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Nursing Homes in Iowa: Ratings, Inspections & Safety Flags

Iowa has 390 Medicare & Medicaid–certified nursing homes on federal record. Below is the current landscape from the CMS Care Compare database (July 2026 release) — the same data ClearPath decodes and ranks in every family report.

390
Certified facilities
164
Rated 4★ or better
84
Rated 1★ overall
13
Abuse-flagged by CMS
13
Special Focus (worst-performer)

Highest-Rated Nursing Homes in Iowa

95 Iowa facilities hold a 5-star overall rating — more than fit this list. The ten shown lead within that group on CMS health-inspection, staffing, and quality-measure ratings.

FacilityCityOverallStaffing
Iowa Veterans HomeMarshalltown★★★★★★★★★★
Meth-Wick Health CenterCedar Rapids★★★★★★★★★★
St Francis ManorGrinnell★★★★★★★★★★
Bethany HomeDubuque★★★★★★★★★★
Briarwood Healthcare CenterIowa City★★★★★★★★★★
Chautauqua Guest Home #3Charles City★★★★★★★★★★
Gracewell, An Eventide CommunityDenison★★★★★★★★★★
Kanawha Community Home, Inc.Kanawha★★★★★★★★★★
Mercyone Dyersville Senior CareDyersville★★★★★★★★★★
West Ridge Care CenterCedar Rapids★★★★★★★★★★

Ranked by CMS overall and staffing star ratings. A ClearPath report goes deeper — inspection citations, fines, staffing turnover, review analysis, and safety-flag screening for every facility in your search area.

Federally Flagged Facilities in Iowa

CMS currently flags 13 Iowa facilities with an abuse icon and lists 13 in the Special Focus program for persistent quality problems. These designations appear automatically in every ClearPath report and cap a facility’s ranking regardless of its star rating.

FacilityCityFederal Flag
Aspire Of PerryPerrySpecial Focus
Azria Health Park PlaceDes MoinesSpecial Focus
Bishop Drumm Retirement CenterJohnstonSpecial Focus
Caring Acres Nursing And Rehab CenterAnitaSpecial Focus
Chapters Living Of Council BluffsCouncil BluffsSpecial Focus
Garden View Care CenterShenandoahSpecial Focus Abuse Flag
Greater Southside Health And RehabilitationDes MoinesSpecial Focus Abuse Flag
Harmony House Health Care CenterWaterlooSpecial Focus
Ivy At DavenportDavenportSpecial Focus
Northgate Care CenterWaukonSpecial Focus
Flags like these are exactly what star ratings hide. A ClearPath report screens every facility near you against the full federal record — abuse citations, inspection failures, fines, staffing collapse — starting at $47. Check the facilities near you →

Where Iowa’s Facilities Are

Des Moines (12)Cedar Rapids (10)Dubuque (8)Davenport (7)Sioux City (6)Waterloo (6)Cedar Falls (5)Council Bluffs (5)Marion (5)Newton (5)West Des Moines (5)Ankeny (4)Marshalltown (4)Ames (3)Bettendorf (3)Carroll (3)Cherokee (3)Emmetsburg (3)Fort Dodge (3)Indianola (3)

See every facility near you — ranked

Star ratings are only the surface. ClearPath reads the full federal record for every certified facility in your Iowa search area — abuse citations, inspection failures, fines, staffing collapse — and hands you a ranked, plain-English report in minutes. Reports start at $47, one-time. Paid by families, never by facilities.

Get Your Ranked Report →See a free sample report first

Source: CMS Care Compare (data.cms.gov), July 2026 monthly release. Ratings and flags change monthly — ClearPath refreshes automatically. ClearPath Senior Guide is independent and accepts no referral fees or placement incentives from any facility.