Page 4 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
Reviewed by
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. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. 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.
Anamosa Care Center
NH
AL
HOS
SNF
Anamosa
64
Facility 64
IA AVG 72
Rank #190 / 403
85.9%
Facility 85.9%
IA AVG 67
Rank #86 / 362
+28%
3.83
Facility 3.83
IA AVG 4.30
Rank #164 / 231
+65%-11%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
8
Facility 8
IA AVG 21.7
Rank #44 / 232
2.0
Facility 2.0
IA AVG 4.1
Rank #19 / 232
155-
72
Facility 72
IA AVG 47
Rank #89 / 504
Sheri Sigler
$6.0MFiscal year ending 12/2023
Facility $6.0MFiscal year ending 12/2023
IA AVG $6.9M
Rank #114 / 224
$2.9MFiscal year ending 12/2023
Facility $2.9MFiscal year ending 12/2023
IA AVG $4.2M
Rank #135 / 224
48.5%Fiscal year ending 12/2023
Facility 48.5%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #192 / 224
165375
Sibley Specialty Care
NH
SNF
North Sibley
46
Facility 46
IA AVG 72
Rank #272 / 403
87.0%
Facility 87.0%
IA AVG 67
Rank #79 / 362
+30%
4.08
Facility 4.08
IA AVG 4.30
Rank #131 / 231
-23%-5%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
10
Facility 10
IA AVG 21.7
Rank #61 / 232
2.0
Facility 2.0
IA AVG 4.1
Rank #19 / 232
-40-
64
Facility 64
IA AVG 47
Rank #125 / 504
David Bronner
$3.9MFiscal year ending 12/2023
Facility $3.9MFiscal year ending 12/2023
IA AVG $6.9M
Rank #176 / 224
$2.2MFiscal year ending 12/2023
Facility $2.2MFiscal year ending 12/2023
IA AVG $4.2M
Rank #184 / 224
56.8%Fiscal year ending 12/2023
Facility 56.8%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #126 / 224
165401
Concord Care Center
NH
AL
SNF
Garner
46
Facility 46
IA AVG 72
Rank #272 / 403
84.8%
Facility 84.8%
IA AVG 67
Rank #91 / 362
+27%
4.05
Facility 4.05
IA AVG 4.30
Rank #142 / 231
-29%-6%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
8
Facility 8
IA AVG 21.7
Rank #44 / 232
2.7
Facility 2.7
IA AVG 4.1
Rank #59 / 232
-39-
46
Facility 46
IA AVG 47
Rank #254 / 504
-
$4.2MFiscal year ending 12/2023
Facility $4.2MFiscal year ending 12/2023
IA AVG $6.9M
Rank #165 / 224
$2.7MFiscal year ending 12/2023
Facility $2.7MFiscal year ending 12/2023
IA AVG $4.2M
Rank #152 / 224
63.7%Fiscal year ending 12/2023
Facility 63.7%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #69 / 224
165364
Parkview Home
NH
AL
HOS
RESC
RC
SNF
Jackson Wayland
34
Facility 34
IA AVG 72
Rank #370 / 403
94.1%
Facility 94.1%
IA AVG 67
Rank #27 / 362
+41%
3.90
Facility 3.90
IA AVG 4.30
Rank #153 / 231
-1%-9%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
10
Facility 10
IA AVG 21.7
Rank #61 / 232
5.0
Facility 5.0
IA AVG 4.1
Rank #157 / 232
-32-
22
Facility 22
IA AVG 47
Rank #410 / 504
Jeffrey Eubanks
$3.0MFiscal year ending 12/2023
Facility $3.0MFiscal year ending 12/2023
IA AVG $6.9M
Rank #209 / 224
$2.1MFiscal year ending 12/2023
Facility $2.1MFiscal year ending 12/2023
IA AVG $4.2M
Rank #195 / 224
68.3%Fiscal year ending 12/2023
Facility 68.3%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #42 / 224
165547
Savannah Heights
NH
PC
RC
SNF
Mount Pleasant
46
Facility 46
IA AVG 72
Rank #272 / 403
73.9%
Facility 73.9%
IA AVG 67
Rank #168 / 362
+10%
4.65
Facility 4.65
IA AVG 4.30
Rank #70 / 231
-17%+8%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
17
Facility 17
IA AVG 21.7
Rank #122 / 232
3.4
Facility 3.4
IA AVG 4.1
Rank #96 / 232
-34-
58
Facility 58
IA AVG 47
Rank #168 / 504
Zachary Downing
$4.1MFiscal year ending 10/2023
Facility $4.1MFiscal year ending 10/2023
IA AVG $6.9M
Rank #170 / 224
$2.1MFiscal year ending 10/2023
Facility $2.1MFiscal year ending 10/2023
IA AVG $4.2M
Rank #194 / 224
50.6%Fiscal year ending 10/2023
