These are the top 20 highest-rated nursing homes in Iowa according to the CMS 5-Star Quality Rating System (2026). All facilities listed have an overall rating of 5 stars or higher. The average rating across this list is 5.0/5. 19 of these 20 facilities have no fines on record.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Oaknoll Retirement Residence | Iowa City | $0 | |
| 2 | On With Life | Ankeny | $0 | |
| 3 | Briarwood Healthcare Center | Iowa City | $0 | |
| 4 | Good Samaritan - Saint Ansgar | Saint Ansgar | $0 | |
| 5 | Chautauqua Guest Home #3 | Charles City | $0 | |
| 6 | On With Life Long Term Care | Polk City | $0 | |
| 7 | Lamoni Specialty Care | Lamoni | $0 | |
| 8 | Colonial Manor of Amana | Amana | $0 | |
| 9 | Guttenberg Care Center | Guttenberg | $0 | |
| 10 | Hubbard Care Center | Hubbard | $46,101 | |
| 11 | Westview Care Center | Britt | $0 | |
| 12 | Westview of Indianola Care Center | Indianola | $0 | |
| 13 | Mill Valley Care Center | Bellevue | $0 | |
| 14 | English Valley Nursing Care Center | North English | $0 | |
| 15 | Kanawha Community Home, INC. | Kanawha | $0 | |
| 16 | St Francis Manor | Grinnell | $0 | |
| 17 | Wesley on Grand | Des Moines | $0 | |
| 18 | Evans Senior Living Community | Cresco | $0 | |
| 19 | Gracewell, An Eventide Community | Denison | $0 | |
| 20 | Marian Home | Fort Dodge | $0 |
Rankings are based on the CMS 5-Star Quality Rating System, which evaluates nursing homes on health inspections, staffing, and quality measures. Ratings range from 1 star (much below average) to 5 stars (much above average). Data is updated monthly by CMS.