29 Nursing Homes That Accept Medicaid in Polk County, Iowa
29 of the 30 Medicare-certified nursing homes in Polk County, Iowa (97%) are Medicaid-certified, and all are listed below. 6 of the 29 graded homes earn an A and 5 earn a D or F. Nurse staff turnover runs 51%, 0.9 points higher than the 50.1% across all homes there. Childserve Habilitation Center in Johnston grades highest at A (95 out of 100).
How Medicaid-certified homes in Polk County, Iowa compare
This group set against every nursing home in Polk County, Iowa, from the current CMS release.
Nursing hours per resident per day
4.18
All homes in Polk County, Iowa: 4.22
Worse than the local average
Nurse staff turnover
51%
All homes in Polk County, Iowa: 50.1%
Worse than the local average
Average ElderGrade score
74.9/100
All homes in Polk County, Iowa: 75.8/100
Worse than the local average
Grade spread
A
B
C
D
6 grade A, 14 grade B, 4 grade C, 5 grade D,
The best-graded Medicaid-certified home in Polk County, Iowa is
Childserve Habilitation Center
in Johnston, IA, grade A, 95/100.
Every Medicaid-certified nursing home in Polk County, Iowa
The Bridges at Ankeny runs on thinner nurse coverage than most Iowa homes, 3.55 hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday level, exactly when families tend to visit. Staff turnover is the harder number to get past: 99.1% a year means roughly the entire nursing staff turns over annually, against a national rate near 46%. Its current inspection record carries 39 deficiencies, two of them serious enough to reach harm or jeopardy level, plus a $14,015 fine. The five-star quality measure score reflects how residents are doing clinically; the two-star inspection and staffing ratings reflect what's happening around them.
On With Life Long Term Care is small, 40 certified beds run by a nonprofit corporation, and its inspection record is genuinely strong: a five-star health inspection rating, seven total deficiencies, and none of them at the harm or jeopardy level or tied to abuse. That's the part families worry about most, and it's clean. The weaker signal sits in the quality measures, where it rates two stars, so the day-to-day clinical outcomes the federal data tracks don't look as good as the survey history. The most recent inspection was December 31, 2025, so the picture is current. A small nonprofit with a spotless harm record is worth a visit; ask specifically about the quality measures before deciding.
Harmony West Des Moines runs 113 beds under corporate ownership, and the numbers explain the record. Nurse staffing sits at 3.59 hours per resident day against a national average of 3.86, and weekends dip roughly 10% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Staff turnover is 58.9%, well above the 45.8% national figure, which makes consistent care hard to sustain.
The inspection history is the heavier problem: 46 deficiencies on the current record, including one at the harm level and five tied to abuse. The health inspection rating is 1 out of 5, with the most recent inspection dated March 5, 2026. Quality measures score better at 3 out of 5, but that sits alongside a 2 out of 5 for staffing.
Altoona Nursing and Rehabilitation Center carries 48 deficiencies on its current record, including one tied to abuse, though none reached the harm or jeopardy level. The 106-bed for-profit home in Polk County was inspected most recently on March 19, 2026. Where the numbers get harder to explain away is staffing: CMS gives it 1 out of 5 stars there, and its annual turnover sits at 97.8 percent against a national average of 45.8 percent. That means the aides and nurses caring for residents are, almost without exception, new to the building each year. Inspection and quality measures each land at 2 stars. Families weighing this home against others nearby should ask directly how they hold onto caregivers.
Greater Southside runs on 3.44 nurse hours per resident per day, about 11% under the national average, and weekends drop roughly 22% below its own weekday staffing. That thinner coverage adds up over time: 62.3% of staff left last year against a 45.8% national rate, and CMS flags the home as a Special Focus Facility. The inspection record backs that up, 66 deficiencies, including 8 at harm or jeopardy level and 8 tied to abuse, with four fines totaling $166,443. The most recent inspection was June 2025. For a family weighing this one, the staffing and inspection numbers are the ones that matter most.
Azria Health Park Place carries 70 certified beds under for-profit LLC ownership, and the numbers tell a hard story. Three-and-a-half nurse staffing hours per resident day sits about 9% under the national average, and weekends dip roughly 12% below the home's own weekday levels, so the thinnest coverage lands when families are most likely to visit. Staff turnover near 70% runs well above the national 46%, which means the people providing care keep changing. On inspections, the record shows 70 deficiencies, including three at harm or jeopardy level and five tied to abuse, plus $36,875 in fines. CMS has placed this home in its Special Focus Facility program, a designation reserved for the most persistently troubled nursing homes.
Pine Acres holds 140 certified beds in West Des Moines under for-profit LLC ownership, and the nurse staffing figure, 3.84 hours per resident day, sits roughly even with the national average, though weekends run about 7% thinner than weekdays. The record is where the trouble shows: 85 deficiencies, nine of them at harm or jeopardy level and three abuse-related, plus $353,109 in fines across three CMS actions. Staff turnover is 56.9% against a national 45.8%, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently poor performers. The last inspection was January 8, 2026.
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.
Royal Oaks is a 115-bed for-profit home in Urbandale that CMS has placed in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. The inspection record backs that up: 71 deficiencies, seven serious enough to put residents in harm's way, two tied to abuse, and three fines totaling $122,945. Staffing runs about 6% under the national average, and the gap widens on weekends, when coverage drops roughly 9% below its own weekday level. Turnover sits at 66.7%, well above the 45.8% national figure, so the people caring for residents are constantly changing. If you're considering this one, ask hard questions about what's changed since the May 2025 inspection.
Frequently asked questions
How many Medicaid-certified nursing homes are there in Polk County, Iowa?
There are 29 Medicaid-certified Medicare-certified nursing homes in Polk County, Iowa, 97% of the 30 nursing homes there.
Are Medicaid-certified nursing homes better staffed?
In Polk County, Iowa they average 4.18 total nursing hours per resident per day, against 4.22 for all nursing homes in Polk County, Iowa, a difference of -0.04 hours. Staff turnover averages 51% against 50.1%.
Which Medicaid-certified nursing home grades best in Polk County, Iowa?