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 34
2 Greater Southside Health and Rehabilitation Des Moines, IA F 0 0.30 32
3 Garden View Care Center Shenandoah, IA F 6 0.72 51
4 Northbrook Healthcare and Rehabilitation Center Cedar Rapids, IA F 7 0.53 22
5 Royal Oaks Nursing and Rehabilitation Center Urbandale, IA F 9 0.48 34
6 Oskaloosa Care Center Oskaloosa, IA F 11 0.31 19
7 Fort Dodge Health and Rehabilitation Fort Dodge, IA F 12 0.51 18
8 Accura Healthcare of Marshalltown Marshalltown, IA F 15 0.15 11
9 Iowa City Rehab & Health Care Iowa City, IA F 15 N/A 22
10 Harmony House Health Care Center Waterloo, IA F 17 0.57 32
11 Ivy at Davenport Davenport, IA F 18 0.65 29
12 Southfield Wellness Community Webster City, IA F 18 0.78 24
13 Adel Acres Adel, IA F 19 0.42 17
14 Regency Care Center Norwalk, IA F 19 0.35 15
15 Stone Cottage Care Center Sigourney, IA F 20 0.45 19
16 Parkview Manor Wellman, IA F 20 0.38 9
17 AMS Memorial-Greene Greene, IA F 22 N/A 5
18 Arbor Springs of West Des Moines L L C West Des Moines, IA F 24 0.32 10
19 Northgate Care Center Waukon, IA F 25 0.40 18
20 Harvest Acres Nursing and Rehab Keota, IA F 26 0.72 13
21 Heritage Specialty Care Cedar Rapids, IA F 26 0.50 10
22 Azria Health Park Place Des Moines, IA F 27 0.86 19
23 Spencer Post Acute Rehabilitation Center Spencer, IA F 28 0.55 16
24 Accura Healthcare of Newton East, LLC Newton, IA F 28 0.27 9
25 Azria Health Longview Missouri Valley, IA F 28 0.59 17
26 Accura Healthcare of Cresco Cresco, IA F 29 0.69 19
27 Hillcrest Health Care Center Hawarden, IA F 30 0.61 27
28 Accura Healthcare of Carroll Carroll, IA F 31 0.50 19
29 Parkview Care Center Fairfield, IA F 31 N/A 9
30 Ravenwood Specialty Care Waterloo, IA F 31 0.64 13
31 Windmill Manor Coralville, IA F 32 0.40 9
32 Accura Healthcare of Shenandoah Shenandoah, IA F 32 0.60 11
33 Lutheran Living Senior Campus Muscatine, IA F 33 0.44 6
34 Clarion Wellness and Rehabilitation Center Clarion, IA F 33 0.36 8
35 Accura Healthcare of Carlisle Carlisle, IA F 33 0.47 16
36 Tabor Manor Care Center Tabor, IA F 34 0.55 25
37 Glen Haven Village Glenwood, IA F 34 0.57 11
38 Bishop Drumm Retirement Center Johnston, IA F 34 0.81 33
39 Azria Health Winterset Winterset, IA F 34 0.40 14
40 Good Samaritan - Indianola Indianola, IA F 34 0.51 12
41 Norwalk Nursing and Rehabilitation Center Norwalk, IA F 34 N/A 1
42 Bethany Lutheran Home Council Bluffs, IA D 35 0.30 9
43 Pillar of Cedar Valley Waterloo, IA D 35 0.33 11
44 On With Life Long Term Care Polk City, IA D 35 N/A 0
45 Osage Rehab and Health Care Center Osage, IA D 36 0.62 16
46 Country Lane Manor Keosauqua, IA D 37 0.34 11
47 Good Shepherd Health Center Mason City, IA D 37 0.36 7
48 Park View Rehabilitation Center Sac City, IA D 38 0.69 17
49 Azria Health Prairie Ridge Mediapolis, IA D 38 0.60 29
