Page 22 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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. 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.
Pine Acres Rehabilitation & Care Center-
NH
SNF
West Des Moines
140
Facility 140
IA AVG 72
Rank #23 / 403
57.9%
Facility 57.9%
IA AVG 67
Rank #222 / 362
-14%
4.03
Facility 4.03
IA AVG 4.30
Rank #142 / 231
---+9%-6%
$353.1k
Facility $353.1k
IA AVG $53.4k
Rank #239 / 239
100
Facility 100
IA AVG 21.7
Rank #232 / 232
8.3
Facility 8.3
IA AVG 4.1
Rank #219 / 232
1181-
25
Facility 25
IA AVG 47
Rank #397 / 504
Leibel Gutman
$9.5MFiscal year ending 12/2023
Facility $9.5MFiscal year ending 12/2023
IA AVG $6.9M
Rank #36 / 224
$6.1MFiscal year ending 12/2023
Facility $6.1MFiscal year ending 12/2023
IA AVG $4.2M
Rank #35 / 224
63.6%Fiscal year ending 12/2023
Facility 63.6%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #71 / 224
165350
Prairie Gate-
NH
AL
IL
MC
SNF
Council Bluffs
36
Facility 36
IA AVG 72
Rank #359 / 403
94.4%
Facility 94.4%
IA AVG 67
Rank #24 / 362
+41%----------34-
6
Facility 6
IA AVG 47
Rank #484 / 504
Natasha Urinko$1.9M*Fiscal year ending 05/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$3.1M*Fiscal year ending 05/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.160%*Fiscal year ending 05/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.165789
Countryside Health Care Center-
NH
Sioux City
101
Facility 101
IA AVG 72
Rank #66 / 403
--------------
9
Facility 9
IA AVG 47
Rank #468 / 504
$4.2M*Fiscal year ending 07/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$3.5M*Fiscal year ending 07/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.83.5%*Fiscal year ending 07/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.165540
Country Lane Manor-
NH
HOS
MC
PC
RC
SNF
Keosauqua
46
Facility 46
IA AVG 72
Rank #272 / 403
--------------
52
Facility 52
IA AVG 47
Rank #202 / 504
Interstate Power And Light
$2.8MFiscal year ending 10/2023
Facility $2.8MFiscal year ending 10/2023
IA AVG $6.9M
Rank #216 / 224
$1.9MFiscal year ending 10/2023
Facility $1.9MFiscal year ending 10/2023
IA AVG $4.2M
Rank #206 / 224
67.2%Fiscal year ending 10/2023
Facility 67.2%Fiscal year ending 10/2023
IA AVG 60.3%
Rank #49 / 224
165554

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
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Overview of Countryside Health Care Center

Countryside Health Care Center is a 101-bed nursing home on Morningside Ave in Sioux City, Iowa, single-story, private rooms throughout. Walk Score’s a 9, which is about as car-dependent as it gets, so nobody’s strolling to get coffee.

Reliant Rehab therapy plus short-term and long-term skilled nursing, plus respite care for families who need a bridge, not a permanent placement. Average stay clocks in at 81 days, which is short in nursing-home terms, more rehab timeline than settle-in timeline. Occupancy sits at 49.3% right now. Staffing breaks down to 32 minutes of RN time per resident per day, 1 hour 21 minutes of LPN time, and 2 hours 32 minutes from nurse aides, so the bulk of hands-on care comes from that aide layer, with LPNs doing the routine clinical work and RNs stepping in for oversight.

The payer mix backs up the two-track read: 35% of new residents come in on Medicare, and they’re mostly out again within about a month, which is textbook post-acute rehab. Private pay is the biggest group at 56%, staying 6 to 7 months on average, somewhere between short-stay and long-term. Medicaid residents, just 9% of new admissions, stick around 3 to 4 months. Medicare, Medicaid, and private pay are all accepted here, so the coverage door is open regardless of which track a family’s on.

Put it all next to each other and Countryside reads like two overlapping ones sharing a building: a rehab stopover for people recovering from something acute, and a slower-paced nursing option for people whose stay is going to run longer. Which one fits depends entirely on why someone’s walking through the door in the first place.

Contact Countryside Health Care Center

Overview of Story Medical Senior Care

Story Medical Senior Care is a 60-bed skilled nursing and rehabilitation community located at 710 South 19th Street in Nevada, Iowa. Operated by Story Medical and led by administrator Melissa Opperman, the facility serves Story County with 24-hour nursing and medical oversight. The campus is highly accessible, featuring a Walk Score of 71, and was recently recognized on Newsweek’s “America’s Best Nursing Homes 2026” list.

The community is CMS-certified and holds a 5-star overall rating, reflecting “Much Above Average” performance. Between 2020 and 2025, state inspections yielded 15 deficiencies, resulting in an average of 1.3 per inspection, 28% below the Iowa state average. While a December 2025 survey resulted in zero deficiencies, a November 2025 investigation identified two citations related to delayed abuse reporting and safety documentation. No fines or payment denials have been issued in the past three years.

