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ElderCareCosts

Nursing Homes in Iowa

Iowa has 391 licensed nursing homes listed on ElderCareCosts across 1,026 cities. The median estimated cost statewide is $9,277/mo. Pick a city below for local pricing and provider listings.

387 of them have a CMS star rating.

Cost of nursing homes in Iowa

Median monthly price, Iowa

$9,277/mo

Estimated range $8,856 – $10,083

● Iowa $9,277 ○ National median $10,205

Source: CareScout Cost of Care Survey 2025

Nursing Homes cost comparison (2025)
Nursing HomesIowaNational
25th percentile$8,856/mo$8,951/mo
Median$9,277/mo$10,205/mo
75th percentile$10,083/mo$12,642/mo

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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.

CMS rating distribution in Iowa

CMS overall star ratings for 387 nursing homes in Iowa. We do not re-rank these scores.

CMS star ratings in Iowa
CMS starsProviders
5 stars100
4 stars70
3 stars70
2 stars72
1 star75

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What federal inspectors recorded in Iowa

Iowa has 389 facilities certified by Medicare or Medicaid, as of the CMS penalty file published October 1, 2026. CMS publishes what it fined them, when it stopped paying for new admissions, how many nursing hours they staffed, and what its inspectors wrote up. These are those records counted. A penalty is an enforcement action on a date, not a verdict on the care a resident receives today.

Facilities with a federal penalty

45%175 of 389 (45%)

A civil money penalty, a payment denial, or both, among the penalties CMS recorded between July 17, 2023 and September 23, 2026.

Facilities where CMS stopped paying for new admissions

17%67 of 389 (17%)

A payment denial is CMS refusing to pay for newly admitted Medicare and Medicaid residents until the facility corrects the problem it cited.

Median penalty total, among facilities that were fined

$27,701in fines · 144 facilities

The middle facility's total across every civil money penalty CMS recorded for it in this window, not the amount of a single fine.

Median nurse staffing hours per resident day

3.75hours · 384 facilities

0.03 hours above the national median of 3.72 hours.

Total nurse hours per resident per day from payroll records CMS collects, quarter Q2 2026. Staffing is an input, not an outcome.

Facilities with an inspection citation in the last 12 months

68%266 of 389 (68%)

Counts facilities with at least one deficiency CMS inspectors wrote up in the last 365 days. The most recent one here is dated August 20, 2026. A facility inspected and found compliant records no citation, so this is not a survey date.

These figures cover nursing homes only. CMS keeps these penalty, staffing and inspection records for Medicare and Medicaid certified nursing homes. Assisted living, memory care and home care agencies are licensed by each state under different rules, so their records are not comparable.

Each share above shows how many facilities it is based on. Where there are too few for a percentage to mean much, we show the count instead. More in our methodology.

Iowa licensing & regulation

State-by-state licensing agency details and how to check a facility's complaint history for Iowa are coming soon.

Medicaid & local resources in Iowa

Long-Term Care Ombudsman

Iowa Long-Term Care Ombudsman Program helps residents of nursing homes, assisted living, and similar settings in Iowa resolve concerns about care and rights.

Find your local ombudsman

Medicaid programs for care at home

National helplines

Cities in Iowa

Don't see your city? Search for it, or start from the nearest larger one.

Counties in Iowa

All 65 Iowa counties

Nursing Homes providers in Iowa

Some of the licensed nursing homes in Iowa. Open a city page for the full local list.

Compare facilities side by side
Tick Compare on the ones you like, then continue.
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Frequently asked questions

Which cities in Iowa have nursing homes listings?

Iowa has nursing homes listings in 1,026 cities and towns. Find yours in the city list on this page, or search for it by name.

Past 60 days in Iowa: 1,340 updated. Most recent change Nov 3. Counts come from our ingestion diffs, not confirmed licensing actions.

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