Page 18 of Best Nursing Homes in Iowa

Why trust this guide? Our editorial team analyzed 239 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.
239 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

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 to lowest based on our ranking 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. 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.
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.
Tabor Manor Care Center
NH
HOS
RC
SNF
Tabor
46
Facility 46
IA AVG 72
Rank #272 / 403
84.8%
Facility 84.8%
IA AVG 67
Rank #91 / 362
+27%
4.20
Facility 4.20
IA AVG 4.30
Rank #120 / 231
-13%-2%
$18.0k
Facility $18.0k
IA AVG $53.4k
Rank #164 / 239
59
Facility 59
IA AVG 21.7
Rank #213 / 232
8.4
Facility 8.4
IA AVG 4.1
Rank #220 / 232
239-
33
Facility 33
IA AVG 47
Rank #343 / 504
Timothy Worcester
$2.9MFiscal year ending 12/2023
Facility $2.9MFiscal year ending 12/2023
IA AVG $6.9M
Rank #211 / 224
$2.4MFiscal year ending 12/2023
Facility $2.4MFiscal year ending 12/2023
IA AVG $4.2M
Rank #170 / 224
82.7%Fiscal year ending 12/2023
Facility 82.7%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #11 / 224
165546
Ivy At Davenport
NH
HOS
RC
SNF
Davenport
75
Facility 75
IA AVG 72
Rank #130 / 403
88.0%
Facility 88.0%
IA AVG 67
Rank #71 / 362
+31%
3.79
Facility 3.79
IA AVG 4.30
Rank #164 / 231
-29%-12%
$232.6k
Facility $232.6k
IA AVG $53.4k
Rank #235 / 239
68
Facility 68
IA AVG 21.7
Rank #221 / 232
7.6
Facility 7.6
IA AVG 4.1
Rank #216 / 232
866-
90
Facility 90
IA AVG 47
Rank #13 / 504
Accordius Health At St Mary, LLC
$6.0MFiscal year ending 12/2023
Facility $6.0MFiscal year ending 12/2023
IA AVG $6.9M
Rank #113 / 224
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
IA AVG $4.2M
Rank #95 / 224
63.3%Fiscal year ending 12/2023
Facility 63.3%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #72 / 224
165436
Bettendorf Health Care Center
NH
AL
SNF
Bettendorf
86
Facility 86
IA AVG 72
Rank #95 / 403
73.3%
Facility 73.3%
IA AVG 67
Rank #171 / 362
+9%
3.17
Facility 3.17
IA AVG 4.30
Rank #225 / 231
-15%-26%
$35.6k
Facility $35.6k
IA AVG $53.4k
Rank #194 / 239
70
Facility 70
IA AVG 21.7
Rank #225 / 232
7.0
Facility 7.0
IA AVG 4.1
Rank #208 / 232
363-
51
Facility 51
IA AVG 47
Rank #213 / 504
Mls Resources, LLC
$5.7MFiscal year ending 12/2023
Facility $5.7MFiscal year ending 12/2023
IA AVG $6.9M
Rank #123 / 224
$3.7MFiscal year ending 12/2023
Facility $3.7MFiscal year ending 12/2023
IA AVG $4.2M
Rank #105 / 224
64.4%Fiscal year ending 12/2023
Facility 64.4%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #61 / 224
165280
Silver Oak Nursing and Rehabilitation LLC
NH
HOS
RC
SNF
Marion
91
Facility 91
IA AVG 72
Rank #81 / 403
76.9%
Facility 76.9%
IA AVG 67
Rank #148 / 362
+15%
4.42
Facility 4.42
IA AVG 4.30
Rank #100 / 231
-35%+3%
$29.1k
Facility $29.1k
IA AVG $53.4k
Rank #183 / 239
76
Facility 76
IA AVG 21.7
Rank #227 / 232
5.9
Facility 5.9
IA AVG 4.1
Rank #186 / 232
570-
89
Facility 89
IA AVG 47
Rank #17 / 504
Ryan Coane
$7.8MFiscal year ending 06/2024
Facility $7.8MFiscal year ending 06/2024
IA AVG $6.9M
Rank #74 / 224
$4.0MFiscal year ending 06/2024
Facility $4.0MFiscal year ending 06/2024
IA AVG $4.2M
Rank #86 / 224
51.3%Fiscal year ending 06/2024
Facility 51.3%Fiscal year ending 06/2024
IA AVG 60.3%
Rank #180 / 224
165171
Prestige Care Center of Fairfield
NH
HOS
MC
PC
RC
SNF
Fairfield
73
Facility 73
IA AVG 72
Rank #141 / 403
80.8%
Facility 80.8%
IA AVG 67
Rank #122 / 362
+21%
3.53
Facility 3.53
IA AVG 4.30
Rank #211 / 231
+11%-18%
$106.8k
Facility $106.8k
IA AVG $53.4k
Rank #220 / 239
72
Facility 72
IA AVG 21.7
Rank #226 / 232
7.2
Facility 7.2
IA AVG 4.1
Rank #210 / 232
