Every one of the 9 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
2 of these hold the top CMS rating of five. 4 sit at one. Registered nurse cover averages 0.99 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| St Luke's Regional Medical Center SNF | Sioux City | 5 | 5 | 4 | 3.32 | 20 | $0 |
| Sunrise Retirement Community | Sioux City | 5 | 4 | 5 | 1.03 | 74 | $0 |
| Holy Spirit Retirement Home | Sioux City | 3 | 2 | 4 | 0.72 | 78 | $0 |
| Accura Healthcare of Sioux City, LLC | Sioux City | 3 | 3 | 4 | 0.43 | 46 | $0 |
| Casa De Paz Health Care Center | Sioux City | 2 | 2 | 2 | 0.71 | 71 | $0 |
| Embassy Rehab and Care Center ⚑ | Sergeant Bluff | 1 | 2 | 4 | 0.77 | 60 | $0 |
| Westwood Specialty Care | Sioux City | 1 | 1 | 3 | 0.75 | 85 | $181,086 |
| Correctionville Specialty Care | Correctionville | 1 | 1 | 4 | 0.59 | 39 | $60,316 |
| Pioneer Valley Living And Rehab | Sergeant Bluff | 1 | 1 | 4 | 0.56 | 66 | $0 |
⚑ marks a facility CMS cited for abuse.
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| Non profit - Corporation | 4 |
| For profit - Limited Liability company | 3 |
| For profit - Corporation | 1 |
| Non profit - Other | 1 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.