Best Nursing Homes in Iowa

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

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

Overview of The Bridges at Ankeny

The Bridges at Ankeny is an assisted living with memory care community located northwest of the city. And because it sits just outside of bustling towns, the residents enjoy a feel of country living while still having the convenience of easy travel to local shops and restaurants, for outside activities. This senior community offers top care for its residents by providing 24 hour care service from licensed and professional nursing staff, social services, chef planned meals, pharmacy services, and memory care services among other things. The Bridges at Ankeny offers a lot of amenities, too. Aside from living in private or semi-private rooms which are also available for short term stays, residents get to enjoy different indoor and outdoor common areas for socializing or doing other fun activities with the other residents.

In terms of assisted living costs, The Bridges of Ankeny accepts both Medicare and Medicaid health plans. They also offer bespoke care plans to ensure that each resident’s needs are met, and their lifestyle choices achieved. This senior living community also gives importance to the role of the residents’ family in ensuring that their loved ones are not only empowered to live their remaining years to the fullest, but also kept healthy in both body and mind.

Overview of Good Samaritan Society – Davenport

Committed to providing compassionate in-home care for senior residents of Davenport, Iowa, Good Samaritan Society Home Health Care empowers individuals to live fulfilling lives within the comfort of their own homes. Serving Scott, Muscatine, Cedar, and Clinton Counties, their reach extends to a broad range of communities.

Good Samaritan offers a helping hand to those in need of additional support with daily living, medical management, recovering from surgery, illness, accidents, or falls. Their duly licensed team provides a variety of services to meet individual needs, including post-surgical rehabilitation, physical, occupational, and speech therapy, medication management, disease management, wound care, and even telehealth consultations. Integrating clinical expertise with compassionate care, Good Samaritan helps clients regain strength, maintain independence, and age gracefully in their preferred environment.

Overview of Northridge Village

Northridge Village is a 68-bed continuing care community at 3300 George Washington Carver Avenue in Ames, Iowa. Managed by Pivotal Healthcare and led by Executive Director Kayla Zellmer, the facility offers a spectrum of care from independent living to a 38-bed skilled nursing unit. Current occupancy for the nursing component is reported at 63%, while the broader campus provides specialized memory care at “Maggie’s Place”. The property is conveniently located in Story County near local medical facilities and retail centers.

Oversight records from the Iowa Department of Inspections, Appeals, and Licensing indicate a history of severe regulatory findings and resident harm. While the nursing unit achieved a citations-per-inspection rate of zero in January 2026, contributing to a high overall CMS rating, the facility has faced over $80,000 in fines for past failures. These violations include three resident deaths between 2021 and 2024 attributed to unaddressed infections, improper transfer protocols, and deactivated safety equipment. In February 2024, the community was fined $6,000 after a resident died following a fall where her emergency pendant had been mistakenly disabled.

Bedside care is currently managed by a staff that provides 4 hours and 27 minutes of nursing time per resident daily, a figure that exceeds the Iowa average. Despite this statistical strength, state investigators previously documented insufficient nursing coverage, noting instances where call-light responses were delayed by up to 34 minutes. Professional services include both long-term medical support and short-term rehabilitation, though past 2-star health inspection ratings suggest foundational gaps in care planning and infection control. Management has historically contested these findings, asserting that evidence of compliance was often overlooked during surveys.

The communal environment features a wellness center, spa, and fitness programs designed for diverse activity levels. Shared social features include on-site church services, card clubs, and movie nights intended to foster resident engagement. However, internal professional reviews from 2026 highlight ongoing concerns regarding management stability and periods of high staff turnover. The facility remains pet-friendly and continues to offer scheduled transportation for off-site appointments and community trips.

This campus fits seniors who want a full range of care levels and many on-site activities. Before deciding, families should ask about the fix for the 2024 emergency equipment failure and request recent records of how fast staff respond to call lights.

Overview of Prairie Gate

Prairie Gate is a 36-bed nursing home, independent living, and memory care community in Council Bluffs, Iowa, offering independent living, memory care, enriched living, long-term care, and transitional care. The facility opened in September 2020 and is operated by Benjamin Eddy under nonprofit ownership. It accepts Medicare, Medicaid, and private pay.

Since opening, Prairie Gate has undergone 19 inspections and recorded 36 deficiencies — roughly 33% above the Iowa average of 27 — with no federal fines or license actions in that period. Two complaint investigations in 2025 were substantiated, both involving allegations of physical abuse or rough handling of residents, and a third substantiated a failure to report suspected abuse within required timeframes. Earlier inspections cited recurring deficiencies in accident prevention, dignity of care, infection control, and food safety. The facility has accepted multiple plans of correction, and the most recent annual survey in July 2025 cited two deficiencies — a resident fall during a wheelchair transfer and an infection-control lapse.

On staffing, registered nurse hours average 1 hour and 1 minute per resident per day, about 39% above the Iowa average, and certified nursing aide hours are similarly elevated at 3 hours and 18 minutes per resident per day. That staffing investment stands alongside some weak short-stay outcome measures: the rate of falls causing major injury among short-stay residents is 6.1%, compared with an Iowa average of 0.8%, and only 34.6% of residents met expected self-care ability at discharge, compared with a state benchmark of 53.7%.

The facility’s occupancy rate is 94% — well above Iowa’s 75% average — with 34 of 36 beds filled, reflecting strong local demand for the facility’s capacity. The payer mix is Medicare-dominant, accounting for 84% of new admissions, with an average stay of 5 days.

