Page 23 of Best Nursing Homes in Iowa

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Overview of Country Lane Manor

Country Lane Manor is a 60-bed skilled nursing facility located at 819 Country Lane Road in Keosauqua, Iowa. Administered by Ashley Ames and operated by Campbell Street Services, the center provides short-term rehabilitation, long-term care, and memory care for Van Buren County residents. The campus serves as a localized clinical hub for southeast Iowa, offering 24-hour medical monitoring and a resident council for community engagement.

State and federal oversight currently assigns the facility a 1-star overall rating, which signifies performance categorized as “Much Below Average”. Between 2024 and 2026, the community has undergone several inspections, with the August 2025 standard report identifying 11 deficiencies, nearly double the Iowa state average of 6.1. While recent complaint investigations in early 2025 resulted in single citations regarding nutrition and dietary temperatures, the facility has recorded zero infection control deficiencies over the last three years. To date, the center has incurred $59,150 in federal fines and one payment suspension.

Daily nursing time is guided by a staffing model that delivers approximately 3 hours 18 minutes per resident, performing 13% below the state average. Registered Nurse (RN) presence is currently 15 minutes per resident day, which is half of the Iowa mean, while weekend RN coverage drops further to a lower tier. Despite these staffing gaps, the center reports that 83% of its rehabilitation residents successfully return home, and long-stay quality measures hold a 4-star rating for outcomes in pain management and physical function.

The campus environment provides a residential setting focused on “Senior Life Solutions” that coordinate clinical care with social wellness. On-site amenities include physical, occupational, and speech therapy, as well as specialized programs for cardiac care and respiratory support. The facility provides respite care for family caregivers and facilitates community activities to promote a social lifestyle for long-term residents. Medicare, Medicaid, and private pay are accepted to support varied financial needs.

Families should check the current bedside care standards and staffing levels during an on-site visit. It is advisable to ask the administrator for documented proof of corrective actions following the 2024 and 2025 citations regarding dietary safety and nursing staff levels to ensure that clinical coverage meets the resident’s specific recovery or long-term care goals.

Overview of Oakview Nursing & Rehabilitation

Oakview Nursing & Rehabilitation is a 40-bed facility at 720 Oakbrook Drive in Marion, Iowa. Owned and administered by Dallas Urbain, the community has operated since 2020, primarily serving short-term rehabilitation patients while also offering long-term and specialized dementia care. Centrally located in Linn County, the campus is highly accessible with a Walk Score of 89.

The facility is CMS-certified and carries an above average 4-star overall rating, a performance tier higher than the state average. Between 2020 and 2025, the Iowa Department of Inspections, Appeals, and Licensing (DIAL) conducted 18 inspections, yielding a per-inspection average of 1.6 deficiencies, 11% below the state average. While the August 2025 annual survey resulted in one administrative citation, a 2024 survey identified five deficiencies, including a physical abuse finding involving a staff member and unsanitary kitchen conditions. No fines or payment denials have been issued in the past three years.

Staffing levels are a clinical differentiator, particularly regarding specialized nursing presence. Total nursing hours run 4 hours 5 minutes per resident day, exceeding the Iowa average of 3 hours 48 minutes. Registered Nurse (RN) hours are 11% above the state average, and weekend RN coverage is remarkably high at 1 hour 2 minutes per day—double the Iowa average of 30 minutes. Quality metrics show zero short-stay falls with major injury, though long-stay residents experience high-risk pressure ulcers and UTIs at rates significantly higher than state averages.

The campus provides a residential setting with 24-hour visitation and a full-time chaplain for spiritual support. Shared amenities and services include on-site physical, occupational, and speech therapy, private rooms with facility-wide Wi-Fi, and a beauty shop. The facility offers bereavement accommodations and coordinates complimentary transportation for medical and social needs. Lifestyle programs feature multi-denominational weekly religious services and volunteer-led social engagement.

Prospective residents 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 following the 2024 abuse and 2025 supervision findings, and to confirm how the facility is addressing clinical outliers related to pressure ulcers and infection prevention to maintain its 2026 quality performance.

Happy Siesta Healthcare Center is a 62-bed skilled nursing facility at 423 Roosevelt Street in Remsen, Iowa. Administered by Jennifer Kuiken and operated as a non-profit corporation, the center serves Plymouth County with long-term care, memory care, and outpatient therapy. The facility maintains an occupancy rate of 81%, reflecting steady demand in its rural northwest Iowa community.

State regulators currently assign the facility a 3-star overall rating, which signifies an “Average” performance level according to CMS benchmarks. Historical data shows a citations-per-inspection rate that is consistently below state averages, though a June 2025 standard survey identified four administrative and clinical deficiencies.

While these findings were corrected, the record includes a 2023 elopement risk incident that led to an Immediate Jeopardy tag, which was cleared following physical security upgrades. A more recent October 2025 complaint investigation concluded with zero citations.

