8, 2026, so the picture is current. What you're looking at is a home that's roughly average on care quality and inspection history, slightly understaffed overall, with a weekend dip worth asking about directly.
Lake City, IA · Calhoun County
★★☆☆☆CMS 2/546 bedsFor-profitMedicaid
- Nurse hours
- 3.69 /day
- Staff turnover
- 37%
- Serious cites
- 0
Accura Healthcare of Lake City runs 46 beds under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.69 hours per resident day, about 4% under the national average, and weekends run roughly 12% thinner than weekdays, worth asking about if your family visits on Saturdays or Sundays. Turnover is 37%, which is actually better than the 45.8% national figure, so the same faces are more likely to stick around. What pulls the record down is the inspection side: 40 deficiencies on file, including 2 at the harm level and 3 tied to abuse, plus $38,610 in fines across two penalties. The most recent inspection was April 2026.
Shell Rock, IA · Butler County
★☆☆☆☆CMS 1/541 bedsFor-profitMedicaid
- Nurse hours
- 3.66 /day
- Staff turnover
- 44%
- Serious cites
- 0
Shell Rock Senior Living runs 41 certified beds under corporate for-profit ownership, and its most recent inspection in September 2025 left 29 deficiencies on the record, two of them serious enough to involve harm or jeopardy, plus two tied to abuse. That's a heavy inspection load for a home this size, and CMS rates its health inspection results at just one star out of five. Daily nurse staffing sits at 3.66 hours per resident, roughly 5% under the national average, and weekends drop about 13% below what the home itself staffs on weekdays. Annual turnover of 43.6% is slightly better than the 45.8% national figure. One fine on record totals $17,167.
Ames, IA · Story County
★★★☆☆CMS 3/575 bedsFor-profitMedicaid
- Nurse hours
- 2.96 /day
- Staff turnover
- 40%
- Serious cites
- 0
Accura Healthcare of Ames runs 75 certified beds under corporate for-profit ownership, and its nurse staffing sits at 2.96 hours per resident day, roughly 23% under the national mark of 3.86. Weekends drop about 13% below what the home itself provides on weekdays, so the thinnest coverage lands when families tend to visit. Turnover is 39.7%, better than the 45.8% national average. Inspections show 19 deficiencies on record, one serious enough to involve harm or jeopardy, none abuse-related. The most recent inspection was April 2026, and CMS gives the home mid-range marks for health inspections and staffing, with a stronger 4 out of 5 on quality measures.
Tracy, MN · Lyon County
★★★☆☆CMS 3/545 bedsFor-profitMedicaid
- Nurse hours
- 3.19 /day
- Staff turnover
- 50%
- Serious cites
- 0
Prairie View Senior Living runs about 3.19 nurse hours per resident day, roughly 18% under the national average of 3.86. Weekends drop another 12% below its own weekday staffing, so coverage thins out exactly when families tend to visit. The 50% annual turnover is higher than the 45.8% national figure, meaning roughly half the nursing staff changes over in a year. Inspections from May 2026 turned up 23 deficiencies, none at the harm level, though two involve abuse. All three CMS star ratings sit at 3 out of 5. For-profit individual ownership. This is a home with real gaps in staffing depth, not a record of serious harm.
Faulkton, SD · Faulk County
★★★★☆CMS 4/541 bedsFor-profitMedicaid
- Nurse hours
- 2.59 /day
- Staff turnover
- 57%
- Serious cites
- 0
Faulkton Senior Living runs lean on nursing hours: 2.59 per resident day against a national average of 3.86, roughly a third less hands-on care than typical. Weekends drop about 22% below the home's own weekday staffing, and 57.1% of nursing staff turned over in a year, well above the 45.8% national figure, so the people providing care change often, and there are fewer of them on Saturdays and Sundays.
Inspection history is steadier. Five deficiencies on record, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was December 11, 2025. A for-profit corporation owns the 41-bed building. Good survey results and quality scores sit alongside thin daily staffing.
Knoxville, IA · Marion County
★★☆☆☆CMS 2/560 bedsFor-profitMedicaid
- 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.
Fullerton, NE · Nance County
★★★☆☆CMS 3/575 bedsFor-profitMedicaid
- Nurse hours
- 2.93 /day
- Staff turnover
- 42%
- Serious cites
- 0
Accura Healthcare Of Fullerton runs 75 certified beds under corporate ownership, and the staffing numbers are the main story here: 2.93 nurse hours per resident day, roughly a quarter below the national average of 3.86, with weekends running about 10 percent thinner than weekdays. That earned a 2-out-of-5 staffing rating from CMS. Staff turnover sits at 41.9 percent, slightly better than the national 45.8 percent, which suggests some stability even with lean coverage. The inspection record shows 19 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was in April 2026.
Lake Andes, SD · Charles Mix County
★☆☆☆☆CMS 1/543 bedsFor-profitMedicaid
- Nurse hours
- 3.15 /day
- Staff turnover
- 38%
- Serious cites
- 0
Lake Andes Senior Living runs on 3.15 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage dips about 5% below its own weekday level. Turnover sits at 38.2%, better than the 45.8% national figure, so the staff who are there tend to stay, even if there aren't enough of them.
