Assisted living & nursing homes in Iowa

497 assisted-living / residential care and 388 nursing-home facilities — ranked by the government safety records referral sites won't show you. 236 have substantiated complaints · 12 CMS abuse-flagged · 2 on probation.

885Licensed facilities
80Avg safety score
236With substantiated complaints
$292/dayMedian CMS all-payer rate
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⚠️22 Iowa facilities are on the safety watchlist — flagged for CMS Special Focus, probation, or abuse citations. See the list before you tour →

Top-rated facilities in Iowa

Facilities with substantiated complaints

CMS cost-report rate in Iowa

Across 366 Iowa nursing homes with a public CMS cost report, the median all-payer rate is $292 per resident-day. This is net patient revenue divided by resident-days across Medicare, Medicaid, and private pay. It is an accounting statistic, not a private-pay quote or monthly consumer price.

Source: CMS Skilled Nursing Facility Cost Report (FY2023), analyzed by Senior Care Record Map. See the state comparison and payment guide.

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📖The honest care guideHow to read a safety record and what the ratings really mean⚖️Assisted living vs. nursing homeThe real difference in care, cost, and who each is for💵What care actually costsHow to compare itemized quotes and verify coverage🕰️Signs it's timeTen concrete signs it may be time for assisted living✅Free tour checklist45 questions to ask — and get pricing in writing

Largest cities in Iowa

All counties in Iowa

Ranked by Senior Care Record Map safety grade (CA CDSS licensing records + CMS Care Compare, 2026). How grades are calculated →