NursingHomeGrade

Lowest-Rated Nursing Homes in Iowa

Facilities in Iowa with the lowest NursingHomeGrade Scores. A low score does not guarantee poor care in all areas — but families should review inspection records, staffing levels, and deficiency details carefully before choosing.

⚠ A low score indicates significant concerns in one or more areas: staffing, inspection violations, or quality measures. Visit each facility page for the full deficiency record and comparison data.

Rankings

# Facility Location Grade Score RN Hours Deficiencies
1 Pine Acres Rehabilitation and Care Center West Des Moines, IA F 0 0.59 36
2 Greater Southside Health and Rehabilitation Des Moines, IA F 0 0.30 29
3 Harmony House Health Care Center Waterloo, IA F 0 0.57 32
4 Garden View Care Center Shenandoah, IA F 6 0.72 51
5 Bishop Drumm Retirement Center Johnston, IA F 6 0.81 33
6 Fort Dodge Health and Rehabilitation Fort Dodge, IA F 6 0.51 23
7 Prestige Care Center of Fairfield Fairfield, IA F 7 0.73 29
8 Royal Oaks Nursing and Rehabilitation Center Urbandale, IA F 9 0.48 34
9 Regency Care Center Norwalk, IA F 9 0.35 21
10 Oskaloosa Care Center Oskaloosa, IA F 11 0.31 19
11 Accura Healthcare of Marshalltown Marshalltown, IA F 15 0.15 11
12 Heritage Specialty Care Cedar Rapids, IA F 15 0.50 15
13 Iowa City Rehab & Health Care Iowa City, IA F 15 N/A 22
14 Ravenwood Specialty Care Waterloo, IA F 17 0.64 13
15 Ivy at Davenport Davenport, IA F 18 0.65 20
16 AMS Memorial-Greene Greene, IA F 18 N/A 8
17 Adel Acres Adel, IA F 19 0.42 17
18 Stone Cottage Care Center Sigourney, IA F 20 0.45 19
19 Parkview Manor Wellman, IA F 20 0.38 9
20 Grand Meadows Senior Living & Health Care Asbury, IA F 22 N/A 7
21 Accura Healthcare of Newton East, LLC Newton, IA F 23 0.27 12
22 Arbor Springs of West Des Moines L L C West Des Moines, IA F 24 0.32 10
23 Northgate Care Center Waukon, IA F 25 0.40 18
24 Lutheran Living Senior Campus Muscatine, IA F 26 0.44 10
25 Harmony Marshalltown Marshalltown, IA F 26 0.44 13
26 Harvest Acres Nursing and Rehab Keota, IA F 26 0.72 13
27 Azria Health Park Place Des Moines, IA F 27 0.86 19
28 Spencer Post Acute Rehabilitation Center Spencer, IA F 28 0.55 16
29 Azria Health Longview Missouri Valley, IA F 28 0.59 17
30 Accura Healthcare of Cresco Cresco, IA F 29 0.69 19
31 Hillcrest Health Care Center Hawarden, IA F 30 0.61 27
32 Accura Healthcare of Carroll Carroll, IA F 31 0.50 19
33 Parkview Care Center Fairfield, IA F 31 N/A 9
34 Northbrook Healthcare and Rehabilitation Center Cedar Rapids, IA F 32 0.53 18
35 Windmill Manor Coralville, IA F 32 0.40 9
36 Accura Healthcare of Shenandoah Shenandoah, IA F 32 0.60 11
37 Iowa Jewish Senior Life Center Des Moines, IA F 32 N/A 5
38 Clarion Wellness and Rehabilitation Center Clarion, IA F 33 0.36 8
39 Accura Healthcare of Carlisle Carlisle, IA F 33 0.47 16
40 Tabor Manor Care Center Tabor, IA F 34 0.55 27
41 Bethany Lutheran Home Council Bluffs, IA F 34 0.30 9
42 On With Life Long Term Care Polk City, IA F 34 N/A 1
43 Caring Acres Nursing and Rehab Center Anita, IA F 34 1.32 17
44 Good Samaritan - Indianola Indianola, IA F 34 0.51 12
45 Norwalk Nursing and Rehabilitation Center Norwalk, IA F 34 N/A 1
46 Pillar of Cedar Valley Waterloo, IA D 35 0.33 11
47 Good Shepherd Health Center Mason City, IA D 35 0.36 7
