CMS 5-Star Nursing Homes in Iowa
The 98 nursing homes in Iowa that CMS rates 5 stars overall — its highest rating. Listed exactly as CMS publishes it.
How this list is built. This page lists the nursing homes that meet one explicit CMS threshold — an overall rating of 5 stars — in Iowa. SeniorCareRating.com does not independently rank or recommend providers. Inclusion reflects CMS’s own rating, nothing more.
At a glance
- Rated 5 stars by CMS
- 98
- overall rating
- Share of rated facilities
- 25%
- of 387 rated
- Cities represented
- 83
- All nursing homes in state
- 390
Who runs the 5-star facilities
Ownership composition of the 98 CMS 5-star nursing homes in Iowa.
Ownership composition
Whether the state's CMS 5-star facilities are mostly for-profit, non-profit, or government-run.
CMS-reported data · updated 2026-08-03
Methodology
CMS 5-star nursing homes in Iowa
40 of the 98 facilities CMS rates 5 stars (alphabetical, grouped by county). See all 98 in the filtered search. Overall, health-inspection, staffing, and quality-measure ratings are CMS's.
Dubuque County3
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Accura Healthcare of Cascade LLC Cascade · For profit - Limited Liability company | 5 out of 5 | 4 out of 5 | 5 out of 5 | 4 out of 5 | 46 | |
| Bethany Home Dubuque · For profit - Corporation | 5 out of 5 | 5 out of 5 | 5 out of 5 | 4 out of 5 | 66 | |
| Ennoble Nursing and Rehab Dubuque · For profit - Limited Liability company | 5 out of 5 | 5 out of 5 | 4 out of 5 | 5 out of 5 | 85 |
Polk County3
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Brio of Johnston, LLC Johnston · For profit - Limited Liability company · has penalty record | 5 out of 5 | 4 out of 5 | 4 out of 5 | 5 out of 5 | 36 | |
| Childserve Habilitation Center Johnston · Non profit - Corporation | 5 out of 5 | 4 out of 5 | 5 out of 5 | 5 out of 5 | 74 | |
| Deerfield Health Care Center Urbandale · Non profit - Church related | 5 out of 5 | 4 out of 5 | 5 out of 5 | 4 out of 5 | 30 |
Clayton County2
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Edgewood Convalescent Home Edgewood · For profit - Corporation | 5 out of 5 | 4 out of 5 | 4 out of 5 | 5 out of 5 | 56 | |
| Guttenberg Care Center Guttenberg · For profit - Limited Liability company | 5 out of 5 | 5 out of 5 | 3 out of 5 | 2 out of 5 | 46 |
Floyd County2
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Chautauqua Guest Home #2 Charles City · For profit - Corporation | 5 out of 5 | 4 out of 5 | 5 out of 5 | 3 out of 5 | 53 | |
| Chautauqua Guest Home #3 Charles City · For profit - Corporation | 5 out of 5 | 5 out of 5 | 5 out of 5 | 4 out of 5 | 57 |
Hardin County2
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Eldora Specialty Care Eldora · Non profit - Corporation | 5 out of 5 | 4 out of 5 | 5 out of 5 | 5 out of 5 | 46 | |
| Hubbard Care Center Hubbard · Non profit - Other · has penalty record | 5 out of 5 | 5 out of 5 | 4 out of 5 | 5 out of 5 | 60 |
Iowa County2
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Colonial Manor of Amana Amana · For profit - Corporation | 5 out of 5 | 5 out of 5 | 4 out of 5 | 5 out of 5 | 50 | |
| English Valley Nursing Care Center North English · For profit - Corporation | 5 out of 5 | 5 out of 5 | 3 out of 5 | 4 out of 5 | 44 |
Mitchell County2
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Faith Lutheran Home Osage · Non profit - Church related | 5 out of 5 | 4 out of 5 | 4 out of 5 | 5 out of 5 | 50 | |
| Good Samaritan - Saint Ansgar Saint Ansgar · Non profit - Corporation | 5 out of 5 | 5 out of 5 | 4 out of 5 | 5 out of 5 | 42 |
Adair County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Community Care Center Stuart · For profit - Corporation | 5 out of 5 | 3 out of 5 | 5 out of 5 | 5 out of 5 | 65 |
Audubon County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Friendship Home Association Audubon · Non profit - Corporation · has penalty record | 5 out of 5 | 4 out of 5 | 5 out of 5 | 4 out of 5 | 46 |
Black Hawk County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Friendship Village Retirement Waterloo · Non profit - Corporation | 5 out of 5 | 4 out of 5 | 5 out of 5 | 3 out of 5 | 72 |
Bremer County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Hillcrest Home Sumner · Non profit - Corporation | 5 out of 5 | 4 out of 5 | 5 out of 5 | 2 out of 5 | 61 |
Buchanan County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Buchanan County Health Center Independence · Government - County · has penalty record | 5 out of 5 | 4 out of 5 | 5 out of 5 | 5 out of 5 | 39 |
Cedar County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Clarence Nursing Home Clarence · For profit - Corporation | 5 out of 5 | 4 out of 5 | 4 out of 5 | 5 out of 5 | 46 |
Cherokee County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Heartland Care Center Marcus · Non profit - Other | 5 out of 5 | 3 out of 5 | 5 out of 5 | 5 out of 5 | 38 |
Clinton County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Fieldstone of Dewitt De Witt · Non profit - Other | 5 out of 5 | 5 out of 5 | 5 out of 5 | 3 out of 5 | 70 |
