Nursing homes in Iowa
Iowa has 387 certified nursing homes in 99 counties. Select a county or a city to see its homes in one table.
Follow changes:Open the watch listFeed (RSS)All homes in Iowa (CSV)
Counties
| County | Homes | Certified beds | Median overall rating | Citations for each 100 beds | Fines |
|---|---|---|---|---|---|
| Adair | 2 | 111 | 5 | 28.8 | $4,516 |
| Adams | 1 | 40 | 4 | 47.5 | $0 |
| Allamakee | 3 | 150 | 2 | 28.7 | $95,441 |
| Appanoose | 3 | 111 | 3 | 41.4 | $0 |
| Audubon | 2 | 106 | 4 | 30.2 | $34,416 |
| Benton | 4 | 202 | 5 | 18.8 | $0 |
| Black Hawk | 12 | 1,059 | 2 | 24.0 | $284,701 |
| Boone | 4 | 286 | 3 | 23.1 | $0 |
| Bremer | 4 | 220 | 4 | 28.2 | $0 |
| Buchanan | 2 | 109 | 5 | 24.8 | $26,751 |
| Buena Vista | 1 | 93 | 4 | 22.6 | $0 |
| Butler | 5 | 204 | 3 | 35.3 | $17,167 |
| Calhoun | 3 | 118 | 2 | 61.9 | $38,610 |
| Carroll | 4 | 247 | 2 | 40.1 | $23,228 |
| Cass | 3 | 192 | 3 | 58.9 | $51,773 |
| Cedar | 4 | 204 | 5 | 30.4 | $248,350 |
| Cerro Gordo | 5 | 439 | 2 | 13.9 | $96,442 |
| Cherokee | 5 | 229 | 3 | 41.9 | $8,021 |
| Chickasaw | 2 | 98 | 4 | 22.4 | $0 |
| Clarke | 1 | 90 | 3 | 8.9 | $36,865 |
| Clay | 2 | 161 | 2 | 42.9 | $114,782 |
| Clayton | 5 | 197 | 4 | 11.2 | $8,281 |
| Clinton | 4 | 301 | 4 | 14.3 | $19,338 |
| Crawford | 2 | 130 | 5 | 14.6 | $0 |
| Dallas | 8 | 455 | 3 | 34.3 | $83,475 |
| Davis | 1 | 91 | 3 | 11.0 | $0 |
| Decatur | 2 | 89 | 5 | 19.1 | $0 |
| Delaware | 1 | 112 | 3 | 7.1 | $0 |
| Des Moines | 3 | 282 | 2 | 34.4 | $65,094 |
| Dickinson | 2 | 126 | 4 | 24.6 | $34,567 |
| Dubuque | 12 | 933 | 4 | 15.4 | $131,597 |
| Emmet | 3 | 148 | 2 | 40.5 | $0 |
| Fayette | 4 | 231 | 4 | 19.0 | $0 |
| Floyd | 3 | 160 | 5 | 10.6 | $0 |
| Franklin | 3 | 149 | 4 | 19.5 | $0 |
| Fremont | 2 | 92 | 4 | 82.6 | $17,996 |
| Greene | 1 | 46 | 4 | 52.2 | $0 |
| Grundy | 4 | 169 | 4 | 41.4 | $72,609 |
| Guthrie | 2 | 104 | 3 | 31.7 | $0 |
| Hamilton | 3 | 188 | 2 | 57.4 | $97,033 |
| Hancock | 3 | 139 | 5 | 10.1 | $0 |
| Hardin | 4 | 221 | 5 | 22.6 | $93,250 |
| Harrison | 3 | 222 | 1 | 49.1 | $10,062 |
| Henry | 6 | 284 | 5 | 23.2 | $33,807 |
| Howard | 2 | 83 | 5 | 20.5 | $44,768 |
| Humboldt | 1 | 28 | 5 | 25.0 | $0 |
| Ida | 2 | 100 | 4 | 28.0 | $99,103 |
| Iowa | 4 | 211 | 5 | 21.8 | $46,814 |
| Jackson | 3 | 167 | 2 | 21.6 | $0 |
| Jasper | 5 | 260 | 3 | 38.1 | $37,089 |
| Jefferson | 2 | 143 | 1 | 72.0 | $106,751 |
| Johnson | 7 | 571 | 5 | 25.4 | $73,808 |
| Jones | 2 | 139 | 5 | 20.9 | $0 |
| Keokuk | 3 | 131 | 1 | 102.3 | $155,182 |
| Kossuth | 4 | 169 | 5 | 31.4 | $7,070 |
| Lee | 6 | 392 | 3 | 19.4 | $105,009 |
| Linn | 18 | 1,312 | 2 | 29.1 | $214,541 |
| Louisa | 2 | 88 | 5 | 55.7 | $0 |
| Lucas | 1 | 60 | 2 | 30.0 | $15,134 |
| Lyon | 3 | 121 | 4 | 37.2 | $18,142 |
| Madison | 1 | 65 | 2 | 46.2 | $0 |
