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222 Chain-Owned Nursing Homes in Iowa

222 of the 388 Medicare-certified nursing homes in Iowa (57%) are chain-owned, and all are listed below. 43 of the 222 graded homes earn an A and 11 earn a D or F. They average 3.62 nursing hours per resident per day, 0.2 hours below the 3.82 for every home in Iowa. Deerfield Health Care Center in Urbandale grades highest at A (100 out of 100).

How chain-owned homes in Iowa compare

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

Nursing hours per resident per day

3.62

All homes in Iowa: 3.82

Worse than the local average

Nurse staff turnover

46.1%

All homes in Iowa: 44.1%

Worse than the local average

Average ElderGrade score

75.2/100

All homes in Iowa: 77.9/100

Worse than the local average

Grade spread

A
B
C

43 grade A, 120 grade B, 48 grade C, 11 grade D,

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

Every chain-owned nursing home in Iowa

Showing 221 to 222 of 222, best-graded first.

D

52/100

Harvest Acres Nursing And Rehab

Keota, IA · Keokuk County

CMS 1/535 bedsFor-profitMedicaid
Nurse hours
3.47 /day
Staff turnover
70%
Serious cites
0

Harvest Acres runs thin on nurses, 3.47 hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday level. That's a problem in a 35-bed building, where there's no cushion when someone calls in. Turnover sits at 70.4%, well above the 45.8% national figure, so the people around your family member keep changing. The inspection record is the harder read: 50 deficiencies, six serious enough to involve harm or jeopardy, three tied to abuse, and a $136,500 fine. The most recent inspection was in December 2025, so the record is current, not stale. A for-profit LLC operates it.

D

50.5/100

Parkview Manor

Wellman, IA · Washington County

CMS 1/562 bedsFor-profitMedicaid
Nurse hours
2.80 /day
Staff turnover
n/a
Serious cites
0

Abuse icon on record

Parkview Manor runs on 2.80 nurse staffing hours per resident day, roughly 27% under the national average of 3.86, and weekends run about 8% thinner than weekdays. The inspection record shows 46 deficiencies, including six at the harm or jeopardy level and seven tied to abuse, with one fine totaling $93,473 and a last inspection dated August 2025. This is a for-profit corporation operating 62 certified beds, and the numbers behind each CMS rating, one star for health inspections, one for staffing, two for quality measures, point the same direction.

Frequently asked questions

How many chain-owned nursing homes are there in Iowa?
There are 222 chain-owned Medicare-certified nursing homes in Iowa, 57% of the 388 nursing homes there.
Are chain-owned nursing homes better staffed?
In Iowa they average 3.62 total nursing hours per resident per day, against 3.82 for all nursing homes in Iowa, a difference of -0.2 hours. Staff turnover averages 46.1% against 44.1%.
Which chain-owned nursing home grades best in Iowa?
Deerfield Health Care Center in Urbandale, IA, grade A, 100 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 222 graded chain-owned homes in Iowa, 43 grade A and 11 grade D or F.
Do chain-owned nursing homes in Iowa accept Medicaid?
220 of the 222 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Iowa