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Iowa Hospice Rankings & Safety Report

zReports Research Institute · Updated October 2026

Bythe zReports Healthcare Research Team · zReports Research Institute Data sourcezReports Consumer Intelligence Database™ v2026.10 Facilities analyzed72 Government sourcesthe Centers for Medicare & Medicaid Services (CMS) Last updatedOctober 2026 MethodologyConsumer Z Score™ · Database v2026.10

Iowa has 72 active licensed hospices on the state's public file. zReports analyzed CMS hospice certification records to produce a records layer grade for every one, the government's own verdicts, mapped through one fixed rule. No facility can pay to change a score, and the grade is free.

Key findings

72active licensed hospices across 52 Iowa cities appear on the state's public file.
100%hold an A or B records layer grade.
85is the statewide average records layer score across all graded hospices.
Cedar Rapidshas the most licensed hospices in the state (4).

Key statistics

StatisticValue
Active licensed hospices72
Cities covered52
Statewide average records layer score85
Grade A facilities72 (100%)
Facilities with a clean record (no deficiencies on file)72 (100%)
Serious (high severity) findings on the record0
Moderate findings on the record0

By city

Cedar Rapids (4)Council Bluffs (4)Spirit Lake (3)West Des Moines (3)Des Moines (2)Waterloo (2)Ames (2)Hiawatha (2)Ottumwa (2)Carroll (2)Davenport (2)Urbandale (2)Ankeny (2)Sioux City (2)Estherville (1)Mason City (1)Marshalltown (1)Iowa City (1)Oskaloosa (1)Dubuque (1)Algona (1)Fort Madison (1)Sioux Center (1)Bettendorf (1)West Union (1)Sheldon (1)Emmetsburg (1)Spencer (1)Cherokee (1)Pella (1)Onawa (1)Washington (1)Fort Dodge (1)Cresco (1)Decorah (1)Harlan (1)Denison (1)Mount Pleasant (1)West Burlington (1)Maquoketa (1)Panora (1)Orange City (1)Amana (1)Monticello (1)Cedar Falls (1)Greenfield (1)Albia (1)Missouri Valley (1)Co Bluffs (1)Strawberry Point (1)Charles City (1)Johnston (1)

Statewide top 25

#1 Everystep Des Moines · A-

#2 Avera At Home Estherville · A-

#3 Mercyone North Iowa Hospice Mason City · A-

#4 Cedar Valley Hospice Waterloo · A-

#5 Iowa River Hospice Marshalltown · A-

#6 Mercyone Des Moines Hospice Des Moines · A-

#7 Iowa City Hospice Iowa City · A-

#8 Mary Greeley Hospice Services Ames · A-

#9 Mahaska Health Partnership Hospice Services Oskaloosa · A-

#10 Hospice Of Mercy Hiawatha · A-

#11 Hospice INC Serving Davis & Wapello Counties Ottumwa · A-

#12 Hospice Of Dubuque Dubuque · A-

#13 Hospice Of The Heartland Algona · A-

#14 Unitypoint Hospice Cedar Rapids · A-

#15 Lee County Health Department Fort Madison · A-

#16 Sioux Center Health Home Care And Hospice Sioux Center · A-

#17 Mercyone Genesis Bettendorf · A-

#18 Gundersen Palmer Lutheran Hosp And Clinics-Hospice West Union · A-

#19 Sanford Home Health And Hospice Sheldon Sheldon · A-

#20 Hospice Of Palo Alto County Emmetsburg · A-

#21 Aseracare Hospice Council Bluffs · A-

#22 Avera @ Home Of Spencer Hospital Spencer · A-

#23 Cherokee Regional Hospice Cherokee · A-

#24 Hospice Of Pella, The Comfort House Pella · A-

#25 Burgess Hospice Onawa · A-

Don't see a name? Search it. Every hospice has an answer.

Methodology

The free grade on this page contains zero zReports judgment: it maps the state's own published licensing and enforcement verdicts through one fixed rule, applied identically to every hospice in America. Where the record and public reputation diverge, a highly reviewed facility with serious findings on file, the paid Consumer Intelligence Report™ surfaces it through the composite Consumer Z Score™ and our published ten point methodology. Facilities are never contacted and cannot pay to change a score. Read the full methodology →

About hospice licensing in Iowa

Hospices in Iowa are overseen by the Centers for Medicare & Medicaid Services (CMS), whose certification, inspection, and quality-reporting data is published on the public record. This page is computed from CMS hospice certification records, the government’s own filings, not reviews or advertising.

Frequently asked questions

How many hospices are there in Iowa?

Iowa has 72 active licensed hospices on the state's public file, across 52 cities. Every one has a free records layer grade on zReports.

Which Iowa city has the most hospices?

Cedar Rapids, with 4 licensed hospices, followed by Council Bluffs (4) and Spirit Lake (3).

How are Iowa hospice grades calculated?

The free records layer grade contains zero zReports judgment. It maps the government's own published verdicts, CMS hospice certification records, through one fixed rule, applied identically to every hospice in the country. The paid Consumer Intelligence Report™ adds the composite Consumer Z Score™, which audits the record against public reputation through our published ten point methodology.

Why can a facility with 5-star reviews have a low grade?

Reviews and records are different surfaces. Reviews reflect what visitors chose to write, and can be managed by the business. Inspection and enforcement records are filed by the state, are mandatory, and cannot be edited by the facility. When the two diverge, the record is the surface worth checking. That divergence is exactly what zReports was built to surface.

How often are these rankings updated?

Rankings refresh whenever Iowa republishes its licensing data; facility pages carry the records-verified date for each provider. This page was generated from the current file as of October 2026.

Can a facility pay to change its score?

No. Facilities are never contacted, never notified, and cannot pay to be listed, delisted, or re-scored. zReports has no business relationship with any facility it grades, independence is the product.

Data Provenance

This report was generated from the zReports Consumer Records Database™, a continuously updated database that normalizes official government licensing, inspection, enforcement, ownership, and safety records across multiple federal and state agencies. Every statistic in this report is traceable to its originating public record. Facilities cannot pay to alter scores, rankings, or findings.

Data source: zReports Consumer Intelligence Database™ v2026.10 · Built from: CMS Provider Data Catalog · HHS OIG Exclusions List (LEIE) · Public consumer review signals (audited, never trusted, in the composite Consumer Z Score™) · Proprietary Consumer Z Score™ methodology · Updated: October 2026

Cite this report

APA, zReports Research Institute. (2026). Iowa Hospice Rankings & Safety Report (v2026.10). zReports.org. https://zreports.org/rankings/hospice/ia

MLA, zReports Research Institute. “Iowa Hospice Rankings & Safety Report.” zReports.org, v2026.10, October 2026, zreports.org/rankings/hospice/ia.

Plain, Iowa Hospice Rankings & Safety Report, zReports Research Institute, v2026.10, updated October 2026, zreports.org/rankings/hospice/ia

Related research

Hospices in all states → Cedar Rapids rankings →Council Bluffs rankings →Spirit Lake rankings → zReports Data Blog → How the Consumer Z Score™ works →