759-
87
Facility 87
IA AVG 47
Rank #27 / 504
Corey Fuchs
$6.5MFiscal year ending 12/2023
Facility $6.5MFiscal year ending 12/2023
IA AVG $6.9M
Rank #100 / 224
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
IA AVG $4.2M
Rank #71 / 224
69.2%Fiscal year ending 12/2023
Facility 69.2%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #40 / 224
165602
Harmony Waterloo
NH
AL
RESC
RC
SNF
Waterloo
88
Facility 88
IA AVG 72
Rank #90 / 403
84.7%
Facility 84.7%
IA AVG 67
Rank #93 / 362
+27%
3.32
Facility 3.32
IA AVG 4.30
Rank #221 / 231
-20%-23%
$146.8k
Facility $146.8k
IA AVG $53.4k
Rank #229 / 239
23
Facility 23
IA AVG 21.7
Rank #153 / 232
2.6
Facility 2.6
IA AVG 4.1
Rank #57 / 232
175-
83
Facility 83
IA AVG 47
Rank #35 / 504
Justin Knapp$6.7M*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.$4.0M*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.60%*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.165034
Hillcrest Health Care Center
NH
AL
MC
SNF
L Hawarden
64
Facility 64
IA AVG 72
Rank #190 / 403
83.8%
Facility 83.8%
IA AVG 67
Rank #100 / 362
+25%
3.79
Facility 3.79
IA AVG 4.30
Rank #164 / 231
+11%-12%
$25.5k
Facility $25.5k
IA AVG $53.4k
Rank #177 / 239
55
Facility 55
IA AVG 21.7
Rank #210 / 232
9.2
Facility 9.2
IA AVG 4.1
Rank #222 / 232
254-
49
Facility 49
IA AVG 47
Rank #232 / 504
Melodee Wilkins
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
IA AVG $6.9M
Rank #141 / 224
$2.7MFiscal year ending 12/2023
Facility $2.7MFiscal year ending 12/2023
IA AVG $4.2M
Rank #151 / 224
53.2%Fiscal year ending 12/2023
Facility 53.2%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #159 / 224
165245
Northgate Care Center
NH
AL
HOS
SNF
Nw Waukon
50
Facility 50
IA AVG 72
Rank #256 / 403
82.4%
Facility 82.4%
IA AVG 67
Rank #109 / 362
+23%
3.58
Facility 3.58
IA AVG 4.30
Rank #197 / 231
-46%-17%
$71.1k
Facility $71.1k
IA AVG $53.4k
Rank #211 / 239
10
Facility 10
IA AVG 21.7
Rank #61 / 232
3.3
Facility 3.3
IA AVG 4.1
Rank #88 / 232
141-
68
Facility 68
IA AVG 47
Rank #106 / 504
-
$4.3MFiscal year ending 06/2024
Facility $4.3MFiscal year ending 06/2024
IA AVG $6.9M
Rank #162 / 224
$2.2MFiscal year ending 06/2024
Facility $2.2MFiscal year ending 06/2024
IA AVG $4.2M
Rank #183 / 224
51.7%Fiscal year ending 06/2024
Facility 51.7%Fiscal year ending 06/2024
IA AVG 60.3%
Rank #176 / 224
165338
Southfield Wellness Community AL
NH
AL
HOS
RC
SNF
Webster City
50
Facility 50
IA AVG 72
Rank #256 / 403
--
4.12
Facility 4.12
IA AVG 4.30
Rank #131 / 231
-4%-4%
$71.9k
Facility $71.9k
IA AVG $53.4k
Rank #212 / 239
47
Facility 47
IA AVG 21.7
Rank #205 / 232
9.4
Facility 9.4
IA AVG 4.1
Rank #223 / 232
557-
58
Facility 58
IA AVG 47
Rank #168 / 504
-
$5.8MFiscal year ending 12/2023
Facility $5.8MFiscal year ending 12/2023
IA AVG $6.9M
Rank #118 / 224
$4.1MFiscal year ending 12/2023
Facility $4.1MFiscal year ending 12/2023
IA AVG $4.2M
Rank #85 / 224
70%Fiscal year ending 12/2023
Facility 70%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #34 / 224
165411
AMS Memorial-Greene
NH
AL
RC
SNF
Greene
31
Facility 31
IA AVG 72
Rank #385 / 403
61.3%
Facility 61.3%
IA AVG 67
Rank #214 / 362
-8%- ---
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
16
Facility 16
IA AVG 21.7
Rank #111 / 232
5.3
Facility 5.3
IA AVG 4.1
Rank #172 / 232
-19-
43
Facility 43
IA AVG 47
Rank #275 / 504
Michael Steinkruger
$860.6kFiscal year ending 12/2023
Facility $860.6kFiscal year ending 12/2023
IA AVG $6.9M
Rank #224 / 224
$492.2kFiscal year ending 12/2023
Facility $492.2kFiscal year ending 12/2023
IA AVG $4.2M
Rank #224 / 224
57.2%Fiscal year ending 12/2023
Facility 57.2%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #122 / 224
165356

