Starfile

Starfile / Iowa / Worst rated

Worst-rated nursing homes in Iowa

Every Iowanursing home rated 1 or 2 stars by CMS's Five-Star Quality Rating System, plus those under active federal scrutiny. Rankings reflect the latest CMS Care Compare data — overall star rating, active abuse citations, Special Focus Facility status, and total fines assessed in the current three-year window.

One-star facilities
80
Abuse-flagged in state
11
State avg rating
3.08 / 5

One-star facilities (most serious)

FacilityCityOverallHealthStaffingFlags
Greater Southside Health and RehabilitationDes Moines★☆☆☆☆★☆☆☆☆★☆☆☆☆SFF Abuse
Ridgecrest VillageDavenport★☆☆☆☆★☆☆☆☆★★★★☆ Abuse
Parkview ManorWellman★☆☆☆☆★☆☆☆☆★☆☆☆☆ Abuse
Caring Acres Nursing and Rehab CenterAnita★☆☆☆☆★☆☆☆☆★★☆☆☆SFF Abuse
Bethany LifeStory City★☆☆☆☆★☆☆☆☆★★★★☆ Abuse
Aspire of MuscatineMuscatine★☆☆☆☆★☆☆☆☆★★★☆☆ Abuse
Good Samaritan Society - IndianolaIndianola★☆☆☆☆★☆☆☆☆★★☆☆☆ Abuse
Accura Healthcare of MarshalltownMarshalltown★☆☆☆☆★☆☆☆☆★☆☆☆☆ Abuse
Lutheran Living Senior CampusMuscatine★☆☆☆☆★☆☆☆☆★★★☆☆SFF
Crestview Specialty CareWest Branch★☆☆☆☆★☆☆☆☆★★☆☆☆
Westwood Specialty CareSioux City★☆☆☆☆★☆☆☆☆★★★☆☆SFF
Ivy at DavenportDavenport★☆☆☆☆★☆☆☆☆★★☆☆☆SFF
Regency Care CenterNorwalk★☆☆☆☆★☆☆☆☆★☆☆☆☆
The HighlandsDecorah★☆☆☆☆★☆☆☆☆★★★☆☆
Prestige Care Center of FairfieldFairfield★☆☆☆☆★☆☆☆☆★★★☆☆
Harvest Acres Nursing and RehabKeota★☆☆☆☆★☆☆☆☆★★☆☆☆
Fort Dodge Health and RehabilitationFort Dodge★☆☆☆☆★☆☆☆☆★☆☆☆☆
Royal Oaks Nursing and Rehabilitation CenterUrbandale★☆☆☆☆★☆☆☆☆★★☆☆☆
Accura Healthcare of Pleasantville, LLCPleasantville★☆☆☆☆★☆☆☆☆★★★☆☆
Lantern Park Specialty CareCoralville★☆☆☆☆★★☆☆☆★★★☆☆
The Village of AckleyAckley★☆☆☆☆★☆☆☆☆★★★★☆
Osage Rehab and Health Care CenterOsage★☆☆☆☆★☆☆☆☆★★★☆☆
Harmony MarshalltownMarshalltown★☆☆☆☆★☆☆☆☆★★☆☆☆
Southfield Wellness CommunityWebster City★☆☆☆☆★☆☆☆☆★★★★☆
Grundy Care CenterGrundy Center★☆☆☆☆★☆☆☆☆★☆☆☆☆
Accura Healthcare of South Des MoinesDes Moines★☆☆☆☆★☆☆☆☆★★★★☆
Correctionville Specialty CareCorrectionville★☆☆☆☆★☆☆☆☆★★★☆☆
Country Lane ManorKeosauqua★☆☆☆☆★☆☆☆☆★★☆☆☆
Bethany Lutheran HomeCouncil Bluffs★☆☆☆☆★☆☆☆☆★★★☆☆
Harmony Utica RidgeDavenport★☆☆☆☆★☆☆☆☆★★★☆☆
Accura Healthcare of CarlisleCarlisle★☆☆☆☆★☆☆☆☆★★★☆☆
Good Samaritan Society - Red OakRed Oak★☆☆☆☆★☆☆☆☆★★★★☆
Harmony Cedar RapidsCedar Rapids★☆☆☆☆★☆☆☆☆★★☆☆☆
Embassy Rehab and Care CenterSergeant Bluff★☆☆☆☆★☆☆☆☆★★★☆☆
Heritage Specialty CareCedar Rapids★☆☆☆☆★☆☆☆☆★★★★☆
