Iowa Hospital Rankings & Safety Report

zReports Research Institute · Updated September 2026

Bythe zReports Healthcare Research Team · zReports Research Institute Data sourcezReports Consumer Intelligence Database™ v2026.09 Facilities analyzed118 Government sourcesthe state's licensing authority Last updatedSeptember 2026 MethodologyConsumer Z Score™ · Database v2026.09

Iowa has 118 active licensed hospitals on the state's public file. zReports analyzed CMS Hospital Compare general information and quality data 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

118active licensed hospitals across 105 Iowa cities appear on the state's public file.
84.7%hold an A or B records layer grade, while 2 carry a D or F.
81.8is the statewide average records layer score across all graded hospitals.
Des Moineshas the most licensed hospitals in the state (4).

Key statistics

StatisticValue
Active licensed hospitals118
Cities covered105
Statewide average records layer score81.8
Grade A facilities84 (71.2%)
Grade B facilities16 (13.6%)
Grade C facilities16 (13.6%)
Grade D facilities2 (1.7%)
Facilities with a clean record (no deficiencies on file)118 (100%)
Serious (high severity) findings on the record0
Moderate findings on the record0
Critical Access Hospital82
General Acute Care Hospital32
Psychiatric Hospital4

By city

Des Moines (4)Iowa City (3)Council Bluffs (2)Cedar Rapids (2)Waterloo (2)Dubuque (2)Bettendorf (2)Sioux City (2)Independence (2)Cherokee (2)Marshalltown (1)Muscatine (1)Fort Dodge (1)Ames (1)Newton (1)Davenport (1)Cedar Falls (1)West Burlington (1)Mason City (1)Clinton (1)Ottumwa (1)Spencer (1)Spirit Lake (1)Grinnell (1)Belmond (1)Clarion (1)Grundy Center (1)Corning (1)Pocahontas (1)Anamosa (1)Britt (1)Hampton (1)Missouri Valley (1)Greenfield (1)Hawarden (1)Guttenberg (1)Dewitt (1)Guthrie Center (1)Sigourney (1)West Union (1)Marengo (1)Waukon (1)Elkader (1)Sumner (1)Rock Rapids (1)Perry (1)Osage (1)Hamburg (1)Jefferson (1)Winterset (1)Bloomfield (1)Cresco (1)Maquoketa (1)Audubon (1)New Hampton (1)Manning (1)Nevada (1)Humboldt (1)Rock Valley (1)Keosauqua (1)Oelwein (1)Waverly (1)Leon (1)Chariton (1)Albia (1)Manchester (1)Washington (1)Sibley (1)Sioux Center (1)Charles City (1)Osceola (1)Vinton (1)Lake City (1)Estherville (1)Clarinda (1)Algona (1)Ida Grove (1)Knoxville (1)Mount Pleasant (1)Emmetsburg (1)Corydon (1)Onawa (1)Orange City (1)Webster City (1)Red Oak (1)Fairfield (1)Creston (1)Shenandoah (1)Pella (1)Le Mars (1)Denison (1)Sac City (1)Decorah (1)Boone (1)Mount Ayr (1)Harlan (1)Storm Lake (1)Atlantic (1)Centerville (1)Dyersville (1)Oskaloosa (1)Iowa Falls (1)Sheldon (1)Carroll (1)Clive (1)

Statewide top 25

#1 Chi Health Mercy Council Bluffs Council Bluffs · A

#2 Iowa City Va Medical Center Iowa City · A

#3 Gundersen Palmer Lutheran Hospital And Clinics West Union · A

#4 Waverly Health Center Waverly · A

#5 Clarke County Hospital Osceola · A

#6 Van Diest Medical Center Webster City · A

#7 Cass County Memorial Hospital Atlantic · A

#8 Trinity Muscatine Muscatine · A-

#9 University Of Iowa Health Care Medical Center Down Iowa City · A-

#10 Mary Greeley Medical Center Ames · A-

#11 Mercyone Newton Medical Center Newton · A-

#12 Va Central Iowa Healthcare System Des Moines · A-

#13 St Lukes Hospital Cedar Rapids · A-

#14 Southeast Iowa Regional Medical Center West Burlington · A-

#15 Mercyone Waterloo Medical Center Waterloo · A-

#16 Mercy Medical Center - Cedar Rapids Cedar Rapids · A-

#17 Mercyone Clinton Medical Center Clinton · A-

#18 Spencer Municipal Hospital Spencer · A-

#19 Jones Regional Medical Center Anamosa · A-

#20 Chi Health Missouri Valley Missouri Valley · A-

#21 Compass Memorial Healthcare Marengo · A-

#22 Regional Health Services Of Howard County Cresco · A-

#23 Regional Medical Center Manchester · A-

#24 Virginia Gay Hospital Vinton · A-

#25 Clarinda Regional Health Center Clarinda · A-

Don't see a name? Search it. Every hospital 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 hospital 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 hospital licensing in Iowa

Hospitals in Iowa are overseen by the state's licensing authority, whose certification, inspection, and quality-reporting data is published on the public record. This page is computed from CMS Hospital Compare general information and quality data, the government’s own filings, not reviews or advertising.

Frequently asked questions

How many hospitals are there in Iowa?

Iowa has 118 active licensed hospitals on the state's public file, across 105 cities. Every one has a free records layer grade on zReports.

Which Iowa city has the most hospitals?

Des Moines, with 4 licensed hospitals, followed by Iowa City (3) and Council Bluffs (2).

How are Iowa hospital grades calculated?

The free records layer grade contains zero zReports judgment. It maps the government's own published verdicts, CMS Hospital Compare general information and quality data, through one fixed rule, applied identically to every hospital 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 September 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™ v2026.09 · 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: September 2026

Cite this report

APA, zReports Research Institute. (2026). Iowa Hospital Rankings & Safety Report (v2026.09). zReports.org. https://zreports.org/rankings/hospital/ia

MLA, zReports Research Institute. “Iowa Hospital Rankings & Safety Report.” zReports.org, v2026.09, September 2026, zreports.org/rankings/hospital/ia.

Plain, Iowa Hospital Rankings & Safety Report, zReports Research Institute, v2026.09, updated September 2026, zreports.org/rankings/hospital/ia

Related research

Hospitals in all states → Des Moines rankings →Iowa City rankings →Council Bluffs rankings → zReports Data Blog → How the Consumer Z Score™ works →