Page 7 of Best Nursing Homes in Iowa

Why trust this guide? Our editorial team analyzed 253 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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We analyzed These are the facilities in Iowa our team has analyzed — not a count of every nursing home provider in Iowa.
253 homes
Other senior care options in Iowa:

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Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over 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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
University Park Nursing and Rehabilitation Center
NH
AL
RC
SNF
Des Moines (East Village)
108
Facility 108
IA AVG 67
Rank #20 / 241
68.5%
Facility 68.5%
IA AVG 78.3%
Rank #196 / 234
-13%
3.37
Facility 3.37
IA AVG 4.30
Rank #218 / 231
B+ -3%-22%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
22
Facility 22
IA AVG 21.7
Rank #153 / 233
4.4
Facility 4.4
IA AVG 4.1
Rank #151 / 233
-74-
91
Facility 91
IA AVG 49
Rank #2 / 260
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
Good Samaritan Society – Forest City
NH
SNF
Forest City
43
Facility 43
IA AVG 67
Rank #189 / 241
79.1%
Facility 79.1%
IA AVG 78.3%
Rank #130 / 234
+1%
3.77
Facility 3.77
IA AVG 4.30
Rank #164 / 231
B- +35%-12%
$25.9k
Facility $25.9k
IA AVG $53.4k
Rank #184 / 239
9
Facility 9
IA AVG 21.7
Rank #55 / 233
3.0
Facility 3.0
IA AVG 4.1
Rank #84 / 233
234-
68
Facility 68
IA AVG 49
Rank #70 / 260
Holly Brink
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
IA AVG $6.9M
Rank #184 / 224
$2.3MFiscal year ending 12/2023
Facility $2.3MFiscal year ending 12/2023
IA AVG $4.2M
Rank #179 / 224
61%Fiscal year ending 12/2023
Facility 61%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #92 / 224
165213
Westview of Indianola Care Center
NH
HOS
MC
RC
SNF
Indianola
71
Facility 71
IA AVG 67
Rank #78 / 241
89.4%
Facility 89.4%
IA AVG 78.3%
Rank #55 / 234
+14%
4.39
Facility 4.39
IA AVG 4.30
Rank #100 / 231
? -43%+2%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
---64-
75
Facility 75
IA AVG 49
Rank #47 / 260
-
$8.4MFiscal year ending 06/2024
Facility $8.4MFiscal year ending 06/2024
IA AVG $6.9M
Rank #55 / 224
$4.4MFiscal year ending 06/2024
Facility $4.4MFiscal year ending 06/2024
IA AVG $4.2M
Rank #75 / 224
52.2%Fiscal year ending 06/2024
Facility 52.2%Fiscal year ending 06/2024
IA AVG 60.3%
Rank #173 / 224
165369
Spurgeon Manor
NH
AL
IL
MC
SNF
Dallas Center
55
Facility 55
IA AVG 67
Rank #135 / 241
90.9%
Facility 90.9%
IA AVG 78.3%
Rank #57 / 234
+16%
5.52
Facility 5.52
IA AVG 4.30
Rank #17 / 231
? +3%+28%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
8
Facility 8
IA AVG 21.7
Rank #47 / 233
1.6
Facility 1.6
IA AVG 4.1
Rank #18 / 233
-50-
47
Facility 47
IA AVG 49
Rank #140 / 260
Brenda Anderson
$8.4MFiscal year ending 09/2023
Facility $8.4MFiscal year ending 09/2023
IA AVG $6.9M
Rank #56 / 224
$5.1MFiscal year ending 09/2023
Facility $5.1MFiscal year ending 09/2023
IA AVG $4.2M
Rank #47 / 224
60.7%Fiscal year ending 09/2023
Facility 60.7%Fiscal year ending 09/2023
IA AVG 60.3%
Rank #93 / 224
165591
Monticello Nursing & Rehab Center
NH
AL
RC
SNF
Monticello
75
Facility 75
IA AVG 67
Rank #63 / 241
68.0%
Facility 68.0%
IA AVG 78.3%
Rank #198 / 234
-13%
3.83
Facility 3.83
IA AVG 4.30
Rank #164 / 231
B+ -31%-11%
$4.2k
Facility $4.2k
IA AVG $53.4k
Rank #152 / 239
19
Facility 19
IA AVG 21.7
Rank #135 / 233
4.8
Facility 4.8
IA AVG 4.1
Rank #161 / 233
-51-
74
Facility 74
IA AVG 49
Rank #53 / 260
John R Grubb Family Trust
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
IA AVG $6.9M
Rank #81 / 224
$2.9MFiscal year ending 12/2023
Facility $2.9MFiscal year ending 12/2023
