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Best Nursing Homes in Iowa, Graded A–F — page 15

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
351

Accura Healthcare Of Marshalltown - Marshalltown, IA · 84 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.6 nurse hours per resident-day — below median in Iowa
  • 11 health deficiencies at the last standard survey (CMS severity score 72) — bottom quarter
  • $9,350 in fines in 3 years, 1 payment denials
FScore 24 · PoorSee Full Grade
6417521553 Marshalltown, Marshall County Medicaid
352

Oakland Manor - Oakland, IA · 61 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.1 nurse hours per resident-day — bottom quarter in Iowa
  • 22 health deficiencies at the last standard survey (CMS severity score 124) — bottom quarter
  • $15,593 in fines in 3 years
FScore 23 · PoorSee Full Grade
7124826403 Oakland, Pottawattamie County Medicaid
353

Crystal Heights Care Center - Oskaloosa, IA · 72 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.1 nurse hours per resident-day — bottom quarter in Iowa
  • 12 health deficiencies at the last standard survey (CMS severity score 56) — below median
  • $10,489 in fines in 3 years
FScore 23 · PoorSee Full Grade
6416737032 Oskaloosa, Mahaska County Medicaid
354

Bishop Drumm Retirement Center - Johnston, IA · 150 beds · non profit - church related CMS Care Compare · data as of Aug 2026

  • Staffing 3.6 nurse hours per resident-day — below median in Iowa
  • 33 health deficiencies at the last standard survey (CMS severity score 216) — bottom quarter
  • $258,177 in fines in 3 years, 3 payment denials
FScore 23 · PoorSee Full Grade
5152701100 Johnston, Polk County Medicaid Special Focus Facility
355

Sunny Hill Care Center - Tama, IA · 57 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
  • 3 health deficiencies at the last standard survey (CMS severity score 28) — below median
  • $24,756 in fines in 3 years
FScore 23 · PoorSee Full Grade
6414844061 Tama, Tama County Medicaid
356

Avoca Specialty Care - Avoca, IA · 46 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.0 nurse hours per resident-day — bottom quarter in Iowa
  • 13 health deficiencies at the last standard survey (CMS severity score 64) — bottom quarter
  • No fines or payment denials in 3 years
FScore 23 · PoorSee Full Grade
7123436398 Avoca, Pottawattamie County Medicaid
357

Colonial Manor Of Elma - Elma, IA · 40 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
  • 9 health deficiencies at the last standard survey (CMS severity score 52) — bottom quarter
  • $44,768 in fines in 3 years
FScore 23 · PoorSee Full Grade
6413932134 Elma, Howard County Medicaid
358

Winslow House Care Center - Marion, IA · 50 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.1 nurse hours per resident-day — bottom quarter in Iowa
  • 10 health deficiencies at the last standard survey (CMS severity score 60) — bottom quarter
  • $18,360 in fines in 3 years, 1 payment denials
FScore 22 · PoorSee Full Grade
3193778296 Marion, Linn County Medicaid
359

Grand Meadows Senior Living & Health Care - Asbury, IA · 32 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • 7 health deficiencies at the last standard survey (CMS severity score 32) — below median
  • $16,448 in fines in 3 years
FScore 22 · PoorSee Full Grade
5635881413 Asbury, Dubuque County Medicaid
360

Prestige Care Center Of Fairfield - Fairfield, IA · 73 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
  • 29 health deficiencies at the last standard survey (CMS severity score 148) — bottom quarter
  • $106,751 in fines in 3 years, 1 payment denials
FScore 22 · PoorSee Full Grade
6414692140 Fairfield, Jefferson County Medicaid
361

Greater Southside Health And Rehabilitation - Des Moines, IA · 80 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
  • 29 health deficiencies at the last standard survey (CMS severity score 281) — bottom quarter
  • $252,963 in fines in 3 years, 1 payment denials
FScore 22 · PoorSee Full Grade
5152853070 Des Moines, Polk County Medicaid Special Focus Facility
362

Accura Healthcare Of Shenandoah - Shenandoah, IA · 42 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
  • 11 health deficiencies at the last standard survey (CMS severity score 64) — bottom quarter
  • $8,414 in fines in 3 years
FScore 22 · PoorSee Full Grade
7122464627 Shenandoah, Page County Medicaid
363

Pine Acres Rehabilitation And Care Center - West Des Moines, IA · 140 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.8 nurse hours per resident-day — above median in Iowa
  • 36 health deficiencies at the last standard survey (CMS severity score 613) — bottom quarter
  • $478,835 in fines in 3 years, 1 payment denials
FScore 22 · PoorSee Full Grade
5152231223 West Des Moines, Polk County Medicaid Special Focus Facility
364

