Page 6 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
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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.
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. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
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.
Stonehill Care Center
NH
AL
IL
MC
SNF
Dubuque
185
Facility 185
IA AVG 72
Rank #4 / 403
85.4%
Facility 85.4%
IA AVG 67%
Rank #89 / 362
+28%
4.83
Facility 4.83
IA AVG 4.30
Rank #57 / 231
+2%+12%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
4
Facility 4
IA AVG 21.7
Rank #13 / 232
2.0
Facility 2.0
IA AVG 4.1
Rank #19 / 232
-158-
89
Facility 89
IA AVG 47
Rank #17 / 504
Peggy Stockel
$26.5MFiscal year ending 06/2024
Facility $26.5MFiscal year ending 06/2024
IA AVG $6.9M
Rank #2 / 224
$16.6MFiscal year ending 06/2024
Facility $16.6MFiscal year ending 06/2024
IA AVG $4.2M
Rank #2 / 224
62.7%Fiscal year ending 06/2024
Facility 62.7%Fiscal year ending 06/2024
IA AVG 60.3%
Rank #75 / 224
165471
Scenic Manor
NH
AL
IL
SNF
Iowa Falls
77
Facility 77
IA AVG 72
Rank #123 / 403
84.4%
Facility 84.4%
IA AVG 67%
Rank #94 / 362
+26%
4.09
Facility 4.09
IA AVG 4.30
Rank #131 / 231
-23%-5%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
11
Facility 11
IA AVG 21.7
Rank #72 / 232
2.8
Facility 2.8
IA AVG 4.1
Rank #66 / 232
-65-
60
Facility 60
IA AVG 47
Rank #152 / 504
Bearden Family Revocable Trust
$10.6MFiscal year ending 12/2023
Facility $10.6MFiscal year ending 12/2023
IA AVG $6.9M
Rank #30 / 224
$6.7MFiscal year ending 12/2023
Facility $6.7MFiscal year ending 12/2023
IA AVG $4.2M
Rank #28 / 224
63.7%Fiscal year ending 12/2023
Facility 63.7%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #69 / 224
165472
Friendship Haven
NH
AL
HOS
IL
MC
RC
SNF
Fort Dodge
155
Facility 155
IA AVG 72
Rank #19 / 403
76.1%
Facility 76.1%
IA AVG 67%
Rank #154 / 362
+14%
5.41
Facility 5.41
IA AVG 4.30
Rank #23 / 231
+8%+26%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
16
Facility 16
IA AVG 21.7
Rank #111 / 232
2.3
Facility 2.3
IA AVG 4.1
Rank #41 / 232
1118-
17
Facility 17
IA AVG 47
Rank #434 / 504
Friendship Haven, Inc
$23.7MFiscal year ending 12/2023
Facility $23.7MFiscal year ending 12/2023
IA AVG $6.9M
Rank #4 / 224
$14.7MFiscal year ending 12/2023
Facility $14.7MFiscal year ending 12/2023
IA AVG $4.2M
Rank #3 / 224
62.1%Fiscal year ending 12/2023
Facility 62.1%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #82 / 224
165291
Midlands Living Center LLC
NH
HOS
RC
SNF
Council Bluffs
94
Facility 94
IA AVG 72
Rank #77 / 403
72.3%
Facility 72.3%
IA AVG 67%
Rank #178 / 362
+8%
4.30
Facility 4.30
IA AVG 4.30
Rank #116 / 231
-23%0%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
14
Facility 14
IA AVG 21.7
Rank #95 / 232
2.8
Facility 2.8
IA AVG 4.1
Rank #66 / 232
-68A+
77
Facility 77
IA AVG 47
Rank #59 / 504
-
$7.9MFiscal year ending 12/2023
Facility $7.9MFiscal year ending 12/2023
IA AVG $6.9M
Rank #69 / 224
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
IA AVG $4.2M
Rank #79 / 224
55.2%Fiscal year ending 12/2023
Facility 55.2%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #142 / 224
165447
University Park Nursing and Rehabilitation Center
NH
AL
RC
SNF
Des Moines (East Village)
108
Facility 108
IA AVG 72
Rank #57 / 403
66.7%
Facility 66.7%
IA AVG 67%
Rank #204 / 362
0%
3.37
Facility 3.37
IA AVG 4.30
Rank #218 / 231
-3%-22%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
26
Facility 26
IA AVG 21.7
Rank #161 / 232
5.2
Facility 5.2
IA AVG 4.1
Rank #169 / 232
-72-
91
Facility 91
IA AVG 47
Rank #2 / 504
Scott Berger
$9.4MFiscal year ending 12/2023