IA AVG $4.2M
Rank #138 / 224
39.3%Fiscal year ending 12/2023
Facility 39.3%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #224 / 224
165279
Westview Acres Care Center
NH
AL
RC
SNF
Lorraine Leon
46
Facility 46
IA AVG 67
Rank #153 / 241
80.4%
Facility 80.4%
IA AVG 78.3%
Rank #151 / 234
+3%
4.56
Facility 4.56
IA AVG 4.30
Rank #83 / 231
A- +4%+6%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
12
Facility 12
IA AVG 21.7
Rank #80 / 233
3.0
Facility 3.0
IA AVG 4.1
Rank #84 / 233
-37-
53
Facility 53
IA AVG 49
Rank #108 / 260
Stegotek Inc
$4.0MFiscal year ending 12/2023
Facility $4.0MFiscal year ending 12/2023
IA AVG $6.9M
Rank #172 / 224
$2.3MFiscal year ending 12/2023
Facility $2.3MFiscal year ending 12/2023
IA AVG $4.2M
Rank #177 / 224
58%Fiscal year ending 12/2023
Facility 58%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #113 / 224
165252
Laurens Care Center
NH
HOS
SNF
Laurens
38
Facility 38
IA AVG 67
Rank #216 / 241
73.7%
Facility 73.7%
IA AVG 78.3%
Rank #177 / 234
-6%
4.51
Facility 4.51
IA AVG 4.30
Rank #94 / 231
B+ +47%+5%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
15
Facility 15
IA AVG 21.7
Rank #106 / 233
3.8
Facility 3.8
IA AVG 4.1
Rank #120 / 233
-28-
49
Facility 49
IA AVG 49
Rank #132 / 260
Sheldon Bieri
$3.5MFiscal year ending 06/2024
Facility $3.5MFiscal year ending 06/2024
IA AVG $6.9M
Rank #197 / 224
$2.4MFiscal year ending 06/2024
Facility $2.4MFiscal year ending 06/2024
IA AVG $4.2M
Rank #175 / 224
67.7%Fiscal year ending 06/2024
Facility 67.7%Fiscal year ending 06/2024
IA AVG 60.3%
Rank #44 / 224
165219
Great River Care Center
NH
AL
SNF
Main Mcgregor
39
Facility 39
IA AVG 67
Rank #213 / 241
79.5%
Facility 79.5%
IA AVG 78.3%
Rank #128 / 234
+1%
4.13
Facility 4.13
IA AVG 4.30
Rank #131 / 231
C- -22%-4%
$8.3k
Facility $8.3k
IA AVG $53.4k
Rank #155 / 239
5
Facility 5
IA AVG 21.7
Rank #23 / 233
1.3
Facility 1.3
IA AVG 4.1
Rank #10 / 233
131-
43
Facility 43
IA AVG 49
Rank #156 / 260
Edgewood Convalescent Home Inc
$2.9MFiscal year ending 12/2023
Facility $2.9MFiscal year ending 12/2023
IA AVG $6.9M
Rank #213 / 224
$1.4MFiscal year ending 12/2023
Facility $1.4MFiscal year ending 12/2023
IA AVG $4.2M
Rank #221 / 224
46.9%Fiscal year ending 12/2023
Facility 46.9%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #204 / 224
165301
Westview Care Center
NH
HOS
MC
RC
SNF
Sw Britt
67
Facility 67
IA AVG 67
Rank #95 / 241
77.9%
Facility 77.9%
IA AVG 78.3%
Rank #138 / 234
-1%
3.87
Facility 3.87
IA AVG 4.30
Rank #153 / 231
? -43%-10%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
---52-
38
Facility 38
IA AVG 49
Rank #170 / 260
-
$5.5MFiscal year ending 12/2023
Facility $5.5MFiscal year ending 12/2023
IA AVG $6.9M
Rank #128 / 224
$3.1MFiscal year ending 12/2023
Facility $3.1MFiscal year ending 12/2023
IA AVG $4.2M
Rank #131 / 224
57.5%Fiscal year ending 12/2023
Facility 57.5%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #121 / 224
165363
Keystone Nursing Care Center
NH
AL
HC
RC
SNF
Keystone
55
Facility 55
IA AVG 67
Rank #135 / 241
70.9%
Facility 70.9%
IA AVG 78.3%
Rank #178 / 234
-10%
4.72
Facility 4.72
IA AVG 4.30
Rank #70 / 231
? -43%+10%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
3
Facility 3
IA AVG 21.7
Rank #11 / 233
1.5
Facility 1.5
IA AVG 4.1
Rank #15 / 233
139-
22
Facility 22
IA AVG 49
Rank #215 / 260
Tracy Hanson
$6.1MFiscal year ending 10/2023
Facility $6.1MFiscal year ending 10/2023
IA AVG $6.9M
Rank #112 / 224
$3.7MFiscal year ending 10/2023
Facility $3.7MFiscal year ending 10/2023
IA AVG $4.2M
Rank #108 / 224
60.4%Fiscal year ending 10/2023
Facility 60.4%Fiscal year ending 10/2023
IA AVG 60.3%
Rank #97 / 224
165604

