NPPES file of Aug 9, 2026

Nursing Homes in Iowa

388 Medicare-certified nursing homes in Iowa; CMS rates 386 of them, 24.6% with 5 stars and 21.2% with 1. Listed highest-rated first, page 6 of 8.

CMS Care Compare nursing home file processed Jul 1, 2026 · method · Care Compare on CMS.gov →

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Overall rating, 386 rated homes

  1. 5 stars95
  2. 4 stars69
  3. 3 stars79
  4. 2 stars61
  5. 1 star82

Source: CMS Five-Star Quality Rating System, overall rating, Iowa; file processed Jul 1, 2026. 2 homes are not rated (newly certified or withheld).

Compare Iowa's homes

  1. Staffing: nurse hours per resident
  2. Inspections: deficiencies and fines
  3. Staffing, every state ranked
  4. Deficiencies, every state ranked

Iowa nursing homes, highest-rated first

  1. The CottagesPella, IA · 100 beds · Marion CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 4 of 5 2 of 5
  2. Davenport Lutheran HomeDavenport, IA · 98 beds · Scott CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 2 of 5 2 of 5
  3. Northcrest Specialty CareWaterloo, IA · 94 beds · Black Hawk CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 4 of 5 2 of 5
  4. Living Center WestCedar Rapids, IA · 94 beds · Linn CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  5. Lantern Park Specialty CareCoralville, IA · 90 beds · Johnson CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 2 of 5 2 of 5
  6. Harmony DavenportDavenport, IA · 88 beds · Scott CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 4 of 5 2 of 5
  7. The HighlandsDecorah, IA · 86 beds · Winneshiek CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 3 of 5 2 of 5
  8. Dubuque Specialty CareDubuque, IA · 84 beds · Dubuque CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 3 of 5 2 of 5
  9. Southridge Specialty CareMarshalltown, IA · 82 beds · Marshall CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 4 of 5 2 of 5
  10. Spencer Post Acute Rehabilitation CenterSpencer, IA · 82 beds · Clay CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 2 of 5 2 of 5
  11. Accura Healthcare of Spirit LakeSpirit Lake, IA · 80 beds · Dickinson CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 3 of 5 2 of 5
  12. Northern Mahaska Specialty CareOskaloosa, IA · 79 beds · Mahaska CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 3 of 5 2 of 5
  13. St Luke Lutheran Nursing HomeSpencer, IA · 79 beds · Clay CountyInspections 1 of 5 · Staffing 5 of 5 · Quality 3 of 5 2 of 5
  14. Ramsey VillageDes Moines, IA · 78 beds · Polk CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 3 of 5 2 of 5
  15. Park View Rehabilitation CenterSac City, IA · 77 beds · Sac CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 2 of 5 2 of 5
  16. Harmony DubuqueDubuque, IA · 75 beds · Dubuque CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 3 of 5 2 of 5
  17. Crystal Heights Care CenterOskaloosa, IA · 72 beds · Mahaska CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 2 of 5 2 of 5
  18. Prairie GateCouncil Bluffs, IA · 72 beds · Pottawattamie CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 4 of 5 2 of 5
  19. Casa De Paz Health Care CenterSioux City, IA · 71 beds · Woodbury CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  20. Heritage Care And Rehabilitation CenterMason City, IA · 71 beds · Cerro Gordo CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 2 of 5 2 of 5
  21. Azria Health ClarindaClarinda, IA · 70 beds · Page CountyInspections 3 of 5 · Staffing 2 of 5 · Quality 1 of 5 2 of 5
  22. Cedar Falls Health Care CenterCedar Falls, IA · 70 beds · Black Hawk CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 4 of 5 2 of 5
  23. Crestview Nursing and RehabilitationWebster City, IA · 70 beds · Hamilton CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 3 of 5 2 of 5
  24. Azria Health WintersetWinterset, IA · 65 beds · Madison CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 2 of 5 2 of 5
  25. Good Samaritan - EsthervilleEstherville, IA · 62 beds · Emmet CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 2 of 5 2 of 5
  26. Cherokee Specialty CareCherokee, IA · 62 beds · Cherokee CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 3 of 5 2 of 5
  27. The Vinton Lutheran HomeVinton, IA · 61 beds · Benton CountyInspections 1 of 5 · Staffing 5 of 5 · Quality 3 of 5 2 of 5
  28. Good Samaritan - WaukonWaukon, IA · 60 beds · Allamakee CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 2 of 5 2 of 5
  29. Chariton Specialty CareChariton, IA · 60 beds · Lucas CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 4 of 5 2 of 5
  30. Accura Healthcare of Knoxville, LLCKnoxville, IA · 60 beds · Marion CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 3 of 5 2 of 5
  31. Exira Care CenterExira, IA · 60 beds · Audubon CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 2 of 5 2 of 5
  32. The New Homestead Care CenterGuthrie Center, IA · 58 beds · Guthrie CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 4 of 5 2 of 5
  33. Thomas Rest HavenCoon Rapids, IA · 57 beds · Carroll CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 3 of 5 2 of 5
  34. Perry Lutheran Homes Eden Acres CampusPerry, IA · 57 beds · Dallas CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 3 of 5 2 of 5
  35. Arbor Springs of West Des Moines L L CWest Des Moines, IA · 56 beds · Dallas CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 3 of 5 2 of 5
  36. Manor House Care CenterSigourney, IA · 55 beds · Keokuk CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  37. Hallmark Care CenterMount Vernon, IA · 55 beds · Linn CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 3 of 5 2 of 5
  38. Hallmar VillageCedar Rapids, IA · 55 beds · Linn CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 3 of 5 2 of 5
  39. Stratford Specialty CareStratford, IA · 53 beds · Hamilton CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 4 of 5 2 of 5
  40. Winslow House Care CenterMarion, IA · 50 beds · Linn CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  41. Iowa Jewish Senior Life CenterDes Moines, IA · 46 beds · Polk CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 3 of 5 2 of 5
  42. Accura Healthcare of Lake City, LLCLake City, IA · 46 beds · Calhoun CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 3 of 5 2 of 5
  43. Accura Healthcare of OnawaOnawa, IA · 46 beds · Monona CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 2 of 5 2 of 5
  44. Accura Healthcare of Cascade LLCCascade, IA · 46 beds · Dubuque CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 4 of 5 2 of 5
  45. Ossian Care CenterOssian, IA · 46 beds · Winneshiek CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 3 of 5 2 of 5
  46. Sheffield Care CenterSheffield, IA · 45 beds · Franklin CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 4 of 5 2 of 5
  47. Aspire of Pleasant ValleyPleasant Valley, IA · 44 beds · Scott CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 2 of 5 2 of 5
  48. Careage Hills Rehabilitation and HealthcareCherokee, IA · 44 beds · Cherokee CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 3 of 5 2 of 5
  49. Good Samaritan - MansonManson, IA · 42 beds · Calhoun CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 4 of 5 2 of 5
  50. Colonial Manor of ElmaElma, IA · 40 beds · Howard CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 2 of 5 2 of 5

