Other senior care options in Iowa:

Page 16 of Best Nursing Homes in Iowa

Why trust this guide? Our editorial team analyzed 229 nursing homes in Iowa using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in IA
Reviewed by
Last updated
Jul 2026
We analyzed
229 homes
Other senior care options in Iowa:
Avg Overall CMS Rating: 3.1/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Iowa. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 3.5/ 5The average Staffing Rating across all CMS-certified nursing homes in Iowa. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.9/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Iowa. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Iowa

The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

CMS & IA Dept. of Health data

Bethany Home Retirement Center
NH
IL
MC
SNF
Dubuque (Eagle Point District)
66
Facility 66
IA AVG 71
Rank #181 / 406
--
4.19
Facility 4.19
IA AVG 4.30
Rank #119 / 245
0%-2%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 251
2
Facility 2
IA AVG 21.7
Rank #6 / 244
2.0
Facility 2.0
IA AVG 4.1
Rank #22 / 244
-67-
69
Facility 69
IA AVG 45
Rank #103 / 528
Mike Brannon
$9.2MFiscal year ending 12/2023
Facility $9.2MFiscal year ending 12/2023
IA AVG $7.0M
Rank #69 / 246
$6.2MFiscal year ending 12/2023
Facility $6.2MFiscal year ending 12/2023
IA AVG $3.1M
Rank #39 / 246
68%Fiscal year ending 12/2023
Facility 68%Fiscal year ending 12/2023
IA AVG 46.3%
Rank #47 / 246
165584
Sunrise Retirement Community
NH
AL
IL
MC
RC
SNF
Sioux City
74
Facility 74
IA AVG 71
Rank #136 / 406
90.5%
Facility 90.5%
IA AVG 64.7
Rank #49 / 379
+40%
6.19
Facility 6.19
IA AVG 4.30
Rank #3 / 245
-23%+44%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 251
11
Facility 11
IA AVG 21.7
Rank #76 / 244
3.7
Facility 3.7
IA AVG 4.1
Rank #115 / 244
-67A+
22
Facility 22
IA AVG 45
Rank #411 / 528
Samantha Roth
$13.6MFiscal year ending 12/2023
Facility $13.6MFiscal year ending 12/2023
IA AVG $7.0M
Rank #26 / 246
$8.5MFiscal year ending 12/2023
Facility $8.5MFiscal year ending 12/2023
IA AVG $3.1M
Rank #19 / 246
62.2%Fiscal year ending 12/2023
Facility 62.2%Fiscal year ending 12/2023
IA AVG 46.3%
Rank #94 / 246
165473
Green Hills Retirement Community
NH
AL
IL
MC
SNF
Ames (Hamilton Drive)
56
Facility 56
IA AVG 71
Rank #233 / 406
78.6%
Facility 78.6%
IA AVG 64.7
Rank #138 / 379
+22%
5.86
Facility 5.86
IA AVG 4.30
Rank #10 / 245
-11%+36%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 251
8
Facility 8
IA AVG 21.7
Rank #48 / 244
4.0
Facility 4.0
IA AVG 4.1
Rank #132 / 244
-44-
18
Facility 18
IA AVG 45
Rank #430 / 528
Green Hills Residents' Association
$8.0MFiscal year ending 06/2024
Facility $8.0MFiscal year ending 06/2024
IA AVG $7.0M
Rank #89 / 246
$5.4MFiscal year ending 06/2024
Facility $5.4MFiscal year ending 06/2024
IA AVG $3.1M
Rank #56 / 246
67.5%Fiscal year ending 06/2024
Facility 67.5%Fiscal year ending 06/2024
