Page 2 of Best Nursing Homes in Sioux City, IA

Why trust this guide? Our editorial team analyzed 11 nursing homes in Sioux City, IA using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in IA

Reviewed by

Dr. Jordan Weiss

Last updated

Jun 2026

We analyzed

11 homes

Other senior care options in Sioux City:

Assisted Living Memory Care Independent Living

Avg Overall CMS Rating: 2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Sioux City, IA. 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: 3.8/ 5The average Staffing Rating across all CMS-certified nursing homes in Sioux City, IA. 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: 2.3/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Sioux City, IA. 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 Sioux City (Metro Area)

The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

CMS & IA Dept. of Health data


Sunrise Retirement Community		NH AL IL MC RC SNF	Sioux City	74 Facility 74 IA AVG 71 Rank #136 / 406	90.5% Facility 90.5% IA AVG 64.7 Rank #49 / 379	+40%	6.19 Facility 6.19 IA AVG 4.30 Rank #3 / 245				-23%	+44%	$0 Facility $0 IA AVG $53.4k Rank #1 / 251	11 Facility 11 IA AVG 21.7 Rank #76 / 244	3.7 Facility 3.7 IA AVG 4.1 Rank #115 / 244	-	67	A+	22 Facility 22 IA AVG 45 Rank #411 / 528	Samantha Roth	$13.6MFiscal year ending 12/2023 Facility $13.6MFiscal year ending 12/2023 IA AVG $7.0M Rank #26 / 246	$8.5MFiscal year ending 12/2023 Facility $8.5MFiscal year ending 12/2023 IA AVG $3.1M Rank #19 / 246	62.2%Fiscal year ending 12/2023 Facility 62.2%Fiscal year ending 12/2023 IA AVG 46.3% Rank #94 / 246	165473
Holy Spirit Retirement Home		NH AL IL MC SNF	Sioux City	52 Facility 52 IA AVG 71 Rank #251 / 406	25.0% Facility 25.0% IA AVG 64.7 Rank #358 / 379	-61%	3.96 Facility 3.96 IA AVG 4.30 Rank #147 / 245				-54%	-8%	$0 Facility $0 IA AVG $53.4k Rank #1 / 251	28 Facility 28 IA AVG 21.7 Rank #178 / 244	5.6 Facility 5.6 IA AVG 4.1 Rank #189 / 244	-	13	-	91 Facility 91 IA AVG 45 Rank #2 / 528	The Diocese Of Sioux City	$7.9MFiscal year ending 12/2023 Facility $7.9MFiscal year ending 12/2023 IA AVG $7.0M Rank #67 / 246	$4.9MFiscal year ending 12/2023 Facility $4.9MFiscal year ending 12/2023 IA AVG $3.1M Rank #78 / 246	62.4%Fiscal year ending 12/2023 Facility 62.4%Fiscal year ending 12/2023 IA AVG 46.3% Rank #180 / 246	165266
Kingsley Specialty Care		NH HOS SNF	Kingsley (West 3Rd Street)	43 Facility 43 IA AVG 71 Rank #314 / 406	72.1% Facility 72.1% IA AVG 64.7 Rank #178 / 379	+11%	3.29 Facility 3.29 IA AVG 4.30 Rank #231 / 245				+67%	-23%	$0 Facility $0 IA AVG $53.4k Rank #1 / 251	31 Facility 31 IA AVG 21.7 Rank #185 / 244	7.8 Facility 7.8 IA AVG 4.1 Rank #229 / 244	-	31	-	21 Facility 21 IA AVG 45 Rank #415 / 528	Jackie Loghry Pirner	$3.5MFiscal year ending 12/2023 Facility $3.5MFiscal year ending 12/2023 IA AVG $7.0M Rank #158 / 246	$1.9MFiscal year ending 12/2023 Facility $1.9MFiscal year ending 12/2023 IA AVG $3.1M Rank #214 / 246	55.3%Fiscal year ending 12/2023 Facility 55.3%Fiscal year ending 12/2023 IA AVG 46.3% Rank #226 / 246	165329
Westwood Specialty Care		NH SNF	Sioux City	85 Facility 85 IA AVG 71 Rank #97 / 406	92.1% Facility 92.1% IA AVG 64.7 Rank #38 / 379	+42%	3.57 Facility 3.57 IA AVG 4.30 Rank #205 / 245				-19%	-17%	$166.7k Facility $166.7k IA AVG $53.4k Rank #245 / 251	91 Facility 91 IA AVG 21.7 Rank #243 / 244	11.4 Facility 11.4 IA AVG 4.1 Rank #237 / 244	3	78	-	9 Facility 9 IA AVG 45 Rank #470 / 528	Michael Jurgens	$8.9MFiscal year ending 12/2023 Facility $8.9MFiscal year ending 12/2023 IA AVG $7.0M Rank #31 / 246	$4.3MFiscal year ending 12/2023 Facility $4.3MFiscal year ending 12/2023 IA AVG $3.1M Rank #80 / 246	48.4%Fiscal year ending 12/2023 Facility 48.4%Fiscal year ending 12/2023 IA AVG 46.3% Rank #237 / 246	165271
Countryside Health Care Center	-	NH AL MC	Sioux City (Morningside Avenue)	101 Facility 101 IA AVG 71 Rank #66 / 406	-	-	-	-	-	-	-	-	-	-	-	-	-	-	9 Facility 9 IA AVG 45 Rank #470 / 528		$4.2MFiscal year ending 07/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $4.2MFiscal year ending 07/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. IA AVG $7.0M Rank #128 / 246	$3.5MFiscal year ending 07/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $3.5MFiscal year ending 07/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. IA AVG $3.1M Rank #116 / 246	83.5%Fiscal year ending 07/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility 83.5%Fiscal year ending 07/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. IA AVG 46.3% Rank #89 / 246	165540

Nursing Home Explorer

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Overview of Pioneer Valley Living and Rehab

Welcome to Pioneer Valley Living and Rehab, a distinguished nursing home community located in Sergeant Bluff, Iowa. The community’s strategic location provides convenient access to three hospitals within a 25-mile radius, with Mercy Medical Center-Sioux City and St. Luke’s Regional Medical Center being the closest options, instilling confidence in residents and their families.
Pioneer Valley Living and Rehab takes pride in its commitment to quality care for all residents. As part of this dedication, this assisted living community actively participates in both Medicare and Medicaid programs, catering to the diverse needs of its residents while providing various financial considerations. The compassionate team at Pioneer Valley Living and Rehab creates a nurturing and supportive environment, e

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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

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

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

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

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

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

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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 11 nursing homes in Sioux City, IA. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Sioux City, IA?

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 Sioux City, IA, 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 Sioux City, IA?

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.