Nursing home fines in Iowa
140 nursing homes of 387 with fine data in Iowa were fined at least once by federal regulators in the last three years, totalling $7,486,404. The median fined home was fined $28,916.
CMS data as of August 1, 2026. Nursing homes only; assisted living is not covered by Medicare ratings.
Largest total fines in Iowa
Fines follow federal enforcement actions after inspections. A fine records a past violation and is not proof of the home's care today. Ask what was corrected.
| Nursing home | City | Fines | Total fined | Payment denials |
|---|---|---|---|---|
| Pine Acres Rehabilitation And Care Center | West Des Moines | 3 | $478,835 | 1 |
| Royal Oaks Nursing And Rehabilitation Center | Urbandale | 4 | $434,825 | 2 |
| Bishop Drumm Retirement Center | Johnston | 4 | $258,177 | 3 |
| Lutheran Living Senior Campus | Muscatine | 3 | $253,886 | 1 |
| Greater Southside Health And Rehabilitation | Des Moines | 5 | $252,963 | 1 |
| Crestview Specialty Care | West Branch | 3 | $216,061 | 0 |
| Westwood Specialty Care | Sioux City | 2 | $181,086 | 1 |
| Fort Dodge Health And Rehabilitation | Fort Dodge | 2 | $166,043 | 0 |
| Chapters Living Of Council Bluffs | Council Bluffs | 1 | $163,800 | 1 |
| Trinity Center At Luther Park | Des Moines | 1 | $162,205 | 0 |
| Ivy At Davenport | Davenport | 4 | $146,874 | 2 |
| Garden View Care Center | Shenandoah | 2 | $137,835 | 1 |
| Harvest Acres Nursing And Rehab | Keota | 1 | $136,500 | 0 |
| Newaldaya Lifescapes | Cedar Falls | 1 | $132,074 | 0 |
| Hillcrest Health Care Center | Hawarden | 3 | $130,305 | 1 |
| Ridgecrest Village | Davenport | 3 | $118,886 | 1 |
| Prestige Care Center Of Fairfield | Fairfield | 3 | $106,751 | 1 |
| Good Samaritan - Holstein | Holstein | 1 | $99,103 | 0 |
| Harmony Waterloo | Waterloo | 1 | $95,440 | 0 |
| The Highlands | Decorah | 2 | $93,839 | 1 |
Source: CMS Nursing Home Provider Information (number and total dollars of fines, last three years). A ranking is a starting point for questions, not a verdict. Always check the current Medicare record and visit in person.