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, or request a personalized shortlist.
391 licensed nursing homes listed · 387 with CMS star ratings.
Cost of nursing homes in Iowa
● Iowa $9,277 ○ National median $10,205
Median costs for nursing homes versus Iowa and the middle state nationally. The 25th and 75th percentile rows are the modeled range explained on the methodology page; in the national column they are percentiles across state medians. Figures are estimates, not quotes.
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Ways families typically pay
- Private pay (savings, income, home equity)
- Long-term care insurance
- VA Aid & Attendance for eligible veterans and surviving spouses
- Medicaid home- and community-based services (HCBS) waivers, where eligible. Rules vary by state
Medicare generally does not cover long-term custodial care. State-specific Medicaid waiver guides are coming soon.
CMS rating distribution in Iowa
CMS overall star ratings for 387 nursing homes in Iowa. We do not re-rank these scores.
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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 August 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
42%163 of 389 (42%)
A civil money penalty, a payment denial, or both, among the penalties CMS recorded between July 17, 2023 and July 29, 2026.
- Facilities where CMS stopped paying for new admissions
17%65 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
$28,916in fines · 140 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
3.68hours · 386 facilities
The same as the national median of 3.68 hours.
Total nurse hours per resident per day from payroll records CMS collects, quarter Q1 2026. Staffing is an input, not an outcome.
- Facilities with an inspection citation in the last 12 months
73%284 of 389 (73%)
Counts facilities with at least one deficiency CMS inspectors wrote up in the last 365 days. The most recent one here is dated July 1, 2026. A facility inspected and found compliant records no citation, so this is not a survey date.
These figures cover nursing homes and nothing else on this site. Penalties, payroll staffing and inspection citations in this form are federal records that CMS keeps for Medicare and Medicaid certified nursing homes. Assisted living, memory care and in-home agencies are licensed by each state under different rules, and the state penalty files we hold are not comparable to these. We would rather show one honest set of numbers than a national-looking figure stitched from regulators that do not measure the same thing.
Every share above is printed with the number of facilities behind it. Where a place has too few facilities for a share to mean anything, we print the count and say so rather than a percentage. How we count, and what we will not count, is in our methodology.
Iowa licensing & regulation
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.
Official Ombudsman locator / program page
Source: State LTC Ombudsman.GOVMedicaid HCBS / LTSS programs
Named programs below are from official state Medicaid agency pages. We list eligibility dollar amounts and wait lists only when a primary source is cited.
- Home and Community Based Services – Elderly Waiver. Iowa 1915(c) Elderly Waiver for adults 65+ who meet nursing facility level of care (CMS factsheet).
Free national starting points. Official sites only; we do not scrape these directories.
- Eldercare Locator · 800-677-1116
Free nationwide connection to local aging services.
- 211
Local health and human services referrals.
- NCOA BenefitsCheckUp
Screen for benefits you may qualify for.
- DIAL
ACL Disability Information and Access Line.
- VA health benefits
Veterans health care and long-term care programs.
Cities in Iowa
Showing the 500 largest of 1,026 tracked cities.
- Des Moines
- Cedar Rapids
- Davenport
- Sioux City
- Iowa City
- Ankeny
- West Des Moines
- Ames
- Waterloo
- Council Bluffs
- Dubuque
- Urbandale
- Marion
- Cedar Falls
