Best Nursing Homes in Iowa

Overview of Crown Pointe Estates Al Memory Care

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

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

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

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

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

Overview of Montrose Health Center INC

Serving its community for 38 years, Montrose Health Center, Inc. is a 44-bed nursing home. The facility accepts Medicare, Medicaid, and private pay, so families have several options for arranging both short-term rehabilitation and longer-term nursing care. The community operates at 82% occupancy, and residents stay an average of 284 days, which includes individuals recovering from acute health events as well as those requiring ongoing care.

Daily nurse staffing averages 4 hours and 41 minutes per resident. Registered nurses, nurse aides, licensed practical nurses, and wound care staff work throughout the day. This level of staffing supports the facility’s rehabilitation focus. Physical therapy, occupational therapy, and speech therapy are available on-site. The facility also offers respite care for families seeking temporary stays, and there’s 24-hour staffing to provide continuous nursing coverage.

State inspections have reviewed the facility’s medication management protocols and clinical care practices. The facility was able to address identified areas of focus, and a recent follow-up survey confirmed substantial compliance. Families touring the home can ask how these care and safety practices are managed in daily operations.

There are a variety of programs and services that keep residents active and engaged. Residents can join in exercise classes, restorative nursing programs, resident council activities, live music events, crafts, scenic rides, pet therapy, and religious services. In-house podiatry and X-ray services are also available. The facility has low employee turnover and local ownership as part of its operations.

The community has a Walk Score of 12. It’s a car-dependent location, so most errands and visits require transportation. The setting may appeal to families who prefer a quieter environment and have their own transportation for visits.

Overview of Monticello Nursing & Rehab Center

Located in Monticello, Iowa, Monticello Nursing & Rehab Center is a skilled nursing and rehabilitation facility. The 75-bed community is in a highly walkable area, so many local services and amenities are within walking distance. Medicare, Medicaid, and private pay are accepted, giving families different options for covering both rehabilitation and long-term care.

The facility has an occupancy rate of 64%, and residents stay an average of 214 days, including those recovering from surgery, illness, and injury, and receiving longer-term care. Rehabilitation services are a major part of daily operations. Skilled nursing care is available alongside structured rehabilitation programs. Daily nurse staffing averages 4 hours and 11 minutes per resident. Nurse aides provide about 2 hours and 31 minutes of care each day.

Pennington Square Assisted Living is affiliated with the facility, so families have another option when care needs change over time. Respite care is also available for those who need to stay temporarily. These services are best during care transitions or when a caregiver needs time away from daily responsibilities.

State inspections have documented findings related to resident supervision and care protocols. The facility was able to address these concerns through follow-up corrections. It also has ongoing improvements to safety and care coordination procedures.

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.

Overview of Holy Spirit Retirement Home

Serving the Sioux City community for nearly three decades, Holy Spirit Retirement Home is a small nursing home owned and operated by The Diocese of Sioux City. The home provides skilled nursing care and rehabilitation support. Pastoral attention to spiritual needs is also available. Medicare, Medicaid, and private pay are accepted, so families have different ways to arrange care coverage.

Residents receive an average of 3 hours and 57 minutes of total nursing support each day. Registered nurses, nurse aides, and licensed practical nurses are all part of the care team. Daily hands-on support is a central part of the nursing model, and residents have access to consistent clinical care throughout their stay.

The facility has 52 beds, which maintains a smaller, residential feel while supporting a dedicated rehabilitation program. Residents stay an average of 190 days, including those recovering through post-acute rehabilitation and receiving longer-term care. The neighborhood has a Walk Score of 91. Many nearby services and destinations are within walking distance, which can make visits easier for family members.

Spiritual care is part of daily life through the home’s Spiritual Life program. The program exists because of the facility’s religious identity and the values associated with Diocese ownership. The community also offers independent apartment-style housing, so residents have an option as their care needs change over time.

State inspections focused on documentation practices, staff training in areas such as dementia care, and the completeness of resident agreements and care plans. The facility continues to address and monitor these areas as part of its daily operations. Families touring the home may want to ask how these matters are monitored daily.

Located in a residential Iowa community, Laurens Care Center is a nursing home owned by Sheldon Bieri. The 38-bed facility accepts Medicare, Medicaid, and private pay, giving families several options for covering the cost of care. The community has 71% occupancy. Residents stay an average of 206 days, which includes short-term rehabilitation patients and those receiving longer-term nursing care.