Rank badges are statewide and care-type specific: each nursing home is ranked against every other IA nursing home we track that reports that metric, not just the 253 on this page. See how we rank facilities

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Overview of University Park Nursing and Rehabilitation Center

University Park Nursing and Rehabilitation Center is set up in Des Moines, IA, carrying nursing home care, assisted living, respite care, and skilled nursing. Assisted living is help with daily tasks, arranged so a resident still keeps a private space of their own. Skilled nursing is licensed support for residents whose medical needs are more complicated.

Respite and short-term rehabilitation both give a resident somewhere to stay temporarily, whether the reason is recovery of their own or a caregiver who has travel or needs time to rest. Nursing rehabilitation and therapy services, IV therapy, ostomy care, diabetic care, enteral nutrition, tracheotomy care, and pain management are each named programs. A resident arriving with any of those needs is met by a program already intended for them.

A hundred and eight beds are covered by the license here, and Stacy Soderstrum is named administrator. Nursing time per day works out to 3 hours and 22 minutes a resident. Medicare, Medicaid, and private pay are accepted. Medicare generally applies to a short skilled course after a qualifying hospital stay, while Medicaid can help an eligible resident once personal savings run out on a long stay.

The Walk Score is a high 91 out of 100. The area rates as a walker’s paradise, and a day’s errands don’t need a car.

The spread of car types and services fits residents whose needs are likely to change, and families looking for short respite stays.

Contact University Park Nursing and Rehabilitation Center

Overview of Good Samaritan Society – Forest City

Good Samaritan Society, Forest City is a nursing home and skilled nursing community in Forest City, IA. Skilled nursing provides licensed nursing care on site around the clock, while rehabilitation therapy supports recovery and functional improvement as part of a resident’s care. The community may be a good fit for someone who needs ongoing nursing support or rehabilitation in a residential setting.

With 43 beds, Good Samaritan Society, Forest City is a smaller community where residents and staff can get to know one another. Total nurse staffing is 3 hours and 46 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Transportation is available for residents who need help getting to destinations outside the community.

Medicaid, Medicare, and private pay are accepted, giving families several ways to cover care. Holly Brink serves as administrator, and The Evangelical Lutheran Good Samaritan Society operates the community.

