Staff turnover at Iowa nursing homes
In a typical Iowa nursing home, 42% of nursing staff left within a year. Turnover matters because residents do best with caregivers who know them.
CMS data as of August 1, 2026. Nursing homes only; assisted living is not covered by Medicare ratings. Homes averaging under 20 residents a day, such as short-stay hospital units, are left out because their numbers swing widely.
Highest nursing staff turnover in Iowa
High turnover can mean less familiarity with each resident. Ask how long the aides on your floor have worked there.
| Nursing home | City | Nursing staff who left | Registered nurses who left | Administrators who left |
|---|---|---|---|---|
| The bridges at ankeny | Ankeny | 99% | 94% | 1 |
| Altoona nursIng and rehabilitation center | Altoona | 98% | 93% | 2 |
| Regency park nursIng & rehab center of jeffersOn | JeffersOn | 98% | 86% | 0 |
| UniversIty park nursIng and rehabilitation center | Des moines | 98% | 91% | 0 |
| RidgecresT village | Davenport | 97% | 100% | 1 |
| Granger nursIng & rehabilitation center | Granger | 97% | 80% | 0 |
| Arbor sPrings of wesT des moines l l c | WesT des moines | 97% | 78% | 0 |
| WesThaven community | Boone | 96% | 78% | 0 |
| Norwalk nursIng and rehabilitation center | Norwalk | 95% | 67% | 0 |
| HillcresT health care center | Hawarden | 75% | 80% | n/a |
| Harmony cedar rapids | Cedar rapids | 74% | 64% | 1 |
| Caring acres nursIng and rehab center | Anita | 73% | 43% | 2 |
| Harmony dubuque | Dubuque | 72% | 63% | 2 |
| Elm cresT retirement community | Harlan | 72% | 50% | 1 |
| Valley visTa for nursIng and rehabilitation | Newton | 70% | 91% | 0 |
Lowest nursing staff turnover in Iowa
Stable teams are a good sign, best confirmed on a visit.
| Nursing home | City | Nursing staff who left | Registered nurses who left | Administrators who left |
|---|---|---|---|---|
| SunrisE hill care center | Traer | 10% | n/a | 0 |
| SunrisE terrace nursIng & rehabilitation center | Winfield | 12% | 0% | 0 |
| ScottisH rite park inc | Des moines | 14% | 13% | n/a |
| Palo alto county hosPital | EmmetsBurg | 18% | 14% | n/a |
| Good sAmaritan - red oak | Red oak | 18% | 17% | 0 |
| Gracewell, an eventide community | DenisOn | 19% | 7% | 0 |
| I o o f home and community therapy center | MasOn city | 20% | 43% | 0 |
| Community care center | Stuart | 20% | 14% | 0 |
| Hegg memorial health center | Rock valley | 21% | 13% | 0 |
| Colonial manors of columbus community | Columbus junction | 21% | 50% | 0 |
Source: CMS Nursing Home Provider Information (total nursing staff turnover, from Payroll-Based Journal data). A ranking is a starting point for questions, not a verdict. Always check the current Medicare record and visit in person.