Best Hospice Care in Iowa

Karen Acres Health Care Center is a rehabilitation facility and nursing home located in Urbandale, IA, just above Karen Acres Elementary School. The main services they offer are rehabilitation, and long-term care. Their long-term care residents receive 24/7 RN or LPN provided assistance, grooming and feeding assistance, medication management, as well as mobility assistance for those who need it.

This long term nursing home also provides hospice care, as well as respite care with a minimum of 7 day required stay. Karen Acres Health Care Center also offers bespoke care plans that will surely cater to the patient’s needs, in order for them to keep their cognitive and physical health at the highest level.

Located in a highly walkable neighborhood, St Francis Manor is a skilled nursing home with a strong focus on rehabilitation services. The 78-bed facility has been serving the community for 49 years. Medicare, Medicaid, and private pay give families several options for arranging care.

Rehabilitation is a central part of the facility’s care model. St Francis Manor operates an on-site Rehabilitation Clinic and provides hospital-to-home skilled nursing and rehabilitation services. Residents recovering from surgery, illness, and other acute health events can transition directly into structured care within the community. Physical therapy, occupational therapy, and speech therapy support a wide range of rehabilitation needs. Residents who require ongoing support are provided with long-term nursing care and restorative services.

Daily nurse staffing averages 5 hours and 19 minutes per resident. Registered nurses provide approximately 1 hour and 15 minutes of care each day. They are supported by nurse aides and licensed nurses. This level of staffing provides consistent clinical oversight and hands-on assistance throughout the day.

Wellness and activity are important parts of residents’ daily lives. There’s an on-site S.H.A.P.E. Fitness program, along with a walking track, exercise equipment, and fitness classes for residents who want to maintain strength and mobility. St Francis Manor also has a home healthcare service, so residents can continue receiving care in a setting they are familiar with.

The facility currently has 54 residents living in 78 beds, resulting in an occupancy rate of 69%. State inspections show that the facility has been working to maintain compliance. The most recent review found no health deficiencies. Families considering St Francis Manor should take a tour and explore the therapy areas, fitness amenities, and daily care environment.

Overview of Newton Village

Located on North 5th Avenue West in Newton, Iowa, Newton Village. is a skilled nursing home owned by Paul Anderson. The community provides short-term rehabilitation and long-term skilled nursing care. Staffing is available around the clock, and the facility accepts Medicare and private pay. That gives families some flexibility when arranging coverage.

The 70-bed home has an occupancy rate of 53%. Residents stay an average of 117 days, including those recovering through post-acute rehabilitation and receiving longer-term skilled care. Registered nurses provide about 1 hour and 35 minutes of care per resident each day. Nursing aides average 2 hours and 49 minutes, while total direct nursing care comes to about 5 hours and 9 minutes per resident daily. It’s a staffing model built around both hands-on support and nursing oversight.

Newton Village is in a moderately walkable area with a Walk Score of 67. Some errands and services are within walking distance, but many trips still require transportation. Residents have access to landscaped gardens, walking paths, and patios for outdoor time. There’s also a library, fitness center, beauty salon, and barber shop. Meals are served in a communal setting with chef-inspired dining, and residents can join in lots of activities and events.

Respite care and rehabilitation services are part of the community’s care programs. State inspections have been cleanly documented. Recent certification found no deficiencies or investigated complaints. The facility is in good standing based on those findings. Families considering Newton Village can expect a well-staffed setting that focuses on rehabilitation and skilled care.

Heartland Care Center has operated a 38-bed clinical senior community on East Fenton Street in Marcus, Iowa, since 1994. Under the leadership of administrator Tim Nielsen, the facility maintains an average occupancy level near 76 percent. Accounts are processed through public networks like Medicare and state Medicaid alongside regular private billing, establishing an operational framework where temporary rehab stays are blended with long-term nursing placements.

Residents here receive an average of 4 hours and 44 minutes of direct, hands-on attention from the floor nursing roster each day. Registered nurses dedicate 1 hour and 50 minutes of this daily schedule to handle more complex clinical treatments, collaborating with licensed practical nurses and certified aides to oversee medication distribution and respiratory support.

