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The 25 Best Nursing Homes in Iowa

Ranked by ElderGrade score — a composite of inspection citations weighted by the harm they caused, case-mix-adjusted nurse staffing, RN cover, weekend consistency, staff turnover, resident outcomes and enforcement history. Homes carrying an abuse flag, Special Focus status or an immediate-jeopardy citation are capped and cannot appear near the top, however well they staff. Full method.

Nobody paid to be on this list. We take no fees from facilities, chains or placement agencies.

  1. #1
    A

    100/100

    Deerfield Health Care Center

    Urbandale, IA · Polk County

    CMS 5/5 30 beds Non-profit
    Nurse hours
    5.31 /day
    Staff turnover
    26%
    Serious cites
    0
  2. #2
    A

    99/100

    Iowa Veterans Home

    Marshalltown, IA · Marshall County

    CMS 5/5 702 beds Government Medicaid
    Nurse hours
    4.74 /day
    Staff turnover
    25%
    Serious cites
    0
  3. #3
    A

    99/100

    St Francis Manor

    Grinnell, IA · Poweshiek County

    CMS 5/5 78 beds Non-profit Medicaid
    Nurse hours
    4.85 /day
    Staff turnover
    28%
    Serious cites
    0
  4. #4
    A

    97.5/100

    Story Medical Senior Care

    Nevada, IA · Story County

    CMS 5/5 60 beds Government Medicaid
    Nurse hours
    4.79 /day
    Staff turnover
    29%
    Serious cites
    0
  5. #5
    A

    97/100

    Accura Healthcare Of New Hampton

    New Hampton, IA · Chickasaw County

    CMS 4/5 52 beds For-profit Medicaid
    Nurse hours
    6.02 /day
    Staff turnover
    21%
    Serious cites
    0
  6. #6
    A

    96/100

    Terrace Glen Village

    Marion, IA · Linn County

    CMS 5/5 40 beds For-profit Medicaid
    Nurse hours
    4.23 /day
    Staff turnover
    33%
    Serious cites
    3

    3 citation(s) involving actual harm or immediate jeopardy

  7. #7
    A

    96/100

    Spurgeon Manor

    Dallas Center, IA · Dallas County

    CMS 5/5 55 beds Non-profit Medicaid
    Nurse hours
    5.21 /day
    Staff turnover
    37%
    Serious cites
    0
  8. #8
    A

    96/100

    Bethany Home

    Dubuque, IA · Dubuque County

    CMS 5/5 66 beds For-profit Medicaid
    Nurse hours
    4.50 /day
    Staff turnover
    32%
    Serious cites
    0
  9. #9
    A

    96/100

    Meth-Wick Health Center

    Cedar Rapids, IA · Linn County

    CMS 5/5 69 beds Non-profit Medicaid
    Nurse hours
    4.92 /day
    Staff turnover
    41%
    Serious cites
    0
  11. #11
    A

    94.5/100

    Childserve Habilitation Center

    Johnston, IA · Polk County

    CMS 5/5 74 beds Non-profit Medicaid
    Nurse hours
    10.30 /day
    Staff turnover
    34%
    Serious cites
    0
  12. #12
    A

    94.5/100

    Titonka Care Center

    Titonka, IA · Kossuth County

    CMS 5/5 26 beds Non-profit Medicaid
    Nurse hours
    4.15 /day
    Staff turnover
    25%
    Serious cites
    0
  13. #13
    A

    94.1/100

    Heartland Care Center

    Marcus, IA · Cherokee County

    CMS 5/5 38 beds Non-profit Medicaid
    Nurse hours
    4.45 /day
    Staff turnover
    36%
    Serious cites
    0
  14. #14
    A

    94/100

    Wilton Retirement Community

    Wilton, IA · Muscatine County

    CMS 5/5 34 beds Non-profit Medicaid
    Nurse hours
    5.36 /day
    Staff turnover
    28%
    Serious cites
    0
  15. #15
    A

    94/100

    Clarence Nursing Home

    Clarence, IA · Cedar County

    CMS 5/5 46 beds For-profit Medicaid
    Nurse hours
    3.58 /day
    Staff turnover
    30%
    Serious cites
    0
  16. #16
    A

    93/100

    Walnut Ridge

    Clive, IA · Dallas County

    CMS 5/5 60 beds For-profit Medicaid
    Nurse hours
    4.89 /day
    Staff turnover
    24%
    Serious cites
    0
  17. #17
    A

    93/100

    Edgewater, A Wesleylife Community

    West Des Moines, IA · Polk County

    CMS 4/5 40 beds Non-profit Medicaid
    Nurse hours
    4.70 /day
    Staff turnover
    44%
    Serious cites
    0
  18. #18
    A

    93/100

    Mayflower Home

    Grinnell, IA · Poweshiek County

    CMS 5/5 40 beds Non-profit Medicaid
    Nurse hours
    4.65 /day
    Staff turnover
    41%
    Serious cites
    0
  20. #20
    A

    93/100

    Lone Tree Health Care Center Inc

    Lone Tree, IA · Johnson County

    CMS 5/5 44 beds For-profit Medicaid
    Nurse hours
    4.45 /day
    Staff turnover
    32%
    Serious cites
    0
  21. #21
    A

    93/100

    Friendship Haven, Inc

    Fort Dodge, IA · Webster County

    CMS 4/5 155 beds Non-profit Medicaid
    Nurse hours
    4.41 /day
    Staff turnover
    40%
    Serious cites
    0
  22. #22
    A

    92/100

    Prairie View Home

    Sanborn, IA · Obrien County

    CMS 5/5 55 beds Non-profit Medicaid
    Nurse hours
    3.49 /day
    Staff turnover
    26%
    Serious cites
    0
  24. #24
    A

    92/100

    Woodland Terrace

    Waverly, IA · Bremer County

    CMS 5/5 100 beds Non-profit Medicaid
    Nurse hours
    4.44 /day
    Staff turnover
    41%
    Serious cites
    1

    1 citation(s) involving actual harm or immediate jeopardy

  25. #25
    A

    91.9/100

    State Center Specialty Care

    State Center, IA · Marshall County

    CMS 5/5 39 beds Non-profit Medicaid
    Nurse hours
    3.41 /day
    Staff turnover
    40%
    Serious cites
    0

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