- Bettendorf
- Waukee
- Marshalltown
- Mason City
- Ottumwa
- Fort Dodge
- Johnston
- Clinton
- Burlington
- Muscatine
- Coralville
- Altoona
- North Liberty
- Clive
- Grimes
- Indianola
Show the other 470 cities in Iowa
- Newton
- Norwalk
- Boone
- Oskaloosa
- Storm Lake
- Spencer
- Pleasant Hill
- Pella
- Le Mars
- Waverly
- Carroll
- Fort Madison
- Keokuk
- Grinnell
- Fairfield
- Mount Pleasant
- Bondurant
- Sioux Center
- Denison
- Perry
- Webster City
- Clear Lake
- Decorah
- Knoxville
- Creston
- Washington
- Charles City
- Hiawatha
- Nevada
- Eldridge
- Atlantic
- Adel
- Orange City
- Independence
- Maquoketa
- Polk City
- Asbury
- Estherville
- Oelwein
- Tiffin
- Anamosa
- DeWitt
- Osceola
- Spirit Lake
- Red Oak
- Sheldon
- Winterset
- Algona
- Centerville
- Clarinda
- Manchester
- Sergeant Bluff
- Cherokee
- Glenwood
- Windsor Heights
- Iowa Falls
- Vinton
- Shenandoah
- Harlan
- Humboldt
- Le Claire
- Camanche
- Huxley
- Evansdale
- Mount Vernon
- Dyersville
- Hampton
- Forest City
- Carlisle
- Chariton
- Jefferson
- Monticello
- Rock Valley
- Cresco
- Waukon
- West Liberty
- Carter Lake
- Albia
- Emmetsburg
- Eagle Grove
- Osage
- New Hampton
- Story City
- Saylorville
- Williamsburg
- Robins
- Milford
- West Burlington
- Solon
- Tipton
- Tama
- Garner
- Postville
- Wilton
- Fairfax
- Onawa
- Grundy Center
- Madrid
- Sibley
- Clarion
- Bloomfield
- Marengo
- Hudson
- Belmond
- Kalona
- Missouri Valley
- Rock Rapids
- Hawarden
- Eldora
- West Branch
- Mitchellville
- Center Point
- Jesup
- West Union
- Park View
- Rockwell City
- Belle Plaine
- Denver
- Cascade
- New London
- Hull
- Bellevue
- Alta
- Atkins
- Colfax
- Lamoni
- Ely
- Dallas Center
- Audubon
- Monroe
- Columbus Junction
- Sumner
- Lake Mills
- La Porte City
- Northwood
- Peosta
- Granger
- Blue Grass
- Ida Grove
- Toledo
- Sigourney
- Durant
- Mediapolis
- Pleasantville
- Leon
- Greenfield
- Epworth
- Farley
- Sac City
- Britt
- Ogden
- Kent Estates
- Remsen
- Mount Ayr
- Guttenberg
- Parkersburg
- Wapello
- Pocahontas
- Walcott
- Reinbeck
- Lisbon
- Prairie City
- Lake City
- Guthrie Center
- Akron
- Moville
- Stuart
- Manson
- Urbana
- Corydon
- Van Meter
- Shell Rock
- Nashua
- Holstein
- Panora
- Lenox
- Corning
- Roland
- Hartley
- Manning
- Monona
- Earlham
- Traer
- Dysart
- Ackley
- Kingsley
- Woodbine
- Coon Rapids
- Brooklyn
- Alton
- Wellman
- Avoca
- Palo
- State Center
- Montezuma
- Oakland
- Slater
- Logan
- University Heights
- Gilbert
- Dike
- Nora Springs
- Central City
- Walnut
- Greene
- Bedford
- Walford
- Sanborn
- Malvern
- Manly
- Fayette
- Elkader
- Fairbank
- Strawberry Point
- Baxter
- Clarksville
- Lone Tree
- St. Ansgar
- Laurens
- Wayland
- Conrad
- Lake Park
- Swisher
- Marcus
- New Sharon
- Melcher-Dallas
- Springville
- Dunlap
- Glidden
- Clarence
- Eddyville
- Tripoli
- Larchwood
- Treynor
- Neola
- Lansing
- Aplington
- Buffalo
- Graettinger
- Jewell Junction
- George
- Sheffield
- Fruitland
- Villisca
- Preston
- De Soto
- Winthrop
- Sully
- Sloan
- Primghar
- Winfield
- Newhall
- Gladbrook
- Aurelia
- Mapleton
- Fredericksburg
- Victor
- Rockwell
- Woodward
- Griswold
- Hills
- Calmar
- Okoboji
- Lake View
- Mechanicsville
- Elk Run Heights
- Anita
- Sidney
- Odebolt
- Newell
- Gowrie
- Hinton
- Danville
- Allison
- Lake Panorama
- Hamburg
- Wheatland
- Fremont
- Arnolds Park
- Janesville
- Hospers
- Keosauqua
- St. Charles
- Hedrick
- Buffalo Center
- Beaverdale
- Maxwell
- Raymond
- Elkhart
- Underwood
- Keota
- Riverside
- Tabor
- Paullina
- Early
- Shellsburg
- Earlville
- West Bend
- Essex
- North English
- Merrill
- West Point
- Rockford
- Denmark
- Carson
- Alden
- Schleswig
- Olin
- Adair
- Riceville
- Dunkerton
- Afton
- Garnavillo
- Ossian
- Melbourne
- Cambridge
- Battle Creek
- Morning Sun
- Arcadia
- Alburnett
- Princeton
- Long Grove
- Inwood
- Lawton
- Dumont
- Redfield
- Oxford
- Whiting
- Donnellson
- Schaller
- Hubbard
- Correctionville
- Gilbertville
- Hartford
- Boyden
- Kanawha
