RankingsCMS data: August 2026

Best Nursing Homes in Iowa (2026)

The top 25 of 385 CMS-certified nursing homes in Iowa, ranked by CMS overall rating, then penalties, health inspections and staffing — never paid placement. See how our ranking method works

3873.6 per 30K residentsAbove national avg of 1.3 per 30KTotal Nursing Homes
3.1/5
+0.1 vs national avgNational avg: 3.00Statewide Avg Rating
$53K$17K vs national avgNational avg: $70KAvg Fine (When Penalized)
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1No Penalties

Nursing HomeMarshalltown, IA

Iowa Veterans Home

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing5.0
  • Quality Measures5.0
702 BedsStandard health inspection Apr 2026

Above Iowa avg of 3.1

1301 SummitMarshalltown, IA 50158

(641) 752-1501

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2No Penalties

Nursing HomeHampton, IA

Franklin General Hospital

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures4.0
52 BedsStandard health inspection May 2025

Above Iowa avg of 3.1

1720 Central Avenue EastHampton, IA 50441

(641) 456-5000

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3No Penalties

Nursing HomeHumboldt, IA

Humboldt County Memorial Hospital

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures5.0
28 BedsStandard health inspection Feb 2026

Above Iowa avg of 3.1

1000 North 15th StreetHumboldt, IA 50548

(515) 332-4200

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4No Penalties

Nursing HomeOrange City, IA

Prairie Ridge Care Center

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures2.0
95 BedsStandard health inspection Jun 2026

Above Iowa avg of 3.1

1005 7th Street NeOrange City, IA 51041

(712) 707-6006

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5No Penalties

Nursing HomeNevada, IA

Story Medical Senior Care

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures5.0
60 BedsStandard health inspection Apr 2026

Above Iowa avg of 3.1

710 S 19th StNevada, IA 50201

(515) 382-2111

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6No Penalties

Nursing HomeRiceville, IA

Riceville Family Care And Therapy Center

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing4.0
  • Quality Measures5.0
34 BedsStandard health inspection Mar 2026

Above Iowa avg of 3.1

915 Woodland AvenueRiceville, IA 50466

(641) 985-2606

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71 Penalty

Nursing HomeIndependence, IA

Buchanan County Health Center

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures4.0
39 BedsStandard health inspection Mar 2026

Above Iowa avg of 3.1

1600 First Street EastIndependence, IA 50644

(319) 334-6071

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8No Penalties

Nursing HomeAkron, IA

Akron Care Center, Inc

Government

★★★★☆4 out of 5 stars4.0Above AverageCMS Overall
  • Health Inspection4.0
  • Staffing4.0
  • Quality Measures2.0
45 BedsStandard health inspection Jun 2026

Above Iowa avg of 3.1

991 Highway 3Akron, IA 51001

(712) 568-2422

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9No Penalties

Nursing HomeEmmetsburg, IA

Palo Alto County Hospital

Government

★★★★☆4 out of 5 stars4.0Above AverageCMS Overall
  • Health Inspection4.0
  • Staffing4.0
  • Quality Measures4.0
22 BedsStandard health inspection Jul 2025

Above Iowa avg of 3.1

3201 First StreetEmmetsburg, IA 50536

(712) 852-5520

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10No Penalties

Nursing HomeDubuque, IA

Sunnycrest Manor

Government

★★★★☆4 out of 5 stars4.0Above AverageCMS Overall
  • Health Inspection4.0
  • Staffing4.0
  • Quality Measures2.0
77 BedsStandard health inspection Mar 2026

Above Iowa avg of 3.1

2375 Roosevelt StreetDubuque, IA 52001

(563) 583-1781

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111 Penalty

Nursing HomeCoon Rapids, IA

Thomas Rest Haven

Government

★★☆☆☆2 out of 5 stars2.0Below AverageCMS Overall
  • Health Inspection2.0
  • Staffing4.0
  • Quality Measures3.0
57 BedsStandard health inspection Sep 2025

Below Iowa avg of 3.1

217 Main StreetCoon Rapids, IA 50058

(712) 999-2253

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State report

Why families compare nursing homes in Iowa

#17of 51 states & DC
Health Ranking

Above the median for overall health outcomes (rank 17 of 51).

America’s Health Rankings 2024
  • Population 65+20.3%Census ACS 2023
  • Life expectancy78.2 yrs

    A little higher than the national average of 76.4 yrs.

    CDC NVSR 2022
  • Nurse staff turnover44.2%

    A little lower than the national average of 45.8%.

    CMS PBJ 2024

See full demographics & care economics for Iowa →

FAQ

Questions families ask about this page

How many nursing homes are in Iowa?

Iowa has 387 nursing homes in the active CMS data. This rankings page evaluated 385 eligible nursing homes with public CMS ratings and public profile slugs, then highlighted the top 25.

What is the average CMS rating for nursing homes in Iowa?

Nursing homes in Iowa average 3.1 out of 5 on the CMS overall rating, compared with a national nursing-home average of 3.0.

What is the average fine when a nursing home in Iowa is penalized?

Among Iowa nursing homes that were fined, the average fine is $53K. The national nursing-home average is $70K.

How does Iowa compare with the national average?

Iowa averages 3.1 out of 5 on CMS overall rating, compared with a national nursing-home average of 3.0. The average fine when penalized is $53K versus $70K nationally.

Should I rely on these rankings alone?

No. Use this report as a shortlist, then review the facility profile, confirm payment options, look at inspection history, and speak with licensed professionals before making a care decision.

What do the CMS data and inspection dates mean?

CMS data: August 2026. The inspection date is the latest standard health inspection reported in the CMS survey summary, including inspections with no deficiencies. Complaint and fire safety surveys are separate. A recent CMS release can include an older inspection date. Listings absent from the latest imported CMS provider release remain available on the platform but are excluded from current rankings.

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