These are the lowest-rated nursing homes in Iowa based on CMS data (2026). All facilities listed have an overall rating of 1 star(s) or lower. Combined, these 20 facilities have been fined a total of $1,387,287. 4 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 | $45,465 | |
| 2 | Ridgecrest Village | Davenport | $67,900 | |
| 3 | Accura Healthcare of Lake City, LLC | Lake City | $38,610 | |
| 4 | Embassy Rehab and Care Center | Sergeant Bluff | $44,044 | |
| 5 | Harmony House Health Care Center | Waterloo | $0 | |
| 6 | Fort Dodge Health and Rehabilitation | Fort Dodge | $217,900 | |
| 7 | Altoona Nursing and Rehabilitation Center | Altoona | $0 | |
| 8 | Silver Oak Nursing and Rehabilitation Center LLC | Marion | $29,107 | |
| 9 | Osage Rehab and Health Care Center | Osage | $96,561 | |
| 10 | Greater Southside Health and Rehabilitation | Des Moines | $368,060 | |
| 11 | The Highlands | Decorah | $153,679 | |
| 12 | Good Samaritan Society - Indianola | Indianola | $20,316 | |
| 13 | Good Samaritan Society - Red Oak | Red Oak | $29,894 | |
| 14 | Iowa City Rehab & Health Care | Iowa City | $0 | |
| 15 | Azria Health Park Place | Des Moines | $22,490 | |
| 16 | Country Lane Manor | Keosauqua | $59,150 | |
| 17 | Granger Nursing & Rehabilitation Center | Granger | $0 | |
| 18 | Lantern Park Specialty Care | Coralville | $105,030 | |
| 19 | Caring Acres Nursing and Rehab Center | Anita | $73,488 | |
| 20 | Oakland Manor | Oakland | $15,593 |
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.