Page 16 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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Last updated
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:

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-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.
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.
Aspire of Pleasant Valley
NH
SNF
Pleasant Valley
44
Facility 44
IA AVG 67
Rank #185 / 241
69.5%
Facility 69.5%
IA AVG 78.3%
Rank #186 / 234
-11%
3.94
Facility 3.94
IA AVG 4.30
Rank #153 / 231
B- +25%-8%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
35
Facility 35
IA AVG 21.7
Rank #190 / 233
5.0
Facility 5.0
IA AVG 4.1
Rank #165 / 233
131-
17
Facility 17
IA AVG 49
Rank #227 / 260
-
$2.8MFiscal year ending 12/2023
Facility $2.8MFiscal year ending 12/2023
IA AVG $6.9M
Rank #214 / 224
$1.3MFiscal year ending 12/2023
Facility $1.3MFiscal year ending 12/2023
IA AVG $4.2M
Rank #223 / 224
46.2%Fiscal year ending 12/2023
Facility 46.2%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #206 / 224
165376
Bethany Life
NH
AL
IL
MC
RC
SNF
Story City
126
Facility 126
IA AVG 67
Rank #9 / 241
81.0%
Facility 81.0%
IA AVG 78.3%
Rank #62 / 234
+3%
4.50
Facility 4.50
IA AVG 4.30
Rank #94 / 231
? -22%+5%
$52.3k
Facility $52.3k
IA AVG $53.4k
Rank #209 / 239
33
Facility 33
IA AVG 21.7
Rank #181 / 233
2.5
Facility 2.5
IA AVG 4.1
Rank #64 / 233
5102-
56
Facility 56
IA AVG 49
Rank #103 / 260
Cedar Place Assisted Living(Alp) | S0207 Timberland Village(Alp) | S0162
$14.2MFiscal year ending 12/2023
Facility $14.2MFiscal year ending 12/2023
IA AVG $6.9M
Rank #9 / 224
$12.0MFiscal year ending 12/2023
Facility $12.0MFiscal year ending 12/2023
IA AVG $4.2M
Rank #5 / 224
84.4%Fiscal year ending 12/2023
Facility 84.4%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #10 / 224
165424
Ramsey Village Continuing Care
NH
AL
IL
MC
RESC
RC
SNF
Des Moines (Drake)
78
Facility 78
IA AVG 67
Rank #56 / 241
87.7%
Facility 87.7%
IA AVG 78.3%
Rank #73 / 234
+12%
4.31
Facility 4.31
IA AVG 4.30
Rank #116 / 231
? -46%0%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
31
Facility 31
IA AVG 21.7
Rank #179 / 233
4.4
Facility 4.4
IA AVG 4.1
Rank #151 / 233
168-
38
Facility 38
IA AVG 49
Rank #170 / 260
Claremont House Inc
$9.4MFiscal year ending 12/2023
Facility $9.4MFiscal year ending 12/2023
IA AVG $6.9M
Rank #39 / 224
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
IA AVG $4.2M
Rank #23 / 224
78.4%Fiscal year ending 12/2023
Facility 78.4%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #16 / 224
165514
NewAldaya Lifescapes
NH
AL
IL
MC
RC
SNF
Cedar Falls
112
Facility 112
IA AVG 67
Rank #16 / 241
86.6%
Facility 86.6%
IA AVG 78.3%
Rank #47 / 234
+11%
4.88
Facility 4.88
IA AVG 4.30
Rank #49 / 231
? +3%+13%
$132.1k
Facility $132.1k
IA AVG $53.4k
Rank #226 / 239
13
Facility 13
IA AVG 21.7
Rank #88 / 233
3.3
Facility 3.3
IA AVG 4.1
Rank #101 / 233
197-
64
Facility 64
IA AVG 49
Rank #80 / 260
Cedar Falls Lutheran Home
$12.9MFiscal year ending 12/2023
Facility $12.9MFiscal year ending 12/2023
IA AVG $6.9M
Rank #17 / 224
$10.6MFiscal year ending 12/2023
Facility $10.6MFiscal year ending 12/2023
IA AVG $4.2M
Rank #7 / 224
81.9%Fiscal year ending 12/2023
Facility 81.9%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #12 / 224
165465
Trinity Center at Luther Park
NH
AL
IL
MC
SNF
Des Moines (East Village)
120
Facility 120
IA AVG 67
Rank #10 / 241
90.8%
Facility 90.8%
IA AVG 78.3%
Rank #48 / 234
+16%
4.66
Facility 4.66
IA AVG 4.30
Rank #70 / 231
C- -50%+8%
$162.2k
Facility $162.2k
IA AVG $53.4k
Rank #229 / 239
13
Facility 13
IA AVG 21.7
Rank #88 / 233
4.3
Facility 4.3
IA AVG 4.1
Rank #143 / 233
1109-
91
Facility 91
IA AVG 49
Rank #2 / 260
Gardens At Luther Park(Alp/D) | S0241
$14.4MFiscal year ending 12/2023
Facility $14.4MFiscal year ending 12/2023
IA AVG $6.9M