Facility 50.6%Fiscal year ending 10/2023
IA AVG 60.3%
Rank #182 / 224
165592
Rockwell Community Nursing Home
NH
HOS
RC
SNF
Rockwell
40
Facility 40
IA AVG 72
Rank #323 / 403
55.0%
Facility 55.0%
IA AVG 67
Rank #230 / 362
-18%
5.53
Facility 5.53
IA AVG 4.30
Rank #17 / 231
-37%+29%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
1
Facility 1
IA AVG 21.7
Rank #1 / 232
1.0
Facility 1.0
IA AVG 4.1
Rank #1 / 232
-22-
32
Facility 32
IA AVG 47
Rank #355 / 504
International Association Of Lions - 4091 Rockwell
$2.6MFiscal year ending 06/2024
Facility $2.6MFiscal year ending 06/2024
IA AVG $6.9M
Rank #219 / 224
$1.6MFiscal year ending 06/2024
Facility $1.6MFiscal year ending 06/2024
IA AVG $4.2M
Rank #219 / 224
59.1%Fiscal year ending 06/2024
Facility 59.1%Fiscal year ending 06/2024
IA AVG 60.3%
Rank #101 / 224
165406
Timely Mission Nursing Home
NH
RC
SNF
Buffalo Center
42
Facility 42
IA AVG 72
Rank #317 / 403
78.6%
Facility 78.6%
IA AVG 67
Rank #136 / 362
+17%
3.97
Facility 3.97
IA AVG 4.30
Rank #142 / 231
-37%-8%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
7
Facility 7
IA AVG 21.7
Rank #33 / 232
2.3
Facility 2.3
IA AVG 4.1
Rank #41 / 232
-33-
37
Facility 37
IA AVG 47
Rank #314 / 504
Lorie Bierle
$2.8MFiscal year ending 07/2024
Facility $2.8MFiscal year ending 07/2024
IA AVG $6.9M
Rank #215 / 224
$1.8MFiscal year ending 07/2024
Facility $1.8MFiscal year ending 07/2024
IA AVG $4.2M
Rank #207 / 224
65.5%Fiscal year ending 07/2024
Facility 65.5%Fiscal year ending 07/2024
IA AVG 60.3%
Rank #55 / 224
165586
Regency Park Nursing and Rehabilitation Center of Carroll
NH
RC
SNF
Carroll
46
Facility 46
IA AVG 72
Rank #272 / 403
71.7%
Facility 71.7%
IA AVG 67
Rank #182 / 362
+7%
4.00
Facility 4.00
IA AVG 4.30
Rank #142 / 231
-3%-7%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
13
Facility 13
IA AVG 21.7
Rank #86 / 232
2.2
Facility 2.2
IA AVG 4.1
Rank #38 / 232
133-
80
Facility 80
IA AVG 47
Rank #47 / 504
James Feauto
$3.1MFiscal year ending 12/2023
Facility $3.1MFiscal year ending 12/2023
IA AVG $6.9M
Rank #207 / 224
$2.0MFiscal year ending 12/2023
Facility $2.0MFiscal year ending 12/2023
IA AVG $4.2M
Rank #199 / 224
64.2%Fiscal year ending 12/2023
Facility 64.2%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #63 / 224
165231
Mechanicsville Specialty Care
NH
SNF
Mechanicsville
39
Facility 39
IA AVG 72
Rank #347 / 403
74.4%
Facility 74.4%
IA AVG 67
Rank #166 / 362
+11%
3.72
Facility 3.72
IA AVG 4.30
Rank #184 / 231
-41%-13%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
12
Facility 12
IA AVG 21.7
Rank #79 / 232
4.0
Facility 4.0
IA AVG 4.1
Rank #123 / 232
-29-
20
Facility 20
IA AVG 47
Rank #420 / 504
Thai Nguyen
$3.3MFiscal year ending 12/2023
Facility $3.3MFiscal year ending 12/2023
IA AVG $6.9M
Rank #200 / 224
$1.9MFiscal year ending 12/2023
Facility $1.9MFiscal year ending 12/2023
IA AVG $4.2M
Rank #203 / 224
57.7%Fiscal year ending 12/2023
Facility 57.7%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #120 / 224
165263
Lamoni Specialty Care
NH
SNF
Lamoni
43
Facility 43
IA AVG 72
Rank #313 / 403
72.1%
Facility 72.1%
IA AVG 67
Rank #180 / 362
+8%
4.24
Facility 4.24
IA AVG 4.30
Rank #120 / 231
-19%-1%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
6
Facility 6
IA AVG 21.7
Rank #26 / 232
1.5
Facility 1.5
IA AVG 4.1
Rank #12 / 232
-31-
60
Facility 60
IA AVG 47
Rank #152 / 504
-
$3.0MFiscal year ending 12/2023
Facility $3.0MFiscal year ending 12/2023
IA AVG $6.9M
Rank #210 / 224
$2.2MFiscal year ending 12/2023
Facility $2.2MFiscal year ending 12/2023
IA AVG $4.2M
Rank #190 / 224
73.4%Fiscal year ending 12/2023
Facility 73.4%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #25 / 224
165314

