Iowa Nursing Home Rankings & Safety Report

zReports Research Institute · Updated August 2026

Bythe zReports Healthcare Research Team · zReports Research Institute Data sourcezReports Consumer Intelligence Database™ v2026.08 Facilities analyzed389 Government sourcesthe Centers for Medicare & Medicaid Services (CMS) Last updatedAugust 2026 MethodologyConsumer Z Score™ · Database v2026.08

Iowa has 389 active licensed nursing homes on the state's public file. zReports analyzed CMS Nursing Home Compare 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

389active licensed nursing homes across 249 Iowa cities appear on the state's public file.
63%hold an A or B records layer grade, while 82 carry a D or F.
75.5is the statewide average records layer score across all graded nursing homes.
Cedar Rapidsis the highest-scoring larger city (10 facilities, average score 71.8).
Des Moineshas the most licensed nursing homes in the state (12).
25,254is the combined licensed capacity across 389 facilities reporting a capacity figure.

Key statistics

StatisticValue
Active licensed nursing homes389
Cities covered249
Statewide average records layer score75.5
Grade A facilities166 (42.7%)
Grade B facilities79 (20.3%)
Grade C facilities62 (15.9%)
Grade D facilities73 (18.8%)
Grade F facilities9 (2.3%)
Facilities with a clean record (no deficiencies on file)389 (100%)
Serious (high severity) findings on the record0
Moderate findings on the record0
Combined licensed capacity25,254

By city

Des Moines (12)Cedar Rapids (10)Dubuque (8)Davenport (7)Waterloo (6)Sioux City (6)Marion (5)Cedar Falls (5)Council Bluffs (5)West Des Moines (5)Newton (5)Ankeny (4)Marshalltown (4)Iowa City (3)Mason City (3)Mount Pleasant (3)Keokuk (3)Fort Dodge (3)Indianola (3)Ottumwa (3)Carroll (3)Oskaloosa (3)Bettendorf (3)Cherokee (3)Emmetsburg (3)Ames (3)Perry (3)Johnston (3)Urbandale (3)Charles City (2)Sergeant Bluff (2)Altoona (2)Osage (2)Decorah (2)Norwalk (2)Red Oak (2)Algona (2)Estherville (2)Creston (2)Le Mars (2)Coralville (2)Clinton (2)Mount Ayr (2)Centerville (2)Denison (2)Waukon (2)Grundy Center (2)Atlantic (2)New Hampton (2)Independence (2)Fairfield (2)Knoxville (2)Sigourney (2)Oelwein (2)Hampton (2)Nevada (2)Sibley (2)Webster City (2)Muscatine (2)Spencer (2)Boone (2)Grinnell (2)Washington (2)Cresco (2)Maquoketa (2)Shenandoah (2)Vinton (2)Asbury (2)Lake City (1)West Burlington (1)Madrid (1)Strawberry Point (1)Elk Horn (1)Sioux Center (1)Clarinda (1)Hartley (1)Odebolt (1)West Union (1)Winterset (1)Villisca (1)Dunlap (1)Dayton (1)Keosauqua (1)Holstein (1)Granger (1)Saint Ansgar (1)Forest City (1)Rock Rapids (1)Anita (1)Laurens (1)Mediapolis (1)Corydon (1)Manly (1)Fort Madison (1)Oakland (1)Audubon (1)Jefferson (1)Wellman (1)Lenox (1)Manson (1)Hawarden (1)George (1)Hull (1)Leon (1)Panora (1)Conrad (1)Carlisle (1)Onawa (1)Lansing (1)Mechanicsville (1)Mapleton (1)Stratford (1)Monticello (1)Polk City (1)Inwood (1)Corning (1)Traer (1)West Branch (1)Bedford (1)Osceola (1)Avoca (1)Montezuma (1)Whiting (1)La Porte City (1)Mc Gregor (1)Montrose (1)Chariton (1)Shell Rock (1)Fonda (1)Albia (1)Lamoni (1)Eldora (1)Amana (1)Zearing (1)Correctionville (1)Pleasantville (1)Bloomfield (1)Winfield (1)Kingsley (1)Stanton (1)Mount Vernon (1)Guttenberg (1)Hubbard (1)Allison (1)Battle Creek (1)Sac City (1)Pleasant Hill (1)Aplington (1)Nora Springs (1)Belle Plaine (1)Armstrong (1)Keota (1)Greene (1)Woodbine (1)Coon Rapids (1)Storm Lake (1)Clarion (1)Britt (1)Garner (1)Clear Lake (1)Lake Mills (1)Harlan (1)Missouri Valley (1)Bellevue (1)Anamosa (1)Pleasant Valley (1)Wheatland (1)Edgewood (1)Belmond (1)Greenfield (1)Sheffield (1)Elma (1)Lone Tree (1)State Center (1)Elkader (1)Marcus (1)Milford (1)New London (1)Remsen (1)Rockwell (1)Bancroft (1)Exira (1)Pomeroy (1)West Liberty (1)Story City (1)Titonka (1)Ogden (1)Fayette (1)Stacyville (1)Burlington (1)Waverly (1)Ackley (1)West Bend (1)Gladbrook (1)Toledo (1)Wapello (1)North English (1)Tama (1)Kanawha (1)Kalona (1)Iowa Falls (1)Sidney (1)Columbus Junction (1)Northwood (1)Ruthven (1)Wall Lake (1)Tripoli (1)Clarksville (1)Eagle Grove (1)Stuart (1)Sumner (1)Manchester (1)Reinbeck (1)Guthrie Center (1)Spirit Lake (1)Glenwood (1)Aurelia (1)Hiawatha (1)Orange City (1)Riceville (1)Tabor (1)Wayland (1)Solon (1)Adel (1)Williamsburg (1)Cascade (1)West Point (1)Sanborn (1)Ossian (1)Buffalo Center (1)Clarence (1)Dallas Center (1)Brooklyn (1)Akron (1)Tipton (1)Denver (1)Keystone (1)Grimes (1)Pella (1)Wilton (1)Marengo (1)Lisbon (1)De Witt (1)Clive (1)Sheldon (1)Rock Valley (1)Dyersville (1)Humboldt (1)Centerville, (1)

