Threshold US · Senior housing
Nursing home supply in Iowa
389
certified nursing homes
25,254
certified beds
65
average beds per home
10,154
beds in 1 or 2-star homes (at-risk supply)
CMS rating mix
Certified beds by CMS overall 5-star rating across Iowa. Beds in 1 and 2-star homes are supply that may not survive, and therefore latent replacement demand.
Largest markets by beds
| City | Homes | Beds |
|---|---|---|
| Marshalltown | 4 | 940 |
| Des Moines | 12 | 934 |
| Cedar Rapids | 9 | 770 |
| Davenport | 7 | 767 |
| Dubuque | 8 | 735 |
| Waterloo | 6 | 609 |
| Council Bluffs | 5 | 442 |
| Cedar Falls | 5 | 404 |
Ownership
| Ownership type | Homes | Beds |
|---|---|---|
| Non Profit - Corporation | 134 | 8,726 |
| For Profit - Corporation | 106 | 6,419 |
| For Profit - Limited Liability Company | 95 | 5,853 |
| Non Profit - Other | 20 | 1,535 |
| Non Profit - Church Related | 14 | 1,004 |
Largest nursing homes
| Home | City | Beds | CMS rating |
|---|---|---|---|
| Iowa Veterans Home | Marshalltown | 702 | 5-star |
| Stonehill Care Center | Dubuque | 185 | 4-star |
| Good Shepherd Health Center | Mason City | 180 | 2-star |
| Ravenwood Specialty Care | Waterloo | 176 | 3-star |
| Heritage Specialty Care | Cedar Rapids | 171 | 1-star |
| Southeast Iowa Regional Medical - Klein Center | West Burlington | 160 | 2-star |
| Friendship Haven, Inc | Fort Dodge | 155 | 4-star |
| Lutheran Living Senior Campus | Muscatine | 155 | 1-star |
The demand gap
Coming shortly: the population aged 85+ in each catchment and the demand gap against the national rate, from US Census Bureau data (being finalized). Supply above is live now from CMS. Join the waitlist to be first in when the Iowa demand analysis goes live.
Appraise any Iowa site in 60 seconds
Threshold US Care is launching in 2026. Drop a pin anywhere in Iowa: every competing certified bed and its CMS rating, the demand gap, and the maximum land bid. Reserve founding access for Iowa now.
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Supply: CMS Care Compare Provider Information (public domain), latest release. Every figure is a statistical estimate for site screening, not a USPAP appraisal or investment advice.