Daily nurse staffing averages 4 hours and 34 minutes per resident. Registered nurses provide 58 minutes of care each day, while nurse aides contribute 2 hours and 53 minutes. LPN and LVN staff add another 19 minutes of daily support. With this staffing level, residents get consistent attention throughout the day from trained caregivers.

State inspections tracked how the facility complies with care planning, resident protection, and documentation standards. The most recent inspection accepted the home’s compliance plan and certified the facility with no deficiencies noted. Families considering placement should ask how the facility protects residents and maintains care records.

The surrounding neighborhood has a Walk Score of 49. Some nearby errands and services are within walking distance, but most trips require transportation. The setting has a quieter character often found in smaller Iowa communities.

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.

Overview of Friendship Home Association

Operating for 43 years, Friendship Home Association is a skilled nursing home in Iowa owned by Jessica Andersen. The 46-bed facility provides long-term and post-acute care. It has an occupancy rate of 91%, and residents stay an average of 594 days. Medicare, Medicaid, and private pay are accepted, so families have several options for covering both short-term rehabilitation and longer-term nursing care.

Daily nurse staffing averages 4 hours and 26 minutes per resident. Registered nurses provide 39 minutes of care each day, while nurse aides contribute 2 hours and 33 minutes. LPN and LVN staff provide an additional 32 minutes of daily support. That’s a steady nursing presence throughout the day, especially for residents who need hands-on assistance with daily activities.

Friendship Home is in a moderately walkable area where some errands and services are within walking distance. Most trips still require transportation. It’s a setting that offers a community feel for residents and visiting family members.

State inspections have documented areas where the home strengthens operational and care protocols. The facility continues to work through these areas as part of its quality oversight efforts. Families considering the home should take an in-person tour and ask how daily operations and care practices are managed.

Located at 2001 1st Avenue North in Estherville, Iowa, Estherville Community Care Center is a nursing home that accepts Medicare, Medicaid, and private pay, so families have several options when it comes to covering the cost of care. The facility has 24-hour staffing, which provides nursing support to both rehabilitation patients and longer-term residents. Daily nursing care averages about 4 hours and 14 minutes per resident. Registered nurses, nurse aides, and licensed practical nurses are all part of the care team.

Rehabilitation, respite care, and clinical support services are important parts of the home’s care programs. It serves patients recovering from surgery, illness, or a recent hospital stay who still need skilled nursing oversight. Staff members also work with families to coordinate therapy services and other specialized care based on individual needs.

Residents have access to both private and semi-private rooms. The facility also offers hospice suites and honeymoon suites for residents with different care needs. A central living and dining area serves as a gathering place throughout the day. Home-cooked meals and snacks are prepared daily, giving the community a more familiar atmosphere. Residents can also join in activities to stay engaged and connected with others.

The facility is in a car-dependent area, so most errands and daily activities require transportation. That’s fairly common in rural Iowa communities. Family members visiting from nearby towns will find convenient highway access in the Estherville area.

Residents stay an average of 242 days, which includes individuals receiving short-term rehabilitation and those who choose longer-term placement.

Overview of Elkader Care Center

Serving the community for many years, Elkader Care Center is a 40-bed nursing home in Iowa owned by Kristin Dunlap. Residents stay an average of 429 days, including those admitted for post-acute rehabilitation and receiving longer-term care.

The home has 70% occupancy and provides rehabilitation services alongside skilled nursing care. Daily nursing support averages 3 hours and 20 minutes per resident. Registered nurses and nurse aides are part of that. Medicare, Medicaid, and private pay are all accepted, so families have different options when arranging coverage.

Elkader Care Center is in a moderately walkable area with a Walk Score of 59. Some errands and nearby services are within walking distance, but most trips require driving. It’s a quieter small-town setting.

Inspection records from the past six years show periods of compliance challenges and at the same time, improvement. Training protocols and timely care delivery have been recurring areas noted during inspections, but the facility has worked to address those findings. Recent inspection data shows movement toward substantial compliance with all surveyed regulatory standards. That’s part of the facility’s ongoing effort to strengthen operations.

Families considering Elkader Care Center should keep that history in mind when evaluating the home. Taking a tour can provide a better understanding of current operations and the facility’s approach to care.