Nursing Homes That Accept Medicaid in Iowa

383 of the 387 CMS-certified nursing homes in Iowa meet this rule: CMS lists the home as certified for Medicaid (or for both Medicare and Medicaid). Certification means the home can bill Medicaid; ask whether a Medicaid bed is open.

By CMS's overall rating, then its inspection rating, Brooklyn Community Estates in Brooklyn (5 stars), Chautauqua Guest Home #3 in Charles City (5 stars) and Colonial Manor of Amana in Amana (5 stars) rank highest. Visit and check the latest inspection report before you decide.

Iowa lists an income limit of three (3x) times the monthly Supplemental Security Income (SSI) cash benefit (income of the spouse in the medical facility) and an asset limit of no more than $2,000 after resources are split between the spouses for 2026. A Medicaid-certified home can still have no Medicaid bed open, so ask when you call.

Read its Care Compare page for the full inspection reports, visit at different times, and ask about staffing and openings. Iowa's Office of the State Long-Term Care Ombudsman can answer questions about residents' rights.