Northbrook Healthcare and Rehabilitation CenterCedar Rapids★☆☆☆☆★☆☆☆☆★☆☆☆☆
Accura Healthcare of Lake City, LLCLake City★☆☆☆☆★☆☆☆☆★★★★☆
Bettendorf Health Care CenterBettendorf★☆☆☆☆★☆☆☆☆★★☆☆☆
Parkridge Specialty CarePleasant Hill★☆☆☆☆★☆☆☆☆★★★☆☆
I O O F Home and Community Therapy CenterMason City★☆☆☆☆★★☆☆☆★★★★☆
Oskaloosa Care CenterOskaloosa★☆☆☆☆★☆☆☆☆★★☆☆☆
Pioneer Valley Living And RehabSergeant Bluff★☆☆☆☆★☆☆☆☆★★★★☆SFF
Silver Oak Nursing and Rehabilitation Center LLCMarion★☆☆☆☆★☆☆☆☆★★★☆☆
Hillcrest Health Care CenterHawarden★☆☆☆☆★☆☆☆☆★★☆☆☆
Salem Lutheran HomeElk Horn★☆☆☆☆★★☆☆☆★☆☆☆☆
Spencer Post Acute Rehabilitation CenterSpencer★☆☆☆☆★★☆☆☆★☆☆☆☆
Clarion Wellness and Rehabilitation CenterClarion★☆☆☆☆★☆☆☆☆★☆☆☆☆
Parkview Manor Care CenterReinbeck★☆☆☆☆★☆☆☆☆★★★☆☆
Azria Health Park PlaceDes Moines★☆☆☆☆★☆☆☆☆★☆☆☆☆SFF
Stacyville Community Nursing HomeStacyville★☆☆☆☆★☆☆☆☆★★★★☆
Accura Healthcare of Newton East, LLCNewton★☆☆☆☆★☆☆☆☆★★★☆☆
Stone Cottage Care CenterSigourney★☆☆☆☆★☆☆☆☆★★☆☆☆
Tabor Manor Care CenterTabor★☆☆☆☆★☆☆☆☆★☆☆☆☆
Shell Rock Senior LivingShell Rock★☆☆☆☆★☆☆☆☆★★★☆☆
Perry Lutheran HomePerry★☆☆☆☆★☆☆☆☆★★★★☆
Accura Healthcare of Knoxville, LLCKnoxville★☆☆☆☆★★☆☆☆★☆☆☆☆
Sanford Senior Care SheldonSheldon★☆☆☆☆★☆☆☆☆★★★☆☆
Oakland ManorOakland★☆☆☆☆★☆☆☆☆★★☆☆☆
St Anthony Nursing HomeCarroll★☆☆☆☆★★☆☆☆★☆☆☆☆
Windmill ManorCoralville★☆☆☆☆★★☆☆☆★★☆☆☆
Accura Healthcare of ShenandoahShenandoah★☆☆☆☆★☆☆☆☆★☆☆☆☆
Harmony West Des MoinesWest Des Moines★☆☆☆☆★☆☆☆☆★★☆☆☆SFF
Azria Health LongviewMissouri Valley★☆☆☆☆★☆☆☆☆★★☆☆☆
AMS Memorial-GreeneGreene★☆☆☆☆★★☆☆☆★☆☆☆☆
Casa De Paz Health Care CenterSioux City★☆☆☆☆★★☆☆☆★☆☆☆☆
Manor House Care CenterSigourney★☆☆☆☆★★☆☆☆★☆☆☆☆
North Crest Living CenterCouncil Bluffs★☆☆☆☆★☆☆☆☆★★★☆☆
Accura Healthcare of OnawaOnawa★☆☆☆☆★★☆☆☆—
Azria Health Rose VistaWoodbine★☆☆☆☆★★☆☆☆★★★☆☆
Avoca Specialty CareAvoca★☆☆☆☆★☆☆☆☆★★★☆☆
Chapters Living of Council BluffsCouncil Bluffs★☆☆☆☆★☆☆☆☆★☆☆☆☆
Altoona Nursing and Rehabilitation CenterAltoona★☆☆☆☆★☆☆☆☆★★★☆☆
Lakeside Lutheran HomeEmmetsburg★☆☆☆☆★★☆☆☆★★★★☆
Accura Healthcare of CrescoCresco★☆☆☆☆★☆☆☆☆★★★★☆
Harmony House Health Care CenterWaterloo★☆☆☆☆★☆☆☆☆★★☆☆☆
Westbrook AcresGladbrook★☆☆☆☆★★★☆☆★☆☆☆☆
Aspire of Pleasant ValleyPleasant Valley★☆☆☆☆★★☆☆☆★★★★☆
Accura Healthcare of CarrollCarroll★☆☆☆☆★☆☆☆☆★☆☆☆☆
Iowa City Rehab & Health CareIowa City★☆☆☆☆★☆☆☆☆★★★☆☆
Good Samaritan Society - EsthervilleEstherville★☆☆☆☆★★☆☆☆★★★☆☆

