CMS Care Compare · 2026 12 nursing homes Iowa

Black Hawk County, Iowa

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According to the U.S. Centers for Medicare & Medicaid Services, its Nursing Home Compare program rates 14,710 Medicare-certified nursing homes nationwide, last compiled in June 2026; county figures here are drawn from that dataset with cost context from the CareScout 2025 survey. See our methodology.

12 CMS-certified nursing homes in Black Hawk County, Iowa. Statewide medians from the CareScout 2025 Cost of Care Survey, joined with Five-Star quality ratings from CMS Care Compare.

12 nursing homes serve Black Hawk County, totaling 1,059 beds. The average CMS quality rating is 3.2 out of 5 stars.

Data Insights

Black Hawk County, Iowa contains 12 nursing homes certified by the Centers for Medicare & Medicaid Services, operating a combined 1,059 licensed beds. Across the 12 facilities with a published CMS overall star rating, the county average works out to 3.2 out of 5 stars. 4 facilities score 4 stars or higher on the CMS 5-star scale, while 3 carry a below-average rating of 1 or 2 stars.

For a cost frame, the CareScout 2025 Cost of Care Survey publishes these Iowa state medians: a semi-private nursing home room runs about $9,277 per month, while a private room averages $10,038 per month. Assisted living costs $5,381 per month, home health aide services $7,836, and adult day health care N/A. Local providers within Black Hawk County may price above or below these state medians depending on urban versus rural setting, facility amenities, and memory-care or specialty units.

CMS rates nursing facilities on overall quality plus three sub-components: health inspection findings from the last three cycles, nurse staffing hours adjusted for resident acuity, and fifteen clinical quality measures drawn from resident assessments. When comparing facilities within Black Hawk County, families typically weigh the star breakdown alongside bed size, ownership type (for-profit, non-profit, government), distance from family caregivers, and the specific conditions a prospective resident needs managed, such as dementia care, rehabilitation, or ventilator support. The per-facility pages below link through to inspection and staffing detail.

The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage. Median figures above represent the middle of the cost distribution: half of providers charge less, half charge more, and price spreads within a metro area can exceed thirty percent. Where Genworth and CareScout publish overlapping numbers, the more recent CareScout survey takes precedence; both organizations use the same survey methodology developed by the federal Department of Health and Human Services Administration for Community Living, so cross-year comparisons are valid back to 2004 when the survey was first standardized.

$5,381
Assisted Living / mo
$9,277
Nursing (Semi) / mo
$7,836
Home Care / mo
3.2
Avg CMS Rating

Nursing Homes in Black Hawk County

Facility City Rating Beds Ownership
Friendship Village Retirement Waterloo 5/5 72 Non profit - Corporation
The Suites at Western Home Communities Cedar Falls 5/5 72 Non profit - Corporation
Laporte City Specialty Care La Porte City 4/5 46 Non profit - Corporation
Martin Health Center, INC Cedar Falls 4/5 50 Non profit - Corporation
Cedar Falls Health Care Center Cedar Falls 3/5 70 For profit - Corporation
Harmony Waterloo Waterloo 3/5 88 For profit - Limited Liability company
Newaldaya Lifescapes Cedar Falls 3/5 112 Non profit - Corporation
Pinnacle Specialty Care Cedar Falls 3/5 100 For profit - Corporation
Ravenwood Specialty Care Waterloo 3/5 176 Non profit - Corporation
Northcrest Specialty Care Waterloo 2/5 94 Non profit - Corporation
Pillar of Cedar Valley Waterloo 2/5 114 Non profit - Corporation
Harmony House Health Care Center Waterloo 1/5 65 For profit - Limited Liability company

What do families ask most?

How many nursing homes are in Black Hawk County, Iowa?

Black Hawk County has 12 nursing homes with a combined total of 1,059 beds. The average CMS overall quality rating across rated facilities is 3.2 out of 5 stars.

What does assisted living cost in Iowa?

The median monthly cost for assisted living in Iowa is $5,381. Nursing home costs range from $9,277 (semi-private) to $10,038 (private room). These are state-level medians from the CareScout 2025 Cost of Care Survey.

How much does home care cost near Black Hawk County?

The median monthly cost for home health aide services in Iowa is $7,836. Home care allows seniors to age in place and is often more affordable than facility-based care like assisted living ($5,381/mo) or nursing homes.

How are nursing homes in Black Hawk County rated?

The federal 1-to-5 star system CMS uses to rate nursing homes weighs health inspections, staffing, and quality measures together. Facilities in Black Hawk County average 3.2 stars overall. Higher ratings indicate better performance across these quality dimensions.

Which nursing homes in Black Hawk County have the highest ratings?

Among the 12 facilities, 4 have CMS ratings of 4 stars or higher. Top-rated facilities include Friendship Village Retirement, The Suites at Western Home Communities, Laporte City Specialty Care. Visit each facility page for detailed inspection, staffing, and quality data.

What types of elder care are available in Black Hawk County?

Elder care in Black Hawk County spans a range of settings, from skilled nursing homes and assisted living communities to in-home health aides, adult day care, and private nursing for specialized needs. Cost and availability differ by care type and by provider.

Elder Care Guides

Related Resources

See statewide cost medians and quality averages on the Iowa elder-care overview, or compare every care option's national median on our care types comparison.

Rank facilities by cost and CMS quality across all states in our highest-rated states and most expensive nursing homes rankings.

Costs shown are Iowa state-level medians from CareScout 2025 (county-level cost data is not available). Facility ratings from CMS Nursing Home Compare.

Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainElderCare Editorial

Top facilities in Black Hawk, IA

Ranked by CMS overall star rating, not an editorial "best of" pick. Visit in person and consult a care professional before choosing. Source: CMS Nursing Home Compare.

  1. 1 5★
  2. 2 5★
  3. 3 4★
  4. 4 4★
  5. 5 3★

Source: Centers for Medicare & Medicaid Services (CMS) Nursing Home Compare 5-Star Quality Rating · 2024 CMS overall star rating combines health inspections, staffing levels, and quality measures. Updated quarterly.