IA AVG 46.3%
Rank #61 / 246
165577
Meth Wick Community
NH
AL
IL
MC
RC
SNF
Cedar Rapids (The Meth-Wick Community)
69
Facility 69
IA AVG 71
Rank #167 / 406
81.4%
Facility 81.4%
IA AVG 64.7
Rank #115 / 379
+26%
5.96
Facility 5.96
IA AVG 4.30
Rank #6 / 245
+23%+39%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 251
3
Facility 3
IA AVG 21.7
Rank #8 / 244
1.5
Facility 1.5
IA AVG 4.1
Rank #13 / 244
-56-
23
Facility 23
IA AVG 45
Rank #405 / 528
Meth Wick Community
$18.2MFiscal year ending 03/2024
Facility $18.2MFiscal year ending 03/2024
IA AVG $7.0M
Rank #8 / 246
$10.3MFiscal year ending 03/2024
Facility $10.3MFiscal year ending 03/2024
IA AVG $3.1M
Rank #8 / 246
56.4%Fiscal year ending 03/2024
Facility 56.4%Fiscal year ending 03/2024
IA AVG 46.3%
Rank #144 / 246
165542
Mill Pond
NH
AL
IL
MC
SNF
Ankeny
60
Facility 60
IA AVG 71
Rank #213 / 406
98.3%
Facility 98.3%
IA AVG 64.7
Rank #6 / 379
+52%
4.91
Facility 4.91
IA AVG 4.30
Rank #51 / 245
-16%+14%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 251
9
Facility 9
IA AVG 21.7
Rank #60 / 244
3.0
Facility 3.0
IA AVG 4.1
Rank #78 / 244
-59-
16
Facility 16
IA AVG 45
Rank #439 / 528
Phs Management, LLC
$6.8MFiscal year ending 09/2023
Facility $6.8MFiscal year ending 09/2023
IA AVG $7.0M
Rank #32 / 246
$6.5MFiscal year ending 09/2023
Facility $6.5MFiscal year ending 09/2023
IA AVG $3.1M
Rank #34 / 246
96.3%Fiscal year ending 09/2023
Facility 96.3%Fiscal year ending 09/2023
IA AVG 46.3%
Rank #182 / 246
165261
Wesley Acres
NH
ADC
AL
IL
MC
SNF
Des Moines (Greenwood)
80
Facility 80
IA AVG 71
Rank #105 / 406
91.3%
Facility 91.3%
IA AVG 64.7
Rank #44 / 379
+41%
4.24
Facility 4.24
IA AVG 4.30
Rank #119 / 245
+43%-1%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 251
5
Facility 5
IA AVG 21.7
Rank #19 / 244
1.7
Facility 1.7
IA AVG 4.1
Rank #17 / 244
-73-
72
Facility 72
IA AVG 45
Rank #89 / 528
Damon Buskohl
$29.3MFiscal year ending 12/2023
Facility $29.3MFiscal year ending 12/2023
IA AVG $7.0M
Rank #1 / 246
$20.8MFiscal year ending 12/2023
Facility $20.8MFiscal year ending 12/2023
IA AVG $3.1M
Rank #1 / 246
71%Fiscal year ending 12/2023
Facility 71%Fiscal year ending 12/2023
IA AVG 46.3%
Rank #164 / 246
165487
West Ridge Care Center
NH
MC
SNF
Cedar Rapids
60
Facility 60
IA AVG 71
Rank #213 / 406
75.0%
Facility 75.0%
IA AVG 64.7
Rank #163 / 379
+16%
4.88
Facility 4.88
IA AVG 4.30
Rank #51 / 245
+31%+14%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 251
5
Facility 5
IA AVG 21.7
Rank #19 / 244
2.5
Facility 2.5
IA AVG 4.1
Rank #55 / 244
-45-
48
Facility 48
IA AVG 45
Rank #241 / 528
Elaine Sample
$6.9MFiscal year ending 12/2023
Facility $6.9MFiscal year ending 12/2023
IA AVG $7.0M
Rank #78 / 246
$3.7MFiscal year ending 12/2023
Facility $3.7MFiscal year ending 12/2023
IA AVG $3.1M
Rank #85 / 246
53.1%Fiscal year ending 12/2023
Facility 53.1%Fiscal year ending 12/2023
IA AVG 46.3%
Rank #161 / 246
165567
Terrace Glen Village