Rank #8 / 224
$8.9MFiscal year ending 12/2023
Facility $8.9MFiscal year ending 12/2023
IA AVG $4.2M
Rank #11 / 224
62.1%Fiscal year ending 12/2023
Facility 62.1%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #82 / 224
165612
Windmill Manor
NH
MC
SNF
Coralville
120
Facility 120
IA AVG 67
Rank #10 / 241
92.5%
Facility 92.5%
IA AVG 78.3%
Rank #74 / 234
+18%
3.44
Facility 3.44
IA AVG 4.30
Rank #218 / 231
B- -48%-20%
$11.2k
Facility $11.2k
IA AVG $53.4k
Rank #160 / 239
23
Facility 23
IA AVG 21.7
Rank #159 / 233
2.6
Facility 2.6
IA AVG 4.1
Rank #67 / 233
2111-
14
Facility 14
IA AVG 49
Rank #232 / 260
Stacey Cremeens
$10.2MFiscal year ending 03/2024
Facility $10.2MFiscal year ending 03/2024
IA AVG $6.9M
Rank #31 / 224
$5.0MFiscal year ending 03/2024
Facility $5.0MFiscal year ending 03/2024
IA AVG $4.2M
Rank #51 / 224
48.6%Fiscal year ending 03/2024
Facility 48.6%Fiscal year ending 03/2024
IA AVG 60.3%
Rank #191 / 224
165545
North Crest Living Center
NH
SNF
Council Bluffs
62
Facility 62
IA AVG 67
Rank #107 / 241
91.9%
Facility 91.9%
IA AVG 78.3%
Rank #39 / 234
+17%
4.74
Facility 4.74
IA AVG 4.30
Rank #70 / 231
C -32%+10%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
34
Facility 34
IA AVG 21.7
Rank #185 / 233
5.7
Facility 5.7
IA AVG 4.1
Rank #187 / 233
-57-
77
Facility 77
IA AVG 49
Rank #37 / 260
Midlands Living Center LLC(Free Standing Nf/Snf) | 780508
$5.6MFiscal year ending 12/2023
Facility $5.6MFiscal year ending 12/2023
IA AVG $6.9M
Rank #125 / 224
$3.2MFiscal year ending 12/2023
Facility $3.2MFiscal year ending 12/2023
IA AVG $4.2M
Rank #125 / 224
56.8%Fiscal year ending 12/2023
Facility 56.8%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #126 / 224
165290
Sunny View Care Center
NH
HOS
RC
SNF
Ankeny
94
Facility 94
IA AVG 67
Rank #30 / 241
97.9%
Facility 97.9%
IA AVG 78.3%
Rank #42 / 234
+25%
3.78
Facility 3.78
IA AVG 4.30
Rank #164 / 231
C -3%-12%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
42
Facility 42
IA AVG 21.7
Rank #198 / 233
4.2
Facility 4.2
IA AVG 4.1
Rank #139 / 233
192-
52
Facility 52
IA AVG 49
Rank #112 / 260
Mark Kilian
$8.9MFiscal year ending 12/2023
Facility $8.9MFiscal year ending 12/2023
IA AVG $6.9M
Rank #50 / 224
$5.3MFiscal year ending 12/2023
Facility $5.3MFiscal year ending 12/2023
IA AVG $4.2M
Rank #44 / 224
59.4%Fiscal year ending 12/2023
Facility 59.4%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #99 / 224
165441
The New Homestead Care Center
NH
AL
IL
SNF
Guthrie Center
58
Facility 58
IA AVG 67
Rank #126 / 241
81.0%
Facility 81.0%
IA AVG 78.3%
Rank #119 / 234
+3%
4.36
Facility 4.36
IA AVG 4.30
Rank #100 / 231
? -48%+1%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
24
Facility 24
IA AVG 21.7
Rank #166 / 233
4.0
Facility 4.0
IA AVG 4.1
Rank #125 / 233
-47-
44
Facility 44
IA AVG 49
Rank #151 / 260
Hilaree Stringham
$6.0MFiscal year ending 12/2023
Facility $6.0MFiscal year ending 12/2023
IA AVG $6.9M
Rank #115 / 224
$2.5MFiscal year ending 12/2023
Facility $2.5MFiscal year ending 12/2023
IA AVG $4.2M
Rank #162 / 224
42.7%Fiscal year ending 12/2023
Facility 42.7%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #214 / 224
165525
Hallmark Care Center
NH
AL
HOS
SNF
Mount Vernon
55
Facility 55
IA AVG 67
Rank #135 / 241
73.8%
Facility 73.8%
IA AVG 78.3%
Rank #163 / 234
-6%
4.39
Facility 4.39
IA AVG 4.30
Rank #100 / 231
? -7%+2%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
18
Facility 18
IA AVG 21.7
Rank #128 / 233
6.0
Facility 6.0
IA AVG 4.1
Rank #196 / 233
-41-
73
Facility 73
IA AVG 49
Rank #56 / 260
-
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
IA AVG $6.9M
Rank #182 / 224
$3.1MFiscal year ending 12/2023
Facility $3.1MFiscal year ending 12/2023
IA AVG $4.2M
Rank #130 / 224
81.9%Fiscal year ending 12/2023
Facility 81.9%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #12 / 224
165333