| Mahaska | 3 | 234 | 2 | 25.2 | $94,876 |
| Marion | 4 | 284 | 2 | 33.8 | $96,937 |
| Marshall | 5 | 979 | 2 | 13.6 | $133,634 |
| Mills | 1 | 69 | 3 | 33.3 | $35,913 |
| Mitchell | 5 | 206 | 4 | 44.7 | $36,419 |
| Monona | 3 | 174 | 4 | 30.5 | $0 |
| Monroe | 1 | 54 | 4 | 33.3 | $0 |
| Montgomery | 4 | 203 | 3 | 50.7 | $29,894 |
| Muscatine | 4 | 344 | 3 | 25.3 | $253,886 |
| O'Brien | 3 | 187 | 3 | 24.1 | $56,400 |
| Osceola | 2 | 92 | 5 | 18.5 | $0 |
| Page | 3 | 162 | 2 | 96.3 | $162,697 |
| Palo Alto | 5 | 214 | 4 | 34.6 | $25,695 |
| Plymouth | 5 | 260 | 4 | 27.7 | $27,378 |
| Pocahontas | 2 | 84 | 5 | 34.5 | $0 |
| Polk | 30 | 2,254 | 3 | 41.3 | $1,792,598 |
| Pottawattamie | 7 | 549 | 1 | 58.1 | $253,937 |
| Poweshiek | 4 | 209 | 5 | 10.0 | $0 |
| Ringgold | 2 | 128 | 4 | 10.9 | $0 |
| Sac | 3 | 154 | 3 | 33.1 | $14,433 |
| Scott | 11 | 1,015 | 2 | 33.6 | $395,945 |
| Shelby | 2 | 114 | 2 | 57.0 | $0 |
| Sioux | 5 | 364 | 4 | 37.1 | $130,305 |
| Story | 7 | 453 | 3 | 22.1 | $83,881 |
| Tama | 4 | 242 | 3 | 19.8 | $24,756 |
| Taylor | 2 | 75 | 4 | 56.0 | $0 |
| Union | 2 | 105 | 2 | 54.3 | $36,464 |
| Van Buren | 1 | 60 | 1 | 95.0 | $59,150 |
| Wapello | 3 | 246 | 3 | 27.6 | $100,568 |
| Warren | 6 | 456 | 3 | 31.1 | $135,990 |
| Washington | 4 | 237 | 4 | 33.3 | $144,479 |
| Wayne | 1 | 71 | 4 | 19.7 | $0 |
| Webster | 4 | 350 | 4 | 22.0 | $199,641 |
| Winnebago | 3 | 146 | 4 | 15.1 | $25,945 |
| Winneshiek | 3 | 188 | 2 | 26.6 | $93,839 |
| Woodbury | 9 | 539 | 2 | 56.4 | $241,402 |
| Worth | 2 | 86 | 3 | 39.5 | $38,549 |
| Wright | 3 | 166 | 3 | 42.2 | $89,210 |
Citations are the health citations of the last three survey cycles. Fines are the fines in the CMS penalties file, about three years.
Cities
Cities with two or more certified nursing homes. The number is the count of homes.
- Algona 2
- Altoona 2
- Ames 3
- Ankeny 4
- Asbury 2
- Atlantic 2
- Bettendorf 3
- Boone 2
- Carroll 3
- Cedar Falls 5
- Cedar Rapids 10
- Centerville 3
- Charles City 2
- Cherokee 3
- Clinton 2
- Coralville 2
- Council Bluffs 5
- Creston 2
- Davenport 7
- Decorah 2
- Denison 2
- Des Moines 12
- Dubuque 8
- Emmetsburg 3
- Estherville 2
- Fairfield 2
- Fort Dodge 3
- Grinnell 2
- Grundy Center 2
- Hampton 2
- Independence 2
- Indianola 3
- Iowa City 3
- Johnston 3
- Keokuk 3
- Knoxville 2
- Le Mars 2
- Maquoketa 2
- Marion 5
- Marshalltown 4
- Mason City 3
- Mount Ayr 2
- Mount Pleasant 3
- Muscatine 2
- Nevada 2
- New Hampton 2
- Newton 5
- Norwalk 2
- Oelwein 2
- Osage 2
- Oskaloosa 3
- Ottumwa 3
- Perry 2
- Red Oak 2
- Sergeant Bluff 2
- Shenandoah 2
- Sibley 2
- Sigourney 2
- Sioux City 6
- Spencer 2
- Urbandale 3
- Vinton 2
- Washington 2
- Waterloo 6
- Waukon 2
- Webster City 2
- West Des Moines 5
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed the data on .
