Page 20 of Best Nursing Homes in Iowa

Overview of Cottage Grove Place

At Cottage Grove Place in Cedar Rapids, Iowa, residents can expect a top-tier level of care within their reach. The spacious rooms are designed to be bright and open, creating an atmosphere that’s both inviting and comfortable. The community is conveniently located near a variety of amenities, including physicians, hospitals, restaurants, shopping centers, and entertainment venues. Whether you’re in need of assisted living, memory care, skilled nursing, or rehabilitation services, Cottage Grove Place has you covered. 

Their executive chef and culinary team prepare exquisite and healthy meals to satisfy your palette, utilizing a holistic approach to wellness. In addition to great dining, there are also beautiful outdoor spaces available for residents to bask in the sun or enjoy the fresh air. The onsite salon and spa, fitness center, libraries, activity room, card solarium, and billiards room provide endless opportunities for fun and conversation with fellow residents. And, for those who love their furry companions, Cottage Grove Place also welcomes them with open arms.

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 Life Center

Offering excellent memory care, long-term care, skilled nursing, and rehabilitation services, The Life Center is a dependable senior living community in Des Moines, IA that helps residents maintain a sense of individuality and freedom while receiving additional support. The community features a reliable nursing team available 24-hours a day and an extensive rehabilitative program, featuring physical, speech, and occupational therapies that help residents maintain their highest level of functionality.

Residents also delight in an array of convenient services that help them live a maintenance-free lifestyle such as housekeeping, laundry, package delivery services, and more. A registered dietician carefully reviews the residents’ therapeutic diets to ensure they are receiving the proper nutrition and nourishment. With Life Center, residents are guaranteed to lead the lifestyle they deserve surrounded by compassionate support and care.

The Gardens of Cedar Rapids is a senior care community on Dean Road SW in the southwest part of Cedar Rapids, Iowa. It offers a full continuum of care under one roof, spanning independent living, assisted living, memory care, and skilled nursing, which means a resident can often stay in a familiar place as their needs change over time. The community is owned by Jbrb Investments LLC and accepts both Medicare and private pay, giving families a couple of clear routes to cover short-term rehabilitation or longer-term nursing care.

This is a small, single-story community with 40 beds, and it tends to run comfortably occupied at around 88 percent. Housing comes in studio, one-bedroom, and two-bedroom options, and the single-level layout can make day-to-day movement easier for residents with mobility limitations. Pets are welcome, which matters to many families weighing a move for a loved one.

On the clinical side, total nursing care averages about 4 hours and 15 minutes per resident each day, so hands-on daily support is a meaningful part of the setting. State inspection themes over the years have centered on medication management and care-delivery practices, alongside stretches of clean compliance. Families touring the community can ask how those areas are handled day to day.

The community sits in a car-dependent pocket of Cedar Rapids, with a Walk Score of 7, so most errands and visits will involve a short drive. That residential setting can suit residents and family who prefer a quiet neighborhood over a busy commercial area.

Midlands Living Center is a 94-bed skilled nursing facility at 2452 North Broadway in Council Bluffs, Iowa. Locally owned and administered by Jordan Tjaden, the community provides short-term rehabilitation, long-term care, and hospice support for residents in Pottawattamie County. The campus is car-dependent with a Walk Score of 14, though it provides medical appointment transportation for its residents.

The facility is CMS-certified and carries an above average 4-star overall rating as of May 2026. Between 2021 and 2025, state inspections yielded an average of 4.3 deficiencies per year, which is 37% below the Iowa state average. While an April 2025 investigation identified a single deficiency related to infection control during catheter care, a September 2025 follow-up found the facility in substantial compliance with zero deficiencies. No federal fines or payment denials have been issued in the past three years.

Staffing levels exceed state averages in several key categories. Total adjusted nursing hours are 4 hours 31 minutes per resident day, with Licensed Practical Nurse (LPN) hours at 48 minutes, 41% above the Iowa average. Weekend nursing coverage is also a strength, performing 5% above the state mean. Quality measures are rated at 4 stars, with long-stay hospitalizations 28% better than average and a 96.4% success rate in managing residents’ physical restraint needs.

The campus offers furnished rooms with in-house laundry and on-site beauty and barber services.Shared clinical amenities include:On-site optometry, podiatry, and dentistry alongside physical, occupational, and speech therapy. The social calendar features recreational and spiritual activities, and the facility maintains an A+ rating with the Better Business Bureau. Medicare, Medicaid, and private pay are accepted, with a current occupancy rate of approximately 72%.

Families should evaluate the current bedside care standards during an on-site visit. It is advisable to ask the administrator for specific details on the corrective actions taken after the 2025 catheter care finding and to confirm that the infection prevention protocols remain in full compliance for 2026.

Overview of Pine Acres Rehabilitation & Care Center

Pine Acres Rehabilitation and Care Center is an upscale nursing home that aims to change the meaning of skilled nursing and rehabilitation for seniors. The community understands that aging can be daunting, much more with a disability or condition. The exceptional level of care delivered by their patient-friendly staff is an approach to offering the best care possible for their residents. Pine Acres is a trusted community that cares for every senior’s needs.
The person-centered community strives to enhance the quality of life for its residents by ensuring that seniors can satisfy their overall wellness. They house licensed medical professionals and staff and offer a list of social and stimulating activities, holistic therapy, and specialized residency training for an enriching experience.

