167 Non-Profit Nursing Homes That Accept Medicaid in Iowa
167 of the 388 Medicare-certified nursing homes in Iowa (43%) are non-profit Medicaid-certified, and all are listed below. 64 of the 167 graded homes earn an A and 1 earn a D or F. Nurse staff turnover runs 41.6%, 2.5 points lower than the 44.1% across all homes there. St Francis Manor in Grinnell grades highest at A (99 out of 100).
How non-profit 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
3.98
All homes in Iowa: 3.82
Better than the local average
Nurse staff turnover
41.6%
All homes in Iowa: 44.1%
Better than the local average
Average ElderGrade score
80.9/100
All homes in Iowa: 77.9/100
Better than the local average
Grade spread
A
B
C
64 grade A, 86 grade B, 16 grade C, 1 grade D,
The best-graded non-profit Medicaid-certified home in Iowa is
St Francis Manor
in Grinnell, IA, grade A, 99/100.
Every non-profit Medicaid-certified nursing home in Iowa
Northern Mahaska Specialty Care runs leaner on nursing hours than most homes, 3.20 per resident day against a national average of 3.86, and weekends dip about 13% below its own weekday coverage, so Saturday and Sunday shifts are where you'd feel that most. The trade-off is stability: staff turnover sits at 31.3%, well under the national 45.8%, and the nonprofit owner isn't cycling through administrators the way some for-profits do. What pulls the record down is the inspection side. Ten deficiencies, including one at the harm level and one tied to abuse, plus a $39,033 fine, with the most recent inspection in late 2025. The care measures land middle of the pack.
Creston Specialty Care runs 74 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86. Weekends drop about 14% below the home's own weekday levels, so coverage thins out right when families tend to visit. Staff turnover is 48.1%, a bit above the 45.8% national figure. The current inspection record shows 17 deficiencies, including 2 at the harm or jeopardy level and 1 tied to abuse, with two fines totaling $19,663; the most recent inspection was May 8, 2025. All three CMS star ratings, health inspections, quality measures, and staffing, land at 3 out of 5.
Correctionville Specialty Care runs 39 certified beds as a nonprofit corporation, and the staffing picture is mixed. Nurse coverage sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86, and weekends dip about 10% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover is 51.6%, above the 45.8% national figure, which matters for how well aides know residents. The inspection record is the harder read: 42 deficiencies, seven at harm or jeopardy level, seven abuse-related, two fines totaling $60,316, and a survey completed December 31, 2025. Quality measures rate mid-range, but that inspection history is what drives the low overall mark.
Winslow House runs on 3.06 nurse staffing hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop about 18% under its own weekday level, so the thinnest coverage lands when families tend to visit. Its inspection record shows 16 deficiencies, two serious enough to reach harm or jeopardy, plus two fines totaling $18,360; the last inspection was September 2025. Quality measures score well at 4/5, but that reflects charted care, not the hands available. This nonprofit has real strengths and real gaps, and the staffing pattern is the one worth asking about directly.
The Village of Ackley runs 3.72 nurse hours per resident day, roughly 4% under the national average of 3.86, and weekends dip about 9% below its own weekday coverage. Staff turnover is the number that stands out: 66.7% annually against a 45.8% national average, meaning most of the people caring for residents were not there a year ago. The inspection record shows 33 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with two fines totaling $47,149. The last inspection was March 2026, so the picture is current. Quality and staffing star ratings both sit at 4/5, but the deficiency history and turnover tell a different story than the stars suggest.
The Highlands sits in Decorah with 86 certified beds and a nonprofit owner, and the numbers cut two ways. Nurse staffing runs 3.90 hours per resident day, just barely above the national average of 3.86, though weekends dip about 8% below its own weekday level. The bigger concerns show up in the inspection record: 34 deficiencies, four at the harm or jeopardy level, one tied to abuse, and $93,839 in fines across two penalties, with the most recent inspection in June 2025. Staff turnover of 53.3% lands well above the 45.8% national average, which matters for consistency of care. A 4/5 staffing star softens the picture, but the health inspection rating of 2/5 tells you where the trouble lives.
