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Best Nursing Homes in Iowa, Graded A–F — page 11
All 386 graded Medicare-certified nursing homes in Iowa, scored from CMS Care Compare — nurse staffing, health inspections, quality measures and penalties — against Iowa peers of the same size. Grades are computed, never edited, and every input is shown on the facility page.
CMS data as of Aug 2026 · graded Sep 11, 2026
All Iowa
Des Moines (12)Cedar Rapids (10)Dubuque (8)Davenport (7)Sioux City (6)Waterloo (6)Cedar Falls (5)Council Bluffs (5)Marion (5)
251
Manor House Care Center - Sigourney, IA · 55 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.6 nurse hours per resident-day — below median in Iowa
- 10 health deficiencies at the last standard survey (CMS severity score 60) — bottom quarter
- No fines or payment denials in 3 years
CScore 43 · AverageSee Full Grade
6416222142
Sigourney, Keokuk County
Medicaid
252
Living Center West - Cedar Rapids, IA · 94 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 2.8 nurse hours per resident-day — bottom quarter in Iowa
- 3 health deficiencies at the last standard survey (CMS severity score 28) — above median
- $72,070 in fines in 3 years, 1 payment denials
CScore 42 · AverageSee Full Grade
3193668714
Cedar Rapids, Linn County
Medicaid
253
Good Samaritan - West Union - West Union, IA · 52 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.3 nurse hours per resident-day — bottom quarter in Iowa
- 6 health deficiencies at the last standard survey (CMS severity score 24) — below median
- No fines or payment denials in 3 years
CScore 42 · AverageSee Full Grade
5634223814
West Union, Fayette County
Medicaid
254
Elm Crest Retirement Community - Harlan, IA · 50 beds · non profit - other CMS Care Compare · data as of Aug 2026
- Staffing 4.0 nurse hours per resident-day — above median in Iowa
- 5 health deficiencies at the last standard survey (CMS severity score 48) — bottom quarter
- No fines or payment denials in 3 years
CScore 42 · AverageSee Full Grade
7127555174
Harlan, Shelby County
Medicaid
255
Oelwein Health Care Center - Oelwein, IA · 61 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.1 nurse hours per resident-day — bottom quarter in Iowa
- 7 health deficiencies at the last standard survey (CMS severity score 28) — above median
- No fines or payment denials in 3 years
CScore 42 · AverageSee Full Grade
3192832794
Oelwein, Fayette County
Medicaid
256
Centerville Specialty Care - Centerville, IA · 46 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.2 nurse hours per resident-day — bottom quarter in Iowa
- 6 health deficiencies at the last standard survey (CMS severity score 24) — below median
- No fines or payment denials in 3 years
CScore 42 · AverageSee Full Grade
6418568651
Centerville, Appanoose County
Medicaid
257
Thornton Manor Nursing And Care Center - Lansing, IA · 40 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.9 nurse hours per resident-day — above median in Iowa
- 5 health deficiencies at the last standard survey (CMS severity score 28) — below median
- No fines or payment denials in 3 years
DScore 42 · Below averageSee Full Grade
5635384236
Lansing, Allamakee County
Medicaid
258
Laporte City Specialty Care - La Porte City, IA · 46 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.2 nurse hours per resident-day — bottom quarter in Iowa
- 2 health deficiencies at the last standard survey (CMS severity score 24) — below median
- No fines or payment denials in 3 years
DScore 42 · Below averageSee Full Grade
3193480253
La Porte City, Black Hawk County
Medicaid
259
Harmony Cedar Rapids - Cedar Rapids, IA · 96 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.7 nurse hours per resident-day — above median in Iowa
- 11 health deficiencies at the last standard survey (CMS severity score 64) — bottom quarter
- $10,509 in fines in 3 years
DScore 42 · Below averageSee Full Grade
3193645151
Cedar Rapids, Linn County
Medicaid
260
Montezuma Specialty Care - Montezuma, IA · 41 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.3 nurse hours per resident-day — bottom quarter in Iowa
- 4 health deficiencies at the last standard survey (CMS severity score 28) — below median
- No fines or payment denials in 3 years
DScore 41 · Below averageSee Full Grade
6412194330
Montezuma, Poweshiek County
Medicaid
261
Sunny View Care Center - Ankeny, IA · 94 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.3 nurse hours per resident-day — below median in Iowa
- 9 health deficiencies at the last standard survey (CMS severity score 52) — below median
- No fines or payment denials in 3 years
DScore 41 · Below averageSee Full Grade
5159641101
Ankeny, Polk County
Medicaid
262
Iowa Jewish Senior Life Center - Des Moines, IA · 46 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- 5 health deficiencies at the last standard survey (CMS severity score 28) — below median
- No fines or payment denials in 3 years
DScore 41 · Below averageSee Full Grade
5152555433
Des Moines, Polk County
Medicaid
263
Chapters Living Of Council Bluffs - Council Bluffs, IA · 102 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 4.9 nurse hours per resident-day — top 10% in Iowa
