The Worst Home Health Care Agencies in Iowa

As the US population grows older, more of us are going to need some kind of help with our daily routines or to recover from specific afflictions. Much of that care will take place outside of a hospital or residential care setting. We believe that one of the best ways to live longer or to recover faster is through health care services that are delivered in your home.

There are many benefits to receiving health care at home. First, it is often more convenient for patients, since they don’t have to travel to a facility. Second, it can be less expensive than receiving care in a hospital or other setting. Third, patients may feel more comfortable and relaxed in their own homes. Home treatment has been shown to lead to faster recoveries and better overall outcomes than similar treatments administered in a hospital or group home setting.

Home Health Care Agencies in Iowa

There are 135 home health care companies registered with the Centers for Medicare & Medicaid that serve the Highland, Arkansas area. Because home health care agencies visit your home, you may be in an agency's service area even if they do not have an office in Highland.

The list below shows the worst home health care agencies in the market ranked by their overall 5-star quality of care rating. (Click here to see the best home health care agencies in Iowa.)

Name	5-Star Quality of Care Rating
FREEDOM HOME HEALTH CARE INC 2701 SE CONVENIENCE BOULEVARD, STE 10 ANKENY, IA 50021	1.5:
SOUTHWEST IOWA HOME HEALTH SERVICES 2967 US HIGHWAY 275 STE 2 HAMBURG, IA 51640	1.5:
COMMUNITY HEALTH SERVICES 1515 SOUTH PHILLIPS ALGONA, IA 50511	1.5:
SUNCREST HOME HEALTH 5959 VILLAGE VIEW DRIVE SUITE 100 WEST DES MOINES, IA 50266	1.5:
CRAWFORD COUNTY HOME HEALTH, HOSPICE & PUBLIC HEAL 105 NORTH MAIN DENISON, IA 51442	1.5:
WATERLOO VISITING NURSING ASSOCIATION 2530 UNIVERSITY AVENUE WATERLOO, IA 50701	1.5:
FLOYD COUNTY PUBLIC HEALTH/ HOME HEALTH CARE 1003 GILBERT STREET CHARLES CITY, IA 50616	1.5:
REGIONAL MEDICAL CENTER HOME CARE 613 WEST MAIN STREET MANCHESTER, IA 52057	2:
HEIGHTS HOME HEALTH, INC 114 NORTH 4TH STREET, SUITE C MAPLETON, IA 51034	2:
WAYNE COUNTY PUBLIC HEALTH NURSING SERVICE 100 EAST SOUTH STREET CORYDON, IA 50060	2:
OPTIMAE HOME HEALTH SERVICES, CENTRAL IOWA 600 EAST COURT AVENUE, SUITE 201 DES MOINES, IA 50309	2:
IOWA HOME CARE, L L C 2500 UNIVERSITY AVENUE WEST DES MOINES, IA 50266	2:
BUTLER COUNTY PHNS 428 SIXTH STREET ALLISON, IA 50602	2:
WESLEY LIFE HOME HEALTH 4328 114TH STREET URBANDALE, IA 50322	2:
V M H COMUNITY & HOME CARE 40 FIRST STREET SE WAUKON, IA 52172	2:
MYRTUE MED CENTER HOME HEALTH 2712 12TH STREET HARLAN, IA 51537	2:
