Analysis Report of Nursing Homes in Iowa

Key metrics for nursing homes in Iowa including number and beds, staffing levels, occupancy, newest facilities, and more. Updated weekly.

Updated on January 5, 2025

Summary Analysis

According to the latest data compiled by NursingHomeDatabase.com, Iowa has a total of 392 active skilled nursing facilities with 27,025 total beds. Based on the US Census estimates for the population of 3,200,517, the current total bed count represents one bed for every 118.43 persons in Iowa.

There were 19,871 residents as of January 5, 2025 for a state wide occupancy level of 73.53%.
(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 46 new beds and lost 571 existing beds over the past year.

Staffing Levels Comparison

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 0.68
Certified Nursing Assistants (CNA) 2.50 2.33
Licensed Practical Nurse (LPN) 0.56 0.86
All Staff 3.80 3.87
Detailed Analysis for 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 103 new cases and 0 new deaths among residents for the week ending January 5, 2025.

New Nursing Homes

Iowa added 1 new skilled nursing facilities and 46 beds over the past year.

Facility Beds
Osceola Senior Living 46
Lost Nursing Homes

Iowa lost 12 skilled nursing facilities and 571 beds over the past year.

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

The chart below shows the overall occupancy for nursing home beds 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.

Facility Rating
Good Samaritan - Saint Ansgar
701 East Fourth Street
Saint Ansgar, IA
0.00
Guttenberg Care Center
1315 Acre Street
Guttenberg, IA
0.00
Westview Care Center
445 Eighth Avenue SW
Britt, IA
0.00
Westview of Indianola Care Center
1900 West Third Place
Indianola, IA
0.00
Kanawha Community Home, Inc.
130 West Sixth Street
Kanawha, IA
0.00
Evans Senior Living Community
1010 North Elm Street
Cresco, IA
0.00
Meth-Wick Health Center
1625 Brendelwood Drive
Cedar Rapids, IA
0.00
West Ridge Care Center
3131 F Avenue NW
Cedar Rapids, IA
0.00
Bethany Home
1005 Lincoln Avenue
Dubuque, IA
0.00
Brooklyn Community Estates
406 North Street
Brooklyn, IA
0.00

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

Facility Rating
Chapters Living of Council Bluffs
3000 Risen Son Blvd
Council Bluffs, IA
630.00
Ivy at Davenport
800 East Rusholme Street
Davenport, IA
461.00
Garden View Care Center
1200 West Nishna Road
Shenandoah, IA
459.50
Rating Not Available
Abuse Flag
Bishop Drumm Retirement Center
5837 Winwood Drive
Johnston, IA
275.25
Azria Health Park Place
2401 East Eighth Street
Des Moines, IA
264.50
Harmony West Des Moines
5010 Grand Ridge Drive
West Des Moines, IA
261.25
Greater Southside Health and Rehabilitation
5608 SW 9th Street
Des Moines, IA
251.50
Abuse Flag
Aspire of Perry
2625 Iowa Street
Perry, IA
239.00
Caring Acres Nursing and Rehab Center
1000 Hillcrest Drive
Anita, IA
227.00
Abuse Flag
Pine Acres Rehabilitation and Care Center
1501 Office Park Road
West Des Moines, IA
222.25
Rating Not Available

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.

Metric Value Comparison
Overall Rating 3.10 Higher
Health Inspection Rating 2.90 Higher
Qm Rating 3.40 Lower
Staffing Rating 3.60 Higher
Cycle 1 Total Number Of Health Deficiencies 6.10 Lower
Cycle 1 Total Number Of Fire Safety Deficiencies 3.60 Lower
Cycle 2 Total Number Of Health Deficiencies 6.50 Lower
Cycle 2 Total Number Of Fire Safety Deficiencies 4.50 Lower
Cycle 3 Total Number Of Health Deficiencies 8.00 Lower
Cycle 3 Total Number Of Fire Safety Deficiencies 5.10 Higher
Average Number Of Residents Per Day 52.10 Lower
Reported Nurse Aide Staffing Hours Per Resident Per Day 2.50 Higher
Reported Lpn Staffing Hours Per Resident Per Day 0.56 Lower
Reported Rn Staffing Hours Per Resident Per Day 0.74 Higher
Reported Licensed Staffing Hours Per Resident Per Day 1.29 Lower
Reported Total Nurse Staffing Hours Per Resident Per Day 3.80 Lower
Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend 3.35 Lower
Registered Nurse Hours Per Resident Per Day On The Weekend 0.50 Higher
Reported Physical Therapist Staffing Hours Per Resident Per Day 0.04 Lower
Total Nursing Staff Turnover 44.40 Lower
Registered Nurse Turnover 42.90 Lower
Number Of Administrators Who Have Left The Nursing Home 0.50 Lower
Nursing Case-mix Index 1.22 Lower
Case-mix Rn Staffing Hours Per Resident Per Day 0.59 Lower
Case-mix Total Nurse Staffing Hours Per Resident Per Day 3.39 Lower
Case-mix Weekend Total Nurse Staffing Hours Per Resident Per Day 3.01 Lower
Number Of Fines 0.60 Lower
Fine Amount In Dollars 18,747.00 Lower
Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased 17.62 Higher
Percentage Of Long Stay Residents Who Lose Too Much Weight 4.87 Lower
Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder 1.63 Higher
Percentage Of Long Stay Residents With A Urinary Tract Infection 2.47 Higher
Percentage Of Long Stay Residents Who Have Depressive Symptoms 4.08 Lower
Percentage Of Long Stay Residents Who Were Physically Restrained 0.22 Higher
Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury 3.72 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 93.89 Higher
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication 19.39 Higher
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 84.08 Higher
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication 2.03 Higher
Percentage Of Long Stay Residents Whose Ability To Walk Independently Worsened 17.48 Higher
Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication 20.67 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine 95.28 Lower
Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine 73.27 Lower
Percentage Of Long Stay Residents With Pressure Ulcers 4.28 Lower
Percentage Of Long Stay Residents With New Or Worsened Bowel Or Bladder Incontinence 25.88 Higher
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission 21.59 Lower
Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit 13.00 Higher
Number Of Hospitalizations Per 1000 Long-stay Resident Days 1.49 Lower
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days 2.09 Higher

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