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Nursing homes in Hamilton County, Iowa
Hamilton County, Iowa, has 3 Medicare-certified nursing homes with 188 certified beds.
100% of them are rated 1 or 2 stars overall, a larger share than the state (38%). Inspectors recorded 108 health deficiencies over three cycles, 57.4 per 100 beds against 31.7 statewide.
Fines in the period covered total $97K across 4 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Hamilton County | Iowa | US |
|---|---|---|---|
| Facilities | 3 | 387 | 14690 |
| Rated 1–2 stars overall | 100% | 38% | 41% |
| Median overall rating | 2 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 57.4 | 31.7 | 26.8 |
| Median nurse hours per resident day | 3.7 | 3.7 | 3.7 |
| Fines listed | $97K | $7.5M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Crestview Nursing and Rehabilitation | Webster City | 70 | 2 | 2 | 4 | 19 | 27.1 | $25K | 17 Nov 2025 |
| Stratford Specialty Care | Stratford | 53 | 2 | 2 | 4 | 31 | 58.5 | — | 4 Dec 2025 |
| Southfield Wellness Community | Webster City | 65 | 1 | 1 | 4 | 58 | 89.2 | $72K | 19 Feb 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 8 |
| F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | 6 |
| F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | 6 |
| F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | 6 |
| F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 6 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 2 |
| Non profit | 1 |
Chains present: Legacy Healthcare (1), Care Initiatives (1).
Questions and answers
How many nursing homes are in Hamilton County, Iowa?
3 Medicare-certified nursing homes with 188 certified beds.
Which nursing homes in Hamilton County have the highest CMS ratings?
Crestview Nursing and Rehabilitation (2 stars), Stratford Specialty Care (2 stars), Southfield Wellness Community (1 stars)
How do Hamilton County nursing homes compare with Iowa?
100% are rated 1–2 stars overall against 38% statewide; citations run at 57.4 per 100 beds against 31.7 statewide.