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.

Rows per page:
Nursing Home Explorer
1...345...20

Anamosa Care Center

1209 East Third Street, Anamosa, IA 52205-1503
Overview of Anamosa Care Center

Anamosa Care Center is a 64-bed home at 1209 East Third Street in Anamosa, Iowa. Run by Sheri Sigler, the facility has been a staple in the community for over 40 years, providing everything from long-term medical care and hospice to short-term rehab for people recovering from surgery. Payment structures adapt to diverse situations, accepting public health coverage lines via traditional Medicare and state Medicaid alongside standard private funding options. Individual stays average roughly 345 days, meaning the daily scheduling balances temporary post-hospital rehabilitation with extended medical placements.

Residents get a little over four hours of direct care each day. A team of nurses aides and stays on top of medications, monitors everyone’s health, and leads the physical, occupational, and speech therapy sessions. The neighborhood is also really easy to get around, scoring a 72 out of 100 for walkability, which makes it simple for visiting families to walk to nearby spots or run quick errands.

Official evaluations by state health inspectors routinely track floor workflows, focusing on themes such as resident care standards and daily dignity practices to verify compliance with public codes. Administrative supervisors review these inspection results to guide continuing education programs and adjust internal protocols across the nursing shifts.

Families looking into care can call the main office to see if there are any open rooms, ask how outpatient therapy is scheduled, or set up a time to come take a look around.

Contact Anamosa Care Center

Overview of Sibley Specialty Care

Sibley Specialty Care is a 46-bed rehabilitation and skilled nursing community in Sibley, Iowa. Owned and operated by David Bronner under the Care Initiatives nonprofit network, the facility keeps about 87 percent of its beds filled. They take Medicare, Medicaid, and private pay, and with stays averaging 239 days, the daily mix balances short-term recovery patients with individuals who live there for long-term care.

The nursing team delivers about 4 hours and 3 minutes of direct, hands-on attention to each resident daily. This round-the-clock clinical schedule is split down into 53 minutes from registered nurses, 2 hours and 10 minutes from nurse aides, and 19 minutes from licensed practical nurses to handle rehabilitation needs after injuries, illnesses, or surgeries. Outside the facility, the local neighborhood has a walkability score of 64 out of 100, meaning you can check off a reasonable number of basic daily errands on foot.

State inspectors noted a few operational areas that need attention during recent facility surveys. The review outlined documentation gaps regarding infection control, kitchen food service setups, nursing supervision routines, and general resident safety rules, which the management uses to adjust staff workflows and guidelines.

Representatives can call the main office to verify current bed availability, ask about the tailored physical therapy options, or schedule a tour of the building. The business staff is also ready to discuss payment choices and explain how insurance plans or state aid programs fit into the monthly billing.