Professional care is guided by a staffing model that provides 3 hours 48 minutes of nursing time per resident daily. Registered Nurse (RN) presence is a notable metric, as daily hours exceed state averages, though weekend coverage levels are lower. Medical services coordinate skilled nursing and a 17-bed enclosed Alzheimer’s wing, supplemented by the “Dreams Program” which addresses resident quality of life. Clinical quality measures carry a high 4-star rating, supported by strong outcomes in physical function for long-stay residents.

The campus provides a residential atmosphere where residents have access to both private suites and specialized common areas. Unique to this facility is the Willoway Pool and Fitness Center, which supports both resident rehabilitation and community exercise. Social life involves 24-hour medical support, nutritional meal plans, and a seasonal “Diners Club” that facilitates outings to local restaurants. For mobility beyond the campus, the facility utilizes a handicapped-accessible bus for regional excursions.

Interested individuals should assess the current safety and training protocols during a facility tour. It is advisable to ask the administrator for specific details on the staff training updates implemented following the 2024 transportation incident and to confirm that the door security enhancements for the memory care unit remain in full compliance for 202

Overview of Silveridge, an Eventide Community

Silveridge, An Eventide Community, is a 72-bed assisted living facility located at 12 Silveridge Drive in Denison, Iowa. Administered by Kara Webb, the community serves Crawford County as an Eventide-affiliated property under a license active through July 2027. Current data shows a 50% occupancy rate with 36 residents, reflecting steady growth since its initial licensing. The location holds a Walk Score of 33, indicating that errands and outside activities require vehicle transportation.

State oversight from the Iowa Department of Inspections, Appeals, and Licensing highlights a record of perfect regulatory compliance. Throughout its 15-year operational history, the facility has recorded zero regulatory deficiencies. All eight inspections conducted between 2011 and September 2025 resulted in a citations-per-inspection rate of zero. Available state records show no history of fines, enforcement actions, or substantiated complaint investigations.

Daily clinical operations include specialized memory care, rehabilitation services, and short-term respite care. Professional support is delivered by licensed nurses and CNAs through a 24-hour staffing model. Clinical reviews consistently note satisfactory program operations and positive tenant feedback regarding personal and health-related services. The facility provides apartment-style living accommodations designed to support residents with cognitive decline or those recovering from illness.

The residential environment is maintained with a focus on housekeeping and program consistency. As an Eventide-affiliated community, the facility operates with local senior living expertise and offers a range of social activities within its 72-bed campus. While the property is independently licensed, it provides a larger-scale setting compared to many rural alternatives, allowing for dedicated memory care and rehabilitation programming.

Families seeking a high level of regulatory consistency may find this community’s unblemished 15-year record particularly notable. It is recommended to observe the interactions between the nursing staff and memory care residents during a personal tour to confirm the facility’s individualized approach. Interested individuals can contact the administration to discuss current availability and ensure the community’s established care protocols meet their 2026 requirements.

The Hammond Center for Assisted Living is a 38-bed facility located at 907 Orchard Drive in Grinnell, Iowa. Operating as part of the St. Francis Manor Life Plan Community, the facility serves a multi-county region under a license active through July 2026. Current reports indicate a census of 20 residents, representing a 53% occupancy rate. The location is highly accessible, with a Walk Score of 82, allowing residents to reach Grinnell’s downtown amenities and medical offices on foot.

State monitoring records from the Iowa Department of Inspections, Appeals, and Licensing show an unblemished regulatory history. Since its establishment in 2019, the community has maintained a citations-per-inspection rate of zero. The most recent survey in October 2025 resulted in no deficiencies, a result consistent with its previous major reviews in 2019 and 2023. No fines, enforcement actions, or substantiated complaints have been documented during the facility’s seven years of operation.

Clinical care is provided by 24-hour on-site nursing and personal care staff. Services include medication management and customized assistance with daily activities, with residents having priority access to the broader campus’s skilled nursing and rehabilitation units. The care model emphasizes integrated health monitoring within its 20 spacious apartments, supported by professional management and RN oversight.

The residential environment features diverse common areas, including a fitness center, a theater, a pool table, and an indoor walking track. All-inclusive monthly costs cover three meals a day, housekeeping, and local transportation services. Social programming is designed to foster community engagement, taking advantage of the facility’s location in an active college town.

Interested individuals seeking a small-scale community with a perfect regulatory record and high walkability may find this setting appropriate. Families should verify the current availability of specific apartment layouts and confirm the coordination process for transitioning to higher levels of care on the St. Francis Manor campus before making a final decision.

Regency Park Nursing and Rehabilitation Center of Jefferson is a 46-bed skilled nursing facility at 100 Ram Drive in Jefferson, Iowa. Administered by Jana Cates, the community provides specialized clinical support including tracheotomy care, IV therapy, and wound management, a broad service range for a rural facility of its size. It is centrally located with a Walk Score of 75 and maintains a high occupancy rate of 93%, significantly above the Iowa average of 75.4%.

