CARE INITIATIVES

Nurse hours

3.41 /day

Staff turnover

40%

Serious cites

0

State Center Specialty Care runs 39 certified beds as a nonprofit operation, and its staffing sits at 3.41 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts are predictable. Turnover lands at 40%, a bit better than the 45.8% national figure. Twenty deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 22, 2026. The quality and staffing stars both come in at 5 out of 5, while health inspections sit at 3. Worth asking how the home covers weekends and what those 20 deficiencies involved.

Nurse hours

3.33 /day

Staff turnover

23%

Serious cites

0

Fonda Specialty Care runs leaner on nurse hours than the national average, about 3.33 per resident day, roughly 14% under, and weekends dip about 16% below its own weekday coverage, so staffing thinness is real, not a rounding error. What offsets it: turnover at 23.1% sits well below the 45.8% national figure, meaning the aides and nurses who are there tend to stay, which matters more for daily consistency than raw headcount. The 14 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, and the last inspection was in March 2026.

Nurse hours

3.40 /day

Staff turnover

27%

Serious cites

0

Sibley Specialty Care runs 46 beds as a nonprofit, and the numbers that stand out most are on the workforce side: staff turnover of 27% sits well under the national 45.8% average, which suggests people tend to stay. Daily nurse staffing of 3.40 hours per resident is about 12% under the national figure, though, and weekends run roughly 16% lighter than weekdays, so coverage isn't uniform. Ten deficiencies appear on the current record, two tied to abuse and none at the harm level, with the most recent inspection in May 2025. The quality and staffing ratings are both strong; inspections are the softer spot.

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.

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.

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.

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.

Nurse hours

3.63 /day

Staff turnover

32%

Serious cites

0

Lamoni Specialty Care runs 3.63 nurse hours per resident day, about 6% under the national average of 3.86, and weekends dip roughly 15% below its own weekday coverage, so the daily help is thinner than average, especially Saturday and Sunday. That said, staff retention is strong: turnover sits at 32.3% against a national 45.8%, meaning the people caring for residents tend to stay. Inspections back that up, with a 5/5 health inspection rating, a 5/5 quality measure rating, and only 5 deficiencies on record, none at harm or jeopardy level, though one is abuse-related. The most recent inspection was February 19, 2026. This nonprofit's record is clean, but watch weekend staffing.

Nurse hours

3.73 /day

Staff turnover

31%

Serious cites

0

Odebolt Specialty Care is a small nonprofit home, 38 beds, and its staffing picture is genuinely strong: 3.73 nurse hours per resident day, close to the national average, with weekend coverage running about 9% lighter than weekdays. Turnover sits at 31%, well below the 45.8% national figure, which matters for how well aides know the residents. The trouble is the inspection record: 20 deficiencies, three of them serious enough to put residents at risk of harm, and one fine of $14,433. The most recent inspection was March 12, 2026. Consistent hands, a thinner record on safety.

Nurse hours

3.58 /day

Staff turnover

36%

Serious cites

0

Dunlap Specialty Care runs a 46-bed nonprofit home in Harrison County, and the numbers pull in different directions. Nurse staffing sits at 3.58 hours per resident day, roughly 7 percent under the national average, and weekends dip about 7 percent below the home's own weekday levels. Turnover is the brighter spot: 35.5 percent against a national 45.8 percent, so people tend to stay. What weighs the record down is the inspection history, 41 deficiencies on file, including 5 at the harm or jeopardy level and 4 tied to abuse, plus one fine of $10,062. The last inspection was in May 2025, so the record is current. Strong family satisfaction scores and staffing stars don't erase that harm-level citation count, and families should ask directly what changed since.

Nurse hours

3.07 /day

Staff turnover

38%

Serious cites

0

Mechanicsville Specialty Care runs on a nonprofit model with 39 beds, and the numbers show a place that inspection-wise is doing a lot right. Its last survey was in September 2025, and of the 12 deficiencies on record, none rose to harm or jeopardy level and none involved abuse. Nurse staffing sits at 3.07 hours per resident day, roughly 20 percent under the national average of 3.86, and weekends dip about 3 percent below weekdays, so coverage is thinner than you'd like. Turnover, though, is 38.2 percent against a national 45.8, which suggests people tend to stay. Quality measures scored at the top of the scale.

