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Ranked from Medicare data

Best-Rated Nursing Homes in Fayette County, IA (2026)

The 4 highest-rated nursing homes in Fayette County, IA, ranked from Medicare’s star ratings, inspections and staffing, using data as of September 2026. No home paid to be on this list.

Looking for short-term rehab or long-term care specifically? See the homes Medicare rates highly for each kind of stay →

  1. 1

    Grandview Healthcare Center

    4 of 5 · Medicare overall rating · 72 certified beds · Oelwein, IA

    • Inspections 4/5 · Staffing 3/5 · Quality 2/5
    • 4 hr 09 min of nursing care a day per resident (Iowa 3 hr 49 min)
    • No citations for resident harm
    • No federal fines (3 years)
  2. 2

    Maple Crest Manor

    3 of 5 · Medicare overall rating · 46 certified beds · Fayette, IA

    • Inspections 3/5 · Staffing 4/5 · Quality 3/5
    • 3 hr 51 min of nursing care a day per resident (Iowa 3 hr 49 min)
    • No citations for resident harm
    • No federal fines (3 years)
  3. 3

    Good Samaritan - West Union

    3 of 5 · Medicare overall rating · 52 certified beds · West Union, IA

    • Inspections 3/5 · Staffing 3/5 · Quality 4/5
    • 3 hr 16 min of nursing care a day per resident (Iowa 3 hr 49 min)
    • No citations for resident harm
    • No federal fines (3 years)
  4. 4

    Oelwein Health Care Center

    3 of 5 · Medicare overall rating · 61 certified beds · Oelwein, IA

    • Inspections 3/5 · Staffing 3/5 · Quality 3/5
    • 3 hr 04 min of nursing care a day per resident (Iowa 3 hr 49 min)
    • No citations for resident harm
    • No federal fines (3 years)

Tick “Compare” on two to four homes to see them side by side. See all nursing homes in Fayette County, IA →

How we rank. Homes are ordered by Medicare’s overall star rating. When two homes tie, the one with the better health inspection rating goes first, then staffing rating, then quality rating, then fewer serious citations, then lower fines. Homes still tied are listed alphabetically.

About nursing homes in Fayette County, IA

What is the best-rated nursing home in Fayette County, IA?

By Medicare’s ratings, Grandview Healthcare Center ranks first in Fayette County, IA, with an overall rating of 4 out of 5. Ratings are a starting point; visit and ask about anything in a home’s inspection record.

How many nursing homes are in Fayette County, IA?

4 homes in Fayette County, IA qualify for this ranking: rated by Medicare and not on its Special Focus or abuse lists. See every nursing home in Fayette County, IA, including homes not yet rated.

How is this list ranked?

By Medicare’s overall star rating, then its health inspection, staffing and quality ratings, then fewer serious citations and fines. Homes on Medicare’s Special Focus list or with its abuse icon are not included, nor are children’s facilities. Paid or sponsored listings never affect the order.

Medicare ratings can lag behind changes at a home. Always visit, ask about recent inspections, and confirm openings, insurance and care needs with each home. How we use Medicare data