The inspection record is where the trouble concentrates: 21 deficiencies, three serious enough to put residents at risk of harm, and two fines totaling $102,440. A 1-out-of-5 inspection rating alongside a 4-out-of-5 quality measure score suggests the day-to-day care metrics look fine on paper while the survey history tells a harder story.
Spirit Lake, IA · Dickinson County
★★☆☆☆CMS 2/580 bedsFor-profitMedicaid
- Nurse hours
- 3.54 /day
- Staff turnover
- 41%
- Serious cites
- 0
Accura Healthcare of Spirit Lake runs 80 certified beds under corporate, for-profit ownership, and its inspection record is the weak spot: 23 deficiencies on file, including three tied to abuse and one serious enough to reach harm or jeopardy level. That produced a $34,567 fine, and the most recent inspection dates to October 2025. Staffing cuts both ways, 3.54 nurse hours per resident day sits about 8% under the national average, and weekends drop roughly 14% below the home's own weekday levels, though turnover at 40.8% is better than the 45.8% national figure. A 2/5 inspection rating against 4/5 staffing tells you where the problems concentrate.
Newton, IA · Jasper County
★☆☆☆☆CMS 1/554 bedsFor-profitMedicaid
- Nurse hours
- 3.14 /day
- Staff turnover
- 38%
- Serious cites
- 0
Accura Healthcare of Newton East runs 54 beds under for-profit LLC ownership, and its staffing sits at 3.14 nurse hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 17% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 38.2%, actually better than the 45.8% national figure, which makes the thin hours look more like a budget decision than a retention problem.
The inspection record is the harder part: 39 deficiencies, including one at harm or jeopardy level and four tied to abuse, plus a $19,744 fine. The most recent inspection was February 2026.
Waite Park, MN · Stearns County
★★☆☆☆CMS 2/540 bedsFor-profitMedicaid
- Nurse hours
- 4.19 /day
- Staff turnover
- 65%
- Serious cites
- 0
Sterling Park runs 40 beds in Waite Park under for-profit partnership ownership. The raw staffing number looks good, 4.19 nurse hours per resident day, about 8% above the national average, and CMS gives it 4 out of 5 stars on staffing. But the stability behind that number is shaky: annual turnover sits at 65.3% against a national average of 45.8%, and weekend hours drop roughly 14% below its own weekday coverage. On the health inspection side, 19 deficiencies are on record, including one at the harm level and one abuse-related, with the most recent inspection in August 2025. Quality measures land at 3 out of 5. Plenty of hands scheduled, in other words, fewer of them staying, and inspection problems that haven't gone away.
Carroll, IA · Carroll County
★☆☆☆☆CMS 1/565 bedsFor-profitMedicaid
- Nurse hours
- 2.93 /day
- Staff turnover
- 44%
- Serious cites
- 0
Accura Healthcare of Carroll runs on 2.93 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 15% below what the home staffs on weekdays. That thin coverage shows up in its inspection record: 53 deficiencies, including 2 at the harm or jeopardy level and 6 tied to abuse. The health inspection rating sits at 1 out of 5, and the home was last inspected on April 2, 2026. Staff turnover of 44.2% is close to the national average of 45.8%, so retention isn't the outlier here, the numbers point to staffing hours and inspection findings as the real concerns.
Aberdeen, SD · Brown County
★☆☆☆☆CMS 1/578 bedsFor-profitMedicaid
- Nurse hours
- 3.61 /day
- Staff turnover
- 39%
- Serious cites
- 0
Aberdeen Health and Rehab is a for-profit limited liability company home with 78 certified beds, and its staffing numbers tell two different stories. Nurses provide 3.61 hours per resident day, about 7% under the national average, and weekends run roughly 16% thinner than weekdays, but annual turnover of 38.6% actually beats the national 45.8%, so people tend to stay once hired. The trouble sits elsewhere: a 1-out-of-5 inspection rating, 24 deficiencies on the current record including four at the harm level and two tied to abuse, and $64,270 in fines across four penalties. The most recent inspection was June 4, 2026.
Milford, IA · Dickinson County
★★★★☆CMS 4/546 bedsFor-profitMedicaid
- Nurse hours
- 3.53 /day
- Staff turnover
- 30%
- Serious cites
- 0
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.
Muscatine, IA · Muscatine County
★★★☆☆CMS 3/5100 bedsFor-profitMedicaid
- Nurse hours
- 2.86 /day
- Staff turnover
- 35%
- Serious cites
- 0
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.
Onawa, IA · Monona County
★★☆☆☆CMS 2/546 bedsFor-profitMedicaid
- Nurse hours
- 3.22 /day
- Staff turnover
- 50%
- Serious cites
- 0
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.
Pleasantville, IA · Marion County
★☆☆☆☆CMS 1/546 bedsFor-profitMedicaid
- Nurse hours
- 3.45 /day
- Staff turnover
- 54%
- Serious cites
- 0
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.