Crawford County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Gracewell, An Eventide Community Denison · Non profit - Corporation | 5 out of 5 | 5 out of 5 | 5 out of 5 | 4 out of 5 | 84 |
Dickinson County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Accura Healthcare of Milford Milford · For profit - Corporation | 5 out of 5 | 5 out of 5 | 3 out of 5 | 2 out of 5 | 46 |
Franklin County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Franklin General Hospital Hampton · Government - County | 5 out of 5 | 4 out of 5 | 5 out of 5 | 4 out of 5 | 52 |
Grundy County1
Hancock County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Kanawha Community Home, INC. Kanawha · For profit - Corporation | 5 out of 5 | 5 out of 5 | 5 out of 5 | 4 out of 5 | 26 |
Howard County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Evans Senior Living Community Cresco · Non profit - Other | 5 out of 5 | 5 out of 5 | 5 out of 5 | 3 out of 5 | 43 |
Humboldt County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Humboldt County Memorial Hospital Humboldt · Government - County | 5 out of 5 | 4 out of 5 | 5 out of 5 | 4 out of 5 | 28 |
Johnson County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Briarwood Healthcare Center Iowa City · For profit - Corporation | 5 out of 5 | 5 out of 5 | 4 out of 5 | 3 out of 5 | 62 |
Jones County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Anamosa Care Center Anamosa · For profit - Corporation | 5 out of 5 | 4 out of 5 | 3 out of 5 | 5 out of 5 | 64 |
Kossuth County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Algona Manor Care Center Algona · For profit - Corporation | 5 out of 5 | 4 out of 5 | 4 out of 5 | 5 out of 5 | 46 |
Marshall County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Iowa Veterans Home Marshalltown · Government - State | 5 out of 5 | 5 out of 5 | 5 out of 5 | 5 out of 5 | 702 |
Plymouth County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Accura Healthcare of Le Mars Le Mars · For profit - Limited Liability company | 5 out of 5 | 3 out of 5 | 5 out of 5 | 5 out of 5 | 46 |
Pocahontas County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Fonda Specialty Care Fonda · Non profit - Corporation | 5 out of 5 | 4 out of 5 | 4 out of 5 | 5 out of 5 | 46 |
Poweshiek County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Brooklyn Community Estates Brooklyn · For profit - Corporation | 5 out of 5 | 5 out of 5 | 4 out of 5 | 5 out of 5 | 50 |
Sioux County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Hegg Memorial Health Center Rock Valley · Non profit - Corporation | 5 out of 5 | 4 out of 5 | 5 out of 5 | 4 out of 5 | 60 |
Story County1
| Facility | Overall | Health | Staffing | Quality | Beds | Actions |
|---|---|---|---|---|---|---|
| Green Hills Health Care Center Ames · For profit - Corporation | 5 out of 5 | 4 out of 5 | 5 out of 5 | 3 out of 5 | 56 |
How to read a CMS 5-star rating
What the rating does and does not tell you.
A 5-star overall rating means a facility scored in CMS’s top band on the combination of health inspections, staffing, and quality measures — as of the last reported data. It is a useful starting point, not a verdict. Two 5-star facilities can differ meaningfully on their individual components and records.
Before choosing, also review each facility’s:
- Recent inspections. the findings and dates of the latest surveys
- Staffing. nurse and aide levels relative to residents
- Citations. what inspectors recorded, and severity
- Federal penalties. fines on record
- Payment denials. a distinct CMS record type
- Ownership. the CMS-reported ownership group
Every facility above links to its full CMS profile with these records, and you can put any of them side by side in Compare. Confirm current details on Medicare’s Care Compare and visit in person.
Related research and tools
Frequently asked questions
How many CMS 5-star nursing homes are in Iowa?
CMS assigns its highest overall rating — 5 stars — to 98 of the 387 rated nursing homes in Iowa (about 25%), across 83 cities. All 98 are listed on this page.
Does a CMS 5-star rating mean a nursing home is safe or right for me?
No. A 5-star overall rating is CMS's summary of past data — health inspections, staffing, and quality measures — not a guarantee of current conditions or a fit for an individual's needs. SeniorCareRating.com does not independently rank or recommend providers. Read a facility's recent inspections, staffing, citations, penalties, and ownership, and visit in person before deciding.
How does CMS calculate the overall star rating?
CMS combines three components — health inspections, staffing relative to resident needs, and clinical quality measures — into a single 1–5 overall rating. It reflects past reported data. Some facilities are not rated when CMS lacks sufficient data.
How current is this list?
The ratings reflect the CMS data snapshot refreshed 2026-08-03. CMS updates ratings over time; confirm a facility's current rating on Medicare's Care Compare before deciding.