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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Aspire of Pleasant Valley

17990 Spencer Road, Pleasant Valley, IA 52767-0503
Overview of Aspire of Pleasant Valley

Aspire of Pleasant Valley offers nursing home care and skilled nursing in Pleasant Valley, IA. Nursing home care supports long term care services, while skilled nursing provides licensed nursing care on site around the clock. Short term rehabilitation and long term care services may suit residents with either a temporary recovery need or an ongoing need for nursing support.

The home has 44 beds, placing it in the smaller community range. That size may suit someone who prefers a setting where staff and residents can get to know each other. Private and semi private rooms give residents the option of living alone or sharing a room, and total nurse staffing is 3h 57m per resident per day, representing the recorded amount of nurse staffing time assigned to each resident across a day.

Clinical services, therapy services, support services and rehabilitation services are available, giving residents receiving short term rehabilitation access to therapy as part of their care at the home. Enriching activities provide options for participation beyond clinical care. Medicare, Medicaid and private pay are accepted: Medicare can cover short term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay allows a family to pay directly; pets are also allowed, which may let a resident keep an animal companion.

Contact Aspire of Pleasant Valley

Bethany Life

212 Lafayette Avenue, Story City, IA 50248-1451
Overview of Bethany Life

Bethany Life in Story City, Iowa, delivers a full continuum of care, including independent living, assisted living, memory care, nursing home care, and skilled nursing. Assisted living programs support residents with routine daily activities like bathing, dressing, and managing medication. Independent living options provide private residential spaces with shared community amenities. Dedicated memory care features a secured setting for individuals experiencing cognitive challenges, while temporary respite stays assist primary family caregivers who require short-term coverage.

Established in 1914, this 126-bed community operates under administrator Morgan Voga. On-site metrics indicate an average of 4 hours and 30 minutes of direct nursing time allocated to each resident daily. Amenities include physical rehabilitation services, an on-site spa for salon appointments, and Tom & Stevie’s Bistro, which serves three daily meals. Located in an area with a 56 walk score, the setting enables residents to run select errands nearby without a car. Financial policies accept Medicare for post-hospital therapy, Medicaid, and direct private pay.

