Page 14 of Best Nursing Homes in Iowa

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
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We analyzed These are the facilities in Iowa our team has analyzed — not a count of every nursing home provider in Iowa.
253 homes
Other senior care options in Iowa:

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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 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. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. 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. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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.
Azria Health Winterset
NH
IL
SNF
Summit Winterset
65
Facility 65
IA AVG 67
Rank #99 / 241
81.5%
Facility 81.5%
IA AVG 78.3%
Rank #115 / 234
+4%
3.25
Facility 3.25
IA AVG 4.30
Rank #221 / 231
B- -61%-24%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
30
Facility 30
IA AVG 21.7
Rank #175 / 233
7.5
Facility 7.5
IA AVG 4.1
Rank #217 / 233
153-
72
Facility 72
IA AVG 49
Rank #58 / 260
Kristin Merron
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
IA AVG $6.9M
Rank #153 / 224
$2.6MFiscal year ending 12/2023
Facility $2.6MFiscal year ending 12/2023
IA AVG $4.2M
Rank #159 / 224
56.5%Fiscal year ending 12/2023
Facility 56.5%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #129 / 224
165188
Manor House Care Center
NH
AL
HOS
SNF
Sigourney
55
Facility 55
IA AVG 67
Rank #135 / 241
76.5%
Facility 76.5%
IA AVG 78.3%
Rank #148 / 234
-2%
4.43
Facility 4.43
IA AVG 4.30
Rank #100 / 231
B- +2%+3%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
14
Facility 14
IA AVG 21.7
Rank #97 / 233
4.7
Facility 4.7
IA AVG 4.1
Rank #159 / 233
142-
45
Facility 45
IA AVG 49
Rank #146 / 260
-
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
IA AVG $6.9M
Rank #156 / 224
$3.5MFiscal year ending 12/2023
Facility $3.5MFiscal year ending 12/2023
IA AVG $4.2M
Rank #111 / 224
77.3%Fiscal year ending 12/2023
Facility 77.3%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #18 / 224
165325
Crestview Nursing & Rehab
NH
HOS
IL
MC
PC
SNF
Webster City
70
Facility 70
IA AVG 67
Rank #81 / 241
82.9%
Facility 82.9%
IA AVG 78.3%
Rank #104 / 234
+6%
3.85
Facility 3.85
IA AVG 4.30
Rank #164 / 231
C+ -58%-10%
$25.1k
Facility $25.1k
IA AVG $53.4k
Rank #181 / 239
19
Facility 19
IA AVG 21.7
Rank #135 / 233
4.8
Facility 4.8
IA AVG 4.1
Rank #161 / 233
358-
58
Facility 58
IA AVG 49
Rank #99 / 260
Akiva Brandman
$5.5MFiscal year ending 12/2023
Facility $5.5MFiscal year ending 12/2023
IA AVG $6.9M
Rank #126 / 224
$3.3MFiscal year ending 12/2023
Facility $3.3MFiscal year ending 12/2023
IA AVG $4.2M
Rank #123 / 224
59.1%Fiscal year ending 12/2023
Facility 59.1%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #101 / 224
165463
Rotary Senior Living
NH
AL
IL
MC
RESC
Eagle Grove
40
Facility 40
IA AVG 67
Rank #197 / 241
77.5%
Facility 77.5%
IA AVG 78.3%
Rank #141 / 234
-1%
4.53
Facility 4.53
IA AVG 4.30
Rank #94 / 231
? +45%+5%
$65.0k
Facility $65.0k
IA AVG $53.4k
Rank #213 / 239
22
Facility 22
IA AVG 21.7
Rank #153 / 233
4.4
Facility 4.4
IA AVG 4.1
Rank #151 / 233
231-
24
Facility 24
IA AVG 49
Rank #210 / 260
James Christ
$5.1MFiscal year ending 06/2024
Facility $5.1MFiscal year ending 06/2024
IA AVG $6.9M
Rank #140 / 224
$2.8MFiscal year ending 06/2024
Facility $2.8MFiscal year ending 06/2024
IA AVG $4.2M
Rank #142 / 224
55.5%Fiscal year ending 06/2024
Facility 55.5%Fiscal year ending 06/2024
IA AVG 60.3%
Rank #135 / 224
165500
Colonial Manor of Amana
NH
HOS
RC
SNF
Amana
50
Facility 50
IA AVG 67
Rank #147 / 241
86.0%
Facility 86.0%
IA AVG 78.3%
Rank #98 / 234
+10%
4.06
Facility 4.06
IA AVG 4.30
Rank #131 / 231
C+ +8%-5%
$44.8k
Facility $44.8k
IA AVG $53.4k
Rank #203 / 239
16
Facility 16
IA AVG 21.7
Rank #112 / 233
2.7
