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The Heritage At Northern Hills
Assisted Living, Independent Living & Respite Care · Sioux City, IA
Exterior view of the facility with American flag. Two deer near the entrance of a senior living facility Dining area with tables and chairs in the background Cozy common area with seating and floral decor Cozy private resident room with floral bedding

The Heritage At Northern Hills

Assisted Living, Independent Living & Respite Care · Sioux City, IA
4002 Teton Trce, Sioux City, IA 51104 View map Calculator: See prices in your area
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Overview of The Heritage at Northern Hills

The Heritage at Northern Hills sits on the north side of Sioux City, in the Teton Trace neighborhood of Woodbury County, at 4002 Teton Trace. It’s a two-story, 128-bed community that’s been open for 26 years, offering independent living, assisted living, and respite care under one administrator, Christy Nikkel. The neighborhood is car-dependent, with a Walk Score of 18: most errands mean getting in a car rather than walking down the block.

Inside, residents choose from studio, one-bedroom, and two-bedroom layouts. Right now 63 of the community’s 128 beds are filled, putting occupancy at 49 percent, well below full capacity. Care comes from a team that includes a registered nurse, licensed practical nurses, and certified medication aides, with support available around the clock.

Daily life includes a movie theater, a game room, a salon and barbershop, and a café, plus a restaurant-style dining room for meals. Transportation services help residents get to appointments or run errands without needing a car of their own. Pets are welcome here, so a move doesn’t have to mean parting with a dog or cat.

Iowa’s Department of Inspections, Appeals, and Licensing reviews long-term care communities like this one for health and safety compliance. At The Heritage at Northern Hills, the themes that have come up in that process include medication management, staffing and staff credentials, and care planning and documentation.

With a mix of independent living, assisted living, and respite options in one place, this is a community built for families who want room to shift the level of care as needs change, without having to relocate to a different facility altogether.

Facility Direct Line (712) 221-2346
Facility Direct Line (712) 221-2346
By The Numbers

Community insights.

Bed count Info A mid-sized community that may balance personal attention with shared amenities and social activities. 128 Rank #29 / 334Bed count — State benchmarkedThis home is ranked 29th out of 334 homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Medium-capacity home · Offers a balance of services and community atmosphere.

Years of operating Info A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management. Rank #60 / 258Years in operation — State benchmarkedThis home is ranked 60th out of 258 homes we track in Iowa for years in operation. Shows how long this facility has been in operation compared to other Iowa facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
26 years
Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #361 / 424Walk Score — State benchmarkedThis home is ranked 361st out of 424 homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
18 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #198 / 295Occupancy rate — State benchmarkedThis home is ranked 198th out of 295 homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 295. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
49.2% This home usually has availability
Lower than the Iowa average: 63.7%
Occupied beds
63 / 128

About this community

License Details

Facility TypeAssisted Living Programs For People With Dementia
StatusActive
IssuanceAugust 24, 1999
ExpirationDecember 12, 2027
CountyWoodbury
License NumberS0058
Year Opened08/24/1999

Ownership & Operating Entity

The Heritage At Northern Hills is administered by Christy Nikkel.

Contact Information

Email cnikkel@heritage-communities.com
Fax7122399406

Contact The Heritage At Northern Hills

Inspection History

In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.

Inspection Scorecard Info This scorecard compares key inspection, violation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Overall vs. IA average 2 Worse Metrics worse than Iowa average:
• State violations (57% above)
• Violations per inspection (2% above) 1 Better Metrics better than Iowa average:
• Violations (59% below)

Violations Info Violations are formal regulatory issues recorded during state inspections.

