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Why trust this guide?
Our editorial team analyzed 253 nursing homes in IA using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in IA
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-ranked to lowest-ranked based on our 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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other IA nursing home we track that reports that metric, not just the 253 on this page. See how we rank facilities
Overview of Mississippi Valley Healthcare and Rehabilitation Center
Mississippi Valley Healthcare and Rehabilitation Center is a nursing home and skilled nursing facility in Keokuk, IA. Skilled nursing provides licensed nursing care on site around the clock, while rehabilitation services support recovery and functional work during a stay.
Respiratory and complex medical care are areas of specialization. The home may be a good fit for a resident whose needs include those forms of care and rehabilitation.
The home has 83 beds. Total nurse staffing is 2 hours and 56 minutes per resident per day, representing the daily hands on nursing time assigned to each resident. A doctor is on staff, providing physician care within the facility.
Payment options are Medicare, Medicaid, and private pay. Medicare can cover short term skilled care after a hospital stay, Medicaid may help with a longer stay when personal savings do not cover the cost, and private pay means paying directly. Michael Blume serves as the administrator.
Rolling Green Village in Nevada, Iowa, offers independent living, assisted living, and skilled nursing. Along with support for daily tasks, residents also receive ongoing clinical support, with nursing services available. The community also provides rehabilitation services and short-term rehabilitation for residents recovering during a temporary stay, as well as orthopedic care.
With 58 beds, the community can support a smaller setting where staff and residents may get to know each other. Occupancy is at 76.6%, with an average length of stay of 99 days. Moreover, total nurse staffing is 4 hours and 9 minutes per resident per day, representing the daily nursing time allocated per resident.
Medicare, Medicaid, and private pay are accepted, giving families multiple listed ways to cover care. Meanwhile, a Walk Score of 71 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives may still be able to get out independently.
Glen Haven Village keeps its address in Glenwood, IA, and its license names adult day care, respite care, memory care, assisted living, nursing home care, and skilled nursing. Nursing runs through the night as well as the day, which is worth knowing in a place laid out as cottages, because a residential-looking building is still carrying clinical cover. Bathing, dressing and medication are what assisted living helps with.
Memory care is the level with a locked perimeter, supervised, for someone liable to wander. Respite and adult day care are two ways of using this place without moving into it. The first is a short stay covering a family caregiver’s trip or recovery.
Sixty-nine beds are licensed, and the named programs are Long Term Care Cottages and a Rehabilitation Cottage. Short-term rehab belongs to the rehabilitation services, which makes a temporary stay possible instead of a permanent one. Several kinds of care in one building suit needs that change.
Medicaid, Medicare, and private pay all go toward eligible care. Each resident gets 5 hours 55 minutes of nursing across a day. Julianne Marriott holds the administrator’s role.
A Walk Score of 75 makes the area very walkable. Most errands are on foot from here, so shops and services stay reachable after somebody stops driving.
Good Samaritan Society, Holstein serves the Holstein, Iowa, area with nursing home care, memory care, and adult day care options. Day services deliver structured assistance without requiring overnight residency, while memory care facilities supply a secured environment for residents living with cognitive impairments. Rehabilitation programs accommodate both inpatient and outpatient therapy needs, supplemented by a dedicated Caregiver Support program.
Led by administrator Libby Bagenstos, the 60-bed campus records 3 hours and 52 minutes of total daily nurse staffing per resident. Situated in a location with a 46 walk score, surrounding errands typically necessitate personal or scheduled transportation. Payment channels cover Medicare for eligible short-term care, Medicaid, and private funds.
Families searching for daytime assistance, rehabilitation, or residential care can reach out to Good Samaritan Society, Holstein to confirm program details or arrange a visit of the area.
Gardens of Cedar Rapids provides nursing home and skilled nursing care, assisted living, independent living, and memory care in Cedar Rapids, IA. Nursing home and skilled nursing care include licensed nursing care on site around the clock, while assisted living provides help with daily tasks such as bathing, dressing, and medication. Independent living offers private living with community services and no daily care, and memory care provides a secured setting with supervision for residents at risk of wandering.