The property features indoor dining spaces, a beauty salon, and routine spiritual programming, while the surrounding neighborhood registers a walkability score of 31 out of 100, showing that personal cars are necessary for typical regional errands.

Past health audits from state oversight agencies focused on routine documentation checks across care planning records, medication management lines, and standard infection control practices. The management uses these official state surveys to adjust internal clinical policies and maintain ongoing training requirements for the floor staff.

Prospective families can contact the main desk to check on open room availability, ask about dietary accommodations, or coordinate a morning to visit the campus.

Overview of United Presbyterian Home

The United Presbyterian Home operates a 55-bed skilled nursing unit as part of its 35-acre continuing care retirement campus in Washington, Iowa. The facility coordinates billing through Medicare and Medicaid, offering options for people recovering from short-term hospital stays as well as those needing long-term residential placements. Stays here average about 171 days, and visitors will find the local neighborhood highly walkable, scoring an 81 out of 100 for foot travel.

Residents get around 4 hours and 52 minutes of direct daily care from the on-floor nursing staff and nurse aides. To minimize travel for medical checkups, the team partners with specialized therapists to offer physical, occupational, and speech therapy right on campus. The property also runs an independent home health service for residents transitioning back to apartments, cottages, or studios, and features a wellness center equipped with an indoor walking track and a warm water therapy pool.

Reviews by state inspectors over the last 16 years have consistently monitored environmental management, staff supervision, and clinical documentation to ensure regulatory safety guidelines are met.

Prospective families can reach out to the admissions office to check on current bed availability, learn about the campus home health services, or schedule a tour of the grounds. The main desk can also explain the entry paperwork and outline how Medicaid or Medicare applies to the community’s different care programs.

Traditions Memory Care of Newton is a secured, 46-bed facility that specializes entirely in residential care for adults managing Alzheimer’s, dementia, and chronic confusion. The building runs with maximum local utilization, hitting a 100% occupancy rate that places it first in statewide capacity demand rankings. Admissions average a 125-day length of stay, drawing primarily from a combination of Medicaid-backed funding (64%) and private-pay accounts (33%). Financial records point to a sharp operational rebound, with the business turning around its prior-year losses to clear a 2.4% profit margin and a $109.2 thousand net profit in 2023 while dedicating 49.8% of incoming funds to employee payroll.

State regulatory databases record lean clinical oversight hours and high behavioral medication rates alongside recent, corrected care plan interventions. Daily direct care lines deliver 4 hours and 20 minutes of total nursing time per resident, but actual registered nurse hours drop down to 20 minutes a day, and off-peak weekend shifts drop to 2 hours and 46 minutes. This tight nurse coverage coordinates with permanent resident files that show an exceptionally high 44.9% rate for antipsychotic prescriptions, though the charts simultaneously document strong physical prevention marks with zero reported major injury falls.

Interested individuals seeking a specialized, high-demand memory care space can utilize these public health reports to balance the building’s operational details. The state registries outline a completely full, specialized dementia community that has successfully resolved its past regulatory citations, though it handles lean everyday nurse oversight hours and high behavioral medication usage.

Anamosa Care Center is a 64-bed home at 1209 East Third Street in Anamosa, Iowa. Run by Sheri Sigler, the facility has been a staple in the community for over 40 years, providing everything from long-term medical care and hospice to short-term rehab for people recovering from surgery. Payment structures adapt to diverse situations, accepting public health coverage lines via traditional Medicare and state Medicaid alongside standard private funding options. Individual stays average roughly 345 days, meaning the daily scheduling balances temporary post-hospital rehabilitation with extended medical placements.

Residents get a little over four hours of direct care each day. A team of nurses aides and stays on top of medications, monitors everyone’s health, and leads the physical, occupational, and speech therapy sessions. The neighborhood is also really easy to get around, scoring a 72 out of 100 for walkability, which makes it simple for visiting families to walk to nearby spots or run quick errands.

Official evaluations by state health inspectors routinely track floor workflows, focusing on themes such as resident care standards and daily dignity practices to verify compliance with public codes. Administrative supervisors review these inspection results to guide continuing education programs and adjust internal protocols across the nursing shifts.

