By Natalie Krebs , Iowa Public Radio

New rankings from LeapFrog put Iowa at 48th in the nation for hospital safety.

The nonprofit that focuses on patient safety looked at 30 Iowa hospitals that had sufficient publicly-available data to rank them on 32 measures of patient safety, including infection rates, surgery problems and staff communication and responsiveness. It’s the latest round of the group’s semi-annual ratings, which are released in the spring and fall.

Iowa landed at the bottom of its hospital safety list for fall 2025, along with North Dakota, Vermont and Wyoming. All four states had no hospitals that received an “A” rating .

“That’s not a new trend in Iowa. I did look at a few past rounds, and there’s been a lack of ‘A’ safety grades in the state,” sa

See Full Page