Best Nursing Homes in Marion, IA

Why trust this guide? Our editorial team analyzed 4 nursing homes in Marion, 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 Marion, IA our team has analyzed — not a count of every nursing home provider in Marion, IA.
4 homes
Other senior care options in Marion:
Avg Overall CMS Rating: 1.7/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Marion, 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: 3.3/ 5The average Staffing Rating across all CMS-certified nursing homes in Marion, 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: 1.7/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Marion, 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 Marion

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 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. 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.
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.
Linn Manor Care Center
NH
IL
SNF
Marion
38
Facility 38
IA AVG 72
Rank #350 / 403
92.1%
Facility 92.1%
IA AVG 67%
Rank #37 / 362
+38%
4.00
Facility 4.00
IA AVG 4.30
Rank #142 / 231
-13%-7%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
16
Facility 16
IA AVG 21.7
Rank #111 / 232
5.3
Facility 5.3
IA AVG 4.1
Rank #172 / 232
135-
89
Facility 89
IA AVG 47
Rank #17 / 504
Grand Haven Homes, Inc
$3.9MFiscal year ending 06/2024
Facility $3.9MFiscal year ending 06/2024
IA AVG $6.9M
Rank #177 / 224
$2.5MFiscal year ending 06/2024
Facility $2.5MFiscal year ending 06/2024
IA AVG $4.2M
Rank #169 / 224
63.1%Fiscal year ending 06/2024
Facility 63.1%Fiscal year ending 06/2024
IA AVG 60.3%
Rank #73 / 224
165511
Winslow House Care Center
NH
SNF
Marion
50
Facility 50
IA AVG 72
Rank #256 / 403
94.0%
Facility 94.0%
IA AVG 67%
Rank #28 / 362
+40%
3.68
Facility 3.68
IA AVG 4.30
Rank #184 / 231
+11%-14%
$28.2k
Facility $28.2k
IA AVG $53.4k
Rank #182 / 239
19
Facility 19
IA AVG 21.7
Rank #127 / 232
3.2
Facility 3.2
IA AVG 4.1
Rank #85 / 232
347-
89
Facility 89
IA AVG 47
Rank #17 / 504
The Capstone Group Inc
$4.1MFiscal year ending 12/2023
Facility $4.1MFiscal year ending 12/2023
IA AVG $6.9M
Rank #169 / 224
$2.4MFiscal year ending 12/2023
Facility $2.4MFiscal year ending 12/2023
IA AVG $4.2M
Rank #172 / 224
58.2%Fiscal year ending 12/2023
Facility 58.2%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #112 / 224
165440
Silver Oak Nursing and Rehabilitation LLC
NH
HOS
RC
SNF
Marion
91
Facility 91
IA AVG 72
Rank #81 / 403
76.9%
Facility 76.9%
IA AVG 67%
Rank #148 / 362
+15%
4.42
Facility 4.42
IA AVG 4.30
Rank #100 / 231
-35%+3%
$29.1k
Facility $29.1k
IA AVG $53.4k
Rank #183 / 239
76
Facility 76
IA AVG 21.7
Rank #227 / 232
5.9
Facility 5.9
IA AVG 4.1
Rank #186 / 232
570-
89
Facility 89
IA AVG 47
Rank #17 / 504
Ryan Coane
$7.8MFiscal year ending 06/2024
Facility $7.8MFiscal year ending 06/2024
IA AVG $6.9M
Rank #74 / 224
$4.0MFiscal year ending 06/2024
Facility $4.0MFiscal year ending 06/2024
IA AVG $4.2M
Rank #86 / 224
51.3%Fiscal year ending 06/2024
Facility 51.3%Fiscal year ending 06/2024
IA AVG 60.3%
Rank #180 / 224
165171

Rank badges are statewide: each community is ranked against every IA community we track that reports that metric, not just the 4 analyzed for Marion.

Overview of Linn Manor Care Center

Linn Manor Care Center is a 38-bed nursing home in Marion, Iowa, providing skilled nursing care, including memory care services, within Linn County. The facility is operated by Grand Haven Homes, Inc., a privately owned company, and accepts private pay.

Across inspections over the past 6 years, Linn Manor averaged 6.5 deficiencies per year — roughly 48% above the Iowa average of 4.4. The record includes a 2022 Immediate Jeopardy finding tied to resident sexual abuse, an attempted resident suicide, and inadequate staff competencies for managing residents with mental health and psychosocial needs.

A 2023 annual survey cited seven deficiencies, including failures to report and investigate alleged abuse in a timely manner and a deficient fall-prevention program. A substantiated complaint in October 2025 found the facility failed to prevent multiple falls for one resident — including a hip fracture — and failed to develop adequate care plan interventions for that resident’s PTSD-related behaviors. A follow-up visit in December 2025 found no deficiencies and confirmed that the facility was in substantial compliance. The Inspection Reports subpage carries the full record.