Iowa in figures
The nursing homes in Iowa have 25,131 certified beds. They have about 20,207 residents on an average day. 38% of the homes have a CMS overall rating of 1 or 2 stars. In the nation, the share is 41%. 93 homes have an overall rating of 5 stars.
The homes have 31.7 health citations for each 100 certified beds in the last three survey cycles. The figure for the nation is 26.8. CMS lists 223 fines with a total of $7,486,404 for these homes in its penalties file. CMS also lists 73 payment denials. 17 homes have the CMS abuse icon.
| Overall rating | Homes | Share | US share |
|---|---|---|---|
| 5 of 5 | 93 | 24% | 20% |
| 4 of 5 | 70 | 18% | 19% |
| 3 of 5 | 74 | 19% | 19% |
| 2 of 5 | 66 | 17% | 20% |
| 1 of 5 | 82 | 21% | 21% |
Chains in the state
| Chain | Homes in Iowa |
|---|---|
| Accura Healthcare | 26 |
| American Baptist Homes of the Midwest | 1 |
| Arboreta Healthcare | 1 |
| Azria Health | 6 |
| Campbell Street Services | 18 |
| Care Initiatives | 43 |
| Carmelite Sisters for the Aged & Infirm | 1 |
| Cassia | 2 |
| Cedar View Holdings | 5 |
| Commonspirit Health | 1 |
| Edgewood Convalescent Home | 5 |
| Good Samaritan Society | 16 |
| Health Dimensions Group | 1 |
| Immanuel | 1 |
| Ivy Healthcare Group | 2 |
| Lantis Enterprises | 2 |
| Legacy Healthcare | 35 |
| Life Care Services | 3 |
| Osbycorp | 1 |
| Pivotal Health Care | 5 |
| Presbyterian Homes & Services | 6 |
| The Ensign Group | 10 |
| Tutera Senior Living & Health Care | 1 |
| Wesleylife | 10 |
| Western Home Communities | 6 |
Fines by year
The CMS penalties file holds about three years. The first year and the last year are not complete.
| Year | Penalties | Fines |
|---|---|---|
| 2023 | 67 | $773,319 |
| 2024 | 135 | $3,260,029 |
| 2025 | 59 | $1,897,645 |
| 2026 | 35 | $1,555,411 |
Record by month
One page for each month: the surveys with citations, the penalties, and the changes in the CMS update of that month.
| Month | Surveys with citations | Citations | Penalties | Fines | Recorded changes |
|---|---|---|---|---|---|
| August 2026 | 0 | 0 | 0 | $0 | 0 |
| July 2026 | 6 | 17 | 1 | $25,495 | 0 |
| June 2026 | 57 | 183 | 3 | $320,871 | 0 |
| May 2026 | 42 | 216 | 4 | $155,661 | 0 |
| April 2026 | 67 | 240 | 3 | $60,477 | 0 |
| March 2026 | 54 | 269 | 11 | $383,731 | 0 |
| February 2026 | 39 | 163 | 5 | $387,378 | 0 |
| January 2026 | 51 | 210 | 8 | $221,798 | 0 |
| December 2025 | 58 | 211 | 8 | $485,591 | 0 |
| November 2025 | 56 | 128 | 4 | $23,478 | 0 |
| October 2025 | 71 | 133 | 10 | $270,694 | 0 |
| September 2025 | 43 | 161 | 5 | $170,468 | 0 |
| August 2025 | 50 | 239 | 6 | $441,570 | 0 |
| July 2025 | 39 | 156 | 8 | $210,201 | 0 |
| June 2025 | 44 | 189 | 2 | $80,853 | 0 |
| May 2025 | 52 | 210 | 0 | $0 | 0 |
| April 2025 | 55 | 249 | 2 | $12,438 | 0 |
| March 2025 | 56 | 238 | 2 | $9,110 | 0 |
| February 2025 | 48 | 253 | 6 | $64,801 | 0 |
| January 2025 | 49 | 186 | 6 | $128,441 | 0 |
| December 2024 | 36 | 115 | 6 | $291,932 | 0 |
| November 2024 | 46 | 187 | 5 | $168,409 | 0 |
| October 2024 | 64 | 223 | 7 | $249,000 | 0 |
| September 2024 | 53 | 235 | 11 | $255,937 | 0 |
The site has no recorded change for Iowa. It records changes at each CMS update.
Questions
- How many nursing homes in Iowa are Special Focus Facilities?
- CMS lists 2 homes in Iowa as Special Focus Facilities and 10 as candidates. The table of homes on each county page and city page marks these homes.
- Which F-tags have the most citations in Iowa?
- F-tag 689 has 529 citations in the last three survey cycles. F-tag 880 has 523. F-tag 812 has 418.
- What changed in Iowa in the last CMS update?
- The site has no recorded change for Iowa. At each CMS update, the site compares the tracked values of each home.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The CSV file on this page has one row for each home in Iowa.