Families looking into care can call the main office to see if there are any open rooms, ask how outpatient therapy is scheduled, or set up a time to come take a look around.

Owned by the International Association of Lions, Rockwell Community Nursing Home is a nursing home providing rehabilitation and short-term nursing care. The 40-bed community serves residents recovering from illness, injury, and hospitalization who benefit from skilled nursing oversight and therapy services. Medicare, Medicaid, and private pay are accepted, giving families several options for arranging care.

The facility has an occupancy rate of 55%, which can support a more individualized care environment. Residents stay an average of 127 days because of the home’s role as a rehabilitation and recovery community. However, some residents transition into longer-term care when needed.

Daily nurse staffing averages 5 hours and 34 minutes per resident, so residents receive substantial support for their clinical and personal care needs. The nursing team regularly works with residents at different stages of recovery, from post-hospital rehabilitation to ongoing skilled nursing care.

Clinical services are a major part of the community’s care model. Physical therapy, occupational therapy, speech therapy, outpatient therapy services, restorative nursing, and lymphedema management are available on-site. Individual care plans and discharge planning guide each resident’s recovery goals.

The facility also offers respite care for families seeking temporary skilled nursing support for a loved one. Residents can join in group and individual activities, entertainment programs, and enjoy access to beauty and barber services. Home-cooked meals with a variety of menu options are also part of daily life.

The community is located in an area with a Walk Score of 32, where some nearby destinations may be reached on foot, but most travel requires transportation. State inspections show the home is compliant with health requirements.

Parkview Home is a privately owned 34-bed faith-based skilled nursing community in Wayland, Iowa, serving Henry County residents. The facility provides skilled nursing, memory care, rehabilitation, respite stays, and hospice services with 24-hour staffing. Accepted: Medicare, Medicaid, and private pay. Occupancy at 94 percent runs well above Iowa’s 75.4 percent average, with the facility consistently near full capacity.

The 5-star CMS overall rating reflects a health inspection sub-rating 69.5 percent above Iowa average and staffing 34.8 percent above state benchmark, notable for a facility of this size. Nurse hours of 4h 27m per resident day rank 97th among 241 Iowa skilled nursing facilities. Over five years on file, the facility averaged 4.6 deficiencies annually against an Iowa average of 4.4, essentially at the state average, without immediate jeopardy findings, fines, or enforcement actions. The most major finding in the window is an August 2024 citation for failure to report on time a resident’s suicide attempt to the state agency, alongside care plan gaps for residents with seizure disorders, fall risks, and behavioral health needs. The November 2023 annual survey cited medication administration errors and physician notification lapses, insulin held parameters not followed for diabetic residents, oxygen set at the wrong rate, across three residents. Both the June 2025 annual survey and a November 2025 complaint investigation returned clean. Quality Measures run 13.3 percent below Iowa average, the one sub-rating below state benchmark.

Amenities include a beauty shop, a full activities program, communal gathering areas, and transportation services. Hospice services and residential living programs round out the care continuum.

With above-average staffing and a near-full occupancy environment, the community suits Henry County older adults who seek long-term skilled nursing or end-of-life care in a small, faith-centered rural setting.

Overview of Friendship Home Association

Operating for 43 years, Friendship Home Association is a skilled nursing home in Iowa owned by Jessica Andersen. The 46-bed facility provides long-term and post-acute care. It has an occupancy rate of 91%, and residents stay an average of 594 days. Medicare, Medicaid, and private pay are accepted, so families have several options for covering both short-term rehabilitation and longer-term nursing care.

Daily nurse staffing averages 4 hours and 26 minutes per resident. Registered nurses provide 39 minutes of care each day, while nurse aides contribute 2 hours and 33 minutes. LPN and LVN staff provide an additional 32 minutes of daily support. That’s a steady nursing presence throughout the day, especially for residents who need hands-on assistance with daily activities.

Friendship Home is in a moderately walkable area where some errands and services are within walking distance. Most trips still require transportation. It’s a setting that offers a community feel for residents and visiting family members.

State inspections have documented areas where the home strengthens operational and care protocols. The facility continues to work through these areas as part of its quality oversight efforts. Families considering the home should take an in-person tour and ask how daily operations and care practices are managed.