NH
AL
IL
SNF
Marion (Flynn)
40
Facility 40
IA AVG 71
Rank #324 / 406
95.0%
Facility 95.0%
IA AVG 64.7
Rank #17 / 379
+47%
4.48
Facility 4.48
IA AVG 4.30
Rank #79 / 245
+20%+4%
$12.2k
Facility $12.2k
IA AVG $53.4k
Rank #165 / 251
14
Facility 14
IA AVG 21.7
Rank #101 / 244
4.7
Facility 4.7
IA AVG 4.1
Rank #160 / 244
438A
14
Facility 14
IA AVG 45
Rank #444 / 528
Abernathy Family Farms LLC
$8.7MFiscal year ending 12/2023
Facility $8.7MFiscal year ending 12/2023
IA AVG $7.0M
Rank #76 / 246
$4.2MFiscal year ending 12/2023
Facility $4.2MFiscal year ending 12/2023
IA AVG $3.1M
Rank #92 / 246
48.4%Fiscal year ending 12/2023
Facility 48.4%Fiscal year ending 12/2023
IA AVG 46.3%
Rank #189 / 246
165625
Briarwood Health Care Center
NH
RC
SNF
Iowa City (Roosevelt)
62
Facility 62
IA AVG 71
Rank #201 / 406
80.6%
Facility 80.6%
IA AVG 64.7
Rank #122 / 379
+25%
4.36
Facility 4.36
IA AVG 4.30
Rank #96 / 245
-20%+1%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 251
9
Facility 9
IA AVG 21.7
Rank #60 / 244
3.0
Facility 3.0
IA AVG 4.1
Rank #78 / 244
-50-
33
Facility 33
IA AVG 45
Rank #344 / 528
Kristin Schmidt-Solberg
$6.3MFiscal year ending 12/2023
Facility $6.3MFiscal year ending 12/2023
IA AVG $7.0M
Rank #113 / 246
$3.3MFiscal year ending 12/2023
Facility $3.3MFiscal year ending 12/2023
IA AVG $3.1M
Rank #133 / 246
52.3%Fiscal year ending 12/2023
Facility 52.3%Fiscal year ending 12/2023
IA AVG 46.3%
Rank #172 / 246
165172
Karen Acres Health Care Center
NH
HOS
RC
SNF
Urbandale (Elm Drive)
35
Facility 35
IA AVG 71
Rank #370 / 406
88.6%
Facility 88.6%
IA AVG 64.7
Rank #67 / 379
+37%
3.41
Facility 3.41
IA AVG 4.30
Rank #224 / 245
-1%-21%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 251
9
Facility 9
IA AVG 21.7
Rank #60 / 244
2.3
Facility 2.3
IA AVG 4.1
Rank #44 / 244
-31-
71
Facility 71
IA AVG 45
Rank #94 / 528
Pamela Harned
$3.1MFiscal year ending 12/2023
Facility $3.1MFiscal year ending 12/2023
IA AVG $7.0M
Rank #222 / 246
$1.8MFiscal year ending 12/2023
Facility $1.8MFiscal year ending 12/2023
IA AVG $3.1M
Rank #232 / 246
57.2%Fiscal year ending 12/2023
Facility 57.2%Fiscal year ending 12/2023
IA AVG 46.3%
Rank #143 / 246
165460
Simpson Memorial Home
NH
AL
IL
SNF
West Liberty (North Miller Street)
55
Facility 55
IA AVG 71
Rank #239 / 406
58.2%
Facility 58.2%
IA AVG 64.7
Rank #220 / 379
-10%
4.55
Facility 4.55
IA AVG 4.30
Rank #79 / 245
+9%+6%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 251
13
Facility 13
IA AVG 21.7
Rank #91 / 244
4.3
Facility 4.3
IA AVG 4.1
Rank #150 / 244
332-
41
Facility 41
IA AVG 45
Rank #287 / 528
Fredrick Grunder
$4.6MFiscal year ending 06/2024
Facility $4.6MFiscal year ending 06/2024
IA AVG $7.0M
Rank #177 / 246
$2.8MFiscal year ending 06/2024
Facility $2.8MFiscal year ending 06/2024
IA AVG $3.1M
Rank #155 / 246
61.1%Fiscal year ending 06/2024
Facility 61.1%Fiscal year ending 06/2024
IA AVG 46.3%
Rank #73 / 246
165418
Friendship Village
