Page 26 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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Community Memorial AL

233 North 8Th Avenue West, Hartley, IA 51346-1077
Overview of Community Memorial Al

Community Memorial Al provides assisted living, memory care, nursing home care, and skilled nursing in Hartley, IA. Assisted living provides help with daily tasks such as bathing, dressing, and medication management, while skilled nursing provides licensed nursing care around the clock. Memory care offers a secured setting with supervision for a resident at risk of wandering.

The community has 32 beds, making it a smaller setting where staff and residents may get to know each other. Its multiple care levels can suit a resident whose needs may grow over time without requiring a move to a different community. Community Memorial Al opened in 1994.

On-site rehabilitation services can support recovery without arranging transportation to an outside therapy location, and short-term rehabilitation is available for residents who need rehab for a limited period. A hair salon gives residents access to grooming services on site.

The area has a Walk Score of 43, a car-dependent setting where most errands require a car or a ride, so a resident who no longer drives would need transportation for routine errands. Rosemary Hibbs serves as the administrator, and Kay Wynja is the director.

Contact Community Memorial AL

Overview of Silveridge, an Eventide Community

Silveridge, an Eventide Community, offers nursing home care, assisted living, hospice care, independent living, memory care, nursing care, and skilled nursing in Denison, IA. Assisted living helps with daily tasks such as dressing, bathing, and medication while the resident keeps an apartment. Independent living offers private living with community services and no daily care, while memory care provides a secured setting with supervision for someone at risk of wandering.

Nursing home care, nursing care, and skilled nursing provide licensed nursing care on site around the clock. Hospice care focuses on comfort at the end of life. The community has 72 beds and opened in 2011, with assisted living apartments available alongside personal and health related services so residents can receive support with routine and health needs as part of their care.

Rehabilitation services support recovery, while short term rehabilitation is designed for a temporary stay rather than ongoing residence. Respite care offers a short stay for a family whose usual caregiver needs to travel or recover. Twenty four hour staffing means staff are present around the clock.

A Walk Score of 33 places the area in the car dependent band, meaning most errands require a car or a ride. A resident who no longer drives would need transportation for those trips. Kara Webb serves as administrator, and the range of care levels may suit a resident whose needs grow over time because care can continue within the same community.

Contact Silveridge, An Eventide Community, LLC

Overview of Chautauqua Guest Home #3 (9th St.)

Operating for 57 years, Chautauqua Guest Home #3 (9th St.) provides nursing home and skilled nursing care in Charles City, IA. Care is accessible around the clock with 24-hour staffing available. Moreover, rehabilitation services are available on site, providing rehabilitative care without arranging transport elsewhere.

The home has 57 beds, creating a smaller community where staff and residents can get to know one another. Currently, 42 beds are occupied, indicating a 74% occupancy.
Medicare can cover short-term skilled care after a hospital stay, while Medicaid can help families whose savings may not cover a longer stay. It is also administered by Misty Hobert.

Contact Chautauqua Guest Home #3 (9th St.)

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 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 Copper Shores Village

Copper Shores Village is part of the Immanuel senior living network in Des Moines, Iowa. The community is open to residents 55 and older and spans independent living, assisted living, and memory care under one roof.

Immanuel operates outside the federal CMS framework, which means no Medicare or Medicaid certification. Private pay is the payment model here, consistent with how most faith-affiliated independent and assisted living communities in Iowa are structured. The Immanuel brand is organized around a lifelong learning and wellness orientation, with a faith-based community identity built into the model. Programming includes recreational activities and socialization; 24-hour care is available.

The Walk Score of 42 puts this in the “some errands walkable, most require a car” range, which is fairly typical for Des Moines residential neighborhoods outside the core.

Copper Shores Village is a faith-oriented, multi-level care community in Des Moines for adults 55 and older, built around wellness and engagement programming and operating on a private-pay basis as part of the Immanuel network.

Contact Copper Shores Village

Overview of Eagle Point Health Care Center

Eagle Point Health Care Center operates a skilled nursing and memory care facility in the Clinton area, just outside Davenport, Iowa. The property provides long-term clinical care, mental health services, and specialized cognitive support, accepting Medicaid to assist eligible families with coverage. The surrounding neighborhood carries a walk score of 23, meaning the location is entirely car-dependent, and visitors will need a vehicle to manage trips or errands outside the property.

The daily care team provides an average of two hours and 54 minutes of direct support per resident each day, utilizing a rotation of registered nurses, licensed practical nurses, and certified nurse aides. Nurse aides handle the majority of the hands-on personal hygiene and daily living tasks, while registered nurses provide 30 minutes of clinical oversight daily. On-site services include physical rehabilitation therapies for post-hospital recovery, therapeutic meal planning, religious services, a wellness salon, and structured daily social activities.

Older adults can reach out to the business office to check on current bed vacancies or to verify the clinical intake process. The administrative team can walk you through the Medicaid enrollment guidelines, explain out-of-pocket costs, and set up a time for an in-person tour of the building and therapy rooms.

Contact Eagle Point Health Care Center

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

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.
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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.