Rank badges are statewide: each community is ranked against every IA community we track that reports that metric, not just the 239 on this page.

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Nursing Home Explorer
Overview of Tabor Manor Care Center

Tabor Manor Care Center is a 46-bed skilled nursing facility in Tabor, Iowa. Owned by Timothy Worcester, the property has been operating for 50 years, maintains an 85 percent occupancy rate, and accepts private pay alongside Medicare and Medicaid. Stays here average around 315 days, which indicates that the building primarily serves a long-term resident population alongside individuals undergoing short-term rehabilitation.

The floor staff provides about 3 hours and 56 minutes of direct daily care to each resident. A 24-hour coordinated nursing model splits this hands-on time among registered nurses, licensed practical nurses, and nurse aides who manage physical therapies and ongoing clinical needs. Outside the building, the small-town setting yields a walkability score of 33 out of 100, meaning you can reach a few basic local medical services on foot, but most daily errands require a vehicle.

State reports highlighted a few operational areas for improvement, specifically regarding internal medical documentation accuracy, infection control protocols, and family communication following resident incidents. The administration utilizes these inspection notes to sharpen its training programs and update staff guidelines.

Prospective residents can call the administrative office to check on current bed availability, ask about the schedule for physical therapy, or set up a time to visit the building.

Contact Tabor Manor Care Center

Overview of Ivy at Davenport

Located on East Rusholme Street in Davenport, Iowa, Ivy at Davenport is a skilled nursing home operated by Accordius Health at St. Mary, LLC. The 75-bed community has been serving the area for 46 years. It is located in a highly walkable neighborhood with a Walk Score of 90. The facility has an occupancy rate of 88% because of its high demand from families within the area.

