Nursing Homes in Iowa- Monthly Analysis & Key Metrics

Data as of February 11, 2024

Reviewed by Richard Saunders

The State Level Skilled Nursing Home Analysis Report

Recently, the Biden administration announced a goal of improving nursing home care, as highlighted in several important announcements (see the initial announcement and a subsequent announcement). While this is a commendable goal, it is not entirely clear what the best approach is for achieving it. Proposing minimum staffing levels for all nursing homes simplifies a complicated issue. Nursing Homes address a wide range of resident needs, from short-term rehabilitation to long-term care to dementia and memory issues, that require different levels of care. It also fails to address a national staffing shortage that will likely only worsen.

At NursingHomeDatabase.com, we believe that one critical element of any improvement effort is to have access to good, clear data and analysis that can help everyone understand the current state of affairs, identify trends, and track progress over time. To this end, we have built this series of reports that will try to illuminate the key metrics of nursing home performance for each state. Our reports are designed to provide valuable insights and inform policymakers, healthcare providers, and families who are interested in nursing home care.

The analysis for the state level report cards of nursing home care is primarily derived from data that the Centers for Medicare and Medicaid ("CMS") provides. CMS publishes weekly data about nursing home occupancy and COVID-19 infections and publishes monthly reports with ratings, staffing levels, and deficiencies.

Summary Analysis of Nursing Homes in Iowa- The 10,000 foot view

Updated on February 11, 2024

According to the latest data compiled by NursingHomeDatabase.com, Iowa has a total of 408 active skilled nursing facilities and 26,169 beds. Based on the US Census estimates for the population of 3,200,517, the current total bed count represents one bed for every 122.30 persons in Iowa. There were 19,521 residents as February 11, 2024 for a state wide occupancy level of 74.60 percent. (Note that the home count is based on monthly data provided by CMS and the number of beds and the occupancy numbers are based on weekly data. There is a minor number of homes that do not report their data weekly.)

According to the monthly data, Iowa has added 79 new beds and lost 1,390 existing beds over the past year.

The Biden Administration has announced that it wants to regulate minimum nursing home staffing levels. They have proposed minimums of .55 hours of care per resident per day from registered nurses (RNs) and 2.45 hours of care per resident per day certified nursing aids (CNAs). These are the current level amount of hours per resident per day of care for Iowa and a comparison to national averages.

Staffing Levels State National
Registered Nurse (RN) 0.74 0.65
Certified Nursing Assistants (CNA) 2.35 2.26
Licensed Practical Nurse (LPN) 0.59 0.88
All Staff 3.68 3.79

Detailed analysis pages for the largest cities in Iowa:

COVID-19 Infections in Iowa Nursing Homes

While COVID-19 infections and deaths are down significantly from late 2020 and 2021, the number of infections and deaths continues to be monitored. For nursing homes in Iowa there were a total of 106 new cases and 106 new deaths among residents for the week ending February 11, 2024. The chart below shows COVID-19 activity for the past year.

New and Lost Nursing Homes in Iowa

Iowa added 1 new skilled nursing facilities and 79 beds over the past year. Below is list of the new facilities:

Facility Number of Beds
St Anthony Nursing Home 79

Iowa lost 21 skilled nursing facilities and 1,390 beds over the past year. Below is list of the lost facilities:

Facility Number of Beds
Touchstone Healthcare Community 125
Mercyone Oelwein Senior Care 39
Westmont Healthcare Community 46
Morningside Care Center 64
Good Samaritan Society - Newell 45
Grinnell Health Care Center 60
Qhc Mitchellville, LLC 65
Qhc Fort Dodge Villa , LLC 107
Crestview Acres 100
Abcm Rehab Centers of Independence East Campus 50
Dumont Wellness Center 38
Pleasant View Home 41
Pocahontas Manor 60
Qhc Winterset North, LLC 75
Sunnycrest Nursing Center 50
Patty Elwood Center 24
Qhc Humboldt North, LLC 90
Countryside Health Care Center 101
Accura Healthcare of Manning LLC 46
St Anthony Nursing Home 79
Greene County Medical Center 85

This data is based on homes reported by CMS. Additional homes may have opened or closed but are not yet in the dataset.

Occupancy Percentages for Iowa Nursing Homes

The chart below shows the overall occupancy for nursing home beds in Iowa. Occupancies levels for individual facilities will differ and can be found on the detail page for the specific nursing home.

Best and Worst Nursing Homes in Iowa

The list below shows the best skilled nursing facilities in Iowa based on their most recent weighted average inspection score. Some nursing homes may have higher overall 5-star ratings than the homes on this list. We feel that the health inspection score is the best indicator of current operations. It changes quicker than the overall rating.

