Nursing Homes in Iowa

Iowa has 392 Medicare- or Medicaid-certified nursing homes across 277 cities, with a statewide average CMS overall rating of 3.0 out of 5 stars. Browse by city below to compare CMS ratings, inspection history, and staffing, all sourced from official CMS data.

Total Facilities392
Avg CMS Rating3.0/5 ★
Cities277
CareQED Analysis

Iowa's nursing homes have a distribution of 1-star: 79 facilities (20%), 2-star: 70 facilities (18%), 3-star: 79 facilities (20%), 4-star: 77 facilities (20%), and 5-star: 84 facilities (22%), and the state's average CMS overall star rating is 3.0 out of 5, which is 0.00 above the national average. There are 12 Special Focus Facilities on the CMS poor-performer watch list.

Iowa has 392 nursing home facilities totaling 25,658 certified beds, with 96.7% of facilities Medicare-certified and 98.5% Medicaid-certified. A total of 161 facilities (41%) are rated 4-5 stars while 149 facilities (38%) are rated 1-2 stars, and the average total nurse staffing is 3.82 hours per resident day.

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Frequently Asked Questions

How many nursing homes are in Iowa?

Iowa has 392 Medicare- or Medicaid-certified nursing homes across 277 cities listed on CareQED.

What is the average nursing home rating in Iowa?

Nursing homes in Iowa have a statewide average CMS overall rating of 3.0 out of 5 stars.

Data Source

This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.

CMS Provider Information updated: May 1, 2026.

CMS Survey Summary updated: May 1, 2026.

CMS Health Deficiencies updated: May 1, 2026.

CareQED Last Updated: June 22, 2026.