Daily nurse staffing averages 3 hours and 34 minutes per resident. Registered nurses, licensed practical nurses, and nursing aides provide care around the clock. This staffing structure supports residents’ medication management, wound care, and ongoing medical oversight. The facility accepts Medicare, Medicaid, and private pay, so families have several options for arranging care.

The facility specializes in rehabilitation services and dementia support. There are chef-prepared meals in a restaurant-style setting. Plus, there are menu options tailored to their dietary needs and preferences. Physical rehabilitation services are available on-site for residents working to regain strength, mobility, and function after a major health event.

Amenities on-site include a salon, chapel, therapy gym, and outdoor spaces. Family gathering areas are available for visiting families. The facility also has 24-hour staffing, which is important for residents who require memory care support.

Residents stay an average of 136 days, which includes short-term rehabilitation patients and residents receiving ongoing care. The average stay of residents is common in skilled nursing communities, where many residents return home after recovery, while others remain to access other levels of care.

Contact Ivy At Davenport

Overview of Bettendorf Health Care Center

Located in Bettendorf, Iowa, Bettendorf Health Care Center is a nursing home owned by MLS Resources. The 86-bed facility accepts Medicare, Medicaid, and private pay, giving families several options to access short-term rehabilitation and longer-term skilled nursing care. The community has an occupancy rate of 73%, which houses 63 residents. Residents stay an average of 142 days, which includes post-acute patients and those receiving ongoing nursing support.

Residents receive about 2 hours and 50 minutes of nursing care each day. Registered nurses and nurse aides are part of the team that provides daily hands-on support. It’s an important part of care for residents with rehabilitation needs and those requiring continued nursing services.

The facility has a Walk Score of 51. Some nearby errands and services are within walking distance, but most outings and visits require transportation.

Families considering Bettendorf Health Care Center should take time to visit the community and learn more about how it handles resident care and safety. State inspection reports are available for review, and they’re a useful source of information when comparing care options.

Contact Bettendorf Health Care Center

Overview of Silver Oak Nursing and Rehabilitation

Located at 455 31st Street in Marion, Iowa, Silver Oak Nursing and Rehabilitation is a nursing home owned by Ryan Coane and administered by Ailson De Jong. The 91-bed facility provides skilled nursing care, rehabilitation services, and dementia support. Medicare, Medicaid, and private pay are accepted, so families have several options for covering short-term rehabilitation and longer-term residential care.

The community has an occupancy rate of 77%, and residents stay an average of 134 days. The facility’s location in a highly walkable neighborhood offers convenient access to nearby services for visiting family members and staff.

Rehabilitation is a major focus of the community. Physical therapy staffing exceeds state averages. Daily nurse staffing averages 4 hours and 28 minutes per resident, combining registered nurse, licensed practical nurse, and certified nurse aide support. The facility operates 24 hours a day and provides care for residents needing dementia support, rehabilitation services, and skilled nursing care.

Meals are prepared by chefs and served according to every resident’s dietary requirements to accommodate a range of nutritional needs and preferences.

State inspections by the Iowa Department of Inspections, Appeals, and Licensing addressed recurring issues related to care delivery, documentation, and resident safety. The facility meets regulatory standards and welcomes family tours to discuss how these operational areas are managed.

Contact Silver Oak Nursing and Rehabilitation LLC

Overview of Prestige Care Center of Fairfield

“Owned by Corey Fuchs, Prestige Care Center of Fairfield is a skilled nursing home in Fairfield, Iowa. The 73-bed community has an occupancy rate of 81%, and residents stay an average of 298 days. Medicare, Medicaid, and private pay are accepted, giving families several options for covering the cost of care.

The facility’s location is in a highly walkable neighborhood with a Walk Score of 87, meaning most errands and nearby destinations are within walking distance. This accessibility can be helpful for residents and visiting family members spending time in the area.