NH
AL
IL
MC
SNF
Waterloo
72
Facility 72
IA AVG 71
Rank #143 / 406
91.7%
Facility 91.7%
IA AVG 64.7
Rank #41 / 379
+42%
6.17
Facility 6.17
IA AVG 4.30
Rank #3 / 245
+5%+44%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 251
8
Facility 8
IA AVG 21.7
Rank #48 / 244
2.0
Facility 2.0
IA AVG 4.1
Rank #22 / 244
166-
52
Facility 52
IA AVG 45
Rank #202 / 528
Friends Of Faith Retirement Homes, Inc
$14.2MFiscal year ending 03/2024
Facility $14.2MFiscal year ending 03/2024
IA AVG $7.0M
Rank #12 / 246
$11.6MFiscal year ending 03/2024
Facility $11.6MFiscal year ending 03/2024
IA AVG $3.1M
Rank #7 / 246
81.4%Fiscal year ending 03/2024
Facility 81.4%Fiscal year ending 03/2024
IA AVG 46.3%
Rank #117 / 246
165081
Prairie Vista Village
NH
AL
IL
SNF
South Altoona
68
Facility 68
IA AVG 71
Rank #170 / 406
50.0%
Facility 50.0%
IA AVG 64.7
Rank #255 / 379
-23%
4.71
Facility 4.71
IA AVG 4.30
Rank #64 / 245
-20%+10%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 251
5
Facility 5
IA AVG 21.7
Rank #19 / 244
1.3
Facility 1.3
IA AVG 4.1
Rank #9 / 244
-34A
29
Facility 29
IA AVG 45
Rank #372 / 528
John Freeman
$9.1MFiscal year ending 12/2023
Facility $9.1MFiscal year ending 12/2023
IA AVG $7.0M
Rank #62 / 246
$3.7MFiscal year ending 12/2023
Facility $3.7MFiscal year ending 12/2023
IA AVG $3.1M
Rank #72 / 246
40.8%Fiscal year ending 12/2023
Facility 40.8%Fiscal year ending 12/2023
IA AVG 46.3%
Rank #175 / 246
165610
St Francis Manor
NH
AL
HOS
SNF
Grinnell
78
Facility 78
IA AVG 71
Rank #119 / 406
69.2%
Facility 69.2%
IA AVG 64.7
Rank #193 / 379
+7%
5.32
Facility 5.32
IA AVG 4.30
Rank #24 / 245
+34%+24%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 251
1
Facility 1
IA AVG 21.7
Rank #1 / 244
1.0
Facility 1.0
IA AVG 4.1
Rank #1 / 244
-54-
82
Facility 82
IA AVG 45
Rank #39 / 528
St Francis Manor Inc
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
IA AVG $7.0M
Rank #74 / 246
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
IA AVG $3.1M
Rank #42 / 246
69.4%Fiscal year ending 12/2023
Facility 69.4%Fiscal year ending 12/2023
IA AVG 46.3%
Rank #63 / 246
165480
Mayflower Home
NH
AL
IL
MC
SNF
Grinnell
40
Facility 40
IA AVG 71
Rank #324 / 406
77.5%
Facility 77.5%
IA AVG 64.7
Rank #145 / 379
+20%
5.04
Facility 5.04
IA AVG 4.30
Rank #46 / 245
+40%+17%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 251
5
Facility 5
IA AVG 21.7
Rank #19 / 244
2.5
Facility 2.5
IA AVG 4.1
Rank #55 / 244
-31-
82
Facility 82
IA AVG 45
Rank #39 / 528
Mayflower Homes Inc
$6.6MFiscal year ending 03/2024
Facility $6.6MFiscal year ending 03/2024
IA AVG $7.0M
Rank #98 / 246
$5.0MFiscal year ending 03/2024
Facility $5.0MFiscal year ending 03/2024
IA AVG $3.1M
Rank #77 / 246
74.9%Fiscal year ending 03/2024
Facility 74.9%Fiscal year ending 03/2024
IA AVG 46.3%
Rank #88 / 246
165481
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Nursing Home Explorer
Overview of Urbandale Health Care Center

