These are the lowest-rated nursing homes in Iowa based on CMS data (2026). The lowest CMS rating in this list is 1 star(s). Combined, these 20 facilities have been fined a total of $1,069,451. 5 have abuse flags. This ranking is based solely on official CMS data and does not represent editorial opinion.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Harmony Cedar Rapids | Cedar Rapids | $10,358 | |
| 2 | Harmony Waterloo | Waterloo | $95,440 | |
| 3 | Ridgecrest Village | Davenport | $118,886 | |
| 4 | Harmony House Health Care Center | Waterloo | $48,825 | |
| 5 | Salem Lutheran Home | Elk Horn | $0 | |
| 6 | Fort Dodge Health and Rehabilitation | Fort Dodge | $166,043 | |
| 7 | Silver Oak Nursing and Rehabilitation Center LLC | Marion | $29,107 | |
| 8 | Osage Rehab and Health Care Center | Osage | $14,433 | |
| 9 | Greater Southside Health and Rehabilitation | Des Moines | $166,443 | |
| 10 | Good Samaritan - Indianola | Indianola | $20,316 | |
| 11 | Good Samaritan - Red Oak | Red Oak | $29,894 | |
| 12 | Iowa City Rehab & Health Care | Iowa City | $0 | |
| 13 | Azria Health Park Place | Des Moines | $36,875 | |
| 14 | Country Lane Manor | Keosauqua | $59,150 | |
| 15 | Caring Acres Nursing and Rehab Center | Anita | $73,488 | |
| 16 | Azria Health Prairie Ridge | Mediapolis | $0 | |
| 17 | Oakland Manor | Oakland | $15,593 | |
| 18 | Parkview Manor | Wellman | $93,473 | |
| 19 | Grundy Care Center | Grundy Center | $65,677 | |
| 20 | Hillcrest Health Care Center | Hawarden | $25,450 |
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.