CMS Data · 2026
Iowa Nursing Home Staffing Ratios
State average: 3.85 total HPRD · 0.68 RN · 0.82 LPN · 2.35 CNA
Iowa vs. National Average
Bar = Iowa average. Marker line = U.S. national average. Source: CMS PBJ 2024.
Browse by City in Iowa
Iowa Nursing Home Staffing — Top 50 Facilities
Sorted by CMS overall star rating. Click any facility for detailed staffing data.
Chautauqua Guest Home #2
Charles City, IA · For profit
5★
5★
4.02
0.89
Oaknoll Retirement Residence
Iowa City, IA · Non profit
5★
5★
5.28
0.90
Friendship Village Retirement
Waterloo, IA · Non profit
5★
5★
4.78
0.81
Park Place
Mount Pleasant, IA · Non profit
5★
5★
5.31
1.58
On With Life
Ankeny, IA · Non profit
5★
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The Village
Indianola, IA · Non profit
5★
5★
4.10
0.92
Briarwood Healthcare Center
Iowa City, IA · For profit
5★
5★
3.88
0.58
Strawberry Point Lutheran Home
Strawberry Point, IA · Non profit
4★
4★
5.13
1.33
Crown Pointe Estates Care Center
Sioux Center, IA · Non profit
4★
5★
4.88
0.80
Dunlap Specialty Care
Dunlap, IA · Non profit
4★
5★
3.58
0.73
⚠ 1 CMS fine on record
Madrid Home for the Aged
Madrid, IA · Non profit
3★
3★
3.70
0.63
Kahl Home for the Aged & Infirmed
Davenport, IA · Non profit
3★
4★
3.96
0.76
Mississippi Valley
Keokuk, IA · For profit
3★
3★
5.67
1.57
⚠ 2 CMS fines on record
Good Samaritan - Davenport
Davenport, IA · Non profit
3★
4★
3.47
0.74
Community Memorial Health Center
Hartley, IA · Non profit
3★
5★
4.02
1.12
⚠ 2 CMS fines on record
Norwalk Nursing and Rehabilitation Center
Norwalk, IA · For profit
3★
1★
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Odebolt Specialty Care
Odebolt, IA · Non profit
3★
5★
3.73
0.76
⚠ 1 CMS fine on record
Red Oak Rehab and Care Center
Red Oak, IA · For profit
3★
4★
3.54
0.77
Good Samaritan - West Union
West Union, IA · Non profit
3★
3★
3.26
0.72
Good Samaritan - Villisca
Villisca, IA · Non profit
3★
4★
3.43
0.73
Good Samaritan - Algona
Algona, IA · Non profit
3★
3★
3.06
0.53
⚠ 1 CMS fine on record
Creston Specialty Care
Creston, IA · For profit
3★
3★
3.26
0.60
⚠ 2 CMS fines on record
Iowa Jewish Senior Life Center
Des Moines, IA · Non profit
2★
1★
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⚠ 2 CMS fines on record
Harmony Davenport
Davenport, IA · For profit
2★
3★
3.77
0.60
Accura Healthcare of Lake City, LLC
Lake City, IA · For profit
2★
3★
3.69
0.35
⚠ 2 CMS fines on record
Harmony Dubuque
Dubuque, IA · For profit
2★
2★
3.39
0.86
⚠ 2 CMS fines on record
Southeast Iowa Regional Medical - Klein Center
West Burlington, IA · Non profit
2★
5★
4.78
1.43
⚠ 2 CMS fines on record
Azria Health Clarinda
Clarinda, IA · For profit
2★
2★
3.66
0.40
⚠ 1 CMS fine on record
Northcrest Specialty Care
Waterloo, IA · Non profit
2★
4★
3.29
0.68
Casa De Paz Health Care Center
Sioux City, IA · For profit
2★
2★
2.79
0.71
The Highlands
Decorah, IA · Non profit
2★
4★
3.90
0.44
⚠ 2 CMS fines on record
Azria Health Winterset
Winterset, IA · For profit
2★
2★
3.45
0.40
Good Samaritan - Estherville
Estherville, IA · Non profit
2★
4★
3.57
0.94
Cedar Falls Health Care Center
Cedar Falls, IA · For profit
2★
4★
2.72
0.53
Harmony Cedar Rapids
Cedar Rapids, IA · For profit
1★
2★
3.70
0.54
⚠ 1 CMS fine on record
Harmony Waterloo
Waterloo, IA · For profit
1★
3★
3.24
0.67
⚠ 1 CMS fine on record
Ridgecrest Village
Davenport, IA · Non profit
1★
3★
3.69
0.95
⚠ 3 CMS fines on record
Good Shepherd Health Center
Mason City, IA · Non profit
1★
3★
3.65
0.36
⚠ 1 CMS fine on record
Embassy Rehab and Care Center
Sergeant Bluff, IA · For profit
1★
4★
3.51
0.77
Harmony House Health Care Center
Waterloo, IA · For profit
1★
2★
3.84
0.57
⚠ 1 CMS fine on record
Salem Lutheran Home
Elk Horn, IA · For profit
1★
4★
3.86
0.64
Fort Dodge Health and Rehabilitation
Fort Dodge, IA · For profit
1★
2★
3.18
0.51
⚠ 2 CMS fines on record
Altoona Nursing and Rehabilitation Center
Altoona, IA · For profit
1★
1★
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Silver Oak Nursing and Rehabilitation Center LLC
Marion, IA · For profit
1★
4★
3.55
0.65
⚠ 2 CMS fines on record
Osage Rehab and Health Care Center
Osage, IA · For profit
1★
2★
3.06
0.62
⚠ 1 CMS fine on record
Greater Southside Health and Rehabilitation
Des Moines, IA · For profit
1★
1★
3.44
0.30
⚠ 4 CMS fines on record
Good Samaritan - Indianola
Indianola, IA · Non profit
1★
2★
3.19
0.51
⚠ 2 CMS fines on record
Good Samaritan - Red Oak
Red Oak, IA · Non profit
1★
4★
3.29
0.75
⚠ 1 CMS fine on record
Grandview Healthcare Center
Dayton, IA · For profit
1★
1★
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⚠ 1 CMS fine on record
Iowa City Rehab & Health Care
Iowa City, IA · For profit
1★
1★
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Frequently Asked Questions
- What are the nursing home staffing requirements in Iowa?
- CMS requires all Iowa nursing homes to meet the federal minimums of 3.48 total nursing HPRD and 0.55 RN HPRD with 24-hour RN presence. Iowa's state average of 3.85 total HPRD is below the national average of 3.89.
- What is the average RN staffing level in Iowa nursing homes?
- Iowa nursing homes average 0.68 RN hours per resident per day — below the U.S. national average of 0.69. Individual facilities vary widely; use this tool to compare specific nursing homes.
- How do I find the best-staffed nursing home in Iowa?
- Sort by CMS staffing star rating (4–5 stars) and look for total HPRD above 3.89 — especially RN HPRD above 1.0. Also check staff turnover: facilities below 30% annual turnover typically provide more consistent care.
Data: CMS PBJ system via Care Compare. Revalidated every 24 hours. Not a medical recommendation.