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

  • Staffing 3.8 nurse hours per resident-day — above median in Iowa
  • 27 health deficiencies at the last standard survey (CMS severity score 136) — bottom quarter
  • $17,996 in fines in 3 years, 1 payment denials
FScore 22 · PoorSee Full Grade
7126292645 Tabor, Fremont County Medicaid
365

Parkridge Specialty Care - Pleasant Hill, IA · 90 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.3 nurse hours per resident-day — bottom quarter in Iowa
  • 16 health deficiencies at the last standard survey (CMS severity score 88) — bottom quarter
  • $34,450 in fines in 3 years
FScore 22 · PoorSee Full Grade
5152655348 Pleasant Hill, Polk County Medicaid
366

Good Samaritan - Indianola - Indianola, IA · 105 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.2 nurse hours per resident-day — bottom quarter in Iowa
  • 12 health deficiencies at the last standard survey (CMS severity score 72) — bottom quarter
  • $20,316 in fines in 3 years
FScore 22 · PoorSee Full Grade
5159612596 Indianola, Warren County Medicaid
367

Spencer Post Acute Rehabilitation Center - Spencer, IA · 82 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.4 nurse hours per resident-day — below median in Iowa
  • 16 health deficiencies at the last standard survey (CMS severity score 88) — bottom quarter
  • $24,706 in fines in 3 years, 1 payment denials
FScore 21 · PoorSee Full Grade
7122622344 Spencer, Clay County Medicaid
368

Grandview Healthcare Center - Dayton, IA · 40 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 2.8 nurse hours per resident-day — bottom quarter in Iowa
  • 4 health deficiencies at the last standard survey (CMS severity score 16) — above median
  • $33,598 in fines in 3 years
FScore 20 · PoorSee Full Grade
5155472288 Dayton, Webster County Medicaid
369

Correctionville Specialty Care - Correctionville, IA · 39 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.3 nurse hours per resident-day — bottom quarter in Iowa
  • 11 health deficiencies at the last standard survey (CMS severity score 52) — bottom quarter
  • $60,316 in fines in 3 years, 1 payment denials
FScore 20 · PoorSee Full Grade
7123724466 Correctionville, Woodbury County Medicaid
370

Accura Healthcare Of Carroll - Carroll, IA · 65 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 2.9 nurse hours per resident-day — bottom quarter in Iowa
  • 19 health deficiencies at the last standard survey (CMS severity score 124) — bottom quarter
  • No fines or payment denials in 3 years
FScore 20 · PoorSee Full Grade
7127929284 Carroll, Carroll County Medicaid
371

Stone Cottage Care Center - Sigourney, IA · 41 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.8 nurse hours per resident-day — above median in Iowa
  • 19 health deficiencies at the last standard survey (CMS severity score 120) — bottom quarter
  • $18,682 in fines in 3 years, 2 payment denials
FScore 20 · PoorSee Full Grade
6416222971 Sigourney, Keokuk County Medicaid
372

Regency Care Center - Norwalk, IA · 101 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.2 nurse hours per resident-day — bottom quarter in Iowa
  • 21 health deficiencies at the last standard survey (CMS severity score 199) — bottom quarter
  • $78,497 in fines in 3 years
FScore 19 · PoorSee Full Grade
5159814269 Norwalk, Warren County Medicaid
373

Caring Acres Nursing And Rehab Center - Anita, IA · 41 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
  • 17 health deficiencies at the last standard survey (CMS severity score 104) — bottom quarter
  • $51,773 in fines in 3 years
FScore 19 · PoorSee Full Grade
7127623219 Anita, Cass County Medicaid Special Focus Facility
374

Accura Healthcare Of Carlisle - Carlisle, IA · 80 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.1 nurse hours per resident-day — bottom quarter in Iowa
  • 16 health deficiencies at the last standard survey (CMS severity score 84) — bottom quarter
  • $37,177 in fines in 3 years
FScore 19 · PoorSee Full Grade
5159890871 Carlisle, Warren County Medicaid
375

Harvest Acres Nursing And Rehab - Keota, IA · 35 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
  • 13 health deficiencies at the last standard survey (CMS severity score 56) — bottom quarter
  • $136,500 in fines in 3 years
FScore 18 · PoorSee Full Grade
6416363400 Keota, Keokuk County Medicaid
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