The facility is CMS-certified and holds a 3-star overall rating, reflecting “Average” performance as of early 2026. While quality measures are rated at a high 5 stars, the staffing component carries a 1-star rating, indicating performance “Much Below Average”. Between 2020 and 2025, state inspections yielded 30 total deficiencies, resulting in an average of 1.4 per inspection—22% below the Iowa state average. The most recent survey on December 31, 2025, identified 5 deficiencies across food sanitation, oxygen care, and infection prevention.

Staffing levels are currently below state averages across most categories. Registered Nurse (RN) hours are 40 minutes per resident day, and nurse aide hours are 2 hours 15 minutes, both falling slightly below Iowa means. Quality metrics show that 90.9% of short-stay residents experience significant functional improvement, which is notably higher than the state average of 73.3%. However, the 50% staff turnover rate and low staffing star rating suggest a need for continued focus on personnel stability.

The campus offers a residential atmosphere with 24/7 licensed nursing and individualized care plans.

Shared amenities and features include an on-site physical, occupational, and speech therapy, nutritious meals with dietary manager oversight, pet-friendly policies and housekeeping services, and scheduled transportation for medical and social needs.

Individuals should evaluate the current bedside care standards during an on-site visit. It is advisable to ask the administrator for specific details on current narcotic storage protocols following 2024 discrepancies and to confirm that the food safety and infection control measures cited in the December 2025 survey have been fully corrected.

Chautauqua Guest Home #3 (9th St.) is a 57-bed skilled nursing facility at 302 Ninth Street in Charles City, Iowa. Locally owned and operated as a for-profit corporation, the center serves Floyd County with a clinical focus on short-term rehabilitation, memory care, and 24-hour nursing. The campus maintains a stable occupancy rate of 74%, which is consistent with the Iowa state average.

State and federal regulators currently assign the facility a 5-star overall rating, the highest performance tier available. Historical reports show a per-inspection deficiency rate of 0.5, which is 72% lower than the Iowa average of 1.8. While a July 2025 standard survey identified a single citation regarding resident rights, a subsequent follow-up confirmed the facility returned to substantial compliance with zero new deficiencies. No federal fines or payment denials have been issued to this facility in the past three years.

Professional care is guided by a staffing model that delivers 4 hours 11 minutes of daily nursing time per resident—exceeding the state average of 3 hours 48 minutes. Registered Nurse (RN) presence is currently 37 minutes per resident day, and weekend nurse aide coverage performs 8% above the state mean. Clinical quality measures are rated at 4 stars, with long-stay hospitalizations 15% better than the Iowa average. The facility reports a 28.3% total nurse turnover rate, which is significantly better than the state average of 43.9%.

The campus environment features a residential atmosphere where residents have access to 24-hour medical monitoring and emergency automatic generators. Shared services include physical, occupational, and speech therapy alongside nutritional meal plans and specialized social engagement. For those needing transitional care, the facility accepts Medicare, Medicaid, and private insurance to support varied placement needs.

Families and residents also participate in a resident council to address environmental and quality-of-life concerns.

Prospective individuals should evaluate the current bedside care standards and rehabilitation success rates during an on-site visit. It is advisable to ask the administrator for specific details regarding the corrective actions implemented following the 2025 resident rights citation to confirm that nursing protocols meet the individual’s recovery or long-term care goals for 2026.

Overview of Pleasantview Assisted Living

Pleasantview Assisted Living is a 56-bed faith-based community at 811 3rd Street in Kalona, Iowa. Administered by Marcille Ward, the facility serves Washington County under a license issued in August 2023. Current data shows a 41% occupancy rate with 23 residents, as the facility is in a growth phase following its recent opening. The location holds a Walk Score of 50, indicating moderate walkability in the downtown Kalona area.

The initial certification inspection conducted on December 5, 2024, resulted in a citations-per-inspection rate of zero. While the community lacks a long-term operational history, this first review earned a 5-star inspection rating, signaling that all regulatory requirements were met at launch.

Clinical care at this campus follows a multi-level model including independent living, assisted living, memory care, and skilled nursing. Professional services are provided by a licensed nursing team capable of supporting residents as they transition between different levels of care. The community also hosts dementia support groups and provides volunteer opportunities to foster resident engagement and family involvement.

The residential environment emphasizes spiritual values and a home-like atmosphere with landscaped grounds and garden spaces. Outdoor dining areas and common rooms are designed to support a quality-of-life focused approach within a faith-centered setting. As a two-year-old facility, management focuses on establishing long-term care protocols and stabilizing operations within its newly built environment.

Prospective residents may find the community’s early zero-deficiency status and faith-based values a strong foundation for placement. It is advisable to confirm current staffing stability and discuss the availability of skilled nursing services during a personal tour. Individuals can contact the Kalona office to discuss how the multi-level care model supports aging in place and to verify that 2026 safety standards remain consistent with the initial high rating.