Families exploring continuous care options or short-term respite care can connect with Bethany Life to inquire about apartment availability, review payment programs, or arrange a personal tour.

Contact Bethany Life

Overview of Ramsey Village Continuing Care

Situated in the welcoming town of Des Moines, IA, Ramsey Village Continuing Care is a respected senior living community that offers independent living, assisted living, memory care, respite care, and rehabilitation services. A wide array of spacious and cozy accomodations are available including studio, one-bedroom, and two-bedroom are available for its residents. With a competent and empathetic team, this community provides 24/7 care and support to ensure comfort and security within the place.

With its top-of-the-line amenities and services, residents can enjoy 3 well-balanced meals and snacks daily, community library, game room, and a parlor with a fireplace. Explore its beautifully made shared spaces such as the landscaped interior courtyard. Engage in life enrichment programs in the crafts and activity center to gain more knowledge and experiences. Meet new companions and create unforgettable memories together. Equipped with the right tools and people, seniors can enjoy a glorious retirement with Ramsey Village Continuing Care.

Contact Ramsey Village Continuing Care

Overview of NewAldaya Lifescapes

NewAldaya Lifescapes offers independent living, assisted living, memory care, respite care, and skilled nursing in Cedar Falls, IA. Independent living means private living with community services and no daily care, while assisted living helps with daily tasks such as dressing, bathing, and medication management. Memory care provides a secured setting with supervision for someone at risk of wandering. Respite care offers a short stay when a family caregiver needs to travel or recover, and skilled nursing provides licensed nursing care on site around the clock.

Several care levels are available in one community. That may suit a resident whose needs grow over time and who may be able to continue living there rather than start over elsewhere. NewAldaya Lifescapes has 112 beds, with a 91% occupancy rate, meaning most beds are occupied. Total nurse staffing is 4 hours and 53 minutes per resident per day, representing the daily nurse time allocated to each resident.

Residents can use rehabilitation services, a wellness center, fitness classes, and recreational activities within the community. New Day Salon and Spa offers an on-site place for salon and spa services, while Main Street, River Rock Café, Elm’s Pub, and Vern’s General Store provide named destinations for dining, refreshments, and shopping. Religious services are also available at Good Shepherd Chapel.

Payment options include Medicaid, Medicare, and private pay. Medicaid can help families whose savings may not cover a long stay, while Medicare applies to short-term skilled care after a hospital stay rather than long-term residence. A Walk Score of 64 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to complete some nearby errands independently. Crystal Jasper serves as the administrator.

Contact NewAldaya Lifescapes

Overview of Trinity Center at Luther Park

Trinity Center at Luther Park offers nursing home, assisted living, independent living, memory care, and skilled nursing in Des Moines, IA. Independent living provides private living with community services and no daily care, while assisted living helps with everyday tasks such as dressing, bathing, and taking medication. Memory care is provided in a secured setting with supervision, and skilled nursing offers licensed nursing care on site around the clock.

The range of care levels may suit a resident whose needs grow over time, since changing care needs can be addressed within the same community. The community has 120 beds. Its 91 / 100 Walk Score places it in a walker’s paradise, meaning daily errands do not require a car, so a resident who no longer drives can still get out independently.

Payment options include Medicare, Medicaid, and private pay, giving families several ways to cover care depending on eligibility and financial resources. Total nurse staffing is 4 hours and 39 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident. Pets are allowed, so a resident may continue living with a pet, while rehabilitation services and religious services provide access to therapy and worship within the care setting. Rick Colby serves as the administrator.

Contact Trinity Center at Luther Park

Overview of Windmill Manor

Nestled in Coralville, Iowa, Windmill Manor shines as a beacon of exceptional skilled nursing services. Their extensive medical offerings range from long-term care to outpatient services, respite care, and hospice care, with a team of dedicated professionals providing 24-hour nursing support. Residents benefit from the expertise of a registered dietitian and regular physician visits, ensuring comprehensive well-being. This secure community is further enhanced by its picturesque gardens, offering a haven for seniors seeking a serene yet engaging lifestyle.