Contact Sibley Specialty Care

Overview of Concord Care Center

Concord Care Center occupies a 46-bed property at 490 West Lyon Street in Garner, Iowa. The facility maintains an average occupancy level of approximately 59 percent, which allows for regular room availability and intake processing. Administrative staff accepts diversified coverage options, including standard out-of-pocket payments, federal Medicare reimbursements, and state Medicaid. Individual stays average about 108 days, meaning the daily schedule is built to support a moving census of transitional physical therapy cases alongside residents requiring ongoing medical monitoring.

On-site health routines ensure that each individual receives an average of 4 hours and 5 minutes of direct attention from the nursing team daily. Certified nursing assistants, licensed practical nurses, and registered nurses split these floor hours to deliver medication, administer general treatments, and run outpatient therapy services. These practitioners utilize a dedicated Rehab-to-Home track to help individuals recover physical strength after injuries or hospitalizations, while the surrounding neighborhood features a walkability score of 46 out of 100, making a car necessary for most regional errands.

The property maintains a 4-star overall performance rating from the Centers for Medicare & Medicaid Services (CMS) and has accrued zero federal monetary fines or state enforcement penalties over the last three years. Long-term health metrics indicate stable functional outcomes with minimal decline in day-to-day physical capabilities among the permanent population. For everyday comfort, the layout includes personal television setups, dedicated family meeting lounges, and a barber shop.

Interested families can get in touch with the main office to double-check bed availability, learn about the outpatient therapy schedules, or arrange an afternoon to view the communal spaces. The business desk is also available to help verify health coverage networks and clarify how public assistance programs apply to monthly room invoices.

Contact Concord Care Center

Parkview Home

102 North Jackson, Wayland, IA 52654-0038
Overview of Parkview Home

Parkview Home is a privately owned 34-bed faith-based skilled nursing community in Wayland, Iowa, serving Henry County residents. The facility provides skilled nursing, memory care, rehabilitation, respite stays, and hospice services with 24-hour staffing. Accepted: Medicare, Medicaid, and private pay. Occupancy at 94 percent runs well above Iowa’s 75.4 percent average, with the facility consistently near full capacity.

The 5-star CMS overall rating reflects a health inspection sub-rating 69.5 percent above Iowa average and staffing 34.8 percent above state benchmark, notable for a facility of this size. Nurse hours of 4h 27m per resident day rank 97th among 241 Iowa skilled nursing facilities. Over five years on file, the facility averaged 4.6 deficiencies annually against an Iowa average of 4.4, essentially at the state average, without immediate jeopardy findings, fines, or enforcement actions. The most major finding in the window is an August 2024 citation for failure to report on time a resident’s suicide attempt to the state agency, alongside care plan gaps for residents with seizure disorders, fall risks, and behavioral health needs. The November 2023 annual survey cited medication administration errors and physician notification lapses, insulin held parameters not followed for diabetic residents, oxygen set at the wrong rate, across three residents. Both the June 2025 annual survey and a November 2025 complaint investigation returned clean. Quality Measures run 13.3 percent below Iowa average, the one sub-rating below state benchmark.

Amenities include a beauty shop, a full activities program, communal gathering areas, and transportation services. Hospice services and residential living programs round out the care continuum.

With above-average staffing and a near-full occupancy environment, the community suits Henry County older adults who seek long-term skilled nursing or end-of-life care in a small, faith-centered rural setting.

Contact Parkview Home

Savannah Heights

601 S Prairie Street, Mount Pleasant, IA 52641-1609
Overview of Savannah Heights

Savannah Heights is a 46-bed senior living property in Mount Pleasant, Iowa, overseen by administrator Stacie Byerly and owner Zachary Downing. The community runs with roughly 74 percent of its licensed beds occupied and coordinates billing through private pay alongside Medicare and Medicaid. Stays here average 135 days, creating a daily environment that sets up short-term post-acute rehabilitation therapies right next to extended residential nursing care.

Floor staff schedules are set up 24/7 to deliver an average of 4 hours and 34 minutes of direct daily care to every resident. Registered nurses cover 40 minutes of that total, working with licensed practical nurses and aides to manage physical, occupational, and speech recovery routines. Inside the building, all private and semi-private rooms are built with attached bathrooms and showers, giving residents immediate access to a theater room, an activity space, a beauty salon, and a country kitchen setup for home-cooked meals. For visiting families, the local neighborhood holds a walkability score of 58 out of 100, which means you can wrap up a few minor errands around the block on foot.