Statewide top 25

#1 Chautauqua Guest Home #2 Charles City · A

#2 Oaknoll Retirement Residence Iowa City · A

#3 Friendship Village Retirement Waterloo · A

#4 Strawberry Point Lutheran Home Strawberry Point · A

#5 Park Place Mount Pleasant · A

#6 On With Life Ankeny · A

#7 Briarwood Healthcare Center Iowa City · A

#8 Good Samaritan - Saint Ansgar Saint Ansgar · A

#9 Regency Park Nursing & Rehab Center Of Carroll Carroll · A

#10 Chautauqua Guest Home #3 Charles City · A

#11 Mill-Pond Ankeny · A

#12 Mechanicsville Specialty Care Mechanicsville · A

#13 Clearview Home Mount Ayr · A

#14 On With Life Long Term Care Polk City · A

#15 Sunrise Hill Care Center Traer · A

#16 Laporte City Specialty Care La Porte City · A

#17 Accura Healthcare Of Le Mars Le Mars · A

#18 Fonda Specialty Care Fonda · A

#19 Lamoni Specialty Care Lamoni · A

#20 Eldora Specialty Care Eldora · A

#21 Colonial Manor Of Amana Amana · A

#22 Sunrise Terrace Nursing & Rehabilitation Center Winfield · A

#23 Guttenberg Care Center Guttenberg · A

#24 Valley Vue Care Center Armstrong · A

#25 Westview Care Center Britt · A

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

Nursing Homes 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 Nursing Home Compare data, the government’s own filings, not reviews or advertising.

Frequently asked questions

How many nursing homes are there in Iowa?

Iowa has 389 active licensed nursing homes on the state's public file, across 249 cities, with a combined licensed capacity of 25,254. Every one has a free records layer grade on zReports.

Which Iowa city has the most nursing homes?

Des Moines, with 12 licensed nursing homes, followed by Cedar Rapids (10) and Dubuque (8).

How are Iowa nursing home grades calculated?

The free records layer grade contains zero zReports judgment. It maps the government's own published verdicts, CMS Nursing Home Compare data, through one fixed rule, applied identically to every nursing home 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 August 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™ v2026.08 · 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: August 2026

Cite this report

APA, zReports Research Institute. (2026). Iowa Nursing Home Rankings & Safety Report (v2026.08). zReports.org. https://zreports.org/rankings/nursing/ia

MLA, zReports Research Institute. “Iowa Nursing Home Rankings & Safety Report.” zReports.org, v2026.08, August 2026, zreports.org/rankings/nursing/ia.

Plain, Iowa Nursing Home Rankings & Safety Report, zReports Research Institute, v2026.08, updated August 2026, zreports.org/rankings/nursing/ia

Related research

Nursing Homes in all states → Des Moines rankings →Cedar Rapids rankings →Dubuque rankings → zReports Data Blog → How the Consumer Z Score™ works →