Facility $9.4MFiscal year ending 12/2023
IA AVG $6.9M
Rank #40 / 224
$5.5MFiscal year ending 12/2023
Facility $5.5MFiscal year ending 12/2023
IA AVG $4.2M
Rank #40 / 224
58.7%Fiscal year ending 12/2023
Facility 58.7%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #107 / 224
165272
Grandview Healthcare Center
NH
RC
SNF
Se Oelwein
72
Facility 72
IA AVG 72
Rank #143 / 403
82.9%
Facility 82.9%
IA AVG 67%
Rank #104 / 362
+24%
3.75
Facility 3.75
IA AVG 4.30
Rank #184 / 231
-13%-13%
$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
-60-
77
Facility 77
IA AVG 47
Rank #59 / 504
Shelia Lawson
$9.1MFiscal year ending 06/2024
Facility $9.1MFiscal year ending 06/2024
IA AVG $6.9M
Rank #45 / 224
$5.0MFiscal year ending 06/2024
Facility $5.0MFiscal year ending 06/2024
IA AVG $4.2M
Rank #52 / 224
54.6%Fiscal year ending 06/2024
Facility 54.6%Fiscal year ending 06/2024
IA AVG 60.3%
Rank #150 / 224
165340
Vista Woods Care Center
NH
SNF
Ottumwa
60
Facility 60
IA AVG 72
Rank #213 / 403
88.3%
Facility 88.3%
IA AVG 67%
Rank #68 / 362
+32%
4.35
Facility 4.35
IA AVG 4.30
Rank #116 / 231
-18%+1%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
6
Facility 6
IA AVG 21.7
Rank #26 / 232
2.0
Facility 2.0
IA AVG 4.1
Rank #19 / 232
153-
77
Facility 77
IA AVG 47
Rank #59 / 504
Ottumwa Developments Inc
$5.9MFiscal year ending 12/2023
Facility $5.9MFiscal year ending 12/2023
IA AVG $6.9M
Rank #116 / 224
$3.4MFiscal year ending 12/2023
Facility $3.4MFiscal year ending 12/2023
IA AVG $4.2M
Rank #114 / 224
56.9%Fiscal year ending 12/2023
Facility 56.9%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #125 / 224
165549
Akron Care Center, INC
NH
HOS
RC
SNF
Akron
45
Facility 45
IA AVG 72
Rank #303 / 403
95.6%
Facility 95.6%
IA AVG 67%
Rank #14 / 362
+43%
4.82
Facility 4.82
IA AVG 4.30
Rank #57 / 231
+32%+12%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
4
Facility 4
IA AVG 21.7
Rank #13 / 232
2.0
Facility 2.0
IA AVG 4.1
Rank #19 / 232
-43-
37
Facility 37
IA AVG 47
Rank #314 / 504
City Of Akron
$4.4MFiscal year ending 06/2024
Facility $4.4MFiscal year ending 06/2024
IA AVG $6.9M
Rank #158 / 224
$2.5MFiscal year ending 06/2024
Facility $2.5MFiscal year ending 06/2024
IA AVG $4.2M
Rank #163 / 224
57%Fiscal year ending 06/2024
Facility 57%Fiscal year ending 06/2024
IA AVG 60.3%
Rank #124 / 224
165595
New London Specialty Care
NH
SNF
New London
46
Facility 46
IA AVG 72
Rank #272 / 403
97.8%
Facility 97.8%
IA AVG 67%
Rank #7 / 362
+46%
3.73
Facility 3.73
IA AVG 4.30
Rank #184 / 231
+23%-13%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
7
Facility 7
IA AVG 21.7
Rank #33 / 232
3.5
Facility 3.5
IA AVG 4.1
Rank #100 / 232
-45-
46
Facility 46
IA AVG 47
Rank #254 / 504
Andrew Harris
$4.3MFiscal year ending 12/2023
Facility $4.3MFiscal year ending 12/2023
IA AVG $6.9M
Rank #163 / 224
$2.4MFiscal year ending 12/2023
Facility $2.4MFiscal year ending 12/2023
IA AVG $4.2M
Rank #174 / 224
55.3%Fiscal year ending 12/2023
Facility 55.3%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #138 / 224
165404
Clearview Home
NH
ADC
AL
HOS
MC
RC
SNF
Mount Ayr
82
Facility 82
IA AVG 72
Rank #100 / 403
89.0%
Facility 89.0%
IA AVG 67%
Rank #60 / 362
+33%
3.83
Facility 3.83
IA AVG 4.30
Rank #164 / 231
+23%-11%
$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
173-
52
Facility 52
IA AVG 47
Rank #202 / 504
Gary Routh
$6.9MFiscal year ending 12/2023
Facility $6.9MFiscal year ending 12/2023
IA AVG $6.9M
Rank #87 / 224
$3.3MFiscal year ending 12/2023
Facility $3.3MFiscal year ending 12/2023
IA AVG $4.2M
Rank #118 / 224
47.7%Fiscal year ending 12/2023
Facility 47.7%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #198 / 224
165269