Good Samaritan - Forest City runs on a church-affiliated nonprofit model with 43 beds, and its staff tends to stay: turnover is 31%, well under the 45.8% national average. That stability matters in a small home. But daily nurse coverage sits at 3.49 hours per resident, about 10% under the national 3.86, and weekends drop roughly 9% below its own weekday staffing, so the hours thin out exactly when families tend to visit.
The inspection record shows 9 deficiencies, including 2 at harm or jeopardy level and 1 abuse-related, with $25,945 in fines across 2 penalties. The most recent inspection was August 2025. Quality measure scores come in at 2 out of 5 stars. Ask about the abuse-related citation and what changed since.
Pillar of Cedar Valley runs a lean nursing floor: 2.92 nurse hours per resident day against a national average near 3.86, and weekends drop roughly 15% below what the home already provides on weekdays. That staffing pattern is worth asking about directly, since it shapes how quickly call lights get answered on a Saturday.
The inspection record shows 23 deficiencies, three tied to abuse, though none reached the harm or jeopardy level as CMS defines it. Staff turnover sits at 32.7%, better than the 45.8% national figure, which suggests the people who are there tend to stay. The most recent state inspection was November 17, 2025. This is a nonprofit corporation with 114 certified beds.
Parkridge Specialty Care runs 90 certified beds in Pleasant Hill under nonprofit corporate ownership, and its staffing sits at 3.27 nurse hours per resident day, roughly 15% under the national average of 3.86, with weekends dropping about 10% below its own weekday levels. Turnover is 44.9%, essentially in line with the national 45.8%. The inspection record is the harder part: 49 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus one fine of $34,450, and the most recent inspection was October 2025. A 1-star health inspection rating against a 3-star staffing rating tells you where the problems cluster, not necessarily in raw hours, but in how care is delivered and documented when regulators look closely.
Elm Crest Retirement Community runs 50 certified beds in Harlan under nonprofit ownership, and its overall nurse staffing of 3.99 hours per resident day sits modestly above the national average of 3.86, roughly 3% higher. That edge narrows on weekends, when coverage drops about 14% below the home's own weekday level, and annual staff turnover reaches 71.7% against a national figure of 45.8%, meaning most of the people providing care are relatively new to the building. The current record shows 18 deficiencies, one of them serious enough to involve harm or jeopardy, with none tied to abuse. Inspectors last visited in January 2026.
Lutheran Living Senior Campus runs 155 certified beds as a church-affiliated nonprofit, and its nurse staffing comes in at 3.85 hours per resident day, basically dead even with the national average of 3.86. That sounds fine until you look at the inspection record: 43 deficiencies, seven of them at the harm or jeopardy level and five tied to abuse, with $253,886 in fines across three penalties. Staff turnover sits at 42.9%, slightly better than the 45.8% national figure, but weekend coverage drops about 11% below weekday levels. The most recent inspection was February 13, 2026. The quality measure rating is mid-range at 3 out of 5, but a 1-out-of-5 inspection star tells you where the real trouble lives.
Ravenwood Specialty Care is a 176-bed nonprofit home in Waterloo, and the numbers pull in two directions. Staffing sits at 3.35 nurse hours per resident day, about 13 percent under the national average, and weekends run roughly 8 percent thinner than weekdays. Turnover, though, is a genuine bright spot at 30.2 percent against a national average near 46.
What drags the picture down is the inspection record: 36 deficiencies, two of them serious enough to involve harm or jeopardy, and a one-star health inspection rating. The last inspection was recent, in November 2025, so that record reflects current conditions rather than old problems. A 2/5 on quality measures doesn't offset it. Plenty of direct-care hours have left the building, and the state has documented what that looks like.