Overview of Cedar Ridge Village

Cedar Ridge Village is a 68-bed healthcare campus at 8950 Coachlight Drive in West Des Moines, Iowa. Managed by Kathy Dehaven and operated by Central Iowa Hospital Corporation, the facility provides a continuum of care including independent living, assisted living, and skilled nursing. Current data indicates a census of 35 residents in the nursing wing, representing a 51% occupancy rate, which is below the Iowa average of 75.4%. The location earns a Walk Score of 51, providing residents with moderate foot access to local amenities in Dallas County.

While the campus maintains high marks in several categories, an August 2025 health inspection identified seven deficiencies. These findings included issues with infection control protocols and resident rights regarding service notifications, though the facility achieved a citations-per-inspection rate of zero for the most severe “immediate jeopardy” classifications. Nurse staffing metrics remain a primary strength, with the facility providing 4 hours and 10 minutes of total nursing time per resident daily.

This level of support includes registered nurse (RN) hours that are approximately 56% higher than the state average. Professional services focus heavily on recovery, with nearly 73% of short-stay residents reaching expected self-care abilities by discharge—a figure significantly higher than the national average. Quality measures for long-term residents also perform at a 5-star level, particularly in areas like pressure ulcer prevention.

Residential options include private apartments with kitchenettes and access to various communal social spaces. The facility provides three nutritional meals daily plus snacks, alongside amenities such as a hair salon, library, and landscaped courtyards. Wellness programming is supported by scheduled transportation for medical appointments and community outings. The community is pet-friendly and maintains a 2.58:1 staff-to-resident ratio, which is 29% better than the regional benchmark.

Prospective representatives evaluating a high-staffed rehabilitation setting with recognized quality standards may find this campus appropriate. Families are encouraged to ask directly about the corrective steps taken regarding 2025 infection control findings and request current nurse-to-resident ratios for the skilled nursing wing before making a placement decision.

Overview of Elm Crest Retirement Community

Elm Crest Retirement Community is a 64-bed nursing facility at 2104 12th Street in Harlan, Iowa. Administered by Tim Nauslar and operated by American Baptist Homes of the Midwest, the campus provides a continuum of care including independent living, assisted living, and skilled nursing. While the facility was recently awarded a 5-star quality rating, current occupancy for the skilled nursing wing is reported at 94%, with 47 of 50 beds occupied, placing it in line with state averages. The location earns a Walk Score of 50, indicating moderate accessibility to local amenities in Shelby County.

In early 2026, the facility achieved substantial compliance following a survey, and the assisted living component previously recorded a citations-per-inspection rate of zero. However, the broader health center recorded 18 moderate citations over the last three years, including a Quality of Care deficiency in November 2025. A short payment denial was issued in late 2024, but the facility has since remediated several infection control and nutrition findings.

Clinical care is delivered by a team providing 3 hours and 53 minutes of total nursing time per resident daily, which is approximately 12% below the Iowa average. Professional services focus on short-term rehabilitation, with 82% of admissions coming from Medicare recipients who typically stay for one to two months. While long-stay metrics have shown challenges in mobility and urinary tract infection rates, the facility performs above state averages in pressure ulcer prevention and maintaining low antipsychotic medication use.

The residential environment is faith-based and features various floor plans with access to landscaped grounds and outdoor walking paths. Shared amenities include a library, beauty salon, and a health and wellness center. Social programming is provided through an activity center, offering arts and crafts and local outings. The community emphasizes a nurturing atmosphere, balancing professional healthcare with home-like amenities.

Prospective representatives should weigh the facility’s recent 5-star quality rating against its moderate deficiency history and staffing levels. Families are encouraged to ask directly about the specific improvements made following the 2025 quality of care citation and request current data on nurse aide staffing ratios before making a placement decision.

Harmony Marshalltown is a 72-bed skilled nursing facility located at 910 East Olive Street in Marshalltown, Iowa. Administered by Grace Maitland, the community provides short-term rehabilitation, memory care, and long-term residential services for Marshall County. The campus maintains a current occupancy rate of approximately 71%, which is modestly below the Iowa state average of 75.4%.

The facility is CMS-certified and currently holds a 1-star overall rating, categorized as “Much Below Average”. Between 2023 and 2026, state inspectors conducted multiple surveys resulting in a high frequency of citations, with a January 2026 health inspection yielding 16 deficiencies, well above the Iowa average of 6.1.

Recent complaint investigations substantiated concerns regarding accident hazards, inadequate resident supervision, and unsafe discharge practices. While a September 2025 revisit found the facility in substantial compliance with zero new deficiencies at that time, recurring citations for staffing and resident rights remain on record.

Staffing levels at Harmony Marshalltown present a split clinical profile. Total nursing hours are 4 hours 7 minutes per resident day, which exceeds the Iowa average of 3 hours 48 minutes. However, Registered Nurse (RN) hours are 29 minutes per resident day, 34% below the state average, and weekend RN coverage is 57% below the Iowa mean at 13 minutes. Clinical programs coordinate orthopedic recovery and wound care, supported by physical therapy hours that perform in line with state benchmarks.

The facility features a residential atmosphere with specialized wings for memory care and short-term rehabilitation.Shared amenities and services include:24-hour nursing supervision, dietary management with food safety oversight, and organized social activities. Residents have access to respiratory services and immunization programs, though families should note that 2024 and 2025 surveys identified recurring gaps in food sanitation and infection prevention protocols.

The community accepts both Medicare and Medicaid and is not part of a continuing care retirement community.

Individuals should check the current bedside care standards and resident safety protocols during an on-site tour. It is advisable to ask the administrator for documented proof of corrective actions regarding the January 2026 health citations and to verify that weekend RN staffing levels have been stabilized to meet the individual clinical needs of residents.