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.

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Overview of Stonehill Care Center

Stonehill Care Center, situated at 3485 Windsor Avenue, is a skilled nursing facility that provides long-term care and post-acute physical rehabilitation. Public monitoring logs from an August 2025 review recorded a resident census of 158 individuals, which translates to an 85% building occupancy rate. This current enrollment sits below the facility’s historical pre-pandemic high, which frequently exceeded 180 residents.

Records from state healthcare registries track a strong long-term regulatory background alongside minor, corrected technical citations. Over a six-year tracking window, the property has averaged 1.7 deficiencies per year, which tracks 61% better than the Iowa state average. A standard August 2025 health survey flagged two deficiencies regarding an 8% insulin pen priming medication error and basic cleaning protocols for blood sugar meters. The administration quickly implemented a plan of correction, and a subsequent October 2025 complaint check verified that the property had returned to full compliance.

Looking further back, both the 2022 and 2024 annual surveys closed with zero deficiencies on record, though a mid-2023 review turned up two citations after a staff member failed to follow a fall-prevention care plan, resulting in minor resident injuries. The broader complaint record is largely favorable, with the majority of filed grievances returning unsubstantiated by state investigators.

Prospective residents checking into regional nursing care or post-acute recovery services can utilize these public health profiles to gauge the building’s operating history. The state documentation outlines a highly occupied environment with a low historical deficiency rate and a quick response to corrective actions, balanced against recent minor kitchen and medication administration citations.

Contact Stonehill Care Center

Scenic Manor

1409 N. Fremont, Iowa Falls, IA 50126-1319
Overview of Scenic Manor

Owned by the Bearden Family Revocable Trust, Scenic Manor is a skilled nursing home that accepts Medicare, Medicaid, and private pay. These payment options give families flexibility when arranging both rehabilitation services and ongoing nursing care. With 77 beds, the community has an occupancy rate of 84%, and residents stay an average of 251 days, including short-term rehabilitation patients and those receiving longer-term care.

Rehabilitation services and short-term rehab programs are central to the facility’s care model. Residents recovering from hospitalization, surgery, and other acute health events will find a place here. Daily nurse staffing averages 4 hours and 20 minutes per resident. Registered nurses, nurse aides, and licensed practical nurses provide care around the clock, especially for residents who need hands-on support at all times.

The facility is in a neighborhood with a Walk Score of 60. As a moderately walkable area, some errands can be completed on foot, but most trips require transportation. This setting may appeal to families looking for a quieter residential environment while still having access to nearby services.

Dining is important for residents, with attention given to the dining experience and atmosphere. The facility has inspection compliance within its regulatory framework, which particularly focuses on medication management and infection control protocols.

Families considering Scenic Manor should take a tour to see the care environment, meet staff members, and learn more about how the facility supports rehabilitation and recovery.

