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.
St. Anthony Senior Services runs 79 certified beds as a church-affiliated nonprofit in Carroll, and its nurse staffing sits at 3.87 hours per resident day, essentially level with the national average of 3.86, though weekends run about 8% leaner than weekdays. The real concern is the inspection record: 19 deficiencies, three of them serious enough to put residents at harm or jeopardy, including one abuse-related finding, and a $12,038 fine. A recent inspection in February 2026 means the record is current, not stale. Quality measures score well, but strong clinical numbers don't offset a pattern of serious health and safety findings.
Azria Health Winterset runs 65 beds under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 9% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 42.9% is slightly better than the 45.8% national figure, but the inspection record is the bigger concern: 30 deficiencies, one of them serious enough to reach harm or jeopardy level. That March 2026 inspection is recent, and the two-out-of-five ratings on health inspections, quality measures, and staffing all point the same direction.
Ridgecrest Village runs 137 certified beds in Davenport as a nonprofit, and the numbers worth knowing sit in its staffing and inspection record. Nurse staffing comes in at 3.69 hours per resident day, roughly 5% under the national average, and weekends drop about 7% below what the home staffs on weekdays. Annual turnover is 97.4%, more than double the national figure of 45.8%, meaning the aides and nurses around your family member likely change often. The current record carries 41 deficiencies, three at harm or jeopardy level and two tied to abuse, along with three fines totaling $118,886. The most recent inspection was October 2025, and the health inspection rating sits at 1 out of 5.
Bishop Drumm is run by a church-affiliated nonprofit, and its staffing numbers tell two stories. Nurse hours sit at 3.64 per resident day, about 6% under the national average, and weekends drop roughly 13% below its own weekday coverage. Turnover is the bright spot: 34.9% against a national 45.8%, which suggests people stay. But the inspection record is where this home falls apart, 77 deficiencies, 9 of them at harm or jeopardy level, four fines totaling $258,177, and a place in CMS's Special Focus Facility program, reserved for the country's most troubled homes. A July 2025 inspection is recent, so the picture isn't stale.
Chapters Living Of Council Bluffs has real staffing strength, 4.88 nurse hours per resident day, well above the national average, though weekends run thinner than weekdays. The inspection record tells a different story: 68 deficiencies, including nine tied to abuse and one serious enough to put residents in harm's way, plus a $163,800 fine. That combination landed it in CMS's Special Focus Facility program, which is reserved for the country's most troubled homes. A recent inspection in January 2026 means the state is watching closely. For families weighing this one, the question isn't whether aides are present, it's what those inspections keep finding.
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%.