48 Country Lane Manor Keosauqua, IA D 36 0.34 11
49 Osage Rehab and Health Care Center Osage, IA D 36 0.62 16
50 Crystal Heights Care Center Oskaloosa, IA D 38 0.40 12
51 Glen Haven Village Glenwood, IA D 38 0.57 8
52 Park View Rehabilitation Center Sac City, IA D 38 0.69 17
53 Zearing Health Care, LLC Zearing, IA D 38 0.89 11
54 Azria Health Prairie Ridge Mediapolis, IA D 38 0.60 28
55 Harmony Cedar Rapids Cedar Rapids, IA D 39 0.54 11
56 Harmony West Des Moines West Des Moines, IA D 40 0.58 16
57 Luther Manor at Hillcrest Dubuque, IA D 40 0.66 15
58 Accura Healthcare of Toledo Toledo, IA D 40 0.29 4
59 Crestview Specialty Care West Branch, IA D 40 0.81 13
60 On With Life Ankeny, IA D 40 N/A 1
61 Heritage Care And Rehabilitation Center Mason City, IA D 41 0.34 5
62 Pinnacle Specialty Care Cedar Falls, IA D 41 0.51 15
63 Azria Health Winterset Winterset, IA D 41 0.40 9
64 Salem Lutheran Home Elk Horn, IA D 41 0.64 17
65 Sanford Senior Care Sheldon Sheldon, IA D 43 0.59 8
66 Southfield Wellness Community Webster City, IA D 43 0.78 19
67 Parkridge Specialty Care Pleasant Hill, IA D 43 0.70 16
68 Correctionville Specialty Care Correctionville, IA D 43 0.59 11
69 Bettendorf Health Care Center Bettendorf, IA D 43 0.69 17
70 Living Center West Cedar Rapids, IA D 43 0.37 3
71 Oakland Manor Oakland, IA D 43 0.98 22
72 Azria Health Clarinda Clarinda, IA D 43 0.40 3
73 Emmetsburg Care Center Emmetsburg, IA D 44 0.65 16
74 Jackson Ridge Healthcare Center Maquoketa, IA D 45 0.40 7
75 Manor House Care Center Sigourney, IA D 45 0.36 10
76 North Crest Living Center Council Bluffs, IA D 45 0.45 17
77 Westwood Specialty Care Sioux City, IA D 45 0.75 16
78 Good Samaritan - Red Oak Red Oak, IA D 45 0.75 16
79 Lantern Park Specialty Care Coralville, IA D 46 0.53 7
80 Accura Healthcare of Lake City, LLC Lake City, IA D 46 0.35 7
81 Colonial Manor of Elma Elma, IA D 47 0.57 9
82 Chapters Living of Council Bluffs Council Bluffs, IA D 48 1.02 46
83 Accura Healthcare of Muscatine Muscatine, IA D 49 0.52 7
84 Traditions Memory Care of Newton Newton, IA D 49 0.23 4
85 Azria Health Rose Vista Woodbine, IA D 49 0.57 8
86 Altoona Nursing and Rehabilitation Center Altoona, IA D 49 0.61 8
87 Davenport Lutheran Home Davenport, IA C 50 0.41 4
88 Accura Healthcare of Knoxville, LLC Knoxville, IA C 50 0.49 7
89 Shell Rock Senior Living Shell Rock, IA C 50 0.40 7
90 Ramsey Village Des Moines, IA C 52 0.50 12
91 Exira Care Center Exira, IA C 52 0.65 11
92 New London Specialty Care New London, IA C 52 0.62 8
93 Oelwein Health Care Center Oelwein, IA C 52 0.35 7
94 The Highlands Decorah, IA C 52 0.44 6
95 Harmony Davenport Davenport, IA C 52 0.60 11
96 I O O F Home and Community Therapy Center Mason City, IA C 53 0.41 1
97 Westbrook Acres Gladbrook, IA C 53 0.53 4
98 Sunny View Care Center Ankeny, IA C 53 0.53 9
99 Rehabilitation Center of Allison Allison, IA C 53 0.41 9
100 Good Samaritan - Algona Algona, IA C 54 0.53 3
See highest-rated → Staffing failures report →

Methodology

Rankings are determined by NursingHomeGrade Score, a 0–100 composite that weights RN staffing compliance (35%), health inspection deficiencies (30%), CMS quality ratings (20%), and staffing consistency (15%). Data is sourced from the CMS Provider Data Catalog and updated regularly.

Learn more about our methodology →