Facility 2.7
IA AVG 4.1
Rank #70 / 233
243-
39
Facility 39
IA AVG 49
Rank #168 / 260
-
$3.3MFiscal year ending 12/2023
Facility $3.3MFiscal year ending 12/2023
IA AVG $6.9M
Rank #202 / 224
$2.2MFiscal year ending 12/2023
Facility $2.2MFiscal year ending 12/2023
IA AVG $4.2M
Rank #186 / 224
67.7%Fiscal year ending 12/2023
Facility 67.7%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #44 / 224
165386
Birkwood Village of Fort Madison
NH
AL
IL
MC
RC
SNF
Fort Madison
42
Facility 42
IA AVG 67
Rank #193 / 241
69.0%
Facility 69.0%
IA AVG 78.3%
Rank #188 / 234
-12%
4.15
Facility 4.15
IA AVG 4.30
Rank #131 / 231
? +4%-3%
$3.1k
Facility $3.1k
IA AVG $53.4k
Rank #151 / 239
25
Facility 25
IA AVG 21.7
Rank #170 / 233
4.2
Facility 4.2
IA AVG 4.1
Rank #139 / 233
129--Mark Holtkamp
$8.3MFiscal year ending 12/2023
Facility $8.3MFiscal year ending 12/2023
IA AVG $6.9M
Rank #61 / 224
$4.1MFiscal year ending 12/2023
Facility $4.1MFiscal year ending 12/2023
IA AVG $4.2M
Rank #84 / 224
49%Fiscal year ending 12/2023
Facility 49%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #187 / 224
165227
Winslow House Care Center
NH
SNF
Marion
50
Facility 50
IA AVG 67
Rank #147 / 241
94.0%
Facility 94.0%
IA AVG 78.3%
Rank #30 / 234
+20%
3.68
Facility 3.68
IA AVG 4.30
Rank #184 / 231
C +11%-14%
$18.4k
Facility $18.4k
IA AVG $53.4k
Rank #171 / 239
16
Facility 16
IA AVG 21.7
Rank #112 / 233
3.2
Facility 3.2
IA AVG 4.1
Rank #97 / 233
247-
89
Facility 89
IA AVG 49
Rank #13 / 260
The Capstone Group Inc
$4.1MFiscal year ending 12/2023
Facility $4.1MFiscal year ending 12/2023
IA AVG $6.9M
Rank #169 / 224
$2.4MFiscal year ending 12/2023
Facility $2.4MFiscal year ending 12/2023
IA AVG $4.2M
Rank #172 / 224
58.2%Fiscal year ending 12/2023
Facility 58.2%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #112 / 224
165440
Harmony Davenport
NH
AL
RESC
RC
SNF
Davenport
88
Facility 88
IA AVG 67
Rank #38 / 241
79.0%
Facility 79.0%
IA AVG 78.3%
Rank #131 / 234
+1%
3.68
Facility 3.68
IA AVG 4.30
Rank #184 / 231
C -10%-14%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
34
Facility 34
IA AVG 21.7
Rank #185 / 233
3.1
Facility 3.1
IA AVG 4.1
Rank #95 / 233
270-
90
Facility 90
IA AVG 49
Rank #9 / 260
Rachel Arnold$6.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$3.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.61.9%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.165033
Accura Healthcare of Spirit Lake
NH
HOS
MC
PC
RC
SNF
Spirit Lake
80
Facility 80
IA AVG 67
Rank #48 / 241
88.8%
Facility 88.8%
IA AVG 78.3%
Rank #63 / 234
+13%
3.95
Facility 3.95
IA AVG 4.30
Rank #142 / 231
C -22%-8%
$34.6k
Facility $34.6k
IA AVG $53.4k
Rank #192 / 239
23
Facility 23
IA AVG 21.7
Rank #159 / 233
5.8
Facility 5.8
IA AVG 4.1
Rank #190 / 233
171-
76
Facility 76
IA AVG 49
Rank #45 / 260
-
$6.8MFiscal year ending 12/2023
Facility $6.8MFiscal year ending 12/2023
IA AVG $6.9M
Rank #91 / 224
$3.5MFiscal year ending 12/2023
Facility $3.5MFiscal year ending 12/2023
IA AVG $4.2M
Rank #112 / 224
51.5%Fiscal year ending 12/2023
Facility 51.5%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #177 / 224
165528
Southridge Specialty Care
NH
SNF
Marshalltown
82
Facility 82
IA AVG 67
Rank #44 / 241
86.1%
Facility 86.1%
IA AVG 78.3%
Rank #84 / 234
+10%
3.90
Facility 3.90
IA AVG 4.30
Rank #153 / 231
C- +13%-9%
$45.4k
Facility $45.4k
IA AVG $53.4k
Rank #205 / 239
25
Facility 25
IA AVG 21.7
Rank #170 / 233
3.6
Facility 3.6
IA AVG 4.1
Rank #115 / 233
271-
46
Facility 46
IA AVG 49
Rank #142 / 260
Dylan Spina
$7.5MFiscal year ending 12/2023
Facility $7.5MFiscal year ending 12/2023
IA AVG $6.9M
Rank #77 / 224
$4.0MFiscal year ending 12/2023
Facility $4.0MFiscal year ending 12/2023
IA AVG $4.2M
Rank #87 / 224
53.5%Fiscal year ending 12/2023
Facility 53.5%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #156 / 224
165209

