Page 11 of Best Nursing Homes in Iowa

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
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Last updated
We analyzed These are the facilities in Iowa our team has analyzed — not a count of every nursing home provider in Iowa.
239 homes
Other senior care options in Iowa:
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.
National Average: 3.0/ 5

Compare Nursing Homes around Iowa

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 Table AL (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.
Golden Age Care Center
NH
AL
SNF
Centerville
46
Facility 46
IA AVG 72
Rank #272 / 403
87.0%
Facility 87.0%
IA AVG 67%
Rank #79 / 362
+30%
4.71
Facility 4.71
IA AVG 4.30
Rank #70 / 231
-5%+10%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
15
Facility 15
IA AVG 21.7
Rank #102 / 232
3.0
Facility 3.0
IA AVG 4.1
Rank #73 / 232
-40-
66
Facility 66
IA AVG 47
Rank #118 / 504
-
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
IA AVG $6.9M
Rank #183 / 224
$2.4MFiscal year ending 12/2023
Facility $2.4MFiscal year ending 12/2023
IA AVG $4.2M
Rank #176 / 224
62.4%Fiscal year ending 12/2023
Facility 62.4%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #76 / 224
165257
Oelwein Health Care Center
NH
HOS
MC
RC
SNF
Se Oelwein
61
Facility 61
IA AVG 72
Rank #209 / 403
83.3%
Facility 83.3%
IA AVG 67%
Rank #102 / 362
+24%
3.80
Facility 3.80
IA AVG 4.30
Rank #164 / 231
-34%-12%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
5
Facility 5
IA AVG 21.7
Rank #17 / 232
2.5
Facility 2.5
IA AVG 4.1
Rank #50 / 232
-51-
77
Facility 77
IA AVG 47
Rank #59 / 504
-
$6.8MFiscal year ending 06/2024
Facility $6.8MFiscal year ending 06/2024
IA AVG $6.9M
Rank #90 / 224
$3.0MFiscal year ending 06/2024
Facility $3.0MFiscal year ending 06/2024
IA AVG $4.2M
Rank #133 / 224
44.2%Fiscal year ending 06/2024
Facility 44.2%Fiscal year ending 06/2024
IA AVG 60.3%
Rank #212 / 224
165341
Atlantic Specialty Care
NH
SNF
Atlantic
90
Facility 90
IA AVG 72
Rank #83 / 403
84.3%
Facility 84.3%
IA AVG 67%
Rank #95 / 362
+26%
3.68
Facility 3.68
IA AVG 4.30
Rank #184 / 231
-39%-14%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
54
Facility 54
IA AVG 21.7
Rank #209 / 232
6.8
Facility 6.8
IA AVG 4.1
Rank #207 / 232
-76-
9
Facility 9
IA AVG 47
Rank #468 / 504
Leah Muhlbauer
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
IA AVG $6.9M
Rank #80 / 224
$3.5MFiscal year ending 12/2023
Facility $3.5MFiscal year ending 12/2023
IA AVG $4.2M
Rank #110 / 224
48%Fiscal year ending 12/2023
Facility 48%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #197 / 224
165288
Westbrook Acres
NH
HOS
MC
SNF
Gladbrook
46
Facility 46
IA AVG 72
Rank #272 / 403
95.7%
Facility 95.7%
IA AVG 67%
Rank #13 / 362
+43%
4.43
Facility 4.43
IA AVG 4.30
Rank #100 / 231
+7%+3%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
14
Facility 14
IA AVG 21.7
Rank #95 / 232
3.5
Facility 3.5
IA AVG 4.1
Rank #100 / 232
144-
31
Facility 31
IA AVG 47
Rank #361 / 504
Crystal Even
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
IA AVG $6.9M
Rank #159 / 224
$2.5MFiscal year ending 12/2023
Facility $2.5MFiscal year ending 12/2023
IA AVG $4.2M
Rank #167 / 224
55.5%Fiscal year ending 12/2023
Facility 55.5%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #135 / 224
165446
Wellington Place
NH
AL
IL
MC
SNF
Decorah
68
Facility 68
IA AVG 72
Rank #170 / 403
57.4%
Facility 57.4%
IA AVG 67%
Rank #225 / 362
-14%
4.63
Facility 4.63
IA AVG 4.30
Rank #83 / 231
-7%+8%
$29.7k
Facility $29.7k
IA AVG $53.4k
Rank #186 / 239
3
Facility 3
IA AVG 21.7
Rank #8 / 232
3.0
Facility 3.0
IA AVG 4.1
Rank #73 / 232
239-
84
Facility 84
IA AVG 47
Rank #33 / 504
Lester Askelson
$6.7MFiscal year ending 12/2023
