State data · CMS September 2026
Nursing homes in Iowa
Iowa has 387 nursing homes certified for Medicare or Medicaid, with 25,131 certified beds and a median occupancy of 83.6% (US median 85.7%). 54% are for-profit, 43% nonprofit and 3% government-owned, and 57% belong to a chain or affiliated group. HUD has endorsed 26 FHA-insured Section 232 nursing home loans in Iowa since fiscal 2001, totaling $0.1 billion in original principal, 4 of them since fiscal 2021.
- Facilities
- 387
- Certified beds
- 25,131
- Median occupancy
- 83.6%
- Median nurse hours / resident day
- 3.69
- HUD 232 loans since FY2001
- 26
Star ratings
CMS overall ratings for the 385 rated Iowa facilities. 2 are Special Focus Facilities and 10 are candidates, the CMS list for homes with a history of serious quality problems.
Ownership
| Measure | Iowa | Share |
|---|---|---|
| For-profit | 208 | 54% |
| Nonprofit | 168 | 43% |
| Government | 11 | 3% |
| Changed ownership in the last 12 months | 4 | 1% |
| Private equity owner self-reported to CMS | 6 | 2% |
| REIT owner self-reported to CMS | 2 | 1% |
Largest chains and affiliated groups in Iowa
- Care Initiatives: 43 facilities
- Legacy Healthcare: 35 facilities
- Accura Healthcare: 26 facilities
- Campbell Street Services: 20 facilities
- Good Samaritan Society: 16 facilities
- Wesleylife: 10 facilities
- The Ensign Group: 10 facilities
- Western Home Communities: 6 facilities
- Presbyterian Homes & Services: 6 facilities
- Shlomo Hoffman: 6 facilities
Facilities with HUD Section 232 history
8 Iowa facilities match at least one FHA-insured loan in HUD's healthcare database, most recent endorsement first.
| Facility | City | Beds | Latest endorsement | Amount |
|---|---|---|---|---|
| Royal Oaks Nursing and Rehabilitation Center | Urbandale | 115 | Mar 25, 2026 | $11,520,000 |
| Oakview Nursing and Rehabilitation | Burlington | 60 | Sep 29, 2022 | $10,400,000 |
| The New Homestead Care Center | Guthrie Center | 58 | Mar 24, 2022 | $5,309,500 |
| West Ridge Care Center | Cedar Rapids | 60 | Aug 30, 2012 | $3,556,500 |
| Crystal Heights Care Center | Oskaloosa | 72 | Dec 15, 2011 | $4,670,600 |
| Embassy Rehab and Care Center | Sergeant Bluff | 60 | Nov 30, 2009 | $3,328,000 |
| Grandview Health Care Center | Dayton | 40 | Mar 30, 2006 | $1,203,500 |
| Red Oak Rehab and Care Center | Red Oak | 58 | Dec 18, 2002 | $1,065,200 |
Largest by certified beds
- Iowa Veterans Home, Marshalltown: 702 beds
- Stonehill Care Center, Dubuque: 185 beds
- Ravenwood Specialty Care, Waterloo: 176 beds
- Heritage Specialty Care, Cedar Rapids: 171 beds
- Good Shepherd Health Center, Mason City: 170 beds
- Southeast Iowa Regional Medical - Klein Center, West Burlington: 160 beds
- Friendship Haven, Inc, Fort Dodge: 155 beds
- Lutheran Living Senior Campus, Muscatine: 155 beds
- Bishop Drumm Retirement Center, Johnston: 150 beds
- Pine Acres Rehabilitation and Care Center, West Des Moines: 140 beds
Every Iowa facility
The full list is sorted by city, 2 pages of up to 200.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.