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Best Nursing Homes in Iowa, Graded A–F — page 7
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)
151
Mechanicsville Specialty Care - Mechanicsville, IA · 39 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.1 nurse hours per resident-day — bottom quarter in Iowa
- 2 health deficiencies at the last standard survey (CMS severity score 8) — above median
- No fines or payment denials in 3 years
CScore 56 · AverageSee Full Grade
5633460982
Mechanicsville, Cedar County
Medicaid
152
Westview Acres Care Center - Leon, IA · 46 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
- 1 health deficiencies at the last standard survey (CMS severity score 4) — top quarter
- No fines or payment denials in 3 years
CScore 56 · AverageSee Full Grade
6414464165
Leon, Decatur County
Medicaid
153
Sunrise Hill Care Center - Traer, IA · 76 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.3 nurse hours per resident-day — bottom quarter in Iowa
- 1 health deficiencies at the last standard survey (CMS severity score 4) — top 10%
- No fines or payment denials in 3 years
CScore 56 · AverageSee Full Grade
3194782730
Traer, Tama County
Medicaid
154
Accura Healthcare Of South Des Moines - Des Moines, IA · 89 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.9 nurse hours per resident-day — above median in Iowa
- 4 health deficiencies at the last standard survey (CMS severity score 16) — top quarter
- $52,632 in fines in 3 years, 2 payment denials
CScore 56 · AverageSee Full Grade
5152852559
Des Moines, Polk County
Medicaid
155
Park Place - Mount Pleasant, IA · 49 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 5.3 nurse hours per resident-day — top 10% in Iowa
- 3 health deficiencies at the last standard survey (CMS severity score 32) — below median
- No fines or payment denials in 3 years
CScore 56 · AverageSee Full Grade
3193856192
Mount Pleasant, Henry County
Medicaid
156
Karen Acres Care Center - Urbandale, IA · 35 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.3 nurse hours per resident-day — bottom quarter in Iowa
- 3 health deficiencies at the last standard survey (CMS severity score 12) — above median
- No fines or payment denials in 3 years
CScore 56 · AverageSee Full Grade
5152764969
Urbandale, Polk County
Medicaid
157
Community Care Center - Stuart, IA · 65 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.5 nurse hours per resident-day — below median in Iowa
- 10 health deficiencies at the last standard survey (CMS severity score 52) — below median
- No fines or payment denials in 3 years
CScore 56 · AverageSee Full Grade
5155232815
Stuart, Adair County
Medicaid
158
Colonial Manor Of Amana - Amana, IA · 50 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.4 nurse hours per resident-day — below median in Iowa
- No health deficiencies at the last standard survey — top 10%
- No fines or payment denials in 3 years
CScore 56 · AverageSee Full Grade
3196223131
Amana, Iowa County
Medicaid
159
Atlantic Specialty Care - Atlantic, IA · 90 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.0 nurse hours per resident-day — bottom quarter in Iowa
- 6 health deficiencies at the last standard survey (CMS severity score 24) — above median
- No fines or payment denials in 3 years
CScore 56 · AverageSee Full Grade
7122433952
Atlantic, Cass County
Medicaid
160
Good Samaritan - Lemars - Le Mars, IA · 64 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.2 nurse hours per resident-day — bottom quarter in Iowa
- No health deficiencies at the last standard survey — top 10%
- No fines or payment denials in 3 years
CScore 55 · AverageSee Full Grade
7125464101
Le Mars, Plymouth County
Medicaid
161
Chautauqua Guest Home #2 - Charles City, IA · 53 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 4.0 nurse hours per resident-day — above median in Iowa
- 2 health deficiencies at the last standard survey (CMS severity score 28) — below median
- No fines or payment denials in 3 years
CScore 55 · AverageSee Full Grade
6412282353
Charles City, Floyd County
Medicaid
162
Accura Healthcare Of Ames, Llc - Ames, IA · 75 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.0 nurse hours per resident-day — bottom quarter in Iowa
- 4 health deficiencies at the last standard survey (CMS severity score 16) — top quarter
- No fines or payment denials in 3 years
CScore 55 · AverageSee Full Grade
5152323426
Ames, Story County
Medicaid
163