Facility $6.7MFiscal year ending 12/2023
IA AVG $6.9M
Rank #93 / 224
$3.1MFiscal year ending 12/2023
Facility $3.1MFiscal year ending 12/2023
IA AVG $4.2M
Rank #132 / 224
46.5%Fiscal year ending 12/2023
Facility 46.5%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #205 / 224
165475
Community Memorial Health Center
NH
AL
MC
SNF
West Hartley
62
Facility 62
IA AVG 72
Rank #201 / 403
75.8%
Facility 75.8%
IA AVG 67%
Rank #161 / 362
+13%
4.99
Facility 4.99
IA AVG 4.30
Rank #42 / 231
+34%+16%
$44.5k
Facility $44.5k
IA AVG $53.4k
Rank #200 / 239
27
Facility 27
IA AVG 21.7
Rank #165 / 232
4.5
Facility 4.5
IA AVG 4.1
Rank #147 / 232
447-
43
Facility 43
IA AVG 47
Rank #275 / 504
Community Memorial Healthcenter Association
$6.2MFiscal year ending 12/2023
Facility $6.2MFiscal year ending 12/2023
IA AVG $6.9M
Rank #107 / 224
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
IA AVG $4.2M
Rank #72 / 224
73%Fiscal year ending 12/2023
Facility 73%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #26 / 224
165177
Norwalk Nursing and Rehabilitation Center
NH
RC
SNF
Norwalk
45
Facility 45
IA AVG 72
Rank #303 / 403
93.3%
Facility 93.3%
IA AVG 67%
Rank #31 / 362
+39%- -19%-
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
11
Facility 11
IA AVG 21.7
Rank #72 / 232
3.7
Facility 3.7
IA AVG 4.1
Rank #107 / 232
-42-
70
Facility 70
IA AVG 47
Rank #98 / 504
Karah Appleget
$4.3MFiscal year ending 12/2023
Facility $4.3MFiscal year ending 12/2023
IA AVG $6.9M
Rank #164 / 224
$2.7MFiscal year ending 12/2023
Facility $2.7MFiscal year ending 12/2023
IA AVG $4.2M
Rank #148 / 224
64.1%Fiscal year ending 12/2023
Facility 64.1%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #65 / 224
165179
Good Samaritan Society – Holstein
NH
ADC
MC
Holstein
60
Facility 60
IA AVG 72
Rank #213 / 403
81.7%
Facility 81.7%
IA AVG 67%
Rank #115 / 362
+22%
3.87
Facility 3.87
IA AVG 4.30
Rank #153 / 231
+71%-10%
$99.1k
Facility $99.1k
IA AVG $53.4k
Rank #217 / 239
22
Facility 22
IA AVG 21.7
Rank #148 / 232
3.7
Facility 3.7
IA AVG 4.1
Rank #107 / 232
249-
46
Facility 46
IA AVG 47
Rank #254 / 504
Troy Anderson
$6.3MFiscal year ending 12/2023
Facility $6.3MFiscal year ending 12/2023
IA AVG $6.9M
Rank #106 / 224
$3.3MFiscal year ending 12/2023
Facility $3.3MFiscal year ending 12/2023
IA AVG $4.2M
Rank #117 / 224
53%Fiscal year ending 12/2023
Facility 53%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #166 / 224
165207
Mississippi Valley Healthcare and Rehabilitation Center
NH
SNF
Keokuk
83
Facility 83
IA AVG 72
Rank #98 / 403
75.9%
Facility 75.9%
IA AVG 67%
Rank #160 / 362
+13%
2.93
Facility 2.93
IA AVG 4.30
Rank #231 / 231
-1%-32%
$19.7k
Facility $19.7k
IA AVG $53.4k
Rank #170 / 239
24
Facility 24
IA AVG 21.7
Rank #155 / 232
6.0
Facility 6.0
IA AVG 4.1
Rank #189 / 232
363-
53
Facility 53
IA AVG 47
Rank #195 / 504
Lexington Square Irrevocable Trust
$13.1MFiscal year ending 12/2023
Facility $13.1MFiscal year ending 12/2023
IA AVG $6.9M
Rank #16 / 224
$7.2MFiscal year ending 12/2023
Facility $7.2MFiscal year ending 12/2023
IA AVG $4.2M
Rank #24 / 224
54.8%Fiscal year ending 12/2023
Facility 54.8%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #149 / 224
165151
Jackson Ridge Healthcare Center
NH
MC
RC
SNF
Maquoketa
75
Facility 75
IA AVG 72
Rank #130 / 403
78.7%
Facility 78.7%
IA AVG 67%
Rank #135 / 362
+18%
3.85
Facility 3.85
IA AVG 4.30
Rank #153 / 231
-2%-10%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
18
Facility 18
IA AVG 21.7
Rank #125 / 232
6.0
Facility 6.0
IA AVG 4.1
Rank #189 / 232
-59-
76
Facility 76
IA AVG 47
Rank #70 / 504
Amanda Carr$3.1M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$2.1M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.67.3%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.165516