SAC COUNTY PHNS 116 SOUTH STATE STREET SAC CITY, IA 50583	2:
KEYSTONE HOME HEALTH 250 5TH ST KEYSTONE, IA 52249	2:
WINNEBAGO COUNTY PHNS 216 SOUTH 4TH STREET FOREST CITY, IA 50436	2:
NURSE AT HOME 1700 MT PLEASANT ST BURLINGTON, IA 52601	2:
OPTIMAE HOME HEALTH SERVICES 206 WEST BURLINGTON AVENUE FAIRFIELD, IA 52556	2:
SUNNY BROOK HOME CARE 400 HIGHLAND STREET, SUITE 102 FAIRFIELD, IA 52556	2:
GUNDERSEN PALMER LUTHERAN HOSP & CLIN-HOME HEALTH 200 JEFFERSON ST WEST UNION, IA 52175	2:
WINNMED 901 MONTGOMERY STREET DECORAH, IA 52101	2.5:
WEL-HOME HEALTH OF RED OAK 1600 SUMMIT STREET RED OAK, IA 51566	2.5:
PALO ALTO COMMUNITY HEALTH 3201 FIRST STREET EMMETSBURG, IA 50536	2.5:
COMMUNITY HEALTH SERVICES 402 2ND AVE SE CRESCO, IA 52136	2.5:
CHEROKEE REGIONAL HOME HEALTH 212 E BOW DRIVE CHEROKEE, IA 51012	2.5:
SOUTHEAST IOWA REGIONAL HOME HEALTH 1306 SOUTH WASHINGTON ROAD WEST BURLINGTON, IA 52655	2.5:
PELLA REGIONAL HOME HEALTH AGENCY 505 UNION STREET PELLA, IA 50219	2.5:
ANGELS CARE HOME HEALTH OF IOWA 4215 EAST 60TH STREET SUITE 8 DAVENPORT, IA 52807	2.5:
CAREGIVERS HOME HEALTH OF CHARITON 1010 NORTH 7TH STREET CHARITON, IA 50049	2.5:
COMFORT CARE MEDICARE INC 4015 GLASS ROAD NE CEDAR RAPIDS, IA 52402	2.5:
IOWA HOME CARE, L L C 13133 ANGLE ROAD OTTUMWA, IA 52501	2.5:
THERAPY SOLUTIONS INC 209 29TH STREET NE CEDAR RAPIDS, IA 52402	2.5:
VIRGINIA GAY HOSPITAL HOME HEALTH AGENCY 502 NORTH 9TH AVENUE VINTON, IA 52349	2.5:
UNITYPOINT AT HOME 11333 AURORA AVENUE URBANDALE, IA 50322	2.5:
HANCOCK COUNTY HEALTH SYSTEM COMMUNITY HEALTH 545 STATE STREET GARNER, IA 50438	2.5:
UNITYPOINT AT HOME 3731 UNIVERSITY AVE WATERLOO, IA 50703	2.5:
SIOUX CENTER HOME HEALTH AND HOSPICE 1400 7TH AVENUE SE SIOUX CENTER, IA 51250	2.5:
GUTHRIE COUNTY PHNS 2002 STATE STREET GUTHRIE CENTER, IA 50115	2.5:
SANFORD HOME HEALTH AND HOSPICE SHELDON 118 NORTH SEVENTH AVENUE SHELDON, IA 51201	3:
ORANGE CITY HOME HEALTH 400 CENTRAL AVENUE NW ORANGE CITY, IA 51041	3:
HOME CARE SERVICES OF BOONE CO 105 SOUTH MARSHALL BOONE, IA 50036	3:
CARROLL AREA NURSING SERVICES 603 WEST 8TH STREET CARROLL, IA 51401	3:
BURGESS HOME HEALTH 1600 DIAMOND STREET ONAWA, IA 51040	3:
BUENA VISTA COUNTY PUBLIC HEALTH AND HOME CARE 1709 EAST RICHLAND STREET STORM LAKE, IA 50588	3:
AVEANNA HEALTHCARE 2020 INDIAN HILLS DRIVE, SUITE 100 SIOUX CITY, IA 51104	3:
HAMILTON COUNTY PUBLIC HEALTH NURSING SERVICES 1610 COLLINS ST SUITE 1 WEBSTER CITY, IA 50595	3:
GREENBELT HOME CARE 1707 21ST ST ELDORA, IA 50627	3:

How are Home Health Care Agencies Rated?

The Centers for Medicare & Medicaid ("CMS") generates two types of 5-star rating, the Quality of Patient Care Star Ratings and Patient Survey Star Ratings.