Staffing levels are a primary strength, with total nursing hours at 5 hours 33 minutes per resident day—26% above the state average. Registered Nurse (RN) hours are particularly high at 1 hour 22 minutes, which is 86% above the Iowa average, providing robust clinical coverage on both weekdays and weekends. Services include physical, occupational, and speech therapy, alongside specialized care such as in-house podiatry and restorative exercises.

The facility features a modern, purpose-built design with private rooms, in-room showers, and abundant natural light. Shared amenities and programs include:Nutritious meals with flexible anytime dining, intergenerational activities with local students, and organized day trips. The campus also provides on-site dental and podiatry services to minimize off-site travel. The community currently maintains a high occupancy rate of 95%, significantly exceeding the state average.

Individuals should evaluate the current staffing model and safety protocols during an on-site tour. It is advisable to ask the administrator for specific details on the corrective actions taken following the November 2025 reporting deficiency to ensure continued compliance with state safety and reporting standards.

Contact Story Medical Senior Care

Overview of Iowa City Rehab and Health Care Center

Situated on Rochester Avenue, Iowa City Rehab and Health Care Center is a nursing home in Iowa City, Iowa, that provides long-term care and short-term services. Operating for over 42 years, the community is licensed with 76 beds. Furthermore, its current occupancy is 57%, with 43 older adults in residence.

An average of 1 hour and 56 minutes of daily support from Nurse Aides is provided, along with approximately 40 minutes of Registered Nurse care and 25 minutes of LPN/LVN services. Additionally, this staffing structure supports individuals who require skilled nursing care, including those recovering from illness, injury, or surgery.

With a Walk Score of 36, the community’s area is relatively walkable with few amenities accessible on foot. Moreover, most errands and visits require a car for accessibility.

Medication administration practices, staffing levels, infection prevention, and resident safety protocols were also identified as areas of concern on the most recent state inspection. A discussion with the leadership or a tour of Iowa City Rehab and Health Care Center would also benefit interested families who are exploring care options.

Contact Iowa City Rehab and Health Care Center

Overview of The Lindens at Green Hills

Operated by the Green Hills Residents’ Association, The Lindens at Green Hills is a senior living community in the Green Hills neighborhood of Ames, Iowa. It offers nursing home care, assisted living, independent living, memory care, and skilled nursing services. The community is housed in a mid-rise building about 2.7 miles from Mary Greeley Medical Center, providing residents and families with convenient access to nearby hospital care.

The care team helps residents with daily activities such as bathing, grooming, and medication management while emphasizing personal choice and maintaining independence. Residents can choose from one-bedroom and two-bedroom residences ranging from about 536 to 1,489 square feet. Residents can access transportation services, fitness and recreation programs, and a pet-friendly environment.

The Lindens at Green Hills has 56 beds, with an occupancy rate of 79%, with an average daily census of approximately 44 residents. Nursing staff provides nearly 6 hours of direct nursing care per resident each day, giving families a useful measure of the hands-on support available within the community.

The neighborhood has a Walk Score of 18, which is car-dependent. Most errands and outings require a vehicle rather than a walk. Families considering The Lindens at Green Hills should ask about current apartment availability, especially for the one-bedroom and two-bedroom floor plans.

Contact The Lindens at Green Hills

Overview of Mary Greeley Medical Center

Mary Greeley Medical Center provides unparalleled 24/7 nursing care. This remarkable 220-bed hospital excels in delivering top-notch and cost-effective medical services. Their commitment to senior health is unwavering, offering rigorous screening options and a range of programs that truly elevate lives.

For individuals aged 60 and above, Mary Greeley Medical Center provides a safe haven with its reliable services. From orthopedics and cancer care to cardiac care and beyond, they cover a comprehensive spectrum of medical needs. Additionally, they extend their expertise to services like foot care, blood pressure screenings, and invaluable health education. In essence, they stand as a testament to the best care nursing homes, ensuring seniors receive exceptional and compassionate care in a state-of-the-art facility.

Contact Mary Greeley Medical Center

Overview of Luther Park Community

Luther Park Community is a senior living community in Des Moines. It serves occupants across a full spectrum of care needs, from independent living to skilled nursing and Alzheimer’s care. Set in a quiet residential neighborhood about 2.4 miles from downtown, the three-story community offers floor plans ranging from studios to two-bedroom apartments. Unit sizes span 517 to 1,050 square feet, so residents can find a layout that fits their space needs.

The home highlights care and independence. Daily life includes a hair salon, outdoor living spaces, an exercise room, and a library, with nutritious meals and transportation to outings integrated into the schedule. Pets are allowed, which matters to many occupants wanting their animal companions around. Central to the daily experience are fitness and recreational activities, alongside the attentive support each resident receives following their care level. The facility’s location scores 45 on the walkability scale, meaning some walkable nearby services, and most errands and appointments require a drive. For visiting families and friends, the residential setting offers a quieter pace than busier commercial areas, with easy access to local parks, shopping, dining, and hospitals nearby.

