Best Memory Care in Iowa

Overview of Accura Healthcare of Spirit Lake

Accura Healthcare of Spirit Lake is an 85-bed privately owned skilled nursing facility at 1912 Zenith Avenue in Spirit Lake, Iowa, offering short-term rehabilitation, long-term care, memory care, and respite services to residents in Dickinson County.

The facility holds a 1-star overall CMS rating, driven largely by its health inspection sub-rating — also 1 star and 64.9% below the Iowa average. In August 2024, CMS imposed a $35,000 civil money penalty and a 31-day payment denial for new Medicare and Medicaid admissions, both stemming from the same enforcement action. These findings are significant, and families should weigh them alongside the full inspection record.

Nurse staffing averages 4 hours and 18 minutes per resident per day, matching the Iowa average — a neutral data point in an otherwise below-average profile. Physical therapist staffing is a standout, running double the state average, which matters for short-stay rehabilitation residents. The staff-to-resident ratio, at 1.48:1, is 28% below the Iowa norm of 2.05:1. Short-stay quality measures are above average; long-stay measures are below average. The facility’s current occupancy rate is 66.6%, below Iowa’s average of 75.4%, which suggests availability.

Amenities and services include private short-stay suites, outpatient therapy, a Life Enrichment Program, and outdoor patio and courtyard spaces.

While Accura Healthcare of Spirit Lake may suit short-term post-acute rehabilitation residents who prioritize access to therapy in a smaller Iowa community, families considering long-term placement should carefully review the facility’s inspection history, enforcement actions, and long-stay quality outcomes

Overview of Accura Healthcare of Lake City, LLC

Accura Healthcare of Lake City, LLC is an 80-bed skilled nursing and long-term care community in Lake City, Iowa, providing short-term rehabilitation, long-term care, memory care, and respite services to residents in Calhoun County. It is operated by Accura Healthcare of the Heartland LLC and accepts Medicare, Medicaid, and private pay.

CMS rates the facility at 1 star overall — the lowest tier nationally. The 1-star rating is driven primarily by the facility’s health inspection performance, while staffing levels are noticeably stronger. Adjusted nursing staffing averages 5 hours 10 minutes per resident per day, ranking 31st among 241 Iowa skilled nursing facilities and running roughly 20% above the state average of 4 hours 18 minutes. The facility has received two federal fines in the past three years — $35,000 in January 2025 and $3,000 in September 2023.

Services include 24-hour skilled nursing, a Life Enrichment Program, and an on-site outdoor patio and courtyard.

The combination of strong staffing levels and a 1-star inspection rating positions this facility well for residents and families who prioritize access to hands-on nursing care. However, families should review the inspection record independently before making a placement decision.

Overview of Spurgeon Manor

Spurgeon Manor is a 55-bed nonprofit skilled nursing and memory care community in Dallas Center, Dallas County, Iowa, offering skilled nursing, rehabilitation, memory care, and assisted living services to residents across the greater Des Moines area. It is administered by Crystal Scroggin.

Spurgeon Manor holds a 5-star CMS overall rating — the highest possible — with every sub-rating performing above Iowa averages. Staffing is the standout: nurse staffing averages 5 hours and 36 minutes per resident per day, roughly 27% above the Iowa average of 4 hours and 25 minutes, ranking the facility 18th among 241 Iowa skilled nursing facilities.

Across 21 inspections since 2020 — 40% more visits than the Iowa average of 15 — the facility averaged 1.4 deficiencies per inspection, 22% below the Iowa mean of 1.8. The most recent inspection on December 10, 2025, accepted the facility’s plan of correction. Two substantiated complaints appear in the record: one involving timely abuse reporting (February 2023) and one involving the posting of required information (August 2024). No fines, immediate jeopardy findings, or license actions have been issued.

The facility’s occupancy rate is 89%, well above the Iowa average of 75.4%, reflecting consistent local demand. The facility accepts both Medicare and Medicaid and maintains 24-hour staffing. On-site services include physician services, laboratory, pharmacy, podiatry, and optometry. Amenities include a chapel, private dining rooms, and an exercise room. The facility received a 2021 Silver Achievement in Quality Award.

Spurgeon Manor is best suited for residents seeking long-term skilled nursing or memory care in a small nonprofit community with strong staffing ratios and a consistent compliance record in Dallas Center, Iowa.