Facility Rating
Westview Care Center
445 EIGHTH AVENUE SW
BRITT, IA
0.00
Emmetsburg Care Center
2405 21ST STREET
EMMETSBURG, IA
0.00
Rockwell Community Nursing Hom
707 ELM STREET
ROCKWELL, IA
0.00
Northgate Care Center
960 4TH STREET NW
WAUKON, IA
0.00
On With Life
715 SW ANKENY ROAD
ANKENY, IA
0.00
Concord Care Center
490 WEST LYON STREET
GARNER, IA
0.00
Brooklyn Community Estates
406 NORTH STREET
BROOKLYN, IA
0.00
Westview of Indianola Care Center
1900 WEST THIRD PLACE
INDIANOLA, IA
0.00
Sunrise Terrace Nursing and Rehabilitation Center
706 WEST CENTRAL AVENUE
WINFIELD, IA
0.67
Wheatland Manor
316 EAST LINCOLNWAY
WHEATLAND, IA
1.33

The list below shows the worst skilled nursing facilities in Iowa based on their most recent weighted average inspection score.

Facility Rating
Harmony West Des Moines
5010 GRAND RIDGE DRIVE
WEST DES MOINES, IA
804.17
Genesis Senior Living
5608 SW 9TH STREET
DES MOINES, IA
437.83
Arbor Court
701 EAST MAPLELEAF DRIVE
MOUNT PLEASANT, IA
426.00
Rating Not Available
Aspire of Gowrie
1808 MAIN STREET
GOWRIE, IA
404.33
Rating Not Available
Ivy at Davenport
800 EAST RUSHOLME STREET
DAVENPORT, IA
385.00
Iowa City Rehab and Health Care
3661 ROCHESTER AVENUE
IOWA CITY, IA
305.00
/
Embassy Rehab and Care Center
206 PORT NEAL ROAD
SERGEANT BLUFF, IA
300.50
/
Westwood Specialty Care
4201 FIELDCREST DRIVE
SIOUX CITY, IA
280.33
Lantern Park Specialty Care
2200 OAKDALE ROAD
CORALVILLE, IA
274.17
Griswold Rehabilitation and Health Care Center
106 HARRISON ST
GRISWOLD, IA
272.00
/

Nursing Homes with the warning icon () have been flagged by CMS for abuse.

Skilled Nursing Homes in Iowa Compared to Nationwide

We have compared Iowa nursing homes to the nationwide average on several metrics. Iowa performed better than the national average on several metrics and worse on other metrics.

Cycle 1 Total Number Of Health Deficiencies 7.60 Lower
Cycle 1 Total Number Of Fire Safety Deficiencies 5.60 Higher
Cycle 2 Total Number Of Health Deficiencies 7.60 Lower
Cycle 2 Total Number Of Fire Safety Deficiencies 5.90 Higher
Cycle 3 Total Number Of Health Deficiencies 6.30 Lower
Cycle 3 Total Number Of Fire Safety Deficiencies 5.10 Higher
Average Number Of Residents Per Day 49.80 Lower
Reported Nurse Aide Staffing Hours Per Resident Per Day 2.35 Higher
Reported Lpn Staffing Hours Per Resident Per Day 0.59 Lower
Reported Rn Staffing Hours Per Resident Per Day 0.74 Higher
Reported Licensed Staffing Hours Per Resident Per Day 1.33 Lower
Reported Total Nurse Staffing Hours Per Resident Per Day 3.68 Lower
Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend 3.20 Lower
Registered Nurse Hours Per Resident Per Day On The Weekend 0.51 Higher
Reported Physical Therapist Staffing Hours Per Resident Per Day 0.04 Lower
Total Nursing Staff Turnover 54.90 Higher
Registered Nurse Turnover 50.10 Higher
Number Of Administrators Who Have Left The Nursing Home 0.80 Higher
Case-mix Rn Staffing Hours Per Resident Per Day 0.30 Lower
Case-mix Total Nurse Staffing Hours Per Resident Per Day 2.91 Lower
Number Of Fines 2.30 Lower
Fine Amount In Dollars 34,325.00 Lower
Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased 16.49 Higher
Percentage Of Long Stay Residents Who Lose Too Much Weight 5.06 Lower
Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder 46.81 Lower
Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder 2.17 Higher
Percentage Of Long Stay Residents With A Urinary Tract Infection 2.97 Higher
Percentage Of Long Stay Residents Who Have Depressive Symptoms 4.72 Lower
Percentage Of Long Stay Residents Who Were Physically Restrained 0.15 Higher
Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury 3.83 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 93.70 Higher
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication 18.31 Higher
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 84.79 Higher
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication 2.17 Higher
Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened 18.31 Higher
Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication 19.42 Higher
Percentage Of High Risk Long Stay Residents With Pressure Ulcers 5.90 Lower
Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine 95.29 Higher
Percentage Of Short Stay Residents Who Made Improvements In Function 79.17 Higher
Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine 73.51 Lower
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission 21.54 Lower
Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit 13.38 Higher
Number Of Hospitalizations Per 1000 Long-stay Resident Days 1.58 Lower
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days 1.32 Higher