Two-star facilities

FacilityCityOverallHealthStaffingFlags
Harmony WaterlooWaterloo★★☆☆☆★☆☆☆☆★★★☆☆ Abuse
Perry Lutheran Homes Eden Acres CampusPerry★★☆☆☆★★☆☆☆★★★☆☆ Abuse
Bishop Drumm Retirement CenterJohnston★★☆☆☆★☆☆☆☆★★★★☆SFF
Aspire of PerryPerry★★☆☆☆★☆☆☆☆★☆☆☆☆SFF
Good Samaritan Society - HolsteinHolstein★★☆☆☆★★☆☆☆★★★★☆
St Luke Lutheran Nursing HomeSpencer★★☆☆☆★☆☆☆☆★★★★★
Good Shepherd Health CenterMason City★★☆☆☆★★☆☆☆★★★☆☆
Southeast Iowa Regional Medical - Klein CenterWest Burlington★★☆☆☆★☆☆☆☆★★★★★
The CottagesPella★★☆☆☆★☆☆☆☆★★★★★
Dubuque Specialty CareDubuque★★☆☆☆★★☆☆☆★★★☆☆
Northern Mahaska Specialty CareOskaloosa★★☆☆☆★★☆☆☆★★★☆☆
Southridge Specialty CareMarshalltown★★☆☆☆★★☆☆☆★★★★☆
Winslow House Care CenterMarion★★☆☆☆★☆☆☆☆★★★★☆
Davenport Lutheran HomeDavenport★★☆☆☆★★☆☆☆★★★★☆
Lenox Care CenterLenox★★☆☆☆★★☆☆☆★★☆☆☆
Dunlap Specialty CareDunlap★★☆☆☆★☆☆☆☆★★★★★
Accura Healthcare of Spirit LakeSpirit Lake★★☆☆☆★★☆☆☆★★★★☆
Arbor CourtMount Pleasant★★☆☆☆★★☆☆☆★★☆☆☆
OPCO Dayton IA LLCDayton★★☆☆☆★★★☆☆★☆☆☆☆
Harmony DavenportDavenport★★☆☆☆★★☆☆☆★★★★☆

Source: CMS Provider Data Catalog · Nursing Home Care Compare. A low rating doesn't automatically mean a facility is dangerous today — but it is a signal to look carefully at inspection history, recent citations, and staffing. Click any facility for the full CMS record.