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

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Overview of Azria Health Winterset

Azria Health Winterset offers nursing home, independent living, and skilled nursing care in Winterset, IA. Nursing home and skilled nursing care include licensed nursing on site around the clock, while independent living offers private living with community services and no daily care. Having several care levels in one community may suit a resident whose needs grow over time.

Respite care and short term rehabilitation support temporary stays. Respite can give a family caregiver time away, while rehabilitation can support a resident recovering after acute medical care. Physical, occupational, and speech therapy address movement, daily tasks, and communication during rehabilitation. Specialized care programs are also available.

Azria Health Winterset has 65 beds, placing it in a middle range without indicating what the community experience will be like. Total nurse staffing is 3 hours and 15 minutes per resident per day, representing the daily nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted, giving families three payment methods to consider.

Pets are allowed. A resident may keep a pet while living in the community, and the on site beauty shop and salon or spa provide personal grooming without requiring a separate salon visit. The area has a Walk Score of 72, meaning it is very walkable and most errands can be done on foot, so a resident who no longer drives may still get out independently.

Contact Azria Health Winterset

Manor House Care Center

1212 South Stuart Street, Sigourney, IA 52591-1300
Overview of Manor House Care Center

Manor House Care Center offers independent living, assisted living, hospice care, nursing home care, and skilled nursing in Sigourney, IA. Independent living suits residents who manage daily care on their own, while assisted living provides help with bathing, dressing, medication, and other everyday tasks.

Nursing home and skilled nursing care provide ongoing nursing and personal support. Hospice care focuses on comfort for someone nearing the end of life, while the range of care options allows needs to be addressed within the same community as they change.

The community has 55 beds, creating a smaller setting where residents and staff may become familiar with one another. Its Rehab-to-home program and short-term rehabilitation services support a temporary stay focused on recovery and returning home, and rehabilitation services are also available as part of the broader care options.

Total nurse staffing is 4 hours and 26 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover care.

A Walk Score of 45 places the area in a car-dependent setting, so most errands require a car or a ride.