Contact Scenic Manor

Overview of Friendship Haven

Friendship Haven in Fort Dodge, IA, is a non-profit continuing care retirement community (CCRC) that offers independent living, assisted living, rehabilitation, and skilled nursing. With a nurturing, home-like environment, the community ensures older adults can live comfortably during their stay. Light housekeeping, nutritious meals, and medication management are among the excellent services provided to improve residents’ living experiences. Residents also receive the utmost attention and care to recover and return to their routines with ease through personalized care plans.

Strength exercises, social events, and various recreational activities ensure residents can make friends and have fun. Safe trails, accessible common areas, and a garden also provide residents with more opportunities for recreation and wellness. Located near the Fort Museum and Frontier Village and bus stops along Kenyon Road, the community guarantees accessibility and convenience. This CCRC has a wide range of care options and a clean setting, making it a great choice for senior living in Iowa.

Contact Friendship Haven

Midlands Living Center LLC

2452 North Broadway, Council Bluffs, IA 51503-0434
Overview of Midlands Living Center

Midlands Living Center is a 94-bed skilled nursing facility at 2452 North Broadway in Council Bluffs, Iowa. Locally owned and administered by Jordan Tjaden, the community provides short-term rehabilitation, long-term care, and hospice support for residents in Pottawattamie County. The campus is car-dependent with a Walk Score of 14, though it provides medical appointment transportation for its residents.

The facility is CMS-certified and carries an above average 4-star overall rating as of May 2026. Between 2021 and 2025, state inspections yielded an average of 4.3 deficiencies per year, which is 37% below the Iowa state average. While an April 2025 investigation identified a single deficiency related to infection control during catheter care, a September 2025 follow-up found the facility in substantial compliance with zero deficiencies. No federal fines or payment denials have been issued in the past three years.

Staffing levels exceed state averages in several key categories. Total adjusted nursing hours are 4 hours 31 minutes per resident day, with Licensed Practical Nurse (LPN) hours at 48 minutes, 41% above the Iowa average. Weekend nursing coverage is also a strength, performing 5% above the state mean. Quality measures are rated at 4 stars, with long-stay hospitalizations 28% better than average and a 96.4% success rate in managing residents’ physical restraint needs.

The campus offers furnished rooms with in-house laundry and on-site beauty and barber services.Shared clinical amenities include:On-site optometry, podiatry, and dentistry alongside physical, occupational, and speech therapy. The social calendar features recreational and spiritual activities, and the facility maintains an A+ rating with the Better Business Bureau. Medicare, Medicaid, and private pay are accepted, with a current occupancy rate of approximately 72%.

Families should evaluate the current bedside care standards during an on-site visit. It is advisable to ask the administrator for specific details on the corrective actions taken after the 2025 catheter care finding and to confirm that the infection prevention protocols remain in full compliance for 2026.

Contact Midlands Living Center LLC

Overview of University Park Nursing and Rehabilitation Center

Owned by Scott Berger, University Park Nursing and Rehabilitation Center is a nursing home in Des Moines, Iowa, that has served residents for 25 years. The 108-bed facility currently houses 72 residents, with an occupancy rate of 67%. Medicare, Medicaid, and private pay are accepted, giving families several options for covering rehabilitation services and ongoing nursing care.

The center focuses on short-term rehabilitation and skilled nursing services. Residents have access to specialized programs for diabetes management, enteral nutrition support, ostomy care, pain management, IV therapy, and tracheotomy care. These services can benefit individuals recovering from surgery, hospitalization, and other health conditions that require ongoing clinical support.

Residents stay an average of 157 days, including short-term rehabilitation patients and those receiving longer-term care. Respite care is also available for families seeking temporary placement options.

Daily nurse staffing averages 3 hours and 37 minutes per resident. Registered nurses provide approximately 43 minutes of care each day, while nurse aides contribute about 2 hours and 36 minutes. This level of hands-on support is for residents with significant medical and personal care needs.

The community has a Walk Score of 91. It’s in a highly walkable area of Des Moines, which is convenient for family members and residents. State inspections have tracked the facility’s focus on care quality and compliance for several years. Responses to earlier findings demonstrate the facility’s ongoing commitment to maintaining care standards.