Contact Good Samaritan Society – Forest City

Overview of Westview of Indianola Care Center

Westview of Indianola Care Center in Indianola, IA, provides nursing home care, hospice care, memory care, respite care, and skilled nursing. Memory care offers a secured setting with supervision for a resident at risk of wandering, while skilled nursing provides licensed nursing care on site around the clock. Hospice care supports residents at the end of life, and the range of care may suit someone whose needs change from short term support to ongoing nursing or end of life care.

Respite care provides a short stay while a usual caregiver travels or recovers. Rehabilitation services and short term rehabilitation support residents recovering from an illness, injury, or hospital stay, with care focused on helping them regain function. The community has 71 beds.

Medicare, Medicaid, and private pay are accepted. Medicare can cover short term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay allows a family to pay directly. These payment options matter because coverage can differ depending on whether the need is temporary, ongoing, or related to end of life care.

Total nurse staffing is 4 hours and 23 minutes per resident per day, representing the daily nursing staff time allocated per resident. A Walk Score of 75 places the area in the very walkable band, meaning most errands can be done on foot. A resident who no longer drives may still reach nearby shops, a pharmacy, or cafes independently.

Contact Westview of Indianola Care Center

Spurgeon Manor

1204 Linden Street, Dallas Center, IA 50063-1052
Overview of Spurgeon Manor

Spurgeon Manor offers independent living, assisted living, memory care, nursing home care, and skilled nursing in Dallas Center, Iowa. Independent living provides a private home with community services and no daily care, while assisted living offers help with bathing, dressing, medication, and other daily tasks while the resident keeps an apartment. Memory care is provided in a secured setting with supervision for someone at risk of wandering. Skilled nursing provides licensed nursing care on site around the clock.

Several care levels are available in one community. Spurgeon Manor may be a good fit for a resident whose needs may grow over time and who may want to remain in one community. The community opened in 1971 and has 55 beds, creating a smaller setting where staff and residents can get to know one another. Crystal Scroggin serves as the administrator.

Total nurse staffing is 5 hours and 31 minutes per resident per day, representing the daily hands on nurse time assigned to each resident. Medicare, Medicaid, and private pay are accepted, giving families multiple ways to cover care depending on eligibility and available resources.

Rehabilitation services support therapy within the care setting, while physician, podiatry, laboratory, optometry, and pharmacy services provide access to several health related services through the community. A beauty salon allows residents to arrange hair and grooming services on site. Daily activities include crafts, games, social activities, and spiritual gatherings, giving residents scheduled ways to spend time with others.

Transportation is available for residents. The Walk Score is 47 out of 100, placing the area in a setting where most errands require a car or a ride, so transportation can matter for trips beyond the community.

Contact Spurgeon Manor

Overview of Monticello Nursing & Rehab Center

Monticello Nursing & Rehab Center operates in Monticello, Iowa, providing skilled nursing, assisted living, and short-term respite care. The assisted living component aids residents with personal routines like bathing and dressing, whereas skilled nursing handles higher medical needs. On-site short-term rehabilitation gives individuals access to therapy programs directly within the facility during recovery.

Occupancy spans up to 75 beds under administrator Nickolas Gentzler. Registered nurses and care team members provide an average of 3 hours and 50 minutes of nurse staffing per resident each day. Financial choices cover Medicare for qualifying rehabilitative stays, Medicaid for ongoing assistance, and private payment. Outside the building, a 74 walk score marks a location where most routine errands are accessible on foot.

Prospective residents can get in touch with Monticello Nursing & Rehab Center to review available accommodations, set up a visit, and explore program options.

Contact Monticello Nursing & Rehab Center

Overview of Westview Acres Care Center

Westview Acres Care Center is a nursing home in Leon, IA offering assisted living, respite care, and skilled nursing. Assisted living includes help with dressing, bathing, and medication while the resident keeps a private apartment. Skilled nursing provides licensed nursing care on site around the clock. Respite care offers a short stay when a usual caregiver needs time to travel or recover.

Opened in 1966, the community has 46 beds. Its smaller size may suit someone who prefers a setting where staff and residents get to know each other. Total nurse staffing is 4 hours and 34 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident. Rose Saxton serves as the administrator.