- Amana
- Dakota City
- Shelby
- Edgewood
- Gilmore City
- Coggon
- Montrose
- Shueyville
- Readlyn
- Stratford
- Elgin
- Ventura
- Ruthven
- Milo
- Elk Horn
- Eldon
- Wall Lake
- Sioux Rapids
- Albert City
- Hazleton
- Le Grand
- McGregor
- Washburn
- Exira
- Armstrong
- Quasqueton
- Lowden
- Dayton
- Colo
- Middle Amana
- Latimer
- Hopkinton
- Kellogg
- New Hartford
- Keystone
- Wellsburg
- Walker
- Elma
- Radcliffe
- Blairstown
- Coalville
- University Park
- Ainsworth
- Manilla
- Minden
- Sutherland
- Clermont
- Rolfe
- Bancroft
- Moravia
- Gilman
- Albion
- Dexter
- Fontanelle
- Moscow
- Murray
- Goldfield
- Russell
- Van Horne
- Grand Junction
- Seymour
- Swea City
- Fonda
- Brighton
- New Virginia
- Royal
- Everly
- Charter Oak
- What Cheer
- Twin Lakes
- Garwin
- Emerson
- Martensdale
- Whittemore
- Zearing
- Lakeside
- Dows
- Ireton
- Humeston
- Crescent
- Sabula
- Norway
- Cumming
- Stacyville
- Colesburg
- Klemme
- Richland
- Scranton
- Pomeroy
- Farmington
- Packwood
- Batavia
- Collins
- Stanwood
- Doon
- Lynnville
- Vail
- Orleans
- Wyoming
- Stanton
- Truro
- Lamont
- Anthon
- Thornton
- Ocheyedan
- Burt
- Grand Mound
- Stanhope
- Silver City
- Moulton
- Milton
- Hawkeye
- Ellsworth
- Rudd
- Delmar
- Earling
- Breda
- Maynard
- Ashton
- Oxford Junction
- Lewis
- Thompson
- Martelle
- Charlotte
- Birmingham
- Dow City
- Diagonal
- Lockridge
- Titonka
- Grandview
- Orient
- Galva
- Wahpeton
- Marquette
Counties in Iowa
County pages carry the local Area Agency on Aging, the state Medicaid waiver contacts and, for nursing homes, what federal inspectors recorded. Ordered by how many nursing homes providers each county holds.
- Polk County31
- Linn County18
- Black Hawk County12
- Dubuque County12
- Scott County11
- Dallas County9
- Woodbury County9
- Johnson County7
- Pottawattamie County7
- Story County7
- Henry County6
- Lee County6
- Marshall County6
- Warren County6
- Butler County5
- Cerro Gordo County5
- Cherokee County5
- Clayton County5
- Jasper County5
- Mitchell County5
- Palo Alto County5
- Plymouth County5
- Sioux County5
- Benton County4
- Boone County4
- Bremer County4
- Carroll County4
- Cedar County4
- Clinton County4
- Fayette County4
- Grundy County4
- Hardin County4
- Iowa County4
- Kossuth County4
- Marion County4
- Montgomery County4
- Muscatine County4
- Poweshiek County4
- Tama County4
- Washington County4
Nursing Homes providers in Iowa
Sample of licensed nursing homes listed for Iowa. City pages show fuller local inventories.
The Summit of Bettendorf
Terrace Glen Village
Prairie Vista Village
Northridge Village
Kennybrook Village
Holy Spirit Retirement Home
Heritage House
Grand Meadows Senior Living & Health Care
Gardens of Cedar Rapids
Fieldstone of Dewitt
Elm Crest Retirement Community
Sponsored placements, when they appear, are always labeled. How we make money →
How we rank these
Frequently asked questions
How many nursing homes are listed in Iowa?
We currently list 391 licensed nursing homes across Iowa.
Which cities in Iowa have nursing homes listings?
We track 1026 Iowa cities for nursing homes. See the city list on this page for options near you.
Past 60 days in Iowa: 391 added · 2,245 updated. Most recent change Sep 2. Counts come from our ingestion diffs, not confirmed licensing actions.
How to cite this page
Cite this: According to ElderCareCosts' 2026 index, nursing homes in Iowa cost $9,277/month (median).
APA: ElderCareCosts Research. (2026). Nursing Homes in Iowa. ElderCareCosts. Retrieved September 18, 2026, from https://www.eldercarecosts.com/nursing-homes/iowa/
Chicago: ElderCareCosts Research. "Nursing Homes in Iowa." ElderCareCosts. Last modified August 10, 2026. Accessed September 18, 2026. https://www.eldercarecosts.com/nursing-homes/iowa/.
These figures may be quoted and reproduced with attribution and a link back to this page. No permission needed. Methodology · Data sources · Who produces this · Corrections
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