RankingsUpdated August 2026

The 25 Best-Rated Nursing Homes in Iowa (2026)

The top 25 of 388 CMS-certified nursing homes in Iowa, ranked by health inspection scores, staffing levels, and penalty history — never paid placement. See how our ranking method works

3913.7 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
$54K$17K vs national avgNational avg: $71KAvg Fine (When Penalized)
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1No Penalties

Nursing HomeHumboldt, IA

Humboldt County Memorial Hospital

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing5.0
  • Quality Measures3.0
28 BedsInspected Jan 2024

Above Iowa avg of 3.1

1000 North 15th StreetHumboldt, IA 50548

(515) 332-4200

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2No Penalties

Nursing HomeMarshalltown, IA

Iowa Veterans Home

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing5.0
  • Quality Measures5.0
702 BedsInspected Nov 2025

Above Iowa avg of 3.1

1301 SummitMarshalltown, IA 50158

(641) 752-1501

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3No Penalties

Nursing HomeHampton, IA

Franklin General Hospital

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures5.0
52 BedsInspected May 2025

Above Iowa avg of 3.1

1720 Central Avenue EastHampton, IA 50441

(641) 456-5000

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4No Penalties

Nursing HomeEmmetsburg, IA

Palo Alto County Hospital

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures3.0
22 BedsInspected Jul 2025

Above Iowa avg of 3.1

3201 First StreetEmmetsburg, IA 50536

(712) 852-5520

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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 Measures3.0
60 BedsInspected Nov 2025

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 BedsInspected Mar 2025

Above Iowa avg of 3.1

915 Woodland AvenueRiceville, IA 50466

(641) 985-2606

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7No Penalties

Nursing HomeOrange City, IA

Prairie Ridge Care Center

Government

★★★★☆4 out of 5 stars4.0Above AverageCMS Overall
  • Health Inspection3.0
  • Staffing5.0
  • Quality Measures2.0
95 BedsInspected Apr 2025

Above Iowa avg of 3.1

1005 7th Street NeOrange City, IA 51041

(712) 707-6006

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81 Penalty

Nursing HomeIndependence, IA

Buchanan County Health Center

Government

★★★★☆4 out of 5 stars4.0Above AverageCMS Overall
  • Health Inspection3.0
  • Staffing5.0
  • Quality Measures4.0
39 BedsInspected Mar 2025

Above Iowa avg of 3.1

1600 First Street EastIndependence, IA 50644

(319) 334-6071

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9No Penalties

Nursing HomeAkron, IA

Akron Care Center, Inc

Government

★★★☆☆3 out of 5 stars3.0AverageCMS Overall
  • Health Inspection4.0
  • Staffing4.0
  • Quality Measures1.0
45 BedsInspected May 2025

Below Iowa avg of 3.1

991 Highway 3Akron, IA 51001

(712) 568-2422

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10No Penalties

Nursing HomeDubuque, IA

Sunnycrest Manor

Government

★★★☆☆3 out of 5 stars3.0AverageCMS Overall
  • Health Inspection3.0
  • Staffing4.0
  • Quality Measures2.0
77 BedsInspected Sep 2025

Below Iowa avg of 3.1

2375 Roosevelt StreetDubuque, IA 52001

(563) 583-1781

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11No Penalties

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 BedsInspected 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%

    About 15% higher than the national average of 17.7%.

    Census ACS 2023
  • Life expectancy78.2 yrs

    A little higher than the national average of 76.4 yrs.

    CDC NVSR 2022
  • Nurse staff turnover44.0%

    A little lower than the national average of 46.4%.

    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 391 nursing homes in the full directory. This rankings page evaluated 388 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 $54K. The national nursing-home average is $71K.

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 $54K versus $71K 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.

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