Nurse hours

2.96 /day

Staff turnover

28%

Serious cites

0

Atlantic Specialty Care runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 12% below its own weekday staffing. That thinner coverage shows up in its two-out-of-five inspection rating and 42 deficiencies on record, though none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026. What works in its favor: staff turnover is 28.3%, well under the 45.8% national figure, suggesting a steadier workforce than many homes, and its quality measure rating sits at five out of five. As a nonprofit, it isn't answering to shareholders. The tradeoff here is real but bounded, fewer hands on weekends, strong clinical measures, no serious safety findings.

Nurse hours

3.72 /day

Staff turnover

28%

Serious cites

0

Bedford Specialty Care runs 39 certified beds as a nonprofit, and its recent inspection history is solid, the last survey wrapped in July 2025 with a 4-star health inspection rating. The 14 deficiencies on record include none at the harm or jeopardy level, though three are abuse-related, which families should ask about directly. Staff turnover sits at 27.6% against a national average of 45.8%, meaning caregivers here tend to stay. Total nurse staffing is 3.72 hours per resident day, slightly under the 3.86 national figure, and weekends run about 5% thinner than weekdays, so coverage dips when it's hardest to reach administrators.

Nurse hours

3.30 /day

Staff turnover

52%

Serious cites

0

Montezuma Specialty Care runs 41 certified beds as a nonprofit corporation, and its 3.30 nurse staffing hours per resident day sit about 14 percent under the national average of 3.86. Weekends dip roughly 7 percent below the home's own weekday levels, and annual turnover lands at 51.6 percent against a national 45.8, so the people caring for residents here are both fewer in number and changing more often than is typical. The current record shows 13 deficiencies, two tied to abuse, though none rose to harm or jeopardy. Its last inspection was April 23, 2026. Quality and staffing measures each earned four stars from CMS, with inspection at three.

Nurse hours

3.81 /day

Staff turnover

58%

Serious cites

0

Chariton Specialty Care runs 60 certified beds as a for-profit corporation, and its staffing sits just under the national average at 3.81 nurse hours per resident day. The bigger concern is who's on the floor: annual turnover hits 58.1%, well above the 45.8% national rate, and weekends run about 13% leaner than weekdays, exactly when families often visit. Inspections tell a similar story, 18 deficiencies on record, including one at the harm or jeopardy level and two tied to abuse. A single fine of $15,134 has been levied. The most recent inspection was January 14, 2026. Quality measures score well, but the direct-care and oversight picture is what a family should weigh.

Nurse hours

3.26 /day

Staff turnover

32%

Serious cites

0

Oakwood Specialty Care runs a 54-bed nonprofit home in Albia, and the staffing numbers are the main thing to weigh. Nurses give residents about 3.26 hours of care per day, roughly 15% under the national average, and weekends dip another 13% below what the home itself manages on weekdays. Turnover sits at 31.7%, which is better than the 45.8% national figure. Eighteen deficiencies show on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in September 2025. Quality measures score well; the day-to-day staffing is where this home is thinner than most.

Nurse hours

3.27 /day

Staff turnover

44%

Serious cites

0

Ridgewood Specialty Care runs about 3.27 nursing hours per resident each day, which is roughly 15 percent under the national average of 3.86, and weekend coverage dips another 8 percent below its own weekday level. Staff turnover sits at 43.5 percent, slightly better than the 45.8 percent national figure, and the home is a nonprofit corporation. On its last inspection, dated December 22, 2025, the state cited 18 deficiencies, one of them serious enough to put a resident at risk of harm, though none involved abuse; one fine totaling $8,999 has been levied. The quality measure rating of 4 out of 5 looks good on paper, but thin staffing and that harm-level citation are what actually shape day-to-day care here.

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.

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.

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.

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.

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.

Nurse hours

3.67 /day

Staff turnover

41%

Serious cites

0

Cherokee Specialty Care runs 3.67 nurse hours per resident day, about 5% under the national average of 3.86, and weekends dip roughly 6% below its own weekday staffing. Turnover sits at 41.3%, a bit better than the 45.8% national figure, though not by much. What stands out is the inspection record: 34 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse. That's a lot to carry for a 62-bed nonprofit, and it explains the 2-star health inspection rating. The last inspection was in May 2025, so the findings are recent.

