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Best Nursing Homes in Iowa, Graded A–F — page 14

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
326

Southfield Wellness Community - Webster City, IA · 65 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
  • 19 health deficiencies at the last standard survey (CMS severity score 80) — bottom quarter
  • $71,897 in fines in 3 years
DScore 30 · Below averageSee Full Grade
5158323881 Webster City, Hamilton County Medicaid
327

Harmony Waterloo - Waterloo, IA · 88 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.2 nurse hours per resident-day — bottom quarter in Iowa
  • 8 health deficiencies at the last standard survey (CMS severity score 123) — bottom quarter
  • $95,440 in fines in 3 years
DScore 30 · Below averageSee Full Grade
3192347777 Waterloo, Black Hawk County Medicaid
328

Red Oak Rehab And Care Center - Red Oak, IA · 58 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.5 nurse hours per resident-day — below median in Iowa
  • 6 health deficiencies at the last standard survey (CMS severity score 24) — below median
  • No fines or payment denials in 3 years
DScore 29 · Below averageSee Full Grade
7126235156 Red Oak, Montgomery County Medicaid
329

Cedar Falls Health Care Center - Cedar Falls, IA · 70 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 2.7 nurse hours per resident-day — bottom quarter in Iowa
  • 12 health deficiencies at the last standard survey (CMS severity score 72) — bottom quarter
  • No fines or payment denials in 3 years
DScore 29 · Below averageSee Full Grade
3192772437 Cedar Falls, Black Hawk County Medicaid
330

Crestview Specialty Care - West Branch, IA · 65 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.7 nurse hours per resident-day — above median in Iowa
  • 13 health deficiencies at the last standard survey (CMS severity score 159) — bottom quarter
  • $216,061 in fines in 3 years
DScore 29 · Below averageSee Full Grade
3193337182 West Branch, Cedar County Medicaid
331

Ravenwood Specialty Care - Waterloo, IA · 176 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.3 nurse hours per resident-day — bottom quarter in Iowa
  • 13 health deficiencies at the last standard survey (CMS severity score 116) — below median
  • No fines or payment denials in 3 years
DScore 29 · Below averageSee Full Grade
3192326808 Waterloo, Black Hawk County Medicaid
332

Azria Health Prairie Ridge - Mediapolis, IA · 62 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.5 nurse hours per resident-day — below median in Iowa
  • 28 health deficiencies at the last standard survey (CMS severity score 184) — bottom quarter
  • No fines or payment denials in 3 years
DScore 28 · Below averageSee Full Grade
3193943991 Mediapolis, Des Moines County Medicaid
333

Accura Healthcare Of Toledo - Toledo, IA · 55 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 2.9 nurse hours per resident-day — bottom quarter in Iowa
  • 4 health deficiencies at the last standard survey (CMS severity score 16) — above median
  • No fines or payment denials in 3 years
FScore 28 · PoorSee Full Grade
6414845080 Toledo, Tama County Medicaid
334

Southeast Iowa Healthcare Center - Keokuk, IA · 55 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 2.9 nurse hours per resident-day — bottom quarter in Iowa
  • 7 health deficiencies at the last standard survey (CMS severity score 74) — bottom quarter
  • $25,495 in fines in 3 years
FScore 28 · PoorSee Full Grade
3195241800 Keokuk, Lee County Medicaid
335

Heritage Specialty Care - Cedar Rapids, IA · 171 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.5 nurse hours per resident-day — bottom quarter in Iowa
  • 15 health deficiencies at the last standard survey (CMS severity score 92) — below median
  • $14,365 in fines in 3 years
FScore 27 · PoorSee Full Grade
3193967171 Cedar Rapids, Linn County Medicaid
336

Accura Healthcare Of Muscatine - Muscatine, IA · 100 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 2.9 nurse hours per resident-day — bottom quarter in Iowa
  • 7 health deficiencies at the last standard survey (CMS severity score 36) — below median
  • No fines or payment denials in 3 years
FScore 27 · PoorSee Full Grade
5632632194 Muscatine, Muscatine County Medicaid
337

Good Samaritan - Algona - Algona, IA · 72 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.1 nurse hours per resident-day — bottom quarter in Iowa
  • 3 health deficiencies at the last standard survey (CMS severity score 28) — above median
  • $7,070 in fines in 3 years, 1 payment denials
FScore 27 · PoorSee Full Grade
5152952414 Algona, Kossuth County Medicaid
338

Pinnacle Specialty Care - Cedar Falls, IA · 100 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.3 nurse hours per resident-day — bottom quarter in Iowa
  • 15 health deficiencies at the last standard survey (CMS severity score 64) — bottom quarter
  • $8,362 in fines in 3 years
FScore 27 · PoorSee Full Grade
3192680489 Cedar Falls, Black Hawk County Medicaid
339