Daily nurse staffing averages 3 hours and 24 minutes per resident. Registered nurses, licensed practical nurses, nurse aides, and licensed vocational nurses work across shifts to provide hands-on support. This staffing structure can support both medical and personal care needs within the community.

State inspections show the home’s efforts to maintain compliance and safety standards. The facility addressed earlier concerns, and a follow-up inspection confirmed substantial compliance. Families considering the home should take a tour of the facility, ask about current operations and programs, and speak with staff about how they meet residents’ medical and personal care needs.”

Contact Prestige Care Center of Fairfield

Harmony Waterloo

201 West Ridgeway Avenue, Waterloo, IA 50701-4235
Overview of Harmony Waterloo

Owned by Justin Knapp, Harmony Waterloo is a skilled nursing home in Waterloo, Iowa. The home specializes in short-term rehabilitation and recovery, with dedicated programs in orthopedic and stroke rehabilitation. Medicare, Medicaid, and private pay are accepted, giving families multiple ways to cover post-acute and rehabilitation stays.

The facility focuses on rehabilitation, so it’s best for residents recovering from surgery, a fall, a stroke, or another hospitalization. Residents stay an average of 117 days because of the home’s role in helping people return to independent living or move into a longer-term care setting.

Clinically, the home has solid staffing support. Nurse staffing averages 3 hours and 51 minutes per resident each day, which includes registered nurse time, licensed practical nurses, and nursing aide support. Residents get consistent attention throughout the day.

The home is in a very walkable location with a Walk Score of 83. Families and visitors will find the neighborhood convenient to navigate on foot. The accessibility here makes it easier for loved ones to visit regularly, as residents recover during their stay.

Contact Harmony Waterloo

Overview of Hillcrest Health Care Center

At its 64-bed skilled nursing property located at 2121 Avenue L, Hillcrest Health Care Center manages regional patient accounts through a mix of private payments, Medicare credits, and state Medicaid options. The facility emphasizes sustained, continuity-based setups rather than temporary recoveries, with residential admissions averaging near a full calendar year. These longer operational timelines establish a stable daily baseline for seniors requiring ongoing clinical monitoring in the Hawarden area.

Round-the-clock shift support relies on an internal clinical team comprised of registered nurses, licensed practical nurses, and certified nurse aides who distribute floor hours to implement medical treatment logs and assist with daily physical tasks. This group works directly with incoming individuals to construct personal recovery profiles, which are paired with an internal social engagement program to manage therapeutic communication.

For neighborhood accessibility, the local surroundings register a walkability score of 49 out of 100, indicating that visiting family members or staff will typically require a personal car for basic community travel and appointments.

Prospective families can contact the business manager to check on active bed availability, ask about the schedule of in-house therapy sessions, or coordinate a time to view the property. The administrative department is also set up to review individual insurance parameters and outline how public aid networks or personal assets apply to monthly billing statements.

Contact Hillcrest Health Care Center

Overview of Northgate Care Center

Northgate Care Center operates a 50-bed medical community at 960 4th Street NW in Waukon, Iowa. The facility manages its accounts through private billing methods alongside standard Medicare and Medicaid authorizations. Residents generally stay for an average of 103 days, meaning the daily census is composed of temporary post-hospital rehab patients living alongside individuals who require extended skilled nursing supervision.

Round-the-clock assistance is managed by a team of registered nurses, licensed practical nurses, and nurse aides who coordinate routine physical therapy and outpatient medical exercises. Practical features inside the building include basic cable television access and private family gathering areas, while the surrounding neighborhood scores a 68 out of 100 for walkability, which means visiting guests can manage a handful of basic daily errands on foot.

Families can contact the administrative office to check on current bed availability, ask about the outpatient therapy schedules, or plan a morning to visit the common rooms. The financial staff can also look over your insurance policies and explain how state aid or private funds apply to monthly care costs.

Contact Northgate Care Center

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

AMS Memorial-Greene

108 South High Street, Greene, IA 50636-0617
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

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 239 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.