Perry Lutheran Home - Perry, IA · 70 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 36) — below median
- $16,351 in fines in 3 years, 1 payment denials
CScore 55 · AverageSee Full Grade
5154655342
Perry, Dallas County
Medicaid
164
St Anthony Senior Services - Carroll, IA · 79 beds · non profit - church related 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 52) — below median
- $12,038 in fines in 3 years
CScore 55 · AverageSee Full Grade
7127945455
Carroll, Carroll County
Medicaid
165
Norwalk Nursing And Rehabilitation Center - Norwalk, IA · 45 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- 1 health deficiencies at the last standard survey (CMS severity score 4) — top quarter
- No fines or payment denials in 3 years
CScore 54 · AverageSee Full Grade
5159810604
Norwalk, Warren County
Medicaid
166
On With Life Long Term Care - Polk City, IA · 40 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- 1 health deficiencies at the last standard survey (CMS severity score 4) — top quarter
- No fines or payment denials in 3 years
CScore 54 · AverageSee Full Grade
5154219200
Polk City, Polk County
Medicaid
167
Clearview Home - Mount Ayr, IA · 82 beds · for profit - partnership CMS Care Compare · data as of Aug 2026
- Staffing 3.3 nurse hours per resident-day — bottom quarter in Iowa
- 2 health deficiencies at the last standard survey (CMS severity score 8) — top quarter
- No fines or payment denials in 3 years
CScore 54 · AverageSee Full Grade
6414642240
Mount Ayr, Ringgold County
Medicaid
168
Accura Healthcare Of Aurelia, Llc - Aurelia, 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
- 6 health deficiencies at the last standard survey (CMS severity score 24) — below median
- No fines or payment denials in 3 years
CScore 54 · AverageSee Full Grade
7124342294
Aurelia, Cherokee County
Medicaid
169
Southridge Specialty Care - Marshalltown, IA · 82 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.6 nurse hours per resident-day — below median in Iowa
- 6 health deficiencies at the last standard survey (CMS severity score 24) — above median
- $45,406 in fines in 3 years, 1 payment denials
CScore 54 · AverageSee Full Grade
6417524553
Marshalltown, Marshall County
Medicaid
170
Simpson Memorial Home - West Liberty, IA · 55 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 4.2 nurse hours per resident-day — above median in Iowa
- 2 health deficiencies at the last standard survey (CMS severity score 8) — above median
- No fines or payment denials in 3 years
CScore 54 · AverageSee Full Grade
3196274775
West Liberty, Muscatine County
Medicaid
171
Calvin Community - Des Moines, IA · 59 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 4.2 nurse hours per resident-day — above median in Iowa
- 8 health deficiencies at the last standard survey (CMS severity score 40) — bottom quarter
- No fines or payment denials in 3 years
CScore 54 · AverageSee Full Grade
5152776141
Des Moines, Polk County
Medicaid
172
Ramsey Village - Des Moines, IA · 78 beds · non profit - other CMS Care Compare · data as of Aug 2026
- Staffing 4.0 nurse hours per resident-day — above median in Iowa
- 12 health deficiencies at the last standard survey (CMS severity score 56) — below median
- No fines or payment denials in 3 years
CScore 54 · AverageSee Full Grade
5152743612
Des Moines, Polk County
Medicaid
173
The New Homestead Care Center - Guthrie Center, IA · 58 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.5 nurse hours per resident-day — below median in Iowa
- 3 health deficiencies at the last standard survey (CMS severity score 12) — above median
- No fines or payment denials in 3 years
CScore 54 · AverageSee Full Grade
6413322204
Guthrie Center, Guthrie County
Medicaid
174
Ruthven Community Care Center - Ruthven, IA · 46 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.3 nurse hours per resident-day — bottom quarter in Iowa
- 2 health deficiencies at the last standard survey (CMS severity score 8) — above median
- No fines or payment denials in 3 years
CScore 53 · AverageSee Full Grade
7128375411
Ruthven, Palo Alto County
Medicaid
175
Madrid Home For The Aged - Madrid, IA · 64 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.7 nurse hours per resident-day — above median in Iowa
- 6 health deficiencies at the last standard survey (CMS severity score 32) — above median
- No fines or payment denials in 3 years
CScore 53 · AverageSee Full Grade
5157953007
Madrid, Boone 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)