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107 Best Medicaid Nursing Homes in Iowa

107 of the 388 Medicare-certified nursing homes in Iowa (28%) are top-graded Medicaid-certified, and all are listed below. 107 of the 107 graded homes earn an A and 0 earn a D or F. Nurse staff turnover runs 33.8%, 10.3 points lower than the 44.1% across all homes there. Iowa Veterans Home in Marshalltown grades highest at A (99 out of 100).

How top-graded Medicaid-certified homes in Iowa compare

This group set against every nursing home in Iowa, from the current CMS release.

Nursing hours per resident per day

4.27

All homes in Iowa: 3.82

Better than the local average

Nurse staff turnover

33.8%

All homes in Iowa: 44.1%

Better than the local average

Average ElderGrade score

89.6/100

All homes in Iowa: 77.9/100

Better than the local average

Grade spread

A

107 grade A,

The best-graded top-graded Medicaid-certified home in Iowa is Iowa Veterans Home in Marshalltown, IA, grade A, 99/100.

Every top-graded Medicaid-certified nursing home in Iowa

Showing 101 to 107 of 107, best-graded first.

A

85/100

Pleasant View Care Center

Whiting, IA · Monona County

CMS 4/570 bedsFor-profitMedicaid
Nurse hours
4.34 /day
Staff turnover
39%
Serious cites
0

Pleasant View runs about 4.34 nurse hours per resident per day, roughly 12% above the national average, and its staff turnover of 39% comes in under the 45.8% national figure, two real strengths in a 70-bed for-profit building. The catch is consistency: weekend staffing drops about 13% below its own weekday level, so the care you'd see on a Tuesday isn't guaranteed on a Sunday. Twelve deficiencies sit on the current record, none at the harm or jeopardy level and none abuse-related, with the last inspection in July 2025. Solid numbers overall, worth a visit on a weekend to see the difference for yourself.

A

85/100

Westview Care Center

Britt, IA · Hancock County

CMS 5/567 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
34%
Serious cites
0

Westview Care Center runs a tight operation, zero deficiencies on its current record, no abuse findings, and a recent inspection from July 2025 that came back clean. Staffing sits at 3.56 hours per resident day, roughly 8% under the national average of 3.86, and weekends dip about 10% below its own weekday coverage, so afternoons and Saturdays may feel leaner than the numbers suggest. What stands out is retention: turnover at 34.4% beats the national 45.8%, meaning the people caring for residents tend to stick around. For a 67-bed for-profit LLC in Britt, that combination of a spotless inspection history and a stable workforce is the real story here.

A

85/100

Traditions Memory Care Of Newton

Newton, IA · Jasper County

CMS 3/546 bedsFor-profitMedicaid
Nurse hours
2.99 /day
Staff turnover
21%
Serious cites
0

Traditions Memory Care of Newton runs lean on the floor. At 2.99 nurse hours per resident day, it sits about 23% under the national average, and weekends dip roughly 8% below its own weekday levels, the stretch when families tend to visit and when staffing gaps show most. What offsets that is stability: 21.2% turnover against a national 45.8% means the aides and nurses here largely stay, which matters more in memory care than almost anywhere. Seven deficiencies on record, none at harm or jeopardy level and none abuse-related, with a fresh July 2025 inspection behind those numbers. The corporate owner takes profit, and the low staffing score reflects that choice; the people working there appear to be doing right by residents anyway.

A

85/100

Ruthven Community Care Center

Ruthven, IA · Palo Alto County

CMS 4/546 bedsNon-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
35%
Serious cites
0

Ruthven Community Care Center runs 46 certified beds as a nonprofit, and its recent inspection history is genuinely clean for a home this size, six deficiencies on record, none of them causing harm or jeopardy, and the last survey closed out in October 2025. The tradeoff sits in the daily staffing numbers: 3.33 nurse hours per resident, roughly 14% under the national average, and weekends drop about another 10% below the home's own weekday level. Turnover at 35% is better than the 45.8% national figure, which matters for consistency of care. The quality and inspection ratings both land at 4 out of 5. Ask about weekend coverage and which shift the abuse-related citation involved.

A

85/100

Martin Health Center, Inc

Cedar Falls, IA · Black Hawk County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
4.21 /day
Staff turnover
40%
Serious cites
0

Martin Health Center runs on unusually solid staffing for a 50-bed nonprofit home in Cedar Falls, 4.21 nurse hours per resident day, roughly 9% above the national average, and enough to earn a top staffing rating from CMS. Weekend coverage dips about 8% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 39.7%, better than the 45.8% national figure, no small thing when consistent caregivers matter. The tradeoffs show up elsewhere: 11 deficiencies on record, one serious enough to involve harm or jeopardy, and a mid-range quality measure score. The last inspection was recent, in May 2025, so the picture is current.

A

85/100

Wesley Park Centre

Newton, IA · Jasper County

CMS 4/566 bedsNon-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
35%
Serious cites
0

Wesley Park Centre in Newton runs a nonprofit operation with 66 certified beds, and the staffing numbers are the strongest part of the picture: 4.19 nurse hours per resident day, roughly 8% above the national average, with a five-star CMS staffing rating to match. Weekend coverage dips about 11% below weekday levels, though, and turnover sits at 35.2%, better than the 45.8% national figure, but still a third of the staff leaving annually. The inspection record is where it gets cloudier: 10 deficiencies on file, two of them serious enough to involve harm or jeopardy, plus one fine of $17,345, with the most recent inspection in January 2026. Solid staffing, moderate inspection history.

A

85/100

Savannah Heights

Mount Pleasant, IA · Henry County

CMS 5/550 bedsFor-profitMedicaid
Nurse hours
3.85 /day
Staff turnover
47%
Serious cites
0

Savannah Heights runs 50 beds in Mount Pleasant under corporate for-profit ownership, and its last inspection was in August 2025, recent enough that the record reflects how the home operates now. Nurse staffing sits at 3.85 hours per resident day, essentially level with the national average of 3.86, though weekends run about 15% thinner than weekdays. Turnover is 47.4% against a national 45.8%, so a meaningful share of caregivers are still new to the building. The 16 deficiencies on file include one abuse-related citation, but none rose to harm or jeopardy, and the inspection and quality ratings both land at 4 of 5.

Frequently asked questions

How many top-graded Medicaid-certified nursing homes are there in Iowa?
There are 107 top-graded Medicaid-certified Medicare-certified nursing homes in Iowa, 28% of the 388 nursing homes there.
Are top-graded Medicaid-certified nursing homes better staffed?
In Iowa they average 4.27 total nursing hours per resident per day, against 3.82 for all nursing homes in Iowa, a difference of +0.45 hours. Staff turnover averages 33.8% against 44.1%.
Which top-graded Medicaid-certified nursing home grades best in Iowa?
Iowa Veterans Home in Marshalltown, IA, grade A, 99 out of 100.
Does being top-graded Medicaid-certified mean a nursing home is safe?
No. Of the 107 graded top-graded Medicaid-certified homes in Iowa, 107 grade A and 0 grade D or F.
Do top-graded Medicaid-certified nursing homes in Iowa accept Medicaid?
107 of the 107 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Iowa