Rank badges are statewide: each community is ranked against every IA community we track that reports that metric, not just the 239 on this page.

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Golden Age Care Center

1915 South 18Th Street, Centerville, IA 52544-3199
Overview of Golden Age Care Center

Golden Age Care Center operates a 46-bed skilled nursing community at 1915 South 18th Street in Centerville, Iowa. The location works at an 87 percent occupancy rate, using traditional out-of-pocket billing alongside conventional Medicare and state Medicaid network authorizations. Resident intervals average roughly 160 days, establishing a standard operational balance between long-term residential oversight and quick-paced, post-hospital physical recoveries.

Floor staff schedules ensure an average of 4 hours and 12 minutes of direct care for each day. Registered nurses and certified nursing aides cover this 24-hour medical timeline, running a dedicated Rehab to Home track alongside specialized physical services like wound care, IV therapies, and dialysis treatments.

For everyday comfort, the property features a beauty salon, basic laundry programs, and communal activities, while the surrounding neighborhood scores a 66 out of 100 for walkability, placing multiple local hospitals and basic services within a short drive.

Families can contact the main office to check on open room configurations, request information about the clinical therapy options, or schedule a convenient afternoon to look around the facility. The administrative desk can also assist with insurance cross-referencing to detail how personal funds or public benefit programs apply to monthly care fees.

Contact Golden Age Care Center

Overview of Oelwein Health Care Center

Oelwein Health Care Center operates a 61-bed skilled nursing facility located at 600 Seventh Street SE in Oelwein, Iowa. Managed under the leadership of administrator Craig Allen, the property keeps a steady resident population with an occupancy rate hovering around 87.3 percent. The building manages financial accounts dynamically and holds federal certifications that allow the team to coordinate insurance billing through both Medicare and Medicaid networks.

Direct staffing routines are structured to provide an average of 4.04 hours of nursing attention per resident daily, placing the facility in the upper half of providers statewide in hands-on coverage. On the regulatory front, state files show the home has never received a federal monetary fine.

Annual surveys and complaint reviews from state inspectors documented 20 total health citations over multiple inspection cycles, though the facility maintains a top-tier standing for the complete absence of serious clinical violations.

Prospective residents can call the administrative department to inquire about open beds, request a breakdown of the daily nursing schedules, or arrange a personal walkthrough of the community areas. The billing coordinators are also available to help you look over your coverage options and explain how public aid or private funds apply to standard medical stays.

Contact Oelwein Health Care Center

Overview of Atlantic Specialty Care

Atlantic Specialty Care is a nursing home in Atlantic, IA, offering long-term care, rehabilitation, and skilled nursing. Promoting a compassionate and welcoming environment, the community ensures older adults are well-cared for throughout their stay. With 24-hour care, nutritious meals, and laundry services, residents receive the utmost attention and care to live comfortably in retirement. Individualized care plans tailored to residents’ unique needs and preferences to help them recover and return to their routines with ease.