- 46 health deficiencies at the last standard survey (CMS severity score 740) — bottom quarter
- $163,800 in fines in 3 years, 1 payment denials
DScore 41 · Below averageSee Full Grade
7123669655
Council Bluffs, Pottawattamie County
Medicaid
Special Focus Facility
264
Parkview Manor Care Center - Reinbeck, IA · 28 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 4.1 nurse hours per resident-day — above median in Iowa
- 6 health deficiencies at the last standard survey (CMS severity score 36) — below median
- $23,813 in fines in 3 years
DScore 41 · Below averageSee Full Grade
3193456811
Reinbeck, Grundy County
Medicaid
265
Northern Mahaska Specialty Care - Oskaloosa, IA · 79 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.2 nurse hours per resident-day — bottom quarter in Iowa
- 4 health deficiencies at the last standard survey (CMS severity score 24) — above median
- $39,033 in fines in 3 years
DScore 41 · Below averageSee Full Grade
6416733000
Oskaloosa, Mahaska County
Medicaid
266
Rehabilitation Centers Of Independence West Campus - Independence, IA · 70 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.2 nurse hours per resident-day — bottom quarter in Iowa
- 7 health deficiencies at the last standard survey (CMS severity score 52) — below median
- $22,740 in fines in 3 years, 1 payment denials
DScore 41 · Below averageSee Full Grade
3193346039
Independence, Buchanan County
Medicaid
267
Zearing Health Care, Llc - Zearing, IA · 40 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.7 nurse hours per resident-day — below median in Iowa
- 11 health deficiencies at the last standard survey (CMS severity score 163) — bottom quarter
- $22,205 in fines in 3 years
DScore 40 · Below averageSee Full Grade
6414877631
Zearing, Story County
Medicaid
268
Great River Care Center - Mc Gregor, IA · 39 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.4 nurse hours per resident-day — below median in Iowa
- 2 health deficiencies at the last standard survey (CMS severity score 24) — below median
- $8,281 in fines in 3 years
DScore 40 · Below averageSee Full Grade
5638733527
Mc Gregor, Clayton County
Medicaid
269
Trinity Center At Luther Park - Des Moines, IA · 120 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.8 nurse hours per resident-day — above median in Iowa
- 7 health deficiencies at the last standard survey (CMS severity score 132) — bottom quarter
- $162,205 in fines in 3 years
DScore 40 · Below averageSee Full Grade
5152625639
Des Moines, Polk County
Medicaid
270
Salem Lutheran Home - Elk Horn, IA · 64 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.9 nurse hours per resident-day — above median in Iowa
- 17 health deficiencies at the last standard survey (CMS severity score 84) — bottom quarter
- No fines or payment denials in 3 years
DScore 40 · Below averageSee Full Grade
7127644201
Elk Horn, Shelby County
Medicaid
271
Clarion Wellness And Rehabilitation Center - Clarion, IA · 76 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 2.8 nurse hours per resident-day — bottom quarter in Iowa
- 8 health deficiencies at the last standard survey (CMS severity score 32) — above median
- $24,174 in fines in 3 years
DScore 40 · Below averageSee Full Grade
5155322893
Clarion, Wright County
Medicaid
272
Lyon Specialty Care - Rock Rapids, IA · 45 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 2.8 nurse hours per resident-day — bottom quarter in Iowa
- 3 health deficiencies at the last standard survey (CMS severity score 20) — above median
- No fines or payment denials in 3 years
DScore 40 · Below averageSee Full Grade
7124723748
Rock Rapids, Lyon County
Medicaid
273
Rotary Senior Living - Eagle Grove, IA · 46 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.7 nurse hours per resident-day — above median in Iowa
- 3 health deficiencies at the last standard survey (CMS severity score 83) — bottom quarter
- $65,036 in fines in 3 years
DScore 40 · Below averageSee Full Grade
5154485124
Eagle Grove, Wright County
Medicaid
274
Southern Hills Specialty Care - Osceola, IA · 90 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.4 nurse hours per resident-day — below median in Iowa
- 5 health deficiencies at the last standard survey (CMS severity score 36) — below median
- $36,865 in fines in 3 years
DScore 40 · Below averageSee Full Grade
6413426061
Osceola, Clarke County
Medicaid
275
Maquoketa Care Center - Maquoketa, IA · 46 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.4 nurse hours per resident-day — below median in Iowa
- 2 health deficiencies at the last standard survey (CMS severity score 24) — below median
- No fines or payment denials in 3 years
DScore 39 · Below averageSee Full Grade
5636525195
Maquoketa, Jackson County
Medicaid
Iowa nursing homes by city
Des Moines (12)Cedar Rapids (10)Dubuque (8)Davenport (7)Sioux City (6)Waterloo (6)Cedar Falls (5)Council Bluffs (5)Marion (5)Newton (5)West Des Moines (5)Ankeny (4)Marshalltown (4)Ames (3)Bettendorf (3)Carroll (3)Cherokee (3)Emmetsburg (3)Fort Dodge (3)Indianola (3)Iowa City (3)Johnston (3)Keokuk (3)Mason City (3)