The facility’s staffing averages 3 hours and 39 minutes per resident per day, about 17% below the Iowa average of 4 hours 25 minutes. Long-stay quality measures score above the Iowa average. Its occupancy rate is 92%, well above the state average of 75%, indicating consistent local demand.

Linn Manor Care Center is oriented toward long-stay skilled nursing and memory care in Marion and is well-suited to residents whose care needs align with a small, privately operated nursing home setting. However, families should review the facility’s prior Immediate Jeopardy findings and resident safety history before making a placement decision.

Contact Linn Manor Care Center

Overview of Winslow House Care Center

Serving residents who need skilled nursing care and rehabilitation support, Winslow House Care Center is a community in Marion, Iowa. The 50-bed facility is owned by The Capstone Group Inc. It accepts Medicare, Medicaid, and private pay, giving families several options for arranging coverage.

The community has an occupancy rate of 94%. Residents stay an average of 459 days due to the significant long-term care population, as well as those receiving rehabilitation services.

Daily nurse staffing averages about 4 hours per resident. Residents are supported by registered nurses, licensed practical nurses, and nursing aides. This level of staffing helps support both rehabilitation programs and the daily nursing care needs of residents.

The community has a Walk Score of 89, so it’s highly walkable. Family members and visitors can easily access many nearby services and destinations on foot.

State inspections reviewed areas such as resident rights, care assessments, documentation practices, staffing information, and infection prevention procedures. The facility has responded to inspection findings with corrective actions to strengthen these operations.

Contact Winslow House Care Center

Overview of Silver Oak Nursing and Rehabilitation

Located at 455 31st Street in Marion, Iowa, Silver Oak Nursing and Rehabilitation is a nursing home owned by Ryan Coane and administered by Ailson De Jong. The 91-bed facility provides skilled nursing care, rehabilitation services, and dementia support. Medicare, Medicaid, and private pay are accepted, so families have several options for covering short-term rehabilitation and longer-term residential care.

The community has an occupancy rate of 77%, and residents stay an average of 134 days. The facility’s location in a highly walkable neighborhood offers convenient access to nearby services for visiting family members and staff.

Rehabilitation is a major focus of the community. Physical therapy staffing exceeds state averages. Daily nurse staffing averages 4 hours and 28 minutes per resident, combining registered nurse, licensed practical nurse, and certified nurse aide support. The facility operates 24 hours a day and provides care for residents needing dementia support, rehabilitation services, and skilled nursing care.

Meals are prepared by chefs and served according to every resident’s dietary requirements to accommodate a range of nutritional needs and preferences.

State inspections by the Iowa Department of Inspections, Appeals, and Licensing addressed recurring issues related to care delivery, documentation, and resident safety. The facility meets regulatory standards and welcomes family tours to discuss how these operational areas are managed.

Contact Silver Oak Nursing and Rehabilitation LLC

Overview of Oakview Nursing & Rehabilitation

Oakview Nursing & Rehabilitation is a 40-bed facility at 720 Oakbrook Drive in Marion, Iowa. Owned and administered by Dallas Urbain, the community has operated since 2020, primarily serving short-term rehabilitation patients while also offering long-term and specialized dementia care. Centrally located in Linn County, the campus is highly accessible with a Walk Score of 89.

The facility is CMS-certified and carries an above average 4-star overall rating, a performance tier higher than the state average. Between 2020 and 2025, the Iowa Department of Inspections, Appeals, and Licensing (DIAL) conducted 18 inspections, yielding a per-inspection average of 1.6 deficiencies, 11% below the state average. While the August 2025 annual survey resulted in one administrative citation, a 2024 survey identified five deficiencies, including a physical abuse finding involving a staff member and unsanitary kitchen conditions. No fines or payment denials have been issued in the past three years.

Staffing levels are a clinical differentiator, particularly regarding specialized nursing presence. Total nursing hours run 4 hours 5 minutes per resident day, exceeding the Iowa average of 3 hours 48 minutes. Registered Nurse (RN) hours are 11% above the state average, and weekend RN coverage is remarkably high at 1 hour 2 minutes per day—double the Iowa average of 30 minutes. Quality metrics show zero short-stay falls with major injury, though long-stay residents experience high-risk pressure ulcers and UTIs at rates significantly higher than state averages.

The campus provides a residential setting with 24-hour visitation and a full-time chaplain for spiritual support. Shared amenities and services include on-site physical, occupational, and speech therapy, private rooms with facility-wide Wi-Fi, and a beauty shop. The facility offers bereavement accommodations and coordinates complimentary transportation for medical and social needs. Lifestyle programs feature multi-denominational weekly religious services and volunteer-led social engagement.

Prospective residents 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 following the 2024 abuse and 2025 supervision findings, and to confirm how the facility is addressing clinical outliers related to pressure ulcers and infection prevention to maintain its 2026 quality performance.

Contact Oakview Nursing & Rehabilitation

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 Marion, IA

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 4 nursing homes in Marion, IA. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Marion, 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 Marion, 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 Marion, 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.