Azria Health
Nursing home in Des Moines, IA
- Sign-on bonus up to $5,000 on 1 role
- Hiring nights
From 1 posting, the employer’s site and nurse reviews · Employer research Jul 23, 2026Sources
The short version
A people-first nursing home operator whose Des Moines facility is under scrutiny
Azria Health builds its culture around the belief that 'Happy Team Members make Happy Residents,' with sign-on bonuses and caregiver recognition across its Kansas and Iowa facilities. Its Des Moines location, however, carries a 'much below average' Medicare rating and 2025 inspection citations for rodents, mold, and insufficient staffing.
Night-shift RNs can pick up a $5,000 sign-on bonus on the 6p–6a schedule.
For experienced nursesSources
As of 2026Source: azriahealth.comShifts run 12 hours (6a–6p or 6p–6a), with flexible scheduling and PRN variable-hour options.
For experienced nursesSources
As of 2026Source: talents.vaia.comYou work restorative nursing in long-term care and rehab, including post-hospital, neuro, stroke, and orthopedic recovery.
For new grads
Nursing here
Nurses report finding purpose in restorative care and opportunities to learn, though Indeed ratings for pay, management, and advancement each sit at 3.0 out of 5. The company offers health insurance, PTO, holiday pay, 401K, and Caregiver of the Month recognition. The Des Moines facility received a 'much below average' overall Medicare rating and was cited in 2025 state inspections for 'free roaming' rodents, leaking ceilings, mold, and insufficient staff—issues that may have contributed to resident illnesses, according to inspection reports.
- Career development
Employer states path for personal and professional growth and desire to learn and grow with company
Azria Health · employer research
Sources
As of 2026Source: azriahealth.com- Scheduling
12-hour shifts (6a-6p / 6p-6a); flexible scheduling available; PRN RN variable hours also hired
Azria Health · employer research
Sources
As of 2026Source: talents.vaia.com
Benefits
Health insurance, dental, vision, PTO, holiday pay, 401K; Daily Pay on some RN postings; MyAzria staff platform and Wellbeing Center resources.
Published pay and benefits
- Annual pay
Estimated annual pay range for Day Shift RN $36,000-$60,000
As of 2026
Sources
- Shift pay
Shift differential for 2nd and 3rd shifts (Clarinda RN posting)
As of 2026
Sources
- Sign-on bonus
$5,000 sign-on bonus for Night Shift (6p-6a) RN
As of 2026
Sources
- Sign-on bonus
$10,000 sign-on bonus for full-time Day Shift RN at The Pines at Blue Hill (NE); RN license in Nebraska required
As of 2026
Sources
- Sign-on bonus
Sign-on bonus mentioned for RN at Azria Health Clarinda; pay based on experience plus shift differential for 2nd and 3rd shifts
As of 2026
Sources
- Benefits
Daily Pay available (Day Shift RN posting)
As of 2026
Sources
The units
Long-term care / Rehab (skilled nursing)
Azria Health provides rehabilitation and long-term care; RN roles focus on restorative care to residents.
Sources
Post-hospital / neuro / stroke / orthopedic rehab
Programs include post-hospital rehabilitation, neurological, stroke, and orthopedic care.
Sources
Source location unconfirmedSource: leadiq.com
Workplace photos
What nurses say
Themes from public reviews
Summaries of published reviews, with the original sources.
- Overall employee rating low on Glassdoor
- About 2.5/5 from roughly 60 reviews; only ~29% would recommend; compensation, management, and culture score poorly.
Sources
- Management and ethics concerns
- Former management employee called leadership terrible, pay and benefits poor, and the company unethical; urged others to avoid.
Sources
As of 2021-03-31Source: glassdoor.com- Indeed Omaha ratings more mixed
- Omaha reviews average about 3.1/5; LPN praised residents and teamwork but noted LTC staffing stress.
Sources
As of 2024-06-14Source: indeed.com
More review themes
- Compensation and benefits dissatisfaction
- Glassdoor category scores put compensation and benefits near the bottom (~2.3).
Sources
As of 2026Source: glassdoor.com
The hard parts
Glassdoor sits around 2.5/5 from roughly 60 reviews, with only about 29% willing to recommend and weak scores on pay, management, and culture.
Sources
What to ask
- How is base pay set for the role, and which differentials apply?
- When would a sign-on bonus have to be repaid?
- 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 Des Moines, IA
Des Moines pairs low-friction Midwestern living with an enviable paycheck stretch—expenses sit about 8% below the national average. Trade brutal hospital commutes for easy neighborhood drives, decompress post-shift along the Principal Riverwalk, and spend off-days exploring the Historic East Village. It’s an unpretentious, high-yield landing spot for nurses ready to keep what they earn.
Browse roles in Des Moines- Metro price level · Des Moines area
- 8% below the national average
- BEA index 91.7 (100 = national)
- Median gross rent
- $1,090/mo
- rent and tenant-paid utilities
- Median household income
- $65,932/yr
- all local households, not nurse pay
U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024
Common questions
Is there a sign-on bonus?
Yes, on the one role, up to $5,000.
How do I apply?
Choose a role and press Apply. Your application comes to our team, we send it to Azria Health, and we tell you what happens next.
Current openings at Azria Health
Sources
- azriahealth.com
Employer website, The short version, Nursing here · as of 2026
- facebook.com/azriahealthclarinda/posts/join-our-team-at-azria-healthare-you-a-compassionate-registered-nursebe-a-part-o/1587813993227830
Nursing here · as of 2026
- glassdoor.com/Reviews/Azria-Health-Reviews-E1456133.htm
What nurses say, The hard parts · as of 2026
- glassdoor.com/Overview/Working-at-Azria-Health-EI_IE1456133.11,23.htm
What nurses say, The hard parts · as of 2026
- glassdoor.com/Reviews/Employee-Review-Azria-Health-E1456133-RVW44859336.htm
What nurses say · as of 2021-03-31
- indeed.com/cmp/Azria-Health/reviews
What nurses say · as of 2024-06-14
- leadiq.com/c/azria-health/5a1d97b22300005a008646bb
The short version, Nursing here
- talents.vaia.com/companies/azria-health/day-shift-rn-registered-nurse-38200276
The short version, Nursing here · as of 2026
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Call for help the minute your patient looks off to you, not once you are sure. Needing help is not a mark against you. It puts more eyes on the patient, sooner.
Thirty-four years in the ICU and there is still plenty I do not know. The nurse who keeps asking questions is the one giving good care.