Baking, painting, and volunteering activities provide residents with more opportunities to learn and gain meaningful experiences. Lively gathering areas and spacious rooms also ensure residents can rest and freely interact with their surroundings. Residents also experience a stress-free retirement, as it is conveniently located in the quiet residential area of Atlantic. Providing exceptional standards of care and a clean setting, this nursing home is an ideal choice for senior living in Iowa.

Contact Atlantic Specialty Care

Westbrook Acres

605 Garfield Street, Gladbrook, IA 50635-0000
Overview of Westbrook Acres

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.

Contact Westbrook Acres

Overview of Wellington Place

Wellington Place is a 68-bed nursing home that operates as a continuing care campus, allowing residents to transition between independent living, assisted living, memory support, and skilled nursing. The community has been operating for 19 years and handles financial coverage through Medicare, Medicaid, and private-pay sources. Given its mix of temporary post-acute recovery clients and permanent long-term nursing placements, the facility logs an extended 288-day average length of stay. The property is built in a highly walkable area with a walkability score of 84 out of 100, meaning visiting families and staff can easily manage daily errands on foot.

Files from the Iowa Department of Inspections, Appeals, and Licensing display a minimal citation history alongside solid daily nursing resources. Caregivers supply an average of 4 hours and 20 minutes of direct care per resident each day, with registered nurses, licensed practical nurses, and certified nursing assistants splitting the floor coverage. On the compliance side, official health records show a consistently clean multi-year track record where the few documented citations were minor and resolved. On-site physical therapy and rehabilitation programs are also available to support short-term recovery goals for individuals stepping down from local hospital stays.

Prospective residents searching for a regional multi-level care community or a small-scale nursing home can look through these state reports to examine the building’s historical baseline. The public documentation shows a stable, highly accessible campus backed by consistent daily caregiver hours and an exceptional regulatory track record with minimal paperwork issues.

Contact Wellington Place

Overview of Community Memorial Health Center

Community Memorial Health Center, a 62-bed nursing community, provides clinical care at 909 West 1st Street in Hartley, Iowa. The location functions under the local guidance of the Community Memorial Healthcenter Association and carries an average occupancy baseline of 76 percent. Families can route regular billing through a mix of private funding streams, traditional Medicare, or state Medicaid cards. Individual residential timelines average roughly 184 days, signaling a stable, day-to-day balance between ongoing medical housing and temporary physical rehab stays.

The building’s care teams deliver an average of 4 hours and 50 minutes of direct, hands-on attention to every resident each day. Certified nursing aides manage the largest share of this floor time at 2 hours and 37 minutes, while registered nurses add 1 hour and 2 minutes, and licensed practical nurses supply 23 minutes to oversee medication distributions and clinical treatments. On-site services include three meals daily and structured monthly recreational calendars, while the surrounding neighborhood records a walkability score of 43 out of 100, which means visiting guests generally use personal cars to run local tasks.

Official surveys conducted by state regulatory agencies have routinely evaluated administrative documentation, resident housing setups, and floor treatment procedures to confirm compliance with basic healthcare rules. Internal managers follow these recurring public evaluations to refine the facility’s day-to-day care patterns and keep staff clinical protocols aligned with state-level updates.

Prospective residents can call the main business phone to double-check immediate room availability, request a copy of the monthly calendar, or book an afternoon walkthrough of the property.

Contact Community Memorial Health Center

Overview of Norwalk Nursing and Rehabilitation Center

Providing short-term rehabilitation and longer-term skilled care, Norwalk Nursing and Rehabilitation Center is a nursing home with 45 beds. It is owned by Karah Appleget and accepts Medicare, Medicaid, and private pay, so families have several options for covering both post-acute recovery and ongoing nursing care. The facility has an occupancy rate of 93%. Residents stay an average of 137 days, which includes rehabilitation admissions and longer-term care residents.

Clinical support is a central part of daily operations. Licensed nurses are available 24 hours a day, and physicians make regular visits to oversee medical care. The facility offers restorative rehabilitation, dietary and nutritional counseling, and disease management programs to reduce preventable hospital readmissions.

Vision and dental services are available on-site. Staff also develop individualized care plans based on each resident’s needs.

The facility has a Walk Score of 70. Visiting family members can easily navigate the neighborhood on foot and access nearby services. It’s a walkable community where many errands can be completed without a car, which is less common in many rural care settings.

