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105 Continuing Care Retirement Communities in Iowa

105 of the 388 Medicare-certified nursing homes in Iowa (27%) are CCRC, and all are listed below. 45 of the 105 graded homes earn an A and 2 earn a D or F. They average 4.17 nursing hours per resident per day, 0.35 hours above the 3.82 for every home in Iowa. Deerfield Health Care Center in Urbandale grades highest at A (100 out of 100).

How CCRC homes in Iowa compare

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

Nursing hours per resident per day

4.17

All homes in Iowa: 3.82

Better than the local average

Nurse staff turnover

41.2%

All homes in Iowa: 44.1%

Better than the local average

Average ElderGrade score

82.2/100

All homes in Iowa: 77.9/100

Better than the local average

Grade spread

A
B

45 grade A, 51 grade B, 7 grade C, 2 grade D,

The best-graded CCRC home in Iowa is Deerfield Health Care Center in Urbandale, IA, grade A, 100/100.

Every CCRC nursing home in Iowa

Showing 41 to 60 of 105, best-graded first.

A

85.5/100

Stonehill Care Center

Dubuque, IA · Dubuque County

CMS 4/5185 bedsNon-profitMedicaid
Nurse hours
4.31 /day
Staff turnover
n/a
Serious cites
0

Stonehill Care Center runs 4.31 nursing hours per resident per day, roughly 12% above the national average of 3.86, and that staffing shows up in its four-star rating. Weekend coverage dips about 10% below its own weekday level, which is common but worth knowing if you're visiting on a Saturday. The inspection record is clean where it counts: four total deficiencies, none at the harm or jeopardy level and none abuse-related, with a visit as recent as August 2025. As a nonprofit with 185 beds in Dubuque, it's working from a stable base. Families weighing options here are looking at a home that's solidly staffed and hasn't had serious trouble.

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

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.

B

84.5/100

Strawberry Point Lutheran Home

Strawberry Point, IA · Clayton County

CMS 4/516 bedsNon-profitMedicaid
Nurse hours
5.13 /day
Staff turnover
56%
Serious cites
0

Strawberry Point Lutheran Home is a 16-bed nonprofit in Clayton County, and the numbers suggest a place that runs lean but attentive. Nurse staffing sits at 5.13 hours per resident day, roughly a third more than the national average, though weekends drop about 17% below its own weekday level, worth asking how that gap gets covered. Staff turnover is 56%, higher than the 45.8% national figure, which is common in small rural homes but still means familiar faces cycle through. Nine deficiencies on record, none at the harm level and none abuse-related, with a fresh inspection in April 2025. Its four-star marks across inspections, quality measures, and staffing line up with what you'd expect from a well-staffed, small nonprofit.

B

84.5/100

Colonial Manor Of Amana

Amana, IA · Iowa County

CMS 3/550 bedsFor-profitMedicaid
Nurse hours
3.43 /day
Staff turnover
35%
Serious cites
0

Colonial Manor Of Amana runs a tight ship on inspections, a five-star health inspection record with just three deficiencies on file, none causing harm and none tied to abuse. That matters more than most families realize. The tradeoff shows up in daily staffing: 3.43 nurse hours per resident, about 11% under the national average, and weekends run roughly 17% thinner than weekdays. Turnover sits at 34.8%, which is actually better than the national 45.8%, a sign this for-profit corporation retains its caregivers reasonably well. Fifty beds, inspected recently in June 2025, quality measures middling at three stars. The care appears safe and well-supervised; just know weekends may feel stretched.

B

84.5/100

Parkview Home

Wayland, IA · Henry County

CMS 5/534 bedsNon-profitMedicaid
Nurse hours
4.07 /day
Staff turnover
39%
Serious cites
0

Parkview Home runs on a church-affiliated nonprofit model with 34 beds, and the numbers behind its grade hold up well. Nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average, though weekends drop about 18% below what the home staffs on weekdays, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover is 39.3%, better than the 45.8% national figure, and the home carries 10 deficiencies with none at the harm level and none abuse-related. Its last inspection was June 2025, and it scored 5 out of 5 on health inspections.

B

84/100

Good Samaritan - Ottumwa

Ottumwa, IA · Wapello County

CMS 2/5126 bedsNon-profitMedicaid
Nurse hours
3.63 /day
Staff turnover
31%
Serious cites
0

Good Samaritan in Ottumwa runs 126 certified beds as a nonprofit, and its staffing sits a bit under the national average, 3.63 nurse hours per resident day against 3.86, with weekends about 8% lighter than weekdays. That modest shortfall is worth knowing if your family member needs help on Saturdays and Sundays. What stands out more is retention: turnover of 31.2% against a national 45.8% means aides and nurses tend to stay, which usually translates into more consistent care. But the inspection record carries real weight: 33 deficiencies, three at harm or jeopardy level, two tied to abuse, and $91,569 in fines across two penalties. The most recent inspection was December 2025. Quality and staffing both rate 4 out of 5; health inspections come in at 3.