When considering the facility, families may want to tour the floor plans, observe daily activities and meal service, and discuss the care tier and housing option that best match their family member’s needs and preferences.

Contact Luther Park Community

Overview of West Ridge Care Center – Nursing Home

West Ridge Care Center, located in Cedar Rapids, IA, is a care facility operating since 1992 and offering short-term rehabilitation and long-term care services. As part of their care services, they provide their residents with 24 hour nursing care by their RNs, LPNs, and CNAs. Additionally they house an interdisciplinary wound care team, and rehabilitation aides that assists residents in recovering their health and strength after surgery or an illness.
This care facility also offers non-medical related services that are necessary to ensure the residents’ maximum level of comfort, as well as amenities that promote physical and mental wellbeing. This includes social services for needs analysis to ensure proper care is provided, dietary services for nutritious meals and snacks provisions, and environmental services like housekeeping and laundry to keep the living quarters and common spaces clean and sanitized.

Contact West Ridge Care Center – Nursing Home

Care Initiatives

1611 W Lakes Pkwy, West Des Moines, IA 50266
Overview of Care Initiatives

Care Initiatives, located in West Des Moines, Iowa, is a care facility offering a spectrum of services that offer skilled nursing, long-term care, rehabilitation, and hospice care. Their unwavering commitment to enhancing the lives of those they serve is evident in their approach. Every interaction with residents is valued, and they prioritize personal growth for each individual. Care Initiatives boasts a team of dedicated professionals, including registered nurses, licensed practical nurses, and certified nursing assistants, who provide various services, spanning dietary support, social services, and engaging activities.
In terms of skilled nursing services, Care Initiatives excels in providing specialized care such as tube feedings, wound care management, and access to beauty and barbershop services. They also offer bariatric accommodations and cater to the unique needs of veterans. Additionally, their rehabilitation services are top-notch, featuring accelerated care, state-of-the-art therapy equipment, and expert care in occupational, physical, and speech therapy. Care Initiatives is renowned for its expertise, making it a trusted community where seniors can be assured of safe and high-quality care.

Contact Care Initiatives

Overview of CountrysideHealth Care Center

Countryside Health Care Center is an esteemed facility in Sioux City, Iowa. This privately-owned center offers a diverse range of care options, including Reliant Rehab therapy, short-term and long-term skilled nursing, and respite care, ensuring specialized attention for each resident. Their holistic approach caters to residents’ physical, mental, and social needs, creating a fulfilling experience for each individual. Conveniently located near Highway 20 in Sioux City, this senior care facility serves families across the Siouxland areas, fostering a supportive community. 

At Countryside Health Care Center, a dedicated team with extensive knowledge and experience ensures personalized and compassionate care for every resident. This assisted living community’s unwavering commitment to residents’ well-being creates a welcoming environment where seniors can thrive and achieve optimal health and happiness. 

Contact CountrysideHealth Care Center

Meth Wick Health Center

1625 Brendelwood Drive, Cedar Rapids, IA 52405-2499
Overview of Meth Wick Health Center

Meth-Wick Health Center is a 69-bed skilled nursing facility at 1625 Brendelwood Drive in Cedar Rapids, Iowa. Managed by the non-profit Meth-Wick Community and led by administrator Holly Lear, the center is part of a 65-acre continuing care retirement community (CCRC) serving Linn County. The campus provides a complete continuum of care, including independent and assisted living, with an 88% occupancy rate that significantly exceeds the state average.

The facility is CMS-certified and holds a 5-star overall rating, reflecting performance categorized as “Much Above Average”. Between 2020 and 2025, state inspections yielded a per-inspection average of 0.8 deficiencies, less than half the Iowa average of 1.8. Annual surveys in both 2024 and 2025 resulted in zero deficiencies. While a 2023 investigation identified a single citation regarding the storage of a controlled medication, the facility has no record of fines or immediate jeopardy findings in recent years.

Clinical Profile and StaffingStaffing levels are a primary strength, with total nursing hours at 5 hours 4 minutes per resident day—well above the Iowa average of 3 hours 48 minutes. Registered Nurse (RN) hours are particularly high at 1 hour 9 minutes, 56% above the state average, which ensures robust clinical oversight.

Clinical services coordinate short-term rehabilitation, specialized memory care, and bariatric accommodations, supported by 24-hour medical monitoring and on-site therapy.

The campus offers a mission-driven residential setting with varied apartment layouts and specialized nursing suites in “The Woodlands” wing. Shared services include nutritional meal plans with restaurant-style dining, a dedicated Town Center for social gathering, and comprehensive wellness and recreation programs.

Residents have access to housekeeping, personal laundry, and scheduled transportation for medical and social needs within the Cedar Rapids metro area.

Interested individuals should evaluate the current bedside care standards during an on-site visit to witness the community’s high staffing ratios. It is advisable to ask the administrator about current availability and waitlist procedures, as the facility’s strong 2026 quality ratings and 5-star performance often result in high demand for its skilled nursing and rehabilitation suites.

Contact Meth Wick Health Center

Ranking Methodology

How we rank these nursing homes

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

  • 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.