Iowa: CMS Rating Breakdown
Iowa has 390 CMS-certified nursing homes, according to current official figures. The state's facilities carry an average Five-Star overall rating of 3.13 out of 5. By ownership structure, the facilities break down as follows: 213 for-profit, 166 nonprofit, and 11 government-operated homes.
The Five-Star rating system has documented limitations, and a statewide average represents a broad indicator rather than an assessment of any individual facility's quality or performance. When evaluating a specific nursing home, prospective residents and families should consult the facility's dedicated Care Compare profile and per-facility pages on the CMS website to access detailed, current information about staffing, inspection histories, resident outcomes, and other quality metrics specific to that location.
How to read this. The star ratings here are official CMS Five-Star Quality figures, shown as the rating as of May2026 — a relative quality measure with documented limits, not a recommendation, guarantee, or medical/financial/legal advice. Always confirm the current rating and details on the facility’s live Medicare Care Compare profile, and involve the resident and their clinicians in any decision.
Ownership mix
| Ownership | Facilities |
|---|---|
| For Profit | 213 |
| Non Profit | 166 |
| Government | 11 |
Iowa facility directory → · How to choose care →
Informational only — not medical, financial, or legal advice. Senior Care by State reports official CMS Five-Star Quality data, which is a relative measure with documented limitations — not a recommendation or a guarantee that any facility is right for you. Choosing care is a personal medical and financial decision: confirm the current details with the facility directly, talk with the resident’s physician and care team, and verify ratings and coverage on Medicare.gov or with your state’s long-term-care or health agency before relying on anything here. For medical, financial, or legal questions, consult a qualified professional.