How to read this list

Iowa hosts 388 Medicare-certified nursing homes that participate in the CMS Five-Star Quality Rating System, each tracked by a unique six-digit CMS Certification Number (CCN) and evaluated on Health Inspection, Staffing, and Quality Measures components. Certification is required for any long-term care facility that bills Medicare or Medicaid for skilled nursing services, so this roster functions as a near-complete directory of the state's licensed SNF (skilled nursing facility) beds, excluded are assisted-living residences, independent-living communities, and memory-care units that operate outside the Medicare/Medicaid reimbursement system. This page uses 14,693 Medicare-certified nursing-home records from CMS Care Compare, with NPPES context where available. Every figure is traceable in the methodology.

The facilities on this page are paginated across 8 pages (50 per page) and sorted by CMS Overall Star Rating with highest-rated homes first, so if you're searching for the top-performing nursing homes in Iowa you can read from the top; if you're researching a specific facility name, use browser find or the search tool. Each listing shows the Overall star, the three component ratings (Health, Staffing, Quality), bed count, and county, drill into the facility's profile page for full deficiency counts, inspection cycle history, RN hours per resident per day, fines, and Special Focus or abuse-icon flags. Remember that identical Overall stars can mask very different underlying profiles: a 4-star facility with 1-star Staffing reads differently than a 4-star facility with 4-star Staffing.

CMS refreshes the Five-Star dataset monthly as new state surveys are uploaded, so ratings can shift; the figures here come from the file CMS processed on Jul 1, 2026. Important: PlainDoctor presents these ratings exactly as CMS publishes them at data.cms.gov - no custom scoring, no rankings, no editorial adjustments. This directory is a starting point for research, not a placement recommendation or medical advice; choosing a nursing home for yourself or a loved one is a high-stakes healthcare decision that should involve in-person tours, staff interviews, reading the full survey deficiency reports, and consulting licensed clinicians, hospital discharge planners, and elder-care attorneys or advisors who understand the financial and Medicaid implications.

States with the most nursing homes

  1. Texas1,177
  2. California1,165
  3. Ohio922
  4. Florida694
  5. Illinois667

All states →

Source: CMS Five-Star Quality Rating System, Nursing Home Provider Information, processed Jul 1, 2026 (data.cms.gov).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Jul 1, 2026.