Here, residents enjoy both security and freedom in a thoughtfully designed environment, where airy surroundings blend seamlessly with safety measures. With the option of private or companion suites, and a range of social and recreational activities, including a remarkable geriatric nutritional program, Windmill Manor creates a holistic living experience. This exceptional community doesn’t just promise excellence – it’s backed by the positive reviews and strong reputation that reflect its commitment to top-tier care and support.

Contact Windmill Manor

North Crest Living Center

34 Northcrest Drive, Council Bluffs, IA 51503-1695
Overview of North Crest Living Center

A restorative exercise program gives residents at North Crest Living Center structured work on holding onto physical function. Speech therapy is available too. Both belong to a short-term rehabilitation track that assumes the stay ends.

Consider someone who fell and suffered serious injury. Weight-bearing limits are easy for a surgeon to state but harder for a family to consistently enforce at home. A recovery stay does the enforcing.

The home holds 62 beds, with occupancy at 92%. An opening may not arrive in the same week that the need for one arises. Nursing time lands at 4 hours and 45 minutes per resident daily.

No hour of any day passes her without there being licensed nursing on duty. Payment routes are Medicare, Medicaid, and private pay. Medicaid becomes the question once savings stop covering the monthly cost.

An in-house beauty and barber service handles haircuts without a trip out. Transportation to medical appointments is arranged, and recreational and spiritual activities are on the calendar. This suits an older adult needing steady nursing or a short recovery stay with an end date. Kelley Seitz serves as its administrator.

Contact North Crest Living Center

Overview of Sunny View Care Center

Sunny View Care Center in Ankeny, IA, provides nursing home, skilled nursing, hospice care, and respite care. Nursing home and skilled nursing services offer residential support with licensed nursing oversight for residents who need ongoing care. Hospice focuses on comfort for someone nearing the end of life, while respite care provides a short term stay for a family caregiver who needs temporary coverage while traveling or recovering. Some stays are brief; others are ongoing.

The center has 94 beds, giving families a sense of its available capacity without indicating how care is delivered. Total nurse staffing is 3 hours and 47 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Sunny View Care Center may be a good fit for someone whose needs include nursing oversight, comfort focused hospice support, or a temporary respite stay. Medicare, Medicaid, and private pay are accepted, and Vanessa Young serves as the administrator.

Contact Sunny View Care Center

Overview of The New Homestead Care Center

The New Homestead Care Center offers independent living, assisted living, nursing home care, and skilled nursing in Guthrie Center, IA. Independent living provides a private living arrangement with community services and no daily care, while assisted living includes help with daily tasks. Nursing home and skilled nursing services provide nursing care for residents who need ongoing clinical support, so a resident’s needs can change without requiring a move to another community.

The community has 58 beds, placing it in the smaller community range where staff and residents may get to know each other. Its programs include skilled rehabilitation and long term nursing care. Residents can therefore receive rehabilitation services or ongoing nursing support within the same community.

Total nurse staffing is 4 hours and 21 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 eligible care costs. The area has a Walk Score of 44 and depends on cars, so most errands require a car or a ride rather than a short walk.

Hilaree Stringham serves as administrator. The community may be a good fit for someone whose care needs could grow from independent or assisted living to nursing care over time.

Contact The New Homestead Care Center

Hallmark Care Center

215 Highway 30 Sw, Mount Vernon, IA 52314-0000
Overview of Hallmark Care Center

Located in Mount Vernon, IA, Hallmark Care Center offers independent living, assisted living, hospice care, nursing home, and skilled nursing. The community supports private living while supporting daily tasks for active older adults. Moreover, licensed nurses provide care for those who require ongoing clinical oversight. Those with life-limiting conditions are also welcome through hospice.

The community has a 55-bed capacity and is currently at 74% occupancy. Additionally, total nurse staffing is 4 hours and 23 minutes per resident per day, representing the daily nursing time allocated per resident.

Furthermore, rehabilitation services, short-term rehab, and Rehab to Home give residents access to therapy during a temporary stay directed toward returning home. Medicare, Medicaid, and private pay are also accepted. This means that Medicare covers short-term skilled care after a hospital stay, Medicaid can help when savings may not cover a long stay, and families can pay directly through private funds.
A Walk Score of 73 places the area in the very walkable range, so most errands can be done on foot, and a resident who no longer drives may still get out independently.

Contact Hallmark Care 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. 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.