There are 60 beds across the community’s care levels. For a resident whose needs grow over time, that range may allow them to remain in the same community without starting over socially. The Skilled Nursing & Rehabilitation program includes rehabilitation services, so rehabilitation is available as part of the community’s care offerings.
Total nurse staffing is 4h 34m per resident per day. This represents the daily hands on nursing time assigned per resident. Gardens of Cedar Rapids accepts Medicare and private pay, and residents may bring pets. Chalee Michael serves as the administrator.
Offering skilled nursing and rehabilitation services, Rose Haven Nursing Home is a nursing home administered by Tereni Kepler in Marengo, Iowa. The community provides nursing services with licensed nurses for those who need ongoing clinical oversight. With rehabilitation services, residents also receive recovery-focused care to help improve mobility and functionality. 24-hour staffing also ensures residents can access care whenever needed.
With 58 beds, this smaller community provides opportunities for staff and residents to get to know each other. Occupancy is 77.6%, with 45 beds currently in use. Residents also receive a total of 3 hours and 47 minutes of nursing care daily.
Physical, occupational, and speech therapy support rehabilitation, and residents can take part in organized activities such as music, games, and seasonal events. Moreover, Medicare can apply to eligible short-term skilled care, Medicaid can support eligible long-term care, and private pay uses personal funds. A Walk Score of 47 places the area in a car-dependent setting, so most errands require a car or a ride.
Montrose Health Center, located in Montrose, Iowa, delivers skilled nursing, nursing home care, hospice services, and respite stays within a 44-bed facility. Licensed nursing care supports residents requiring ongoing clinical attention, while hospice programs focus on end-of-life comfort. On-site rehabilitation includes physical, occupational, and speech therapy to assist with mobility, daily tasks, communication, and swallowing. Restorative nursing programs and exercise sessions also help maintain physical functioning.
Medical support on campus includes podiatry services, in-house X-ray capabilities, and a dedicated wound care nurse. Under the direction of administrator Mallory Orton, the center maintains a daily nurse staffing average of 4 hours and 22 minutes per resident. The building accommodates pets, and accepted payment sources cover Medicare, Medicaid, and private funds.
Interested individuals exploring care options can reach out to Montrose Health Center to check current bed availability, review therapy offerings, or schedule a private tour.
Two care types are logged at Odebolt Specialty Care in Odebolt, IA. They are nursing home care and skilled nursing. A licensed nurse is present every hour, and that is the reason somebody with clinical needs turns up. Thirty-eight beds make this a small house, and somebody after that kind of setting would notice.
Rehabilitation services are named, either for recovery work or for holding onto the movement a resident still has. Medicare, Medicaid, and private pay are the listed routes to covering it. Nursing time per resident checks out at 4 hours and 42 minutes daily, and the administrator’s job goes to Madison Leisinger.
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.
Assisted living, independent living, memory care, adult day care, nursing home care, and skilled nursing are what The Village of Ackley delivers in Ackley, IA. Independent living leaves a resident free to manage their own space and their own time, with services on-call and no daily care. Assisted living adds a hand with dressing, bathing, medication, and the daily things. Memory care is the secured and supervised option, chosen when wandering has become a real risk.
Nursing home and skilled nursing mean licensed nursing that does not stop when the day staff go home. Adult day care handles the daytime without anybody moving in. Respite and short-term rehabilitation are named services here too.
Respite is the short stay a family books when the usual caregiver has a trip or a recovery. Rehabilitation is the temporary version, a place to do the recovery work and then leave. Six levels under one roof means needing more later may not mean moving.
Thirty-eight beds are what the license allows, which puts The Village of Ackley in the smaller band. A resident there learns a short list of staff names rather than a long one. Each day sets aside 4 hours and 23 minutes of nursing per resident. Scott Kramer is the administrator.
Medicare, Medicaid, and private funds are accepted, covering nursing care and the residential side both. At 44, the Walk Score puts the area in the car-dependent tier. A resident who no longer drives has to fit each outside errand into somebody else’s schedule.
The mix of services offered suits a person wanting to move from independent living up to nursing care over time, and a family after adult day care, respite, or a short rehabilitation stay.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
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
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.
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 253 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
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