Browse communities by city and county.
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.
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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.
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Type of Care
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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| Countryside Health Care Center | - | NH | Sioux City | 101
Facility
101
IA AVG
67
Rank
#25 / 241 | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
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
Introducing Touchstone Living Center, a prominent senior living provider located in Sioux City, Iowa. They offer an array of nursing home services for their valued residents.
Discover a compassionate and supportive community where seniors can thrive and receive the care they deserve.
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.
Find the care you need at Patty Elwood Center, an esteemed community in Cresco, IA, offering nursing care. Committed to residents’ well-being, a compassionate and well-trained team provides top-notch care tailored to their healthcare needs around the clock. Purposely built and secure accommodations are provided in a nurturing and welcoming environment, ensuring residents can feel at ease during their stay.
Residents are encouraged to live actively and maintain social connections with a well-thought-out calendar of enriching activities and stimulating programs. Healthy meals are important for residents’ wellness, so delicious and well-balanced dining options are served to meet their dietary needs and preferences. This pet-friendly community is ideal for those needing top-tier care for a blissful retirement.
OakView Nursing & Rehabilitation in Burlington, IA, is a nursing home that offers long-term care and rehabilitation. The community’s nurturing and welcoming environment ensures older adults can ease their worries throughout their stay. With 24-hour care, well-balanced meals, and recreational activities, residents experience a maintenance-free lifestyle. Through personalized care plans, the community strives to meet residents’ unique needs and preferences.
Games, social events, and light exercises encourage residents to stay active and make friends. Cozy sitting areas and thoughtfully furnished rooms also ensure residents’ relaxation and wellness. Residents also experience the utmost comfort during their stay, as it is situated in the tree-lined neighborhood of Burlington. This nursing home is a good option for senior living in Iowa, especially with high-quality services.
Mosaic offers home care and respite care in West Des Moines, IA. Home care provides support where a person lives, while respite care creates a short term arrangement when a usual caregiver needs time away, such as during travel or recovery.
Established in 1913, Mosaic is directed by Abigail Barker. Its services include personal care, and its Soreo senior services program provides a named service offering for older adults. Mosaic also has a wellness program, religious services, and rehabilitation services, giving residents access to wellness activities, religious programming, and rehabilitation support within the services confirmed for the community. The combination may be a good fit for a family seeking temporary support during a caregiver’s travel or recovery.
Administered by Melissa Opperman, Story Medical Senior Care provides nursing home care in Nevada, IA, for older adults who need ongoing clinical oversight and help with daily needs. The home has 60 beds with 57 beds currently occupied, indicating a 95% occupancy.
Care is supported around the clock, with 24-hour staffing, including a doctor on staff. Rehabilitation services are also available, providing residents with restorative support during their stay. For those seeking temporary relief, particularly for families whose primary caregivers need time away, respite care is offered.
Residents can take part in outings and day trips with accessible transportation. Moreover, a salon is available on-site, allowing residents to access grooming services.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.
The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.
Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.
Stable operations and sound finances are leading indicators of consistent care over time.
Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.
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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.
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.
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.
This page features 267 nursing homes in Iowa. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
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.
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.
