Page 25 of Best Nursing Homes in Iowa

Why trust this guide? Our editorial team analyzed 267 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.
267 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-ranked to lowest-ranked based on our 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.
Type of Care NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs.
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.
Countryside Health Care Center-
NH
Sioux City
101
Facility 101
IA AVG 67
Rank #25 / 241
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9
Facility 9
IA AVG 49
Rank #241 / 260
$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

Rank badges are statewide: each nursing home is ranked against every IA nursing home we track that reports that metric, not just the 267 on this page. See how we rank facilities

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Overview of Oakwood Place at Ridgecrest Village

Oakwood Place at Ridgecrest Village in Davenport, Iowa, offers independent living, assisted living, memory care, and skilled nursing care. Independent living provides a private residence without daily care, while assisted living supports everyday tasks such as dressing, bathing, and taking medication; memory care offers a secured setting with supervision, and skilled nursing provides licensed nursing care on site around the clock.

The community has 90 beds and opened in 1966, with Trudy Whittington serving as administrator. Its range of care levels may be a good fit for a resident whose needs grow over time, because the resident can move to another level of care without leaving the community; named programs include Oakwood Place Assisted Living, Oakwood Gardens Memory Care, Crest Health Care Skilled, and 24 Hour Care, while rehabilitation services support residents recovering from illness or injury and pets are allowed for residents who want to live with one.

Contact Oakwood Place at Ridgecrest Village

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 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 Hammond Center for Assisted Living

Hammond Center for Assisted Living provides assisted living, nursing care, skilled nursing, and hospice care in Grinnell, Iowa. Assisted living helps with daily tasks while residents live in apartments. Skilled nursing provides licensed nursing care on site around the clock, and hospice care supports residents receiving end of life care.

Several care services share one community here. That may suit a resident whose needs change over time and who may be able to remain at Hammond Center as care needs grow. The community has 20 assisted living apartments, giving residents in that setting apartment style living, and 38 beds overall, making it a smaller community where staff and residents can get to know each other. Staff are on site 24 hours, including overnight.

There are places to stay active. A fitness center and walking track provide on site spaces for exercise, while a pool table and theater area offer additional recreation. In Grant Township, the Walk Score is 82, meaning the area is very walkable: most errands can be done on foot, and a resident who no longer drives can still reach shops, a pharmacy, or cafes independently. Dion Schrack serves as the administrator.

Contact Hammond Center for Assisted Living

Overview of Solon Assisted Living Village

Solon Assisted Living Village offers independent living, assisted living, memory care, and nursing home services, including skilled nursing, in Solon, IA. Assisted living provides help with daily tasks such as bathing, dressing, and medication while a resident maintains a private living space, while memory care provides a secured setting with supervision for someone at risk of wandering. Independent living includes private condos with community services and no daily care, and skilled nursing provides licensed nursing care on site around the clock.

The community has 36 beds, placing it in the smaller-community range where staff and residents may get to know each other. Physician services, skilled rehabilitation nursing, and outpatient therapy are available through the community, giving residents access to medical and rehabilitation services through its programs.

Melissa Reed serves as the administrator. A Walk Score of 54 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to complete certain errands independently. The multiple care levels may suit a resident whose needs grow over time, since care can change without leaving the community.

Contact Solon Assisted Living Village

Overview of Cottage Grove Place – Connections

Cottage Grove Place, Connections offers nursing home care, skilled nursing, assisted living, independent living, and memory care in Cedar Rapids, IA. Nursing home care and skilled nursing provide licensed nursing care on site around the clock. Assisted living helps with daily tasks such as dressing, bathing, and medication while a resident keeps an apartment.

Independent living provides private living with community services and no daily care, while memory care provides a secured setting with supervision. The range of care levels can suit a resident whose needs may grow over time without requiring a move to a different community. The community has 36 beds, creating a smaller setting where staff and residents can get to know each other.