Urbandale Health Care Center is a rehabilitation and skilled nursing facility located in Urbandale, IA, northwest of Meredith Park. Aside from rehabilitation and long-term care, they also provide specialized services like respite care, and hospice care. Their current facility can house 106 patients, with access to a full nursing assistance 24 hours daily. Aside from this, the patients also receive medication administration done by licensed professionals, meal provisions, grooming services, housekeeping, and various therapy depending on patient needs.

Urbandale Health Care Center admission inquiries are open 24/7 including holidays. They also provide tours for those who would like to learn more about this long-term care nursing home. However, due to their capacity limit, admissions to the facility will be based on bed availability.

Contact Urbandale Health Care Center

Overview of Ams Memorial-Greene

Ams Memorial-Greene runs a 31-bed skilled nursing building at 108 South High Street in Greene, Iowa. Owned by Michael Steinkruger, the facility focuses on helping people recover after a hospital stay or manage ongoing medical needs. The front office takes standard private pay, Medicare, and state Medicaid. Stays here average just 52 days, which shows that the daily routine is geared much more toward short-term rehab and therapy rather than lifetime placements.

The building usually sits at about 61 percent occupancy, so they typically have open beds ready for new admissions. Staff work around the clock to provide daily clinical monitoring, outpatient therapy, and respite care. As for the area, the surrounding Butler County neighborhood scores a 43 out of 100 for walkability, which means visiting family members and friends will need a car to get around town or run quick errands.

State inspectors have monitored this home throughout its 34-year history. Past health audits turned up a few procedural issues involving staff distribution, paperwork, and care planning. The management team put together an official plan of correction to fix these issues, and state oversight agencies cleared the building, confirming it meets current health and safety codes.

Interested individuals can get in touch with the front office to check on current room layouts, ask about the rehab schedules, or plan a time to look around the building.

Contact AMS Memorial-Greene

Bethany Life

212 Lafayette Avenue, Story City, Ia 502481451
Overview of Bethany Life

Bethany Life operates a nonprofit continuum of senior care from its 126-bed medical community at 212 Lafayette Avenue in Story City, Iowa. Established over half a century ago, the campus manages resident entry through a unique membership model combining an initial entry fee with a predictable monthly rate to secure lifetime care tiers. Business staff process billing through multiple coverage lines, including traditional out-of-pocket funds, standard federal Medicare, and state Medicaid paths. The property runs with a regular occupancy baseline of roughly 89 percent, supporting individual stays that average 229 days.

On-site health teams coordinate an average of 4 hours of daily hands-on care per resident. Certified nursing assistants distribute the largest portion of these floor hours at 2 hours and 42 minutes, while registered nurses contribute 45 minutes, and licensed practical nurses provide 23 minutes of clinical tracking. This staff handles routine treatments, medication management, and dietitian support within dedicated transitional wings, including the LifeBridge Transitional Care track, Cedar Place, and Timberland Village. For local travel, the surrounding downtown area logs a walkability score of 82 out of 100, which allows visitors and residents to complete daily errands entirely on foot.

Daily lifestyle configurations are built around a central hub featuring dining at Tom & Stevie’s Bistro alongside massage therapy, chaplain services, and organized wellness education. To prevent unnecessary travel, the campus integrates personal emergency response systems and home health aides to assist individuals who reside in the adjacent Twin Homes independent living options. These internal systems are structured to help stabilize physical recovery following major surgeries or complex hospital stays while preserving as much personal independence as possible.

Older adults exploring active neighborhood placement details can call the front reception area to confirm room availability, ask about the lifetime membership tiers, or coordinate a time to see the shared dining spaces.

Contact Bethany Life

Overview of Harmony Utica Ridge

Focused on post-acute care and specialty recovery programs, Harmony Utica Ridge is a rehabilitation nursing home serving residents recovering from hospitalization, injury, surgery, and stroke. Medicare, Medicaid, and private pay are accepted, giving families several options for covering short-term rehabilitation services. Residents stay an average of 41 days, which includes residents receiving post-acute rehabilitation rather than long-term residential care.

The facility offers structured rehabilitation services. Residents have access to respite stays and medical support for surgery, stroke, or other conditions requiring intensive therapy. Daily nurse staffing averages 3 hours and 42 minutes per resident. Registered nurses provide approximately 51 minutes of specialized clinical care daily as part of the facility’s clinical support team.

The community’s Walk Score is 90, which is in a highly walkable area. Many nearby services and amenities are within walking distance for visiting family members. Amenities on-site include high-speed Wi-Fi, social lounges, and full-service dining options.

State inspections have examined care standards in wound and pressure ulcer management, medication administration practices, staffing documentation, infection control, and fall prevention. These are important quality indicators for families evaluating the home.

Contact Harmony Utica Ridge

Overview of Trinity Center at Luther Park

Operating under the Gardens at Luther Park organization, Trinity Center at Luther Park is a 120-bed nursing home that provides short-term rehabilitation and long-term skilled care for residents aged 55 and older. The building maintains a high local volume with a 91% occupancy rate and manages an extended 239-day average length of stay. Financial coverage handles a standard mix of Medicare, Medicaid, and private-pay sources. The campus is built in an exceptionally walkable downtown neighborhood, making local errands and shops easily accessible on foot.

