Senior Care in Iowa — Independent Report Cards

588 nursing homes, home-health agencies, hospices and assisted-living communities in Iowa — 555 graded from public regulatory data. We take $0 from any facility we grade.

How these grades work. Every grade is computed from a fixed public rubric — safety inspections, staffing, clinical outcomes, enforcement actions and financial stability — using government data. No facility can pay to change its grade or placement. Providers with under 30% rubric coverage are shown as "Listed" with no letter grade rather than pretending thin data is comparable. Read the full methodology.

What senior care costs in Iowa (2025 medians)

Care settingIowa medianNational median
Assisted living, private one-bedroom$5,381/mo$6,200/mo
Nursing home, semi-private room$305/day$315/day
Nursing home, private room$330/day$355/day
In-home care, non-medical (private pay)$41/hr$35/hr

Hospice isn't priced here: the Medicare hospice benefit covers it for eligible patients, typically at no cost for the care itself. Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.

Nursing Homes (390 graded of 390)

FacilityCityGradePriceRubric coverageBeds
On With Life Ankeny A $$$$$ 55% 28
Iowa Veterans Home Marshalltown A 75% 702
St Francis Manor Grinnell A $$$$ 75% 78
Chautauqua Guest Home #3 Charles City A $ 75% 57
Prairie View Home Sanborn A $$$ 75% 55

All Iowa nursing homes →

Home Health Agencies (97 graded of 128)

FacilityCityGradeRubric coverageBeds
Unitypoint At Home Storm Lake A 70%
Unitypoint At Home Dubuque A 70%
Unitypoint At Home Fort Dodge A 70%
Aveanna Healthcare Sioux City A 70%
Unitypoint At Home Waterloo A 70%

All Iowa home health agencies →

Hospice Agencies (68 graded of 70)

FacilityCityGradeRubric coverageBeds
Cherokee Regional Hospice Cherokee A+ 90%
Unitypoint Hospice Fort Dodge A+ 90%
Orange City Hospice Orange City A+ 90%
Cedar Valley Hospice Waterloo A+ 90%
Hospice Inc Serving Davis & Wapello Counties Ottumwa A+ 90%

All Iowa hospice agencies →

Open the interactive map →