From 4 postings and the employer’s siteSources
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The short version
Rural Iowa skilled nursing where mission meets mixed employee signals
Southern Hills Specialty Care, part of the nonprofit Care Initiatives network, is hiring RNs for weekend package and night shifts at its 90-bed Osceola facility. Employees report a clear sense of purpose, but Indeed reviews flag low satisfaction and management concerns.
Who it fits
Best fit
- Geriatric nurses: 3 of 4 roles
Nursing here
As part of Care Initiatives' network of 40+ Iowa skilled nursing communities, Southern Hills emphasizes compassionate, resident-focused care in a close-knit rural setting. Nurses collaborate in interdisciplinary teams with CNAs, LPNs, and providers. The facility advertises competitive wages plus shift differentials, and employees note opportunities to learn new skills—though reviews also cite low overall satisfaction, weak management scores, and limited flexibility.
Benefits
The employer advertises competitive wages and shift differentials.
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Workplace photos
The hard parts
Low overall employee satisfaction rating (1.9/5 on Indeed based on 16 reviews)
Employer research
Poor management rating (1.8/5) and weak job security and advancement scores (1.8/5)
Employer research
Work-life balance rated low at 2.1/5, with concerns about time and location flexibility
Employer research
Trust in colleagues cited as an area for improvement by employees
Employer research
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 Osceola, IA
Osceola sits along I-35 in southern Iowa, offering small-town Midwest living about an hour south of Des Moines. A historic downtown square and East Lake Park anchor the community, giving nurses a quieter pace with outdoor recreation nearby and convenient interstate access to metro amenities.
Browse roles in Osceola- State price level · Iowa
- 12% below the national average
- State index 87.8 (100 = national)
- Median gross rent
- $943/mo
- rent and tenant-paid utilities
- Median household income
- $68,284/yr
- all local households, not nurse pay
U.S. Bureau of Economic Analysis · 2024 Regional Price Parities · Census ACS 2024
Common questions
Which shifts are open?
Of the 2 roles with a stated shift, 2 are night shifts.
Which units are hiring?
Geriatric (3) and MDS coordinator (1).
How do I apply?
Choose a role and press Apply. Your application comes to our team, we send it to Southern Hills Specialty Care, and we tell you what happens next.
Current openings at Southern Hills Specialty Care
- RN
- Night shift
- Tuition reimbursement
- RN
- Night shift
- Tuition reimbursement
Want to work here?
The hiring team at Southern Hills Specialty Care sees your name and profile, never your email or phone.
Sources
- careinitiatives.org/southern-hills-specialty-care
Employer website
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