From 1 posting and the employer’s site · Employer research Aug 13, 2026Sources
The short version
You would be walking into Altoona Nursing and Rehab in Altoona, Iowa—a nursing and rehab setting in a town that sits minutes from Des Moines on I-80 and I-235. The facility has posted that it is filling up and has asked people to send referrals, listing sign-on, referral, and attendance bonuses as available for positions.
Employer research, Aug 13, 2026
Sign-on, referral, and attendance bonuses are listed as available for positions here.
For experienced nursesSources
As of 2026Source: facebook.comA sign-on bonus is posted as available for positions if you are weighing first-job offers.
For new gradsSources
As of 2026Source: facebook.comThe facility has said it is filling up and is actively asking staff to send referrals.
For experienced nursesSources
Nursing here
Published pay and benefits
- Sign-on bonus
Sign on bonus available for positions
As of 2026
Sources
- Benefits
Referral bonuses available for positions
As of 2026
Sources
- Benefits
Attendance bonuses available for positions
As of 2026
Sources
The hard parts
Bonus dollar amounts are not published—only that sign-on, referral, and attendance bonuses exist.
Sources
As of 2026Source: facebook.comBonus amounts are not published
Employer research, Aug 13, 2026
No usable base-pay figures from our postings yet
Employer research, Aug 13, 2026
Little public detail on scheduling, ratios, or unit culture
Employer research, Aug 13, 2026
What to ask
- How is base pay set for the role, and which differentials apply?
- Which shifts are open, and what are the weekend, holiday and call rules?
- How long is orientation, and will I have one preceptor?
- What does a usual day’s workload look like?
Living in Altoona, IA
Altoona is a growing Des Moines suburb known for family-friendly attractions like Adventureland amusement park. This central Iowa community offers a small-town feel with easy metro access, making it appealing for nurses seeking quieter living near urban amenities.
Browse roles in Altoona- State price level · Iowa
- 12% below the national average
- State index 87.8 (100 = national)
- Median gross rent
- $1,235/mo
- rent and tenant-paid utilities
- Median household income
- $86,114/yr
- all local households, not nurse pay
U.S. Bureau of Economic Analysis · 2024 Regional Price Parities · Census ACS 2024
Current openings at Altoona Nursing and Rehab
Sources
- altoonanursingandrehab.com
Employer website
- facebook.com/altoonanursingrehab/posts/big-day-at-altoona-nursing-and-rehab-we-are-filling-up-so-send-them-referrals-fa/1606135308190771
The short version, Nursing here, The hard parts · as of 2026
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If you and your preceptor aren't clicking, talk to your manager. Ask for a different approach, or a different pairing.