Westbrook Acres is a 46-bed skilled nursing facility in Gladbrook, Tama County, Iowa, serving residents with skilled nursing, long-term care, memory care, rehabilitation, hospice, and respite care. The facility has been operated by Crystal Even under family ownership since 1995 and accepts both Medicare and Medicaid.
CMS rates the facility 3 stars overall. Health inspection performance sits at the Iowa average, but staffing trails the benchmark — nurse staffing averages 3 hours and 53 minutes per resident per day, roughly 12% below Iowa’s average of 4 hours and 25 minutes.

Across inspections over the past five years, the facility averaged 6.2 deficiencies per year — 41% above the Iowa average of 4.4. The most recent annual survey in March 2025 cited six deficiencies: RN coverage gaps on multiple dates, failures to notify the Long-Term Care Ombudsman about resident hospitalizations, and inaccurate MDS assessments.

A September 2023 complaint investigation substantiated resident-to-resident physical abuse on the memory care unit, causing actual harm to both residents, and confirmed staff theft of a resident’s narcotic medication. A separate 2024 complaint added RN coverage lapses and a failure to follow a physician’s tube-feeding order. No fines or license actions appear in the available reports.

On-site services include physical, occupational, and respiratory therapy. The facility’s occupancy rate is 96% — well above the Iowa average of 75.4% — with an average length of stay of 345 days, indicating a predominantly long-term resident population.

Westbrook Acres’ memory care unit (CCDI), on-site rehabilitation, hospice access, and Medicaid acceptance position it to serve complex, long-term care needs in a small rural setting in Tama County. Families considering placement should review the facility’s deficiency history and prior abuse-related findings before making a placement decision.

West Point Care Center is a 46-bed skilled nursing facility in West Point, Iowa, offering skilled nursing, short-term rehabilitation, respite care, and Alzheimer’s and dementia care to residents in Lee County. The facility is owned privately by Miriam Johnson and administered by Hattie Boyer.

CMS rates the facility 4 stars overall, driven by a Health Inspection rating 35.6% above the Iowa average. Across 17 inspections since 2020, the facility recorded 25 total deficiencies — roughly 7% below the Iowa average of 27, at 1.5 citations per inspection against a state norm of 1.8. However, the record is mixed: a January 2024 survey substantiated verbal abuse and neglect by a staff member, failure to protect residents from abuse, and delayed reporting of allegations, resulting in a $14,000 federal fine and a 26-day payment denial — the only enforcement actions in the six-year window, and both well below the Iowa fine average of $48,000. The two most recent annual inspections, in August 2024 and June 2025, found no deficiencies.

Nurse staffing averages 4 hours and 31 minutes per resident per day, in line with Iowa averages, with weekend RN staffing 60% above the state norm — a meaningful figure for residents who need consistent clinical oversight through the week. The facility provides 24-hour staffing, wound care, respiratory care, and palliative and hospice services on site.

The facility’s occupancy rate is 59%, below the Iowa average of 75.4%, indicating current availability. The payer mix includes 42% private-pay admissions, 35% Medicare, and 23% Medicaid; the average length of stay is 125 days, reflecting a mix of post-acute rehabilitation and longer-term residents.

West Point Care Center fits residents seeking skilled nursing or post-acute rehabilitation in a small, rural Iowa setting — including those with dementia-related care needs — where current bed availability and on-site clinical services align with both short- and longer-term placements. However, families should review the facility’s prior abuse-related findings and inspection performance before making a placement decision.

Overview of Kahl Home for Aged & Infirm

Kahl Home for Aged & Infirm is a nonprofit nursing facility in Davenport, Iowa, with 112 beds, operated by the Carmelite Sisters for the Aged and Infirm. The community accepts Medicare, Medicaid, and private pay, and provides long-term care, skilled nursing, short-term rehabilitation, memory care, and respite placements to residents in Scott County.

CMS rates the facility 2 stars overall, mainly due to its Health Inspection record. In the past six years, the facility underwent 32 inspections, more than twice Iowa’s average of 15, pushing total deficiencies to 74% above the state mean. At the individual survey level, though, the facility performs somewhat better: deficiencies per inspection are 17% below the Iowa average.

Substantiated complaints in the record include a medication error that led to hospitalization, a resident elopement, and more recent findings involving pressure ulcer care and unsafe mechanical lift transfers. No fines or license suspensions are available in the reports.

The facility’s Quality Measures are stronger, with a 4-star CMS rating, with long-stay outcomes and short-stay measures above the state’s averages. Hospitalizations and emergency department visits among long-stay residents are well below state norms. Nurse staffing averages 12% below the Iowa average at 3 hours and 52 minutes per resident each day.