Contact University Park Nursing and Rehabilitation Center

Overview of Grandview Healthcare Center

Grandview Healthcare Center is a 72-bed skilled nursing facility at 800 Fifth Street SE in Oelwein, Iowa. Managed by ABCM Corporation and administered by Shelia Lawson, the community provides 24-hour nursing, rehabilitation, and memory care for residents in Fayette County. The campus maintains a tranquil residential setting and accepts Medicare, Medicaid, and private insurance.

State and federal regulators currently assign the facility a 4-star overall rating, reflecting performance categorized as “Above Average”. Regulatory inspections show a citations-per-inspection rate of 2.0, which is significantly lower than the Iowa state average of 6.1. While an April 2025 standard survey identified four deficiencies related to infection control and pharmacy practices, a subsequent December 2025 follow-up confirmed the facility returned to substantial compliance with zero new citations. No critical or high-harm violations have been issued during the current review cycle.

Professional support is guided by a staffing model that delivers 4 hours 3 minutes of daily nursing time per resident—higher than the Iowa average of 3 hours 48 minutes. Registered Nurse (RN) presence is a notable metric, as the 35 minutes of daily RN time exceeds the state mean. Clinical programs coordinate physical, occupational, and speech therapy alongside specialized ventilator and respiratory care. The facility reports a 31.9% nursing staff turnover rate, which is considerably lower than the Iowa average of 44.4%.

The campus environment features varied room layouts, including private suites and semi-private companion rooms. Residents have access to unique amenities such as raised garden beds, an outdoor walking trail, and a beauty and barber salon. Dining options include restaurant-style service and 24-hour snack availability, while social programs provide spiritual services and community outings. For medical appointments, the facility provides dedicated transportation to nearby MercyOne Oelwein Medical Center.

Interested individuals should evaluate the current bedside care standards and clinical coverage during a facility tour. It is advisable to ask the administrator for specific details on the corrective actions regarding the 2025 infection control findings and to confirm that current staffing levels meet the resident’s individual recovery or long-term care goals.

Contact Grandview Healthcare Center

Vista Woods Care Center

Three Pennsylvania Place, Ottumwa, IA 52501-2165
Overview of Vista Woods Care Center

Owned by Ottumwa Developments Inc., Vista Woods Care Center is a skilled nursing home in Iowa that has served residents for 32 years. The facility accepts Medicare, Medicaid, and private pay, giving families several options for arranging care. The 60-bed community has an occupancy rate of 88%. Residents stay an average of 432 days, which includes a significant long-term care population alongside those receiving rehabilitation services.

Skilled nursing care and rehabilitation are central to the facility’s care model. Daily nurse staffing averages 4 hours and 4 minutes per resident. Registered nurses provide 42 minutes of care each day, nurse aides contribute another 42 minutes, and LPN/LVN staff add 30 minutes of support. The facility also has 24-hour staffing, so residents have access to nursing assistance and personal care throughout the day and night. This staffing structure supports both rehabilitation programs and ongoing long-term care needs.

The community’s Walk Score is 77, so it’s a highly walkable area. Many errands and daily necessities are within walking distance. This setting can make visits more convenient for family members, especially when getting around the immediate surroundings.

State inspections from different times have reviewed resident-handling procedures, physician order management, documentation practices, food safety protocols, and infection-control measures. Earlier concerns in these areas were addressed, and the facility returned to compliance in late 2025. The most recent inspection had no new deficiencies.

Vista Woods Care Center’s long-term care, skilled nursing, and rehabilitation services make it a stable option for residents requiring ongoing medical support and therapy, whether for recovery from illness or permanent residence in a nursing home setting.

Contact Vista Woods Care Center

Overview of Akron Care Center

Akron Care Center is a 45-bed nursing facility operating at 991 Highway 3 in Akron, Iowa. Owned and run directly by the City of Akron, the home stands out as a municipally managed community, meaning local public boards oversee its operations. The business office works with traditional out-of-pocket payments, standard Medicare plans, and state Medicaid options. The facility maintains a consistent daily census near 96 percent occupancy, showing a steady local demand for its combination of long-term intermediate care and post-hospital nursing stays.