Daily care lines supply an average of 4 hours and 34 minutes of direct nursing time per resident each day, with a combination of registered nurses, licensed practical nurses, and nurse aides covering the floor alongside on-site physical therapists. On the compliance side, public monitoring files from the Iowa Department of Inspections, Appeals, and Licensing indicate that state inspectors have noted recurring administrative issues centered on care documentation, food handling protocols, and basic infection control.

Beyond the medical operations, daily life on the campus is organized around faith-based Christian values, spiritual support programs, regular activities, and local volunteer networks.

Prospective representatives researching faith-based senior care options or multi-level nursing setups can review these state health filings to assess the property’s operational history. The public records outline a busy, highly occupied facility backed by solid daily direct care hours and a walkable location, balanced against some recurring regulatory points regarding kitchen and documentation maintenance.

Contact Trinity Center at Luther Park

Overview of Parkview Care Center

Along Highway 34 in Fairfield, Iowa, Parkview Care Center offers dual accommodations as a 70-bed skilled nursing and assisted living property. Owner Tyler Hall and administrator Sarah Flattery oversee the community, which runs at roughly 69 percent occupancy and bills through private pay, Medicare, and Medicaid. Stays here average 271 days, creating a daily census that blends short-term therapy patients with long-term residents.

Daily clinical routines are handled by an on-floor team of registered nurses, licensed practical nurses, and nurse aides who provide an average of 2 hours and 56 minutes of direct care per resident. This 24-hour setup delivers physical recovery therapies alongside memory care programs tailored for individuals living with Alzheimer’s or dementia. For visiting family members, the local neighborhood is highly walkable, making it easy to head out and navigate local services on foot.

State agencies monitor the facility through routine standard checks and occasional complaint-based reviews. Past inspection filings noted a few adjustments needed in kitchen staffing guidelines and building maintenance, but subsequent follow-ups confirmed the facility had resolved these issues to meet regulatory standards.

Prospective representatives can contact the administrative office to check on current room configurations, ask about the dementia care schedules, or arrange a walkthrough of the community. The main desk is also equipped to help you check insurance parameters and clarify how Medicare or Medicaid applies to the different care levels.

Contact Parkview Care Center

Overview of Crystal Heights Care Center

At its 72-bed medical property on High Avenue West, Crystal Heights Care Center manages resident accounts using a combination of private payments, Medicare credits, and state Medicaid options. Operating under the leadership of administrator Danielle Grove and owner Wesley Wills, the campus sustains a high occupancy rate of nearly 97 percent. Residential placements span an average of 289 days, indicating an environment that balances short-term, post-hospital rehabilitation with extended long-term care programs.

The nursing staff provides about 3 hours and 34 minutes of direct care for each resident every day. Aides, LPNs, and registered nurses share the shifts to handle daily medical needs, physical, occupational, and speech therapy, and even on-site dental and podiatry checkups. Having these specialists come directly to the building means residents rarely have to travel out for appointments. If you come to visit, the neighborhood is highly walkable, scoring a 75 out of 100, so you can easily step out and take care of errands on foot.

The Iowa Department of Inspections, Appeals, and Licensing recently reviewed the facility’s daily care routines, infection controls, and staffing levels. Their report gave the home a clean bill of health, confirming that everything meets state operating standards. The administrative staff utilizes these regular health reports to guide internal policy adjustments and direct continuous skill training for the clinical staff.

Older adults looking into local enrollment parameters can contact the front administrative desk to check on active room availability, request an intake guide for on-site physical rehabilitation, or plan a morning to walk through the common lounges.

Contact Crystal Heights Care Center

Bethany Lutheran Home

Seven Elliott Street, Council Bluffs, Ia 515030297
Overview of Bethany Lutheran Home

A 112-bed skilled nursing community owned by Diana Roberts in Council Bluffs, Iowa, is Bethany Lutheran Home. Operating for 51 years, it maintains an 80 percent occupancy rate, reflecting steady census in a mid-sized facility. Medicare, Medicaid, and private pay are accepted to provide numerous ways for families to arrange care.