B

84/100

Maple Heights

Mapleton, IA · Monona County

CMS 5/558 bedsFor-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
28%
Serious cites
0

Maple Heights runs on strong staffing for a 58-bed for-profit corporate home in Monona County. Nurses provide 4.36 hours per resident per day, roughly 13% above the national average, and the 28.4% turnover rate is well below the 45.8% national figure, people tend to stay. Inspections back that up: 11 deficiencies on record, none at the harm level and none abuse-related, with the most recent survey in December 2025. Two things temper the picture. Weekend staffing dips about 8% below the home's own weekday coverage, and the 2/5 quality measure rating suggests the clinical outcomes data isn't keeping pace with the staffing numbers.

B

84/100

Scenic Manor

Iowa Falls, IA · Hardin County

CMS 5/577 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
27%
Serious cites
0

Scenic Manor runs 77 certified beds in Iowa Falls under corporate for-profit ownership, and its staffing sits at 3.71 nurse hours per resident day, about 4% under the national average of 3.86. Weekend coverage drops roughly 11% below what the home staffs on weekdays, so if you're visiting or calling on a Saturday, expect a thinner floor. The stronger number is turnover: 26.9% against a national average of 45.8%, which suggests workers here tend to stay. Its current record shows 11 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in May 2025.

B

84/100

Hegg Memorial Health Center

Rock Valley, IA · Sioux County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
21%
Serious cites
0

Nurse staffing at Hegg Memorial runs 4.02 hours per resident day, about 4% above the national average, and weekends dip roughly 14% below the home's own weekday coverage, a gap worth asking about if your family visits mainly on Saturdays and Sundays. The bigger story is retention: 21.1% annual turnover against a national average of 45.8% means aides and nurses here tend to stay, which matters more for daily care than almost anything else on paper. Eleven deficiencies sit on the current record, none at the harm level and none abuse-related, with the last inspection in November 2025. This is a nonprofit corporation in Rock Valley, and the numbers describe a stable, adequately staffed home rather than an outstanding one.

B

83.5/100

Accura Healthcare Of Ottumwa

Ottumwa, IA · Wapello County

CMS 4/560 bedsFor-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
25%
Serious cites
0

Accura Healthcare of Ottumwa runs 60 certified beds under corporate ownership, and its staffing sits just a hair under the national average at 3.81 hours per resident day. The bigger story is consistency: weekend coverage drops roughly 17% from weekday levels, so families should ask how that gap gets filled. Turnover is the bright spot here, 25.4% against a national average of 45.8% means aides and nurses tend to stay, which matters for familiarity with residents. The current record shows six deficiencies, one serious enough to involve harm or jeopardy, with no abuse citations. Inspectors last visited in September 2025, and the home earned four stars across health inspections, quality measures, and staffing.

B

83/100

Green Hills Health Care Center

Ames, IA · Story County

CMS 5/556 bedsFor-profit
Nurse hours
4.53 /day
Staff turnover
47%
Serious cites
0

Green Hills runs on a strong direct-care workforce: 4.53 nurse hours per resident day is about 17 percent more than the national average, and that shows up in a five-star staffing rating. The catch is consistency, weekend coverage drops roughly 13 percent below weekday levels, and turnover sits at 47.1 percent, slightly worse than the national average, so the faces around your family member may change often. Seven deficiencies on record, none involving harm, jeopardy, or abuse, and a January 2026 inspection is recent enough to trust. Quality measures are the weak spot at two stars, which is worth asking about directly even though the care hours look good on paper.

B

83/100

Brio Of Johnston, Llc

Johnston, IA · Polk County

CMS 3/536 bedsFor-profitMedicaid
Nurse hours
4.57 /day
Staff turnover
55%
Serious cites
0

Brio Of Johnston runs a for-profit limited liability operation with 36 certified beds in Polk County, and its nurse staffing sits at 4.57 hours per resident day, roughly 18% above the national average. That margin narrows on weekends, when coverage drops about 10% below the home's own weekday pace. Staff turnover lands at 55.1%, nearly ten points above the national figure, which means the people delivering that care are cycling through faster than average. Twelve deficiencies sit on the current record, one serious enough to involve harm or jeopardy, with a single fine of $6,923 and an inspection dated April 2026. The staffing and quality measure ratings hold at 4 stars each; inspection results sit lower at 3.