Daily clinical routines involve an average of 4 hours and 43 minutes of direct, hands-on nursing attention for each resident. Registered nurses dedicate 1 hour and 1 minute of this daily timeline to manage clinical needs, working alongside licensed practical nurses and nursing aides who deliver routine treatments and baseline care. To support underlying medical health, physicians prescribe customized therapeutic dining plans that kitchen staff tailor to meet individual nutritional and chronic condition demands.

Recent public inspection reports highlighted a few operational areas needing improvement, specifically concerning quality of care protocols, pharmacy services, and routine infection prevention practices. The municipal administration updated its internal guidelines to fix these issues, bringing the building back into substantial compliance with state health codes.

Prospective residents can get in touch with the main admissions desk to ask about current room availability, request details on the doctor-prescribed dietary programs, or plan a time to tour the building. Staff members are also ready to check active medical insurance plans to clarify how public assistance programs, personal assets, or standard healthcare benefits fit into monthly statement bills.

Contact Akron Care Center, INC

New London Specialty Care

100 Care Circle Street, New London, IA 52645-0136
Overview of New London Specialty Care

New London Specialty Care operates a 46-bed skilled nursing facility under the regional nonprofit network Care Initiatives. The community coordinates monthly billing through private pay, Medicare, and Medicaid options, keeping its occupancy level near 98 percent. Stays here average 163 days, which means the daily floor routine combines temporary post-hospital physical therapies with standard long-term residential oversight.

The on-site nursing team delivers an average of 4 hours and 18 minutes of direct daily care to every resident. Registered nurses, licensed practical nurses, and certified nurse aides divide this 24-hour schedule to coordinate wound care, pain management plans, and core physical rehabilitation routines. For daily amenities, the building houses an internal chapel, a structured activities center, and a beauty salon, while the surrounding neighborhood secures a walkability score of 46 out of 100, indicating that local trips generally require a car.

State safety files indicate regular regulatory monitoring over the building’s 27-year history. The most recent health inspections and survey activities from state oversight agencies confirmed the community maintains substantial compliance with standard operational guidelines and patient safety protocols.

Interested families can get in touch with the admissions office to check on current room openings, look over the daily event calendar, or set up a time to walk through the therapy areas. The administrative desk can also help verify your financial eligibility and clarify how Medicare or state aid programs handle short-term recovery costs.

Contact New London Specialty Care

Clearview Home

406 West Washington, Mount Ayr, IA 50854-0552
Overview of Clearview Home

Clearview Home delivers long-term medical housing and short-term post-acute therapy at 406 West Washington Street in Mount Ayr, Iowa. Managed by administrator Gary Routh, the 82-bed facility functions with a consistent occupancy rate of 89 percent. Billing processes adapt to diverse customer financial models, balancing regular out-of-pocket payments with standard state Medicaid and federal Medicare network coverages. Stays average 196 days per individual, establishing a daily census where brief convalescent turnarounds are integrated with ongoing skilled nursing placements.

Floor nursing schedules distribute a round-the-clock shift routine providing an average of 3 hours and 45 minutes of direct hands-on care per resident daily. Registered nurses, licensed practical nurses, and certified nursing assistants manage these floor hours to coordinate specialized intermediate therapy tracks, respite strategies, and a dedicated memory care environment for Alzheimer’s and dementia patients. Basic internal features include a barber shop, specialized dietary plans, and nutrition counseling, while the surrounding town environment records a walkability score of 52 out of 100, indicating that while visitors can navigate a few common tasks on foot, everyday travel relies on local driving.

Public health inspections executed by the Iowa Department of Inspections, Appeals, and Licensing track internal quality patterns, certifying that the facility operates in substantial compliance with state rules. Local management uses historical corrective updates on care delivery and resident safeguarding systems to shape current employee training modules and adjust daily clinical workflows.

Prospective residents can call the administrative office to double-check active room availability, ask about specialized dietary options, or set up a time to view the dedicated memory care units. The desk coordinators can also assist with medical coverage, cross-referencing to detail how personal funds, private insurance policies, or state health benefits apply to monthly statements.

Contact Clearview Home

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 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.