Windmill Manor runs 120 beds in Coralville under nonprofit ownership, and its nurse staffing sits at 4.03 hours per resident day, roughly 4% above the national average, with weekend coverage dipping about 14% below weekday levels. What stands out more is the workforce stability: turnover runs 31.1%, well under the 45.8% national figure. The caution signs come from oversight. Inspectors found 23 deficiencies, including two at the harm or jeopardy level and one tied to abuse, along with a $11,213 fine. Quality measures score poorly, and the most recent inspection was April 2026. Staffing consistency is the strength here; the inspection record is the question.
Sanford Senior Care Sheldon runs 3.43 nursing hours per resident per day, roughly 11 percent under the national average, and weekends drop another 11 percent below its own weekday level. That thinner coverage adds up when you consider turnover: 58.9 percent of staff left over the past year, well above the 45.8 percent national rate. The inspection record is the harder part. Twenty deficiencies are on file, four of them serious enough to put residents at harm or jeopardy, including one tied to abuse. The last inspection was November 2025, so the picture is current, and a $11,872 fine is attached. This is a nonprofit home with 70 beds, and the numbers show a building struggling with both care quality and keeping people.
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.
Good Samaritan, Algona runs 72 certified beds as a nonprofit corporation, and it last cleared inspection in December 2025. Its nurses give 3.06 hours of care per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. Turnover sits at 41.8%, a bit better than the 45.8% national figure. The current record carries 27 deficiencies, three at harm or jeopardy level and four tied to abuse, plus one fine of $7,070. Quality measures scored 2 of 5 stars, so what's on paper is a home getting thinner weekday coverage than most and carrying a heavier-than-typical enforcement history.
Good Samaritan, Indianola runs 105 certified beds as a nonprofit corporation, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.19 hours per resident day against a national average of 3.86, weekends run about 16% thinner than weekdays, and annual turnover hits 60.5% when the national figure is 45.8%, that combination makes consistent care hard to guarantee. The inspection record compounds it: 43 deficiencies, four of them at harm or jeopardy level, one abuse-related, and two fines totaling $20,316. Its most recent inspection was May 2026, so the picture is current, not stale. Families should ask directly how the home covers weekend shifts and what it has changed since that last survey.
Eldora Specialty Care runs about 3.56 nursing hours per resident each day, roughly 8 percent under the national average of 3.86, and weekends dip another 6 percent below its own weekday coverage. Turnover sits at 38.5 percent, which is actually better than the 45.8 percent national figure, so staff tend to stick around longer than at the typical home. The record is clean where it counts: four deficiencies total, none at the harm or jeopardy level, no abuse citations, and the last inspection was recent, in December 2025. This is a small nonprofit home with solid inspection and quality marks; the main thing to weigh is whether the lighter daily staffing, especially on weekends, fits the care your family member needs.
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.
Crestview Specialty Care runs 65 certified beds in West Branch under nonprofit corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.67 hours per resident day, about 5% under the national average, and weekends drop roughly 11% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 62.7% is well above the 45.8% national figure, meaning the people caring for residents are cycling through fast.
What stands out most is the inspection record: 28 deficiencies, six of them serious enough to cause harm or jeopardy, and three fines totaling $216,061. The most recent inspection was December 2025. No abuse citations appear on file. Staffing and quality measures both land mid-range, but that deficiency history is the real weight here.
Frequently asked questions
How many non-profit Medicaid-certified nursing homes are there in Iowa?
There are 167 non-profit Medicaid-certified Medicare-certified nursing homes in Iowa, 43% of the 388 nursing homes there.
Are non-profit Medicaid-certified nursing homes better staffed?
In Iowa they average 3.98 total nursing hours per resident per day, against 3.82 for all nursing homes in Iowa, a difference of +0.16 hours. Staff turnover averages 41.6% against 44.1%.
Which non-profit Medicaid-certified nursing home grades best in Iowa?