Prairie Gate’s care model and payer structure are best suited for residents seeking short-term post-acute rehabilitation stays in the Council Bluffs area, with care types also available for memory care and independent living residents. However, families should review the facility’s findings on abuse-related complaints and short-stay measures before making a placement decision.

Overview of Newaldaya Lifescapes

Located in the heart of Cedar Falls, IA, Newaldaya Lifescapes offers a vibrant and welcoming community for seniors. This community features a range of care options, including extended care, memory care, skilled nursing, and recreational therapy. Residents can choose from more than 15 unique floor plans in pet-friendly neighborhoods, designed for comfort and independence. The community’s prime location also provides easy access to Cedar Valley Bike Trails and Dry Run Creek, as well as local dining, shopping, and entertainment.

The community thrives with exceptional amenities such as the River Rock Café, New Day Salon and Spa, and a 24-hour wellness center. Residents can engage in various social and recreational activities to stay active and connected. Newaldaya Lifescapes is dedicated to enhancing lives through compassionate care, offering peace of mind in a lively, family-oriented environment.

Overview of Oaknoll Retirement Residence

Amidst the vibrant charm of Oaknoll Retirement Residence, an unparalleled retirement experience unfolds, seamlessly merging assisted-living and on-site nursing care services. Expertly curated by a dedicated full-time chef, meals are savored in posh and elegant dining venues, enhancing the overall dining experience. As a testament to their commitment to holistic well-being, Oaknoll extends access to an array of essential services including physical, occupational, and speech therapy, as well as personalized guidance from skilled dietitians and dedicated companion support.

Families can rest assured that Oaknoll collaborates closely, not only tailoring services to individual needs but also accommodating various insurance options, including Medicare, Social Security, veterans administration, and private insurance, ensuring a comprehensive approach to care. Moreover, Oaknoll fosters a sense of unity by offering invaluable support groups, promoting connections among residents and their loved ones.

Linn Manor Care Center is a 38-bed nursing home in Marion, Iowa, providing skilled nursing care, including memory care services, within Linn County. The facility is operated by Grand Haven Homes, Inc., a privately owned company, and accepts private pay.

Across inspections over the past 6 years, Linn Manor averaged 6.5 deficiencies per year — roughly 48% above the Iowa average of 4.4. The record includes a 2022 Immediate Jeopardy finding tied to resident sexual abuse, an attempted resident suicide, and inadequate staff competencies for managing residents with mental health and psychosocial needs.

A 2023 annual survey cited seven deficiencies, including failures to report and investigate alleged abuse in a timely manner and a deficient fall-prevention program. A substantiated complaint in October 2025 found the facility failed to prevent multiple falls for one resident — including a hip fracture — and failed to develop adequate care plan interventions for that resident’s PTSD-related behaviors. A follow-up visit in December 2025 found no deficiencies and confirmed that the facility was in substantial compliance. The Inspection Reports subpage carries the full record.

The facility’s staffing averages 3 hours and 39 minutes per resident per day, about 17% below the Iowa average of 4 hours 25 minutes. Long-stay quality measures score above the Iowa average. Its occupancy rate is 92%, well above the state average of 75%, indicating consistent local demand.

Linn Manor Care Center is oriented toward long-stay skilled nursing and memory care in Marion and is well-suited to residents whose care needs align with a small, privately operated nursing home setting. However, families should review the facility’s prior Immediate Jeopardy findings and resident safety history before making a placement decision.

Marian Home is a 90-bed nonprofit nursing home in Fort Dodge, Iowa, offering skilled nursing, independent living, memory care, and rehabilitation services to residents in Webster County. The facility accepts Medicare, Medicaid, and private pay and is managed by a nonprofit.

Across 16 inspections since 2019, Marian Home recorded 11 total deficiencies — 59% below the Iowa average of 27. The most recent standard inspection, completed in April 2025, found no deficiencies. One substantiated incident in 2024 involved a resident fall resulting in a fracture, attributed to staff not using a gait belt during a transfer; staff education was implemented afterward. No fines or enforcement actions appear in the record.

The facility’s staffing stands out as a genuine differentiator. Nurse staffing averages 5 hours and 16 minutes per resident per day compared with Iowa’s average of 4 hours and 25 minutes, placing Marian Home 24th out of 241 Iowa SNFs on adjusted nursing hours — a meaningful gap for residents with higher care needs. The facility also provides therapy services, along with community living areas, social programs, and group activities in Halverson Hall, and offers 24-hour staffing. The occupancy rate is 78%, close to the Iowa average, indicating moderate availability.

The combination of a clean recent inspection record, well-above-average nurse staffing, and a continuum that spans independent living, skilled nursing, and memory care makes it best suited for residents seeking a long-term residential setting where care intensity can increase without requiring relocation.

The Rose of Dubuque in Dubuque, IA, is an affordable assisted living community that offers personal care. Featuring a variety of thoughtfully furnished one- and two-bedroom apartments in a warm and welcoming environment, the community ensures older adults can feel at home. 24-hour emergency response, laundry rooms, and assistance with daily living activities are among the high-quality services provided to improve residents’ quality of life. Alongside thoughtfully curated amenities and dedicated services, the community ensures residents live to their potential in retirement.

Arts and crafts, table games, and social events ensure residents can live actively and gain fun experiences. Walking paths, beautiful gardens, and a beauty salon are among the top-notch amenities available for residents’ leisure and wellness. Residents also have a laid-back retirement, surrounded by trees and green spaces in Dubuque. This assisted living community is a great choice for senior living in Iowa, ensuring older adults have the finest retirement experience.