Contact Manor House Care Center

Crestview Nursing & Rehab

2401 South Des Moines Street, Webster City, IA 50595-3099
Overview of Crestview Nursing & Rehab

Crestview Nursing & Rehab provides nursing home and skilled nursing care, along with hospice, palliative, independent living, memory care, and respite care in Webster City, Iowa. Nursing home and skilled nursing services include licensed nursing care on site around the clock. Memory care offers a secured setting with supervision for someone at risk of wandering.

Independent living provides private living with community services and no daily care. Hospice supports end of life care, while palliative care focuses on relief from serious illness symptoms. Respite care provides a short stay when a family’s usual caregiver needs to travel or recover. Several care levels in one community can suit a resident whose needs change over time without requiring a move to a different community, making Crestview a possible fit for someone who may need more support later.

The community has 70 beds, with total nurse staffing of 3 hours and 51 minutes per resident per day. That figure represents the daily hands on nursing time assigned per resident. Stacy Geopfert serves as the administrator.

A salon and spa gives residents access to personal care services, and rehabilitation services provide therapy as part of the available care. Transportation is available through the community. Dining includes open breakfast hours from 6:30 to 9:30 a.m., lunch at 12:00 p.m., and supper at 5:00 p.m.; family and friends may eat with residents, and snacks are provided between meals. Medicare, Medicaid, and private pay are accepted. The area has a Walk Score of 58 out of 100, making it somewhat walkable, so some errands can be done on foot and a resident who no longer drives may be able to manage certain nearby errands independently.

Contact Crestview Nursing & Rehab

Overview of Rotary Senior Living

Find all the care you need with the astounding senior living community of Rotary Senior Living in Eagle Grove, IA, which offers an array of care options including assisted living, independent living, memory care, long-term care, and rehabilitation. With its dedication to delivering the highest quality of care and support, the community provides a team of licensed and well-trained professionals helping seniors with their needs 24/7. Families can also rest easy with the knowledge that their loved ones are well-cared for.

The community fosters a vibrant and welcoming environment, ensuring residents have the freedom to live as they please. Healthy and delicious meals await residents every mealtime for a delightful dining experience. Rotary Senior Living is great for seniors looking to enjoy their golden years in one place.

Contact Rotary Senior Living

Overview of Colonial Manor of Amana

Colonial Manor of Amana is a nursing home in Amana, Iowa, offering hospice care, nursing care, respite care, and skilled nursing. Nursing and skilled nursing provide licensed nursing support for residents who need ongoing medical attention, while hospice serves residents receiving end of life care.

Respite care offers a short stay for a family caregiver who needs time to travel or recover. The range of care can suit a resident who needs ongoing nursing support, end of life care, or a temporary respite stay.

Opened in 1941, the home has 50 beds. Rehabilitation services are available, so residents can receive rehabilitation as part of their care at the community.

Total nurse staffing is 4 hours and 4 minutes per resident each day, representing the daily nurse staffing time allocated to each resident. Payment options include Medicare, Medicaid, and private pay: Medicare can cover short term skilled care after a hospital stay, Medicaid may help cover extended care for eligible residents, and private pay means care is paid for directly by the resident or family. Tanya Powell serves as the administrator.

Contact Colonial Manor of Amana

Overview of Birkwood Village of Fort Madison

Birkwood Village of Fort Madison in Fort Madison, Iowa, offers a continuum of senior care that spans independent living, assisted living, memory care, nursing home services, skilled nursing, and short-term respite stays. Independent living provides private accommodations paired with community amenities, whereas assisted living assists residents with daily tasks like bathing, dressing, and managing medication. Supervised, secured spaces are designated for memory care, while respite stays give regular family caregivers temporary relief.

Led by administrator Brenda Graham, the 42-bed community delivers an average of 4 hours and 9 minutes of direct daily nursing care per resident. Short-term rehabilitation therapy and skilled nursing services aid in post-illness or post-hospital recovery. Dining services feature made-to-order breakfast, lunch, and dinner menus with alternative options for resident preferences, alongside access to outdoor gathering areas.