Quality of Patient Care Ratings are based on data compiled by CMS based on the percentage of patients whose conditions improve as a result of care provided by the agency. The general guidelines are that these measures should :

• Apply to a substantial proportion of home health patients and have sufficient data to report for a majority of home health agencies.
• Show a reasonable amount of variation among home health agencies and it should be possible for a home health agency to show improvement in performance.
• Have high face validity and clinical relevance.
• Be stable and not show substantial random variation over time.
• Have changed over time based on the results of ongoing monitoring analyses, technical expert panel input, and stakeholder feedback.

Patient improvement is measured in the following ways:

• Timely Initiation of Care
• Improvement in Ambulation
• Improvement in Bed Transferring
• Improvement in Bathing
• Improvement in Shortness of Breath
• Improvement in Management of Oral Medications
• Acute Care Hospitalization

CMS also regularly surveys home health care patients using The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Home Health Care Survey ("HHCAHPS”). Patients are asked to rate the home health care agency according the following:

• Percent Of Patients Who Reported That Their Home Health Team Gave Care In A Professional Way
• Percent Of Patients Who Reported That Their Home Health Team Communicated Well With Them
• Percent Of Patients Who Reported That Their Home Health Team Discussed Medicines, Pain, And Home Safety With Them
• Percent Of Patients Who Gave Their Home Health Agency A Rating Of 9 Or 10 On A Scale From 0 (lowest) To 10 (highest)
• Percent Of Patients Who Reported YES, They Would Definitely Recommend The Home Health Agency To Friends And Family

Because CMS loves to generate 5-star ratings, there are also 5-star ratings related to each of these questions.

Other Lists of the Worst Home Health Care Agencies

The worst home health care agencies in Iowa

Major Cities in Iowa

Des Moines, IA (best, worst)	Davenport, IA (best, worst)
Cedar Rapids, IA (best, worst)	Iowa City, IA (best, worst)
Waterloo, IA (best, worst)	Sioux City, IA (best, worst)
Dubuque, IA (best, worst)	Ames, IA (best, worst)
West Des Moines, IA (best, worst)	Ankeny, IA (best, worst)
Council Bluffs, IA (best, worst)	Urbandale, IA (best, worst)
Cedar Falls, IA (best, worst)	Marion, IA (best, worst)
Bettendorf, IA (best, worst)	Clinton, IA (best, worst)
Burlington, IA (best, worst)	Mason City, IA (best, worst)
Marshalltown, IA (best, worst)	Muscatine, IA (best, worst)

Best and Worst Home Health Care Lists in Other States

Alaska (best, worst)	Alabama (best, worst)
Arizona (best, worst)	Arkansas (best, worst)
California (best, worst)	Colorado (best, worst)
Connecticut (best, worst)	Delaware (best, worst)
District of Columbia (best, worst)	Florida (best, worst)
Georgia (best, worst)	Hawaii (best, worst)
Idaho (best, worst)	Illinois (best, worst)
Indiana (best, worst)	Iowa (best, worst)
Kansas (best, worst)	Kentucky (best, worst)
Louisiana (best, worst)	Maine (best, worst)
Maryland (best, worst)	Massachusetts (best, worst)
Michigan (best, worst)	Minnesota (best, worst)
Mississippi (best, worst)	Missouri (best, worst)
Montana (best, worst)	Nebraska (best, worst)
Nevada (best, worst)	New Hampshire (best, worst)
New Jersey (best, worst)	New Mexico (best, worst)
New York (best, worst)	North Carolina (best, worst)
North Dakota (best, worst)	Ohio (best, worst)
Oklahoma (best, worst)	Oregon (best, worst)
Pennsylvania (best, worst)	Rhode Island (best, worst)
South Carolina (best, worst)	South Dakota (best, worst)
Tennessee (best, worst)	Texas (best, worst)
Utah (best, worst)	Vermont (best, worst)
Virginia (best, worst)	Washington (best, worst)
West Virginia (best, worst)	Wisconsin (best, worst)
Wyoming (best, worst)	Guam (best, worst)
U.S. Virgin Islands (best, worst)	Puerto Rico (best, worst)