The facility’s clinical focus includes rehabilitation services, with a dedicated Rehab to Home program tailored to support occupants transitioning back to independent living after acute illness, surgery, or hospitalization. Total nursing care averages 4 hours 53 minutes per resident day, distributed across registered nurses, licensed practical nurses, and nursing aides. That daily staffing level bolsters 24/7 support for residents. The home is found in a really walkable area of Council Bluffs with a Walk Score of 77, meaning visiting family members and mobile residents can run most errands on foot and have good access to nearby services. For regular visits and outings, the surrounding neighborhood is accessible and convenient. The average stay duration is 152 days, signaling a mix of short-term rehabilitation patients and longer-term residents.

Care planning, medication administration, staffing, safety protocols, and infection control practices have been addressed by state inspections.

It’s encouraged that families considering the home tour it in person and ask about how clinical areas are managed daily.

Contact Bethany Lutheran Home

Overview of Southfield Wellness Community Al

Southfield Wellness Community is a 50-bed assisted living and rehabilitation facility at 2416 Southfield Drive in Webster City, Iowa. Administered by Megan Hassebrock, the community has served Hamilton County since 2002 under a license active through September 2026. The facility reports 40% occupancy with 20 residents, which is below the state average. The location is moderately walkable with a Walk Score of 58.

State-level monitoring data reflects a consistent history of high regulatory compliance. Over the last nine years, the facility recorded only one deficiency, resulting in an annual average of 0.1, which is 98% below the state average. The most recent recertification in March 2025 resulted in a citations-per-inspection rate of zero. While long-term compliance remains strong, the facility incurred federal penalties totaling $72,000 between November 2023 and December 2024.

Daily clinical operations utilize a 24-hour nursing model supported by a team of 129 CNAs, LPNs, and medication aides. Bedside support hours for nurse aides run 9% above Iowa averages, and the facility maintains a staff-to-resident ratio of 3.65:1. Services include short-term rehabilitation, respite care, and extended residential support, with a payer mix of 55% private pay, 25% Medicare, and 20% Medicaid. Clinical data shows 100% vaccination rates for long-stay residents and zero major falls among high-risk individuals.

The residential environment provides private family gathering spaces and basic cable services for residents. Despite established care quality, the community faced financial challenges in 2023 with a reported $703,000 operating loss. Historical records from 2008 noted a single deficiency involving inconsistent health assessments, but all subsequent complaint investigations have been unsubstantiated. The campus is designed to accommodate both post-acute recovery and long-term assisted care.

Interested individuals should consider the community’s 23-year history and its strong clinical metrics regarding vaccination and fall prevention. It is advisable to discuss the recent federal penalties with the administrator to understand the specific corrective measures implemented over the last year. Families may contact the Webster City office to verify current availability and confirm that the facility’s established care protocols meet their 2026 requirements.

Contact Southfield Wellness Community AL

Overview of Perry Lutheran Home

The Perry Lutheran Home operates a 26-year-old continuing care retirement campus on Willis Avenue in Perry, Iowa, under the management of administrator Melissa Gannon. The building houses 70 residents, runs at about 80 percent occupancy, and handles accounts through private pay, Medicare, and Medicaid. Lengths of stay average 315 days, indicating that the daily routine integrates short-term therapy patients into an established, long-term residential community.

The hands-on clinical team delivers an average of 4 hours and 20 minutes of direct care to each resident every day. Registered nurses, licensed practical nurses, and nurse aides balance this 24-hour schedule to coordinate standard therapies, respite care, and independent home health services. The church-affiliated nonprofit property sits in a neighborhood that scores a 74 out of 100 for walkability, allowing visiting families to manage a variety of local trips on foot.

Interested individuals can get in touch with the main desk to ask about the independent or assisted living availability, request details on the home care services, or schedule an afternoon to see the campus. The front office can also explain the admission paperwork and clarify how different insurance options apply to the monthly fees.

Contact Perry Lutheran Home

Ranking Methodology

How we rank these nursing homes

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

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

Weighting overview

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

Care Quality 35%

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

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

Staffing Adequacy 20%

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

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

Regulatory & Safety Record 20%

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

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

Operational & Financial Stability 20%

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

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

Environment & Accessibility 5%

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

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in Iowa

What's the difference between assisted living and a nursing home in Iowa?

Assisted living in Iowa is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Iowa Medicaid cover nursing home care?

Yes — Iowa Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 229 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.