State files show the facility has worked through mixed operational findings in its historical record. The most recent complaint investigation by state inspectors confirmed the team returned the building to full compliance with standard care protocols and medical documentation guidelines.

Prospective representatives can call the main desk to check on current bed layouts, ask how the seven-day activity calendar is structured, or plan an hour to tour the dining and therapy spaces. The administrative team is also ready to review current insurance coverages and walk you through the standard medical admission forms.

Contact Savannah Heights

Overview of Rockwell Community Nursing Home

Owned by the International Association of Lions, Rockwell Community Nursing Home is a nursing home providing rehabilitation and short-term nursing care. The 40-bed community serves residents recovering from illness, injury, and hospitalization who benefit from skilled nursing oversight and therapy services. Medicare, Medicaid, and private pay are accepted, giving families several options for arranging care.

The facility has an occupancy rate of 55%, which can support a more individualized care environment. Residents stay an average of 127 days because of the home’s role as a rehabilitation and recovery community. However, some residents transition into longer-term care when needed.

Daily nurse staffing averages 5 hours and 34 minutes per resident, so residents receive substantial support for their clinical and personal care needs. The nursing team regularly works with residents at different stages of recovery, from post-hospital rehabilitation to ongoing skilled nursing care.

Clinical services are a major part of the community’s care model. Physical therapy, occupational therapy, speech therapy, outpatient therapy services, restorative nursing, and lymphedema management are available on-site. Individual care plans and discharge planning guide each resident’s recovery goals.

The facility also offers respite care for families seeking temporary skilled nursing support for a loved one. Residents can join in group and individual activities, entertainment programs, and enjoy access to beauty and barber services. Home-cooked meals with a variety of menu options are also part of daily life.

The community is located in an area with a Walk Score of 32, where some nearby destinations may be reached on foot, but most travel requires transportation. State inspections show the home is compliant with health requirements.

Contact Rockwell Community Nursing Home

Overview of Timely Mission Nursing Home

Owned by Lorie Bierle, Timely Mission Nursing Home is a skilled nursing community in Iowa. The 42-bed home accepts Medicare, Medicaid, and private pay, which gives families multiple ways to cover short-term rehabilitation, respite care, or longer-term skilled nursing stays. With a lower than 80% occupancy, the community has the capacity to serve residents. Most stay an average of nearly 1 year, with rehabilitation and ongoing care needs.

The facility offers short-term rehabilitation and respite care with 24-hour staffing support. Total nurse staffing averages 4 hours and 5 minutes per resident daily. Registered nurses provide about 36 minutes of that care. That hands-on staffing baseline supports rehabilitation-focused residents and those with more complex ongoing needs. This is an ideal setting for patients recovering from surgery or hospitalization, or for families seeking a structured short-term respite break.

Timely Mission’s neighborhood has a Walk Score of 37, so it’s somewhat car-dependent. However, there are a few nearby services within walking distance. Residents and visiting family will need transportation for most outings, but the home provides facility transportation for residents.

Residents’ daily lives are centered on meals and activities. They get three balanced meals daily, open dining hours, and snacks prepared by dietary staff. There are holiday events, picnics, gardening in the raised-bed flower garden, Bible studies, Sunday afternoon church services, and Happy Hour. The facility has an outdoor gazebo and family room, giving residents and visiting family spaces to spend time together. Plus, the surrounding seating areas make the grounds usable year-round.

Over the past six years, the facility’s inspection history shows that it has received compliance certifications. It has worked to address past findings through corrective action plans. As with any skilled nursing home, families should ask about daily care practices and how the home supports therapy documentation and care coordination.

Contact Timely Mission Nursing Home

Overview of Regency Park Nursing and Rehabilitation Center of Carroll

Regency Park Nursing and Rehabilitation Center of Carroll is a 46-bed skilled nursing facility located at 500 East Valley Drive in Carroll, Iowa. Administered by James Feauto, the center has served the community since 1999, providing a clinical spectrum that includes IV therapy, wound care, and tracheotomy support. The facility is centrally located with a Walk Score of 80 and accepts both Medicare and Medicaid.