Chef prepared meals are provided, giving residents prepared dining within the community. Short term rehabilitation offers a temporary stay focused on recovery, and respite care provides a short term option when a usual caregiver needs to travel or recover. A Walk Score of 56 / 100 places the area in the somewhat walkable band, so some errands can be done on foot and a resident who no longer drives may be able to complete certain nearby errands independently. Pets are allowed, so a resident may keep a pet with them. Melissa Holyoake serves as the administrator.

Contact Cottage Grove Place – Connections

Overview of Thornton Heights Assisted Living

Make every moment count at Thornton Heights Assisted Living, a distinguished community in Lansing, IA, offering assisted living. Featuring beautifully furnished and secure one- and two-bedroom floor plans, the community ensures residents are comfortable and safe. Residents also receive exceptional care tailored to their daily living activities and personal needs around the clock.

A jam-packed calendar of engaging activities and enriching programs is conducted to keep residents active and socially connected. Delicious and well-balanced meals are also served three times daily to meet residents’ dietary needs and preferences. Emergency pendants are also provided for convenience and safety. The community is ideal for those looking to live comfortably in retirement, especially with its nurturing and welcoming environment.

Contact Thornton Heights Assisted Living

Overview of Regency Park Nursing and Rehabilitation Center

Situated in Jefferson, IA, Regency Park Nursing and Rehabilitation Center provides skilled nursing, rehabilitation services, and respite care. Nursing services are supported by 24-hour staffing, ensuring accessibility of care. For those seeking short-term stays, particularly to allow primary caregivers to recover, respite care is provided.

With 46 beds, this is a smaller community administered by Jana Cates where staff and residents can get to know each other. 43 beds are currently occupied, indicating a 94% occupancy. Pets are also allowed within the community.

Scheduled transportation is provided, allowing residents to access off-site services conveniently. The community also provides housekeeping and linen services. A Walk Score of 75 means the area is very walkable, with many errands possible on foot, so a resident who no longer drives can still get out independently.

Contact Regency Park Nursing and Rehabilitation Center

Overview of Pleasantview Assisted Living

Pleasantview Assisted Living offers independent living, assisted living, memory care, hospice care, nursing home care, and skilled nursing in Kalona, IA. Independent living provides private living with community services and no daily care, while assisted living adds help with daily tasks. Memory care provides a secured setting with supervision for someone at risk of wandering, and skilled nursing provides licensed nursing care on site around the clock. Nursing home care supports long-term residence, while hospice care serves a resident receiving end-of-life care.

With multiple care levels, Pleasantview Assisted Living can suit a resident whose needs may grow over time without requiring a move to another community. The community has 56 beds, a smaller size that can allow staff and residents to get to know each other. A Walk Score of 50 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to complete certain nearby errands independently.

Pleasantview Assisted Living opened in 1958 and is administered by Marcille Ward. The community is faith-based, which may suit someone seeking a faith-based setting. Its programs include Skilled Care, Dementia Care, a Dementia Support Group, and Volunteer Opportunities; the support group offers a forum for dementia-related support, while volunteer opportunities allow participation in volunteer work.

Contact Pleasantview Assisted Living

Overview of The Summit of Bettendorf Mc

The Summit of Bettendorf Mc offers independent living, assisted living, memory care, nursing home care, and skilled nursing in Bettendorf, IA. Independent living means private living with community services and no daily care, while assisted living includes help with daily tasks. Memory care adds a secured setting with supervision, and skilled nursing provides licensed nursing care on site around the clock.

The range of care levels may suit a resident whose needs grow over time without requiring a move elsewhere. With 32 beds, The Summit of Bettendorf Mc is a smaller community where staff and residents can get to know each other. Short term rehabilitation provides a temporary stay focused on rehabilitation, while respite care offers a short stay for someone whose usual caregiver needs to travel or recover.

A wellness center and winding outdoor walking paths offer on campus places for exercise. The professional salon and barbershop provide grooming services, while three restaurants give residents multiple dining locations. Pets are allowed, Medicare is accepted, and Monica Reyes serves as the administrator.

Contact The Summit of Bettendorf MC

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 267 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.