We arrange tours, appointments, and even moving support so you don’t have to
2
Ranked on Data, Not Dollars
We rank communities on objective measures like inspection records, quality scores, and care data, so you can find trusted options without the guesswork.
3
Personalized Guidance
From lifestyle matching to help with insurance and financial assistance, we make sure the community is the right fit
Explore Open Rooms
1Contact details
2What type of senior care service are you looking for?
3What budget do you have in mind for senior care?
4How soon do you need to find care?
5Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
Why trust this guide?
Our editorial team analyzed 239 nursing homes in IA using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in IA
Avg Overall CMS Rating:3.1/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Iowa. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:3.5/ 5The average Staffing Rating across all CMS-certified nursing homes in Iowa. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.9/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Iowa. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Iowa average is: 60.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
A community that strives in exceedingly making its residents comfortable, the Wesley Acres offers the best balance of urban living and assistance with everyday living. A proud member of the Wesley Senior Living Group, Acres places integrity at the heart of its mission; ensuring that residents can feel inspired in creating a better life with the continuum of care being provided. Wesley Acres is an elegant senior living home that aims to enhance and enrich the lives of its residents.
Wesley offers independent living, assisted living, memory care, short-term rehabilitation, and long-term care. Their engaging activities and programs to name a few are the recreational activities, fitness activities, and entertainment programs available for residents to take part in at the library, media room, or outdoor social areas.
Meth Wick Community is a place where life is brimming with vivid and authentic experiences. This not-for-profit community offers a range of senior living options including independent living, Independence Plus, assisted living, memory care, and nursing care. The 68-acre wooded campus has been providing care since 1961. This home also places an emphasis on wellness, offering classes to help residents maintain their physical, mental, and emotional health.
They house bariatric specialty suits to provide additional support for those who need it. Transportation services make it easy to get around, and the 14,000 square foot social hub is the perfect place to gather with friends and neighbors. The social hub features a library, fitness room, doctor’s office, and more. Residents can even join book clubs and bus trips and stay connected with donors and the community’s needs through the Legacy newsletter. Moreover, the facility is equipped with a Wick Endowment Fund to assist residents who have exhausted their resources. They strongly prioritize security and comfort, providing both total independence and total care in one place.
Welcome to Sunrise Retirement Community, a distinguished assisted living community nestled in Sioux City, Iowa. Sunrise takes great pride in its resident-centered care philosophy, focusing on individual needs and promoting the “freedom of choice” for the beloved residents. The community’s approach aims to create an inviting and less institutionalized environment, allowing residents to experience increased independence, privacy, and flexibility in their daily lives. At Sunrise, the team tailors services to cater to each resident’s unique preferences and requirements, ensuring they receive the best possible care that suits them best.
As part of Sunrise Retirement Community’s commitment to enhancing the quality of life for the residents, the community has embraced the Eden approach, fostering meaningful connections with children, pets, and green spaces, further enriching their daily experiences. The funding sources for Sunrise include Medicare, Medicaid, third-party arrangements, and private payment options, ensuring that compassionate care is provided while addressing residents’ financial considerations. At Sunrise Retirement Community, the staff deeply cares for the residents, establishes meaningful connections every day, leads with boldness, and serves faithfully, creating a nurturing and fulfilling environment for all.
Situated in Ankeny, Iowa, Mill Pond provides independent living, assisted living, memory care, skilled nursing, and rehabilitation services within a single mid-rise, smoke-free community. Owned by PHS Management, LLC and administered by Jesica Culp, it has supported older adults for more than 20 years. Housing options include studio, one-bedroom, and two-bedroom apartments, and the community accepts Medicare, Medicaid, and private-pay residents.
The 60-bed setting typically maintains high occupancy and serves both short-term rehabilitation patients and long-term residents. Many Medicare residents stay for a limited recovery period before returning home. Independent living and assisted living apartments feature open layouts, full kitchens, individual climate controls, and pet-friendly accommodations.
Residents have access to daily assistance, housekeeping, laundry, social services, pastoral care, transportation, and organized recreational and fitness opportunities. Dining includes multiple meal selections, while a Presbyterian heritage continues to influence the culture and values of the community. Nursing support is available around the clock, with registered nurses, licensed practical nurses, and nurse aides providing an average of 4 hours and 54 minutes of care per resident each day.
Regulatory reviews conducted by the Iowa Department of Inspections, Appeals, and Licensing have examined areas such as resident rights, care planning, medication records, and food safety practices. Recent complaint investigations found Mill Pond in substantial compliance, and no federal penalties have been reported in recent years.