Regulated by the Iowa Department of Inspections, Appeals, and Licensing, the community holds a 5-star overall rating from CMS, indicating performance “Much Above Average”. Between 2020 and 2025, 18 inspections yielded 19 total deficiencies, resulting in an average of 1.1 per inspection—39% below the state average. While a November 2025 annual survey found full compliance, an August 2024 investigation cited a high-harm deficiency and an $8,750 fine following a resident death linked to a delayed urinalysis.

Staffing data reveals an LPN-heavy model, with Licensed Practical Nurse hours at 55 minutes per resident day, 62% above the Iowa average. Conversely, Registered Nurse (RN) hours are 31 minutes, which is 30% below the state average. Quality metrics are generally strong, with long-stay hospitalizations 28% better than average and short-stay discharge outcomes 29% better than the state mean. However, the facility reported a short-stay major injury fall rate of 1.5%, which is 97% higher than the Iowa average.

The campus offers a pet-friendly atmosphere with amenities such as family gathering rooms, a beauty salon, and in-room cable TV.Shared services include: Complimentary laundry, professional housekeeping, and Wi-Fi access for residents and guests. The community fosters engagement through social activities and has received Telligen’s B.E.S.T. in Class award for quality excellence. Current occupancy stands at 72%, which is consistent with regional averages.

Prospective representatives 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 measures implemented after the 2024 and 2025 reporting and dignity findings, and to confirm that the current fall prevention protocols for short-term residents meet 2026 safety standards.

Contact Regency Park Nursing and Rehabilitation Center of Carroll

Mechanicsville Specialty Care

104 East Fourth Street, Mechanicsville, IA 52306-0430
Overview of Mechanicsville Specialty Care

Owned by Thai Nguyen and led by administrator Tina Wendt, Mechanicsville Specialty Care operates a 39-bed nursing home that has served the Cedar County area for 36 years. The property utilizes public funding pathways, including Medicare and Medicaid, alongside standard private pay options. Stays at the building average nearly nine months, establishing a stable residential population that balances short-term, post-hospital recovery therapies with conventional extended care.

An average of 4 hours and 11 minutes of direct daily care is delivered to each resident by the on-site clinical team. Certified nurse aides, licensed practical nurses, and registered nurses divide this round-the-clock schedule to manage everyday physical assistance and medical monitoring. The community is situated in a rural area that requires a vehicle for travel, meaning out-of-town visitors and families rely on personal transportation due to limited neighborhood walkability.

Recent inspection records from state oversight departments noted a few administrative and procedural adjustments, which the team resolved without discovering direct resident-care issues.

Prospective representatives can contact the main business office to check on current bed availability, request details about the rehabilitation schedules, or plan a convenient time to tour the building. The administration can also help you review individual insurance paperwork and explain how public aid or private payment networks apply to standard monthly billing.

Contact Mechanicsville Specialty Care

Overview of Lamoni Specialty Care

Lamoni Specialty Care operates a 43-bed senior living campus under the direction of administrator Sarah Carr at 215 South Oak Street in Lamoni, Iowa. As part of the statewide Care Initiatives nonprofit network, this local building maintains a standard census of 31 occupied beds, reflecting a 72 percent occupancy baseline. Resident programs are funded through a combination of private payments, Medicare credits, and state Medicaid allocations. Typical residential placements average roughly 341 days, creating a setting that regularly handles complex physical recovery stays alongside standard long-term nursing assistance.

An average of 3 hours and 51 minutes of direct clinical care is delivered to each resident during the daily routine. Registered nurses, licensed practical nurses, and nurse aides distribute this 24-hour floor schedule to manage physical therapies, basic assisted living services, and dedicated memory care tasks. The property is located in a residential area that holds a walkability score of 60 out of 100, which means out-of-town guests and visiting family members can easily complete standard errands on foot without needing a vehicle for every trip.

Recent inspection surveys from state oversight agencies focused on standard medication distribution records and inventory management protocols, verifying that clinical administrative tasks meet current safety codes. The management uses these routine state logs to refine internal clinical guidelines and maintain baseline training protocols across the nursing shifts.

Interested individuals can reach out to the intake office to verify current apartment availability, request a breakdown of the recovery therapies, or arrange an afternoon to walk through the common rooms.

Contact Lamoni Specialty Care

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
Submit a correction
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

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.