Medicare payroll records
Nursing home staffing in Iowa: residents per CNA, home by home
Iowa's middle nursing home has one nurse aide on duty for every 9.6 residents at an average hour (the middle US home 10.7), and 41.7% of its nursing staff left in a year, by what 378 nursing homes report to Medicare from their payroll (Oct 2026). Below, the 37 hiring on this site, fewest residents per aide first, each opening its jobs.
Iowa nursing homes hiring now, by staffing
Each nursing home hiring on this site, as it reports to Medicare, fewest residents per aide on duty first. Iowa's middle home: 9.6 per aide.
| Nursing home | Residents per aide on duty | Per licensed nurse | Staff turnover | Agency aide hours | Staffing rating | Overall rating |
|---|---|---|---|---|---|---|
| Hallmar VillageCedar Rapids | 6.6 | 18.8 | 57.7% | 2.1% | 4 of 5 | 2 of 5 |
| Walnut RidgeClive | 6.6 | 18.1 | 30.4% | 0.0% | 5 of 5 | 5 of 5 |
| Mount Carmel BluffsDubuque | 7.4 | 17.4 | 30.9% | 0.8% | 5 of 5 | 5 of 5 |
| Grandview Healthcare CenterOelwein | 7.5 | 23.4 | 29.6% | 12.2% | 3 of 5 | 4 of 5 |
| Mill-PondAnkeny | 7.6 | 18.6 | 25% | 1.6% | 5 of 5 | 5 of 5 |
| Highland Ridge Care Center, LLCWilliamsburg | 7.9 | 24.4 | 37.9% | 0.2% | 5 of 5 | 3 of 5 |
| Prairie GateCouncil Bluffs | 8.2 | 16.6 | 49.1% | 0.4% | 5 of 5 | 3 of 5 |
| Buchanan County Health CenterIndependence | 8.6 | 15.8 | 24.2% | 0.0% | 5 of 5 | 5 of 5 |
| Willow Dale Wellness VillageBattle Creek | 8.6 | 19.0 | 43.6% | 0.0% | 4 of 5 | 4 of 5 |
| Azria Health Rose VistaWoodbine | 8.8 | 23.5 | 42% | 0.0% | 4 of 5 | 2 of 5 |
| Harmony Cedar RapidsCedar Rapids | 8.8 | 21.1 | 69.7% | 0.0% | 2 of 5 | 2 of 5 |
| Colonial Manor of ElmaElma | 8.9 | 20.5 | 60.9% | 28.5% | 4 of 5 | 1 of 5 |
| Rehabilitation Center of HamptonHampton | 9.0 | 21.2 | 57.9% | 6.1% | 2 of 5 | 5 of 5 |
| Dunlap Specialty CareDunlap | 9.3 | 22.0 | 29.4% | 0.0% | 5 of 5 | 4 of 5 |
| Elm Crest Retirement CommunityHarlan | 9.4 | 16.4 | 75.4% | 44.6% | 3 of 5 | 2 of 5 |
| Azria Health Park PlaceDes Moines | 9.5 | 24.6 | 68.8% | 0.2% | 2 of 5 | 1 of 5 |
| Lantern Park Specialty CareCoralville | 9.5 | 21.1 | 46.8% | 0.0% | 4 of 5 | 2 of 5 |
| River Valley Nursing and RehabilitationPleasant Valley | 9.6 | 31.9 | 50% | 0.0% | 2 of 5 | 2 of 5 |
| Franklin General HospitalHampton | 9.7 | 17.4 | 26.3% | 0.0% | 5 of 5 | 5 of 5 |
| Park View Rehabilitation CenterSac City | 9.7 | 16.4 | 50.9% | 8.9% | 3 of 5 | 2 of 5 |
| Rehabilitation Center of LisbonLisbon | 9.7 | 22.5 | 56.9% | 1.6% | 3 of 5 | 4 of 5 |
| Manly Specialty CareManly | 9.8 | 18.3 | 17.6% | 0.0% | 5 of 5 | 3 of 5 |
| Azria Health Prairie RidgeMediapolis | 10.0 | 21.3 | 59.7% | 9.8% | 3 of 5 | 1 of 5 |
| Southridge Specialty CareMarshalltown | 10.0 | 20.2 | 34.7% | 0.0% | 4 of 5 | 2 of 5 |
| Azria Health LongviewMissouri Valley | 10.1 | 16.0 | 61.2% | 2.8% | 3 of 5 | 1 of 5 |
| Northgate Care CenterWaukon | 10.2 | 22.6 | 55.3% | 22.7% | 4 of 5 | 1 of 5 |
| Harmony DubuqueDubuque | 10.7 | 23.3 | 68.5% | 21.4% | 2 of 5 | 2 of 5 |
| Lake Mills Care CenterLake Mills | 10.7 | 20.2 | 33.3% | 0.0% | 3 of 5 | 4 of 5 |
| Northcrest Specialty CareWaterloo | 11.0 | 18.8 | 42.5% | 0.0% | 4 of 5 | 2 of 5 |
| Dubuque Specialty CareDubuque | 11.3 | 22.4 | 62.3% | 0.0% | 3 of 5 | 2 of 5 |
| Ridgewood Specialty CareOttumwa | 11.5 | 18.5 | 44.7% | 0.0% | 4 of 5 | 3 of 5 |
| Centerville Specialty CareCenterville | 11.6 | 16.0 | 43.9% | 0.0% | 4 of 5 | 3 of 5 |
| Odebolt Specialty CareOdebolt | 12.3 | 15.2 | 37.9% | 0.0% | 4 of 5 | 2 of 5 |
| Creston Specialty CareCreston | 12.5 | 16.5 | 41.8% | 0.0% | 3 of 5 | 3 of 5 |
| Corydon Specialty CareCorydon | 12.8 | 15.0 | 25% | 0.0% | 4 of 5 | 4 of 5 |
| Hiawatha Care CenterHiawatha | 12.9 | 28.8 | 33% | 0.0% | 1 of 5 | 3 of 5 |
| Lyon Specialty CareRock Rapids | 13.6 | 16.4 | 54.1% | 0.0% | 4 of 5 | 4 of 5 |
Residents per aide on duty averages the day's 24 hours: day shifts have more aides and nights fewer. Licensed nurses are RNs and LPNs. Turnover is the share of nursing staff who left in a year. Ratings are Medicare's, 1 to 5 stars.