Azria Health Longview - Missouri Valley, IA · 100 beds · for profit - partnership CMS Care Compare · data as of Aug 2026

  • Staffing 3.8 nurse hours per resident-day — above median in Iowa
  • 17 health deficiencies at the last standard survey (CMS severity score 104) — bottom quarter
  • No fines or payment denials in 3 years
FScore 27 · PoorSee Full Grade
7126422264 Missouri Valley, Harrison County Medicaid
340

Dubuque Specialty Care - Dubuque, IA · 84 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 2.9 nurse hours per resident-day — bottom quarter in Iowa
  • 8 health deficiencies at the last standard survey (CMS severity score 44) — below median
  • $53,372 in fines in 3 years, 1 payment denials
FScore 27 · PoorSee Full Grade
5635560673 Dubuque, Dubuque County Medicaid
341

Estherville Community Care Center - Estherville, IA · 46 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.4 nurse hours per resident-day — bottom quarter in Iowa
  • 8 health deficiencies at the last standard survey (CMS severity score 48) — bottom quarter
  • No fines or payment denials in 3 years
FScore 27 · PoorSee Full Grade
7123623594 Estherville, Emmet County Medicaid
342

Careage Hills Rehabilitation And Healthcare - Cherokee, IA · 44 beds · for profit - individual CMS Care Compare · data as of Aug 2026

  • Staffing 3.1 nurse hours per resident-day — bottom quarter in Iowa
  • 9 health deficiencies at the last standard survey (CMS severity score 56) — bottom quarter
  • No fines or payment denials in 3 years
FScore 26 · PoorSee Full Grade
7122252561 Cherokee, Cherokee County Medicaid
343

Royal Oaks Nursing And Rehabilitation Center - Urbandale, IA · 115 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.6 nurse hours per resident-day — below median in Iowa
  • 34 health deficiencies at the last standard survey (CMS severity score 260) — bottom quarter
  • $434,825 in fines in 3 years, 2 payment denials
FScore 26 · PoorSee Full Grade
5152706838 Urbandale, Polk County Medicaid Special Focus Facility
344

Oskaloosa Care Center - Oskaloosa, IA · 83 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.7 nurse hours per resident-day — below median in Iowa
  • 19 health deficiencies at the last standard survey (CMS severity score 175) — bottom quarter
  • $45,354 in fines in 3 years
FScore 26 · PoorSee Full Grade
6416763414 Oskaloosa, Mahaska County Medicaid
345

Pillar Of Cedar Valley - Waterloo, IA · 114 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 2.9 nurse hours per resident-day — bottom quarter in Iowa
  • 11 health deficiencies at the last standard survey (CMS severity score 44) — below median
  • No fines or payment denials in 3 years
FScore 26 · PoorSee Full Grade
3192912509 Waterloo, Black Hawk County Medicaid
346

Accura Healthcare Of Ogden, Llc - Ogden, IA · 46 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.2 nurse hours per resident-day — bottom quarter in Iowa
  • 9 health deficiencies at the last standard survey (CMS severity score 36) — below median
  • No fines or payment denials in 3 years
FScore 25 · PoorSee Full Grade
5152752481 Ogden, Boone County Medicaid
347

Accura Healthcare Of Onawa - Onawa, IA · 46 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.2 nurse hours per resident-day — bottom quarter in Iowa
  • 5 health deficiencies at the last standard survey (CMS severity score 40) — bottom quarter
  • No fines or payment denials in 3 years
FScore 24 · PoorSee Full Grade
7124232510 Onawa, Monona County Medicaid
348

Good Samaritan - Waukon - Waukon, IA · 60 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.2 nurse hours per resident-day — bottom quarter in Iowa
  • 9 health deficiencies at the last standard survey (CMS severity score 60) — below median
  • $8,281 in fines in 3 years
FScore 24 · PoorSee Full Grade
5635683447 Waukon, Allamakee County Medicaid
349

Pleasant Acres Care Center - Hull, IA · 46 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.0 nurse hours per resident-day — bottom quarter in Iowa
  • 7 health deficiencies at the last standard survey (CMS severity score 32) — below median
  • No fines or payment denials in 3 years
FScore 24 · PoorSee Full Grade
7124392758 Hull, Sioux County Medicaid
350

Perry Lutheran Homes Eden Acres Campus - Perry, IA · 57 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
  • 6 health deficiencies at the last standard survey (CMS severity score 72) — bottom quarter
  • $9,110 in fines in 3 years
FScore 24 · PoorSee Full Grade
5154655316 Perry, Dallas County Medicaid
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