Nurse hours

3.02 /day

Staff turnover

55%

Serious cites

0

Belle Plaine Specialty Care runs 46 certified beds under nonprofit ownership, and its staffing sits about 22% under the national average at 3.02 nurse hours per resident day. Weekends drop roughly 11% below the home's own weekday coverage, and annual turnover hits 54.8% against a national 45.8%, so the people who stay are stretched thinner, and not many stay long. The inspection record shows 20 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in August 2025, so the record is current and free of serious findings. Quality measures score well. Where this home lands depends on how much weight you put on thin, churning staffing versus a clean inspection sheet.

Nurse hours

3.63 /day

Staff turnover

42%

Serious cites

0

Kingsley Specialty Care is a 43-bed nonprofit home in Plymouth County with a staffing picture that looks better on paper than it does on weekends. Its 3.63 nurse hours per resident day sit about 6% under the national average, and weekend coverage drops roughly 17% below what the home staffs during the week. Turnover runs 42.4%, a bit 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: 38 deficiencies on file, including one at the harm level and one abuse-related, plus a $27,378 fine, with the most recent inspection in August 2025.

Nurse hours

3.38 /day

Staff turnover

40%

Serious cites

0

Southern Hills Specialty Care runs a 90-bed nonprofit home in Osceola, and its staffing sits at 3.38 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 12% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 40.4%, a bit better than the 45.8% national figure, which suggests some stability in the workforce even if raw hours run light. The current record shows 8 deficiencies with none at harm or jeopardy level, though 2 are abuse-related and one fine of $36,865 has been assessed. The last inspection was August 2025. Nothing here is alarming on its face, but the abuse citations and light staffing are worth asking about directly.

Nurse hours

3.19 /day

Staff turnover

48%

Serious cites

0

New London Specialty Care runs 43 certified beds as a nonprofit, and its most recent inspection in February 2026 left four deficiencies on record, none at the harm level, but one tied to abuse, which is worth asking about directly. Nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86, and weekends run about 12% thinner than weekdays, so coverage isn't evenly spread. Annual turnover of 47.7% edges past the national 45.8%, meaning nearly half the nursing staff turns over each year. Inspections and quality measures both rate well; staffing is the weaker leg holding this home up.

Nurse hours

3.10 /day

Staff turnover

53%

Serious cites

0

West Ridge Specialty Care runs on thinner nurse coverage than most homes, 3.10 hours per resident day against a national average of 3.86, and weekends drop about 17% below what the building staffs during the week. That gap matters most on Saturdays and Sundays, when families often visit and notice. Turnover sits at 53.2%, well above the 45.8% national figure, so many of the people caring for residents are still learning the building. The current record shows 13 deficiencies, none at the harm level, though two are abuse-related, and the last full inspection was in July 2024. It's a nonprofit home with 78 beds, and its quality measure scores run low even as staffing earns a higher mark. Worth asking about weekend coverage and the abuse citations directly.

Nurse hours

2.77 /day

Staff turnover

50%

Serious cites

0

Lyon Specialty Care runs on 2.77 nurse hours per resident per day, roughly 28 percent under the national average of 3.86, and weekends dip about 9 percent below its own weekday staffing. That thin margin matters more in a 45-bed nonprofit home where turnover sits at 50 percent, above the national 45.8 percent. The inspection record is a mixed picture: 18 deficiencies on file, none at the harm or jeopardy level, but two tied to abuse. A June 2025 inspection is recent, and four out of five stars on both health inspections and quality measures suggest care is being delivered well despite the staffing shortfall. Ask about weekend coverage and how they handle the two abuse-related findings.

Nurse hours

3.01 /day

Staff turnover

64%

Serious cites

0

Avoca Specialty Care runs 46 certified beds as a nonprofit, and its nurse staffing sits at 3.01 hours per resident day, roughly 22% under the national average of 3.86. Weekend coverage drops about another 10% below its own weekday levels, and annual turnover hits 63.9% against a national 45.8%, so the same faces aren't always there. The inspection record carries 68 deficiencies, including one at the harm or jeopardy level and four tied to abuse, and the most recent inspection was in early 2026. Quality measures score better than that record suggests, but the staffing hours and the deficiency count are what a family should weigh when deciding.