Agencies that place CNAs and nurses in Iowa
Agency staff worked 3.9% of the nurse aide hours in Iowa's nursing homes (1 Apr to 30 Jun 2026).
Selected agencies hiring now
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Places travel and local contract nurses and allied professionals.
Places: Nurses, CNAs & PCTs, Therapy & rehab, Mental health
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Places RNs, LPNs and allied professionals in travel, local, per diem and permanent jobs.
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These agencies and apps pay CareJobs.Now a referral fee when someone we introduce is placed or signs up. It costs you nothing and never changes your pay. Hospital and clinic jobs below keep their own order.
Nursing home staffing in Iowa: common questions
What is the CNA to resident ratio in Iowa nursing homes?
At Iowa's middle nursing home, one nurse aide is on duty for every 9.6 residents at an average hour; the middle half of its 378 nursing homes run from 8.5 to 10.7, against 10.7 at the middle US home. Day shifts have more aides on the floor and nights fewer. Licensed nurses (RNs and LPNs) have 19.2 residents each. From what each home reports to Medicare from its payroll (Oct 2026).
Which nursing homes in Iowa hiring now have the most aides per resident?
Of the 37 Iowa nursing homes hiring on this site, the fewest residents per aide on duty: Hallmar Village in Cedar Rapids (6.6), Walnut Ridge in Clive (6.6) and Mount Carmel Bluffs in Dubuque (7.4). Every one is listed with its turnover and Medicare ratings, and each opens its open jobs.
How much nursing staff turnover do Iowa nursing homes have?
At the middle Iowa nursing home, 41.7% of the nursing staff left in a year (the middle half 33.3% to 52.1%), against 44.7% at the middle US home; 40% of its registered nurses.
How much do Iowa nursing homes use agency CNAs?
From 1 Apr to 30 Jun 2026, agency (contract) staff worked 3.9% of the nurse aide hours in Iowa's nursing homes (US: 4.9%) and 7.6% of nurse hours; 177 of its 383 homes used some, by what each reports to Medicare's Payroll-Based Journal. Travel and agency healthcare jobs are listed every night.
Where are the nursing home jobs in Iowa?
340 open nursing home and senior care jobs in Iowa are listed from the employers' own job boards, by kind of job.
Nursing home staffing in other states
Each state's figures and the nursing homes hiring there.
- Texas171
- Illinois113
- Florida93
- New York92
- Indiana89
- Pennsylvania89
- Missouri81
- California72
- Ohio71
- North Carolina65
- New Jersey64
- Massachusetts49
- Connecticut48
- Maryland40
- Michigan39
- Minnesota38
- Wisconsin35
- Georgia34
- Tennessee27
- Alabama26
- Virginia26
- Louisiana20
- Nebraska19
- Colorado18
- Arizona17
- Kansas17
- Kentucky17
- Oregon17
- Washington17
- Delaware13
- Arkansas12
- South Carolina10
- Idaho8
- Oklahoma8
- Montana7
- New Mexico6
- South Dakota6
- Mississippi5
- New Hampshire5
- Vermont4
- Wyoming4
- West Virginia3
- Maine2
- Nevada2
- Alaska1
- Hawaii1
- Rhode Island1
- District of Columbia
- North Dakota
- Utah
Sources and method
Each nursing home's reported nurse aide, LPN and RN hours per resident per day and its nursing staff turnover, as Medicare publishes them from the Payroll-Based Journal. Residents per staff member on duty is 24 divided by the hours per resident per day. The state's figure is its middle nursing home's (the median). A nursing home is listed here when an employer this site reads names it by its Medicare number.
- Centers for Medicare & Medicaid Services, Nursing Home Provider Information (Care Compare), Oct 2026, published 1 Oct 2026
- Centers for Medicare & Medicaid Services, Payroll Based Journal Daily Nurse Staffing, 1 Apr to 30 Jun 2026
Cite this page
CareJobs.Now. (2026). Nursing home staffing in Iowa. Data as of 1 Oct 2026. https://carejobs.now/nursing-home-staffing/iowa