Older adults looking for flexible senior living arrangements or recovery options can reach out to Birkwood Village of Fort Madison to check current room availability, discuss financial plans, or schedule a campus tour. Financial options include Medicare, Medicaid, and direct private payment.

Contact Birkwood Village of Fort Madison

Overview of Winslow House Care Center

Administered by Molly Schulte, Winslow House Care Center is a nursing home and skilled nursing community in Marion, IA, that provides skilled nursing and rehabilitation. The community accommodates older adults who require ongoing clinical supervision, with licensed nurses on-site. Through rehabilitation services, residents receive recovery support to improve functionality.

Of 50 beds, 47 are currently in use, indicating a 94% occupancy. Furthermore, total nurse staffing is 3 hours and 41 minutes per resident per day, representing the daily nursing time allocated to each resident. Medicare, Medicaid, and private pay are also accepted, giving families options to cover expenses.

Contact Winslow House Care Center

Harmony Davenport

815 East Locust Street, Davenport, IA 52803-0000
Overview of Harmony Davenport

Harmony Davenport provides nursing home and skilled nursing care, assisted living, residential care, and respite care in Davenport, IA. Skilled nursing includes licensed nursing care on site around the clock, while assisted living provides help with daily tasks such as bathing, dressing, and medication while the resident keeps a private apartment. Respite care offers a short term stay when a usual caregiver needs time away or recovery.

The range of care settings can support a resident whose needs grow over time without leaving the community. Harmony Davenport may also suit someone recovering after a hospital stay or a family caregiver who needs temporary support. Rehabilitation includes post hospital rehabilitation, medical rehabilitation, short term rehabilitation, and advanced therapy techniques and equipment, giving a resident access to recovery focused care during a temporary rehabilitation stay.

Total nurse staffing is 3 hours 41 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Harmony Davenport has 88 beds and accepts Medicare, Medicaid, and private pay. Medicare covers short term skilled care after a hospital stay, Medicaid may help eligible residents whose savings do not cover a long stay, and private pay allows a family to pay directly. With a Walk Score of 90 out of 100, the area is considered a walker’s paradise, so daily errands do not require a car and a resident who no longer drives can still get out independently.

Contact Harmony Davenport

Overview of Accura Healthcare of Spirit Lake

Accura Healthcare of Spirit Lake offers nursing home, hospice care, memory care, palliative care, respite care, and skilled nursing in Spirit Lake, IA. Skilled nursing and nursing home care provide nursing support for residents who need ongoing clinical care, while memory care provides supervision in a secured setting for someone at risk of wandering.

Hospice and palliative care focus on comfort and symptom management. Respite care provides a short stay for a resident whose usual caregiver needs time away. The community has 80 beds and offers rehabilitation services, short term rehabilitation, and outpatient therapy services for people recovering from illness, injury, or a hospital stay.

Private short stay suites support temporary rehabilitation or respite stays, while private and semi private long term care rooms accommodate longer term residence. An on site beauty and barber shop gives residents access to grooming services within the community. Total nurse staffing is 3 hours and 57 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted. A Walk Score of 76 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still get out independently. The range of care services may suit a resident whose needs change over time or whose family caregiver needs short term support.

Contact Accura Healthcare of Spirit Lake

Overview of Southridge Specialty Care

Southridge Specialty Care is a nursing home in Marshalltown, IA, offering long-term care, rehabilitation, and skilled nursing. The community’s accessible and comfortable setting ensures older adults can feel at home during their stay. With 24/7 care, well-balanced meals, and social services, residents experience maintenance-free living. Along with a highly trained team, customized care plans are also provided for residents’ recovery and wellness.

Puzzles, painting, and social events provide residents with more opportunities to try new hobbies and have fun. Thoughtfully furnished rooms and accessible amenities also ensure residents’ relaxation and safety. Situated near parks, restaurants, shops, and bus stops, the community guarantees easy access to necessities and leisure. This nursing home is committed to helping older adults thrive in retirement, making it one of the best options for senior living in Iowa.

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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. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.

  • 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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Nursing Homes in Iowa at a glance

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
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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 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.