Best Nursing Homes in Iowa

142 of 395 nursing homes (36%) meet our strict criteria. The national average is 31%.

#9 of 50 states

142 recommended · 167 avoid · 251 cities · data

Recommended Statewide

142

Facilities graded B or better with zero fines

142 recommended 7 caution 167 avoid

National Rank

#9

Top 10

Total Facilities

395

across 251 cities

Facilities to Avoid

167

129 Grade F

$8,860,973 in combined fines

Best City

Indianola

67% recommended

State Average

3.1

CMS star rating

Iowa vs National Average

Comparison of nursing home metrics between Iowa and national averages
Metric Iowa National Verdict
% Recommended 36% 31% ✓ Better
Average CMS Stars 3.1 3.0 ✓ Better
Staff Turnover 50% 44% ✗ Worse
RN Hours/Day 0.65 0.75 ✗ Worse
Avg Deficiencies 8.5 7.5 ✗ Worse

Data from CMS Care Compare as of . National averages based on all 15,000 U.S. nursing homes.

The Iowa Reality

Iowa ranks as the 9th best state in the nation for nursing home care, which positions it favorably compared to the national average of 31% recommended facilities. With 142 out of 395 nursing homes meeting quality recommendations—representing 36%—families can find a range of options for their loved ones. However, it is crucial to note that there are still 167 facilities that should be avoided, including 129 that have received an F grade, which raises significant concerns about the quality of care in those establishments. The average rating from the Centers for Medicare & Medicaid Services (CMS) is 3.06 stars, indicating that while many facilities perform adequately, there are notable outliers that families must consider carefully.

Among the highlights of Iowa's nursing home landscape, Indianola stands out as the best city, with an impressive 67% of its facilities recommended. Families might consider the Hegg Memorial Health Center in Rock Valley, which boasts a Trust Score of 95, indicating a high level of confidence in its care quality. However, the presence of numerous facilities to avoid, alongside total fines amounting to $8,860,973, demonstrates that not all options are created equal. The significant number of F-grade facilities is a cautionary indicator that families should not overlook when assessing potential care environments.

When searching for quality nursing home care in Iowa, families should prioritize a comprehensive assessment of facilities. Start by examining Trust Scores and CMS star ratings, as these metrics can provide insights into the quality and reliability of care. Additionally, it is crucial to check for any fines associated with the facilities, as this can reveal potential issues regarding compliance and care standards. Families should take the time to visit facilities, speak with staff, and gather feedback from current residents and their families to ensure a well-informed decision that prioritizes safety and quality of life for their loved ones.

Quality Trend

Is Iowa improving or declining?

2024
39%
2025
37%
2026
36%

Iowa quality has remained stable.

Cities Ranked by Quality

Click any city to see detailed facility recommendations

Statewide Warning Patterns

Common issues found across Iowa nursing homes

High Number of Facilities with F Grades

In Iowa, 129 out of 395 nursing homes have received F grades, indicating significant quality and safety issues.

Facilities to Avoid

There are 167 facilities in Iowa recommended to avoid, indicating a significant portion of homes may not meet quality care standards.

Substantial Total Fines

With total fines amounting to $8,860,973, Iowa nursing homes face notable financial penalties, reflecting ongoing regulatory challenges.

Top 10 Nursing Homes in Iowa

Highest-scoring facilities statewide

  1. 1
    95 A+
  2. 2
    95 A+
  3. 3
    95 A+
  4. 4
    95 A+
  5. 5
    95 A+
  6. 6
    95 A+
  7. 7
    95 A+
  8. 8
    Iowa Veterans Home

    Marshalltown

    95 A+
  9. 9
    95 A+
  10. 10
    Bethany Home

    Dubuque

    95 A+

Care Type Availability

Where to find specific care in Iowa

Memory Care

30 facilities

Best options in Indianola

Short-Term Rehab

80 facilities

Highest success in Indianola

Medicaid Beds

150 facilities

Avg waitlist: 2-4 months

Ventilator / Complex Care

5 facilities

Limited availability

Cost Overview

Private Room

$7,500/mo

Near national average

Semi-Private

$6,500/mo

Medicaid Rate

$165/day

75% of recommended facilities accept Medicaid

Frequently Asked Questions

How does Iowa compare to neighboring states?

Iowa ranks 9th nationally for the quality of nursing home care, which is higher than many of its neighboring states. For example, states like Missouri and Nebraska typically rank lower, indicating that Iowa may offer better options for nursing home care in comparison.

What percentage of nursing homes in Iowa meet quality criteria?

In Iowa, approximately 36% of nursing homes meet recommended quality criteria, which is above the national average of 31%. This suggests that Iowa is making significant strides in ensuring higher standards of care in its facilities.

Which city in Iowa offers the best nursing home care?

Indianola is recognized as the best city in Iowa for nursing home care, offering a range of high-quality facilities. This city stands out for its commitment to providing excellent services and support for residents.

What is the cost of a private room in a Iowa nursing home?

The average cost of a private room in an Iowa nursing home is around $8,500 per month. This figure reflects the state's overall healthcare landscape and can vary based on location and specific facility amenities.