50 Prestige Care Center of Fairfield Fairfield, IA D 39 0.73 18
51 Altoona Nursing and Rehabilitation Center Altoona, IA D 39 0.61 12
52 Harmony West Des Moines West Des Moines, IA D 40 0.58 16
53 Luther Manor at Hillcrest Dubuque, IA D 40 0.66 15
54 Accura Healthcare of Toledo Toledo, IA D 40 0.29 4
55 Crestview Specialty Care West Branch, IA D 40 0.81 13
56 On With Life Ankeny, IA D 40 N/A 1
57 Heritage Care And Rehabilitation Center Mason City, IA D 41 0.34 5
58 Pinnacle Specialty Care Cedar Falls, IA D 41 0.51 15
59 Salem Lutheran Home Elk Horn, IA D 41 0.64 17
60 Sanford Senior Care Sheldon Sheldon, IA D 43 0.59 8
61 Parkridge Specialty Care Pleasant Hill, IA D 43 0.70 16
62 Bettendorf Health Care Center Bettendorf, IA D 43 0.69 17
63 Oakland Manor Oakland, IA D 43 0.98 22
64 Crystal Heights Care Center Oskaloosa, IA D 44 0.40 5
65 Emmetsburg Care Center Emmetsburg, IA D 44 0.65 16
66 Westwood Specialty Care Sioux City, IA D 45 0.75 16
67 Azria Health Clarinda Clarinda, IA D 45 0.40 2
68 Harmony Marshalltown Marshalltown, IA D 46 0.44 5
69 Correctionville Specialty Care Correctionville, IA D 46 0.59 11
70 Lantern Park Specialty Care Coralville, IA D 46 0.53 7
71 Accura Healthcare of Lake City, LLC Lake City, IA D 46 0.35 7
72 Harmony Cedar Rapids Cedar Rapids, IA D 46 0.54 11
73 Chapters Living of Council Bluffs Council Bluffs, IA D 48 1.02 46
74 Caring Acres Nursing and Rehab Center Anita, IA D 48 1.32 17
75 Traditions Memory Care of Newton Newton, IA D 49 0.23 4
76 Colonial Manor of Elma Elma, IA D 49 0.57 8
77 Azria Health Rose Vista Woodbine, IA D 49 0.57 8
78 Nora Springs Care Center Nora Springs, IA D 49 0.32 9
79 Living Center West Cedar Rapids, IA D 49 0.37 2
80 Cedar Falls Health Care Center Cedar Falls, IA D 49 0.53 17
81 Shell Rock Senior Living Shell Rock, IA C 50 0.40 7
82 North Crest Living Center Council Bluffs, IA C 50 0.45 14
83 Good Samaritan - Red Oak Red Oak, IA C 50 0.75 15
84 Accura Healthcare of Knoxville, LLC Knoxville, IA C 51 0.49 6
85 Ramsey Village Des Moines, IA C 52 0.50 12
86 Davenport Lutheran Home Davenport, IA C 52 0.41 4
87 Exira Care Center Exira, IA C 52 0.65 11
88 Oelwein Health Care Center Oelwein, IA C 52 0.35 7
89 The Highlands Decorah, IA C 52 0.44 7
90 Westbrook Acres Gladbrook, IA C 53 0.53 4
91 Sunny View Care Center Ankeny, IA C 53 0.53 9
92 Rehabilitation Center of Allison Allison, IA C 53 0.41 9
93 Jackson Ridge Healthcare Center Maquoketa, IA C 54 0.40 7
94 Manor House Care Center Sigourney, IA C 54 0.36 5
95 Friendship Home Association Audubon, IA C 54 0.54 5
96 Good Samaritan - Algona Algona, IA C 54 0.53 3
97 Accura Healthcare of Onawa Onawa, IA C 55 0.63 9
98 Perry Lutheran Homes Eden Acres Campus Perry, IA C 56 0.52 6
99 The Vistas at Bettendorf Bettendorf, IA C 56 0.55 9
100 Bethany Life Story City, IA C 56 0.81 13
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 →