Green Hills Retirement Community offers a vibrant lifestyle designed to support those in their golden years. This sprawling 33-acre property, nestled near Iowa State University, provides an exquisite living experience for individuals aged 55 and above. The community boasts beautifully appointed living spaces, ranging from apartments to townhomes, ensuring residents have a variety of comfortable options to choose from.Beyond the luxurious accommodations, Green Hills offers a plethora of wellness opportunities, engaging activities, and delightful restaurant-style dining experiences, creating a fulfilling environment for its residents.
They provide specialized memory care services, catering to individuals with dementia, alongside independent living options. The community is characterized by a compassionate atmosphere, where residents can enjoy their lives to the fullest. Moreover, Green Hills features a Medicare five-star rated health care center, offering both short-term and long-term services, including comprehensive rehabilitation programs. With all these amenities and services under one roof, Green Hills Retirement Community truly becomes a premier choice for residential assisted living.
Surrounded by thriving local amenities in Dubuque, IA, Bethany Home Retirement Center is an outstanding community that offers independent living, memory care, and rehabilitation. Featuring purposely built and spacious one- and two-bedroom floor plans, the community ensures residents are comfortable and safe. Housekeeping, laundry, and maintenance are taken care of, providing residents more time to do the things they love.
A variety of recreational activities and engaging programs are conducted to keep residents active and socially connected. With a food service program, residents enjoy delightful and healthy meals that cater to their dietary needs and preferences. The community also offers wellness services to improve residents’ living experiences. Residents are guaranteed the finest retirement experience amidst the community’s vibrant and welcoming environment.
West Ridge Care Center in Cedar Rapids, Iowa, provides exceptional long-term care and top-notch short-term rehabilitation services that truly make a difference in the lives of older adults. With their skilled care and goal-oriented treatment programs, they strive to create a safe and fulfilling environment where residents can thrive. Their nursing home facilities are designed to reflect a warm and welcoming home-like atmosphere, with beautifully appointed residence rooms, inviting dining areas, and comfortable gathering spaces where meaningful connections can be formed.
They understand the importance of nursing home activities in promoting engagement and overall well-being. From arts and crafts to group outings and interactive games, there’s always something exciting happening. West Ridge Care Center also recognizes the importance of meeting nursing home requirements to ensure the highest standards of care. They offer occupational, physical, and speech therapy to promote optimal recovery and independence. Their social services team is always there to provide support and assistance, while the dietary services team ensures that every meal is delicious, nutritious, and tailored to individual needs. In collaboration with local hospice programs, they work closely to provide compassionate end-of-life care when needed, ensuring that every resident’s journey is respected and supported.
Terrace Glen Village is an exquisite senior living community in Marion, Iowa, that is good at making a difference in nursing homes and assisted living communities. It offers a range of services, including independent living, assisted living, and short-term care options, with a focus on providing exceptional nursing home care. Their team is well-equipped to handle complex medical needs, providing personalized care plans and specialized services that cater to individual requirements. From medication management to specialized therapies, residents can rest assured that their well-being is in capable hands.
From the beautifully designed living spaces to the delicious dining experiences, Terrace Glen Village is dedicated to creating an environment that goes beyond the ordinary. The dedicated team of professionals is well-versed in providing the highest level of care and support, ensuring that residents’ physical and emotional well-being is prioritized every step of the way.
Briarwood Health Care Center of Iowa City offers a haven of reliable and comprehensive services, encompassing rehabilitation, long-term care, and respite care. The center’s serene setting creates an atmosphere akin to heaven, providing a well-maintained and inviting community for its residents. One of the center’s standout features is its specialization in skilled therapy services, tailored to aid individuals transitioning from hospital-based settings to their previous levels of independence. With a patient-centered approach at its core, the center boasts a vibrant and dynamic events calendar, accompanied by a monthly newsletter that keeps residents engaged and informed.
Around-the-clock nursing services ensure that residents receive the support they need, including specialized treatments such as IV medications, wound care, and therapeutic services like occupational, physical, or speech therapy. The center’s commitment to individualized care extends to customized nutrition services, reflecting its dedication to meeting residents’ unique needs. The center’s excellence is further underscored by its high nursing home ratings, a testament to its unwavering commitment to quality care. As a reputable establishment, the Briarwood Health Care Center is fully compliant with nursing home rules and regulations, ensuring a safe and well-regulated environment for residents.
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.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Iowa
What's the difference between assisted living and a nursing home in Iowa?
Assisted living in Iowa is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Iowa Medicaid cover nursing home care?
Yes — Iowa Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 239 nursing homes in Iowa. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Iowa?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Iowa, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Iowa?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
Need Help?
Let us help you or a loved one find the perfect senior home.