B

83/100

Hallmar Village

Cedar Rapids, IA · Linn County

CMS 2/555 bedsNon-profitMedicaid
Nurse hours
4.46 /day
Staff turnover
51%
Serious cites
0

Hallmar Village runs a church-affiliated nonprofit with 55 beds, and its staffing is the clear strength: 4.46 nurse hours per resident day, roughly 15% above the national average, with weekend coverage only about 8% below weekday levels. The tradeoffs show up elsewhere. Staff turnover sits at 51.4%, higher than the 45.8% national figure, and the current inspection record carries 21 deficiencies, three of them serious enough to involve harm or jeopardy. No abuse citations, and one fine totaling $11,960. The last inspection was in October 2025, so the picture is fairly current. Strong bedside hours can offset a lot, but a turnover rate above average plus three harm-level findings is what holds this home back.

B

82/100

Sunrise Hill Care Center

Traer, IA · Tama County

CMS 4/576 bedsFor-profitMedicaid
Nurse hours
3.26 /day
Staff turnover
10%
Serious cites
0

Sunrise Hill runs lean on daily nursing hours, 3.26 per resident, roughly 15% under the national average, and weekends dip another 11% below its own weekday staffing. That's the tradeoff at a 76-bed for-profit home in rural Tama County. What stands out is retention: 10.3% turnover against a national average near 46%, meaning the aides and nurses here largely stay put, which matters more for daily care than a single staffing number. The inspection record is mostly clean (three deficiencies) but includes one harm-level and one abuse-related finding, so ask directly how those were resolved. Last inspected December 2025, so the record is current.

B

82/100

Concord Care Center

Garner, IA · Hancock County

CMS 5/546 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
53%
Serious cites
0

Concord Care Center runs 46 beds in Garner under for-profit LLC ownership, and the inspection record is the strongest part of the picture, the state visited in September 2025 and found 11 deficiencies, none of which rose to harm or jeopardy. The one abuse-related citation is worth asking about directly. Where the home gives ground is staffing: 3.50 nurse hours per resident day sits about 9% under the national average, weekend coverage dips roughly 12% below its own weekday levels, and 53.2% of staff turned over in a year against a 45.8% national rate. That combination, solid surveys, thinner and less stable coverage, is what keeps this from grading higher despite strong quality measure scores.

B

82/100

River Hills Village In Keokuk

Keokuk, IA · Lee County

CMS 3/584 bedsFor-profitMedicaid
Nurse hours
4.28 /day
Staff turnover
40%
Serious cites
0

River Hills Village sits at 84 certified beds under for-profit LLC ownership in Keokuk, and the staffing picture is its clearest strength: 4.28 nurse hours per resident day, roughly 11% above the national average. Turnover runs 40%, better than the 45.8% norm, though weekend coverage dips about 7% below weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows 8 deficiencies, one serious enough to reach harm or jeopardy level, none abuse-related, with the most recent survey in September 2025. Quality measures score well; the health inspection side is more middle-of-the-road.

B

82/100

Wesley On Grand

Des Moines, IA · Polk County

CMS 4/580 bedsNon-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
45%
Serious cites
0

Wesley On Grand runs on a solid staffing base: 3.94 nurse hours per resident day, a bit above the national average of 3.86. Weekend coverage dips about 5% from weekday levels, and turnover sits at 44.7%, marginally better than the 45.8% national figure. The inspection record is clean where it matters, four deficiencies total, none causing harm or jeopardy, none abuse-related, with the most recent survey in June 2025. Quality measures land mid-range. It's a nonprofit home with 80 beds whose strongest asset is a spotless harm-level record and dependable weekday staffing; the trade-offs are thinner weekend coverage and a quality-measure score that won't impress anyone.

Frequently asked questions

How many CCRC nursing homes are there in Iowa?
There are 105 CCRC Medicare-certified nursing homes in Iowa, 27% of the 388 nursing homes there.
Are CCRC nursing homes better staffed?
In Iowa they average 4.17 total nursing hours per resident per day, against 3.82 for all nursing homes in Iowa, a difference of +0.35 hours. Staff turnover averages 41.2% against 44.1%.
Which CCRC nursing home grades best in Iowa?
Deerfield Health Care Center in Urbandale, IA, grade A, 100 out of 100.
Does being CCRC mean a nursing home is safe?
No. Of the 105 graded CCRC homes in Iowa, 45 grade A and 2 grade D or F.
Do CCRC nursing homes in Iowa accept Medicaid?
102 of the 105 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Iowa