Medicare, Medicaid, and private pay are accepted, giving families several listed ways to cover care. Medicaid may help when savings do not cover a long stay, while Medicare can cover short-term skilled care after a hospital stay. A Walk Score of 53 out of 100 places the area in the somewhat walkable band, where some errands can be completed on foot. A resident who no longer drives may therefore be able to manage certain trips independently.

Contact Westview Acres Care Center

Laurens Care Center

304 East Veterans Road, Laurens, IA 50554-1542
Overview of Laurens Care Center

Laurens Care Center is a nursing home in Laurens, Iowa, offering skilled nursing and hospice care. Nursing home and skilled nursing services provide licensed nursing care on site around the clock, while hospice care supports residents with end of life needs.

The community opened in 2012 and has 38 beds. That size creates a smaller setting where staff and residents can get to know one another.

Medicare, Medicaid, and private pay are accepted. Medicare can cover skilled care for a limited period after a hospital stay, Medicaid can help when savings do not cover a long stay, and private pay means the family pays directly.

Total nurse staffing is 4 hours and 30 minutes per resident each day, representing the daily hands on nursing time allocated per resident. Jaime Dodd serves as the administrator, and the range of care may suit someone whose needs include ongoing nursing care or hospice support.

Contact Laurens Care Center

Overview of Great River Care Center

Great River Care Center works two care types in McGregor, IA. Assisted living and skilled nursing fill 39 beds.

Assisted living covers the specific tasks of bathing, dressing, and medication, and otherwise leaves residents free to manage their own time and space. Skilled nursing brings licensed nursing into the building at all hours. Putting both under one roof means the heavier need is already addressed before a resident needs it, so growing needs do not force a move.

Thirty-nine beds make this a small community, and closer contact between staff and residents is what that means. Skilled nursing rehabilitation is named separately from the general rehabilitation services. The administrator here is Katyln Poots.

Medicare, Medicaid, and private pay are all taken. Medicare picks up after a hospital discharge; Medicaid after savings run dry; and private pay is available for everyone from the start. A Walk Score of 43 means it’s a community in a car-dependent area, and most errands will need a car ride there and back.

Contact Great River Care Center

Overview of Westview Care Center

Sixty-seven beds make up Westview Care Center in Britt, Iowa. Four types of care are offered: skilled nursing, memory care, hospice care, and respite care.

Memory care starts to matter at the point when explaining stops working reliably. A person told again and again that the stove is off will keep asking, and supervision fills the gap their reasoning used to.

Licensed nursing covers every hour, which means no stretch of the day ends in someone being told to wait until morning for care. Hospice care is about comfort rather than cure. For a resident with a terminal illness, that shift decides how the day is spent.

Winter and distance make respite ordinary in a place like this. A daughter who normally checks in daily cannot get to Britt for two weeks, and the respite stay covers that gap.

Rehabilitation and short-term rehabilitation care carry the recovery work that a house, which would otherwise suit someone perfectly well, is unable to do sometimes.

Nursing time draws 3 hours and 52 minutes per resident per day. Medicare, Medicaid, and private pay all are accepted here. A private family gathering room gives visiting family somewhere to be that isn’t the bedside, and the area scores a 38 for walking, so best to bring a car.

Contact Westview Care Center

Overview of Keystone Nursing Care Center

Keystone Nursing Care Center offers nursing home, assisted living, home care, respite care, and skilled nursing in Keystone, IA. Skilled nursing provides licensed nursing care on site around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication while a resident maintains an apartment.

Home care supports a person in their own home, and respite care provides a short stay when a usual caregiver needs to travel or recover. The center has 55 beds, with total nurse staffing of 4 hours and 43 minutes per resident per day, representing the daily hands-on nursing time assigned to each resident. Keystone Nursing Care Center may be a good fit for a family seeking short-term care while a primary caregiver travels or recovers. Medicare, Medicaid, and private pay are accepted, and Tracy Bruns serves as the administrator.

Contact Keystone Nursing Care Center

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. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.

  • 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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Nursing Homes in Iowa at a glance

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
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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 253 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.