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Nursing homes in Iowa

387 certified facilities across 99 counties · quarter 2026Q1

CountyFacilitiesMedian total nurse HPRD
Adair County23.290
Adams County12.703
Allamakee County32.747
Appanoose County33.078
Audubon County23.679
Benton County43.291
Black Hawk County123.095
Boone County43.256
Bremer County43.999
Buchanan County23.484
Buena Vista County13.563
Butler County43.258
Calhoun County33.596
Carroll County43.675
Cass County33.393
Cedar County43.418
Cerro Gordo County53.474
Cherokee County53.616
Chickasaw County24.667
Clarke County12.984
Clay County23.352
Clayton County53.632
Clinton County43.402
Crawford County23.534
Dallas County93.166
Davis County13.431
Decatur County23.395
Delaware County13.576
Des Moines County33.637
Dickinson County23.447
Dubuque County123.732
Emmet County33.376
Fayette County43.204
Floyd County33.377
Franklin County33.792
Fremont County23.084
Greene County12.578
Grundy County43.226
Guthrie County22.937
Hamilton County33.348
Hancock County33.422
Hardin County43.289
Harrison County33.235
Henry County63.705
Howard County33.266
Humboldt County14.360
Ida County23.200
Iowa County43.362
Jackson County33.378
Jasper County52.902
Jefferson County23.109
Johnson County73.878
Jones County23.216
Keokuk County33.423
Kossuth County43.729
Lee County63.896
Linn County183.354
Louisa County22.785
Lucas County12.779
Lyon County32.994
Madison County13.380
Mahaska County32.912
Marion County43.087
Marshall County53.294
Mills County14.429
Mitchell County53.482
Monona County33.585
Monroe County12.727
Montgomery County43.111
Muscatine County53.558
Obrien County33.452
Osceola County23.539
Page County33.472
Palo Alto County53.003
Plymouth County53.252
Pocahontas County23.624
Polk County283.396
Pottawattamie County73.692
Poweshiek County43.518
Ringgold County23.188
Sac County33.617
Scott County113.468
Shelby County23.684
Sioux County53.065
Story County73.687
Tama County43.026
Taylor County23.744
Union County23.465
Van Buren County12.562
Wapello County33.217
Warren County62.899
Washington County43.410
Wayne County12.805
Webster County43.361
Winnebago County33.184
Winneshiek County33.556
Woodbury County93.038
Worth County23.832
Wright County33.106
Source and definitions

Staffing is from the CMS Payroll-Based Journal, aggregated from daily submissions for the quarter shown. "Total nurse HPRD" is registered nurse (including the Director of Nursing and RN administrative hours), licensed practical nurse (including LPN administrative hours), and certified nursing assistant hours, divided by resident days. It does not include nurse aides in training or medication aides/technicians, so it reads lower than published figures that do. Ownership, chain and sale history come from the CMS Skilled Nursing Facility All Owners, Enrollments and Change-of-Ownership files. We report what these files contain and do not rate, rank or characterise any facility.