The facility’s occupancy rate is 93%, well above Iowa’s average of 75.4%, a consistent signal of strong local demand. Amenities available on-site are a bistro, pub, courtyards, and common living areas. In 2026, the facility received the Locals Love Us award for Best Nursing Home in the Quad Cities for the 13th consecutive year.

Kahl Home for Aged & Infirm serves residents seeking long-term or post-acute care under mission-driven, nonprofit operations in Davenport, particularly those for whom strong quality-measure performance and high occupancy are meaningful indicators alongside an elevated inspection footprint.

Overview of Newton Village INC

Located on North 5th Avenue West in Newton, Iowa, Newton Village Inc. 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.

Overview of Scottish Rite Park Health Care Center

Owned by Mark Allen, Scottish Rite Park Health Care Center is a nursing home in Des Moines, Iowa. The facility accepts Medicare and private pay, giving families flexibility in how they cover skilled nursing care. With an average stay of 119 days, the 51-bed home accommodates short-term post-acute rehab residents and those needing longer-term care. The facility’s current occupancy is 61%, which is a moderate census.

The center has a substantial clinical backbone. Daily nurse staffing averages nearly 6 hours per resident each day. Registered nurses contributed about 1 hour and 15 minutes of that, supported by nursing aides providing 3 hours and 24 minutes. This staffing structure can support the home’s rehabilitation focus. Other services include physical, occupational, and speech therapy. The facility also offers respite care for families seeking short-term support, and there’s 24-hour nursing oversight to provide continuous clinical presence.

Amenities and activities are designed for engagement and wellness. Residents can access an indoor walking track and fitness center, a heated pool and hot tub, a fully stocked library, a woodworking shop, and a movie theater. The dining room serves meals from 6:30 AM to 6:30 PM, so there’s a consistent schedule for daily dining.

The surrounding neighborhood’s Walk Score of 91 is very walkable. This can be convenient for visiting family members navigating the area on foot. The facility’s regulatory standing shows a generally compliant operation, with oversight attention on clinical documentation, care planning, and staff training.

Overview of Prestige Care Center of Fairfield

“Owned by Corey Fuchs, Prestige Care Center of Fairfield is a skilled nursing home in Fairfield, Iowa. The 73-bed community has an occupancy rate of 81%, and residents stay an average of 298 days. Medicare, Medicaid, and private pay are accepted, giving families several options for covering the cost of care.

The facility’s location is in a highly walkable neighborhood with a Walk Score of 87, meaning most errands and nearby destinations are within walking distance. This accessibility can be helpful for residents and visiting family members spending time in the area.

Daily nurse staffing averages 3 hours and 24 minutes per resident. Registered nurses, licensed practical nurses, nurse aides, and licensed vocational nurses work across shifts to provide hands-on support. This staffing structure can support both medical and personal care needs within the community.

State inspections show the home’s efforts to maintain compliance and safety standards. The facility addressed earlier concerns, and a follow-up inspection confirmed substantial compliance. Families considering the home should take a tour of the facility, ask about current operations and programs, and speak with staff about how they meet residents’ medical and personal care needs.”

Overview of Crown Pointe Estates Al Memory Care

Designed for residents with memory care needs, Crown Pointe Estates Al Memory Care is a small assisted living community in Sioux Center, Iowa. The 32-bed community operates under Sioux Center Health and is located on 7th Avenue Southeast. The neighborhood has a Walk Score of 72, so many nearby services and errands are within walking distance.

The home opened 3 years ago and currently operates at full occupancy. Residents tend to remain in the community for an extended period. The average length of stay is 896 days, which includes people living with dementia who need ongoing support, security, and specialized care.

Staffing is a major part of the community’s care model. The facility has 24-hour staffing, and residents receive an average of 5 hours and 49 minutes of nursing care daily. Registered nurses provide 47 minutes of care per resident daily. Nurse aides contribute 3 hours and 32 minutes, while licensed practical nurses provide another 28 minutes. That’s a consistent level of support throughout the day and night. Residents have access to skilled care as well as direct personal assistance.

State inspections found that the community is in good standing. Inspection findings identified no regulatory insufficiencies or deficiencies. A complaint investigation was also completed with no insufficiencies identified. The facility doesn’t have any citations.

Families looking for memory care in the Sioux Center area may find the community’s smaller size appealing. It’s fully occupied, has a long average length of stay, and focuses specifically on caring for people living with dementia. The walkable location can also make visits more convenient for family members.