Families considering Norwalk Nursing and Rehabilitation Center should take a tour of the facility to see the environment, meet staff members, and learn more about the home’s rehabilitation services and care programs.

Contact Norwalk Nursing and Rehabilitation Center

Overview of Good Samaritan Society – Holstein

Located in Holstein, Iowa, Good Samaritan Society – Holstein is a 60-bed nursing home owned by Troy Anderson. The facility has an occupancy rate of 82%, and residents stay an average of 262 days. The resident population includes both short-term rehabilitation patients and those receiving longer-term care.

Rehabilitation is at the center of the home’s care programs. The facility offers inpatient and outpatient rehabilitation services, along with caregiver support. It’s a setting that serves residents recovering from surgery, injury, or hospitalization who need skilled nursing care and structured therapeutic support.

Daily nursing care averages about 4 hours and 13 minutes per resident. Registered nurses, nursing aides, and licensed practical nurses make up the care team, so hands-on clinical support is part of daily life. Good Samaritan Society accepts Medicare, Medicaid, and private pay. This way, families have several ways to arrange coverage for both short-term rehabilitation and ongoing care.

State inspections have focused on care documentation and planning, the implementation of advance directives, oral health practices, nursing oversight, and infection control procedures. The facility continues to work through these areas as part of maintaining safe and coordinated care. They’re important topics families may want to discuss during a visit.

Holstein has a Walk Score of 46. Some nearby services are within walking distance, but most trips require transportation. It’s a quieter small-town setting that may appeal to some families. The facility also works with family members and caregivers throughout a resident’s stay, whether it’s for short-term recovery or longer-term care.

Contact Good Samaritan Society – Holstein

Overview of Mississippi Valley Healthcare and Rehabilitation Center

Providing both short-term rehabilitation and longer-term skilled nursing care, Mississippi Valley Healthcare and Rehabilitation Center is a nursing facility owned by Lexington Square Irrevocable Trust. The 83-bed community has an occupancy rate of 76%, and residents stay an average of 221 days, including post-acute rehabilitation patients and those receiving ongoing nursing care. Medicare, Medicaid, and private pay are accepted, giving families several options for covering care costs.

Rehabilitation services are a central part of the facility’s care model. The center has on-site doctor availability and 24-hour staffing. Daily nurse staffing averages 2 hours and 44 minutes per resident. Registered nurses, nurse aides, and licensed practical nurses provide care throughout the day and night. This staffing structure can manage acute and ongoing care demands.

State inspections have found that the facility is substantially compliant with no recent deficiencies. The facility works through its care protocols with regular oversight, and it is responsive to issues when they arise. Families evaluating the center can discuss these operational areas during a tour.

The surrounding neighborhood has a Walk Score of 53. Some nearby errands and services are within walking distance, but most trips require transportation. Families will find convenience and a quieter environment here.

Contact Mississippi Valley Healthcare and Rehabilitation Center

Overview of Jackson Ridge Healthcare Center

Jackson Ridge Healthcare Center runs a 75-bed medical campus on Wesley Drive in Maquoketa, Iowa. The property accommodates both private and semi-private room setups, maintaining an average occupancy rate of around 79 percent. Families can manage local care bills using private funds alongside standard Medicare or state Medicaid authorizations, which supports a balanced census of short-term rehab admissions and extended long-term placements.

The clinical staff provides an average of 4 hours and 16 minutes of direct care per resident each day. Registered nurses, licensed practical nurses, and certified nursing aides coordinate this 24-hour floor schedule to oversee specialized memory care wings, routine physical therapies, and scheduled respite care stays. Local appointment transit is handled directly by the building’s logistics team, while the surrounding town neighborhood logs a walkability score of 76 out of 100, letting visitors reach standard retail stops on foot.

Inspectors noted corrections were needed across food service lines, basic infection control guidelines, and clinical chart documentation. Management successfully addressed these points through formal improvement plans that were officially reviewed and accepted by state health regulators.

Interested individuals can call the main reception desk to verify current room availability, request an outline of the daily respite schedules, or arrange a personal walkthrough of the lounges and memory care units.

Contact Jackson Ridge Healthcare Center

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
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
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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.