This FacilityIA Averagevs. IA Avg
Violations Info Total violations cited across all inspections on record. Iowa reports these as a federal and a state component, shown below; the two add up to this total. 1127 This facility has 59% fewer violations than a typical Iowa assisted living residence (11 vs. IA avg 27).↓ 59% better
State violations Info Part of the Violations total above — the share cited under Iowa state licensing requirements. Federal + state add up to the total. 117 This facility has 57% more state violations than a typical Iowa assisted living residence (11 vs. IA avg 7).↑ 57% worse
Violations per inspection Info Average violations per inspection. 1.81.76 This facility has 2% more violations per inspection than a typical Iowa assisted living residence (1.8 vs. IA avg 1.76).↑ 2% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityIA Averagevs. IA Avg
Total inspections Info Combined count of all inspections conducted at this facility. 613 This facility has had 54% fewer total inspections than the Iowa average (6 vs. IA avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↓ 54% fewer
Show Inspection Reports

What does this home offer?

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Pets Allowed

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Housing options icon

Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: Two-story

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Transportation Services

Living Spaces & Floor Plans for The Heritage At Northern Hills

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Reviews (1)

The Heritage At Northern Hills Reviews

David Oconnor
The staff is amazing. They are always friendly when I come into the buildings

Places of interest near The Heritage At Northern Hills

Address 4.0 miles from city center Info Estimated distance in miles from Sioux City's city center to The Heritage At Northern Hills's address, calculated via Google Maps.

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Compare Assisted Living around Sioux City

Info below is compiled from the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Number of years the company has been in operation.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Inspection events categorized as complaint-related by the state regulator.
Count of incident-based investigations (e.g. reported events) in the regulatory record for the reporting period.
The Heritage At Northern Hills
AL
IL
RC
Sioux City (Teton Trace)
128
Facility 128
IA AVG 71
Rank #29 / 334
Yes
18
Facility 18
IA AVG 46
Rank #361 / 424
Studio / 1 Bed / 2 Bed
26
Facility 26
IA AVG 18
Rank #60 / 258
49.2%
Facility 49.2%
IA AVG 63.7%
Rank #198 / 295
-6
10
Facility 10
IA AVG 7
Rank #237 / 299
4
Facility 4
IA AVG 0.9
Rank #274 / 299
Prime Assisted Living
AL
Sioux City
120
Facility 120
IA AVG 71
Rank #34 / 334
No
88
Facility 88
IA AVG 46
Rank #20 / 424
Studio / 1 Bed / 2 Bed
19
Facility 19
IA AVG 18
Rank #119 / 258
49.2%
Facility 49.2%
IA AVG 63.7%
Rank #198 / 295
-3
5
Facility 5
IA AVG 7
Rank #150 / 299
1
Facility 1
IA AVG 0.9
Rank #205 / 299
Sunrise Retirement Community
AL
IL
MC
NH
RC
SNF
Sioux City
74
Facility 74
IA AVG 71
Rank #113 / 334
Yes
22
Facility 22
IA AVG 46
Rank #348 / 424
Studio
52
Facility 52
IA AVG 18
Rank #4 / 258
90.5%
Facility 90.5%
IA AVG 63.7%
Rank #33 / 295
A+25
3
Facility 3
IA AVG 7
Rank #93 / 299
6
Facility 6
IA AVG 0.9
Rank #289 / 299
Holy Spirit Retirement Home
AL
IL
MC
NH
SNF
Sioux City
52
Facility 52
IA AVG 71
Rank #209 / 334
No
91
Facility 91
IA AVG 46
Rank #2 / 424
-
27
Facility 27
IA AVG 18
Rank #46 / 258
25.0%
Facility 25.0%
IA AVG 63.7%
Rank #289 / 295
-7
11
Facility 11
IA AVG 7
Rank #249 / 299
0
Facility 0
IA AVG 0.9
Rank #1 / 299
Bickford of Sioux City
AL
MC
Sioux City
41
Facility 41
IA AVG 71
Rank #258 / 334
Yes
40
Facility 40
IA AVG 46
Rank #245 / 424
Private Rooms
26
Facility 26
IA AVG 18
Rank #60 / 258
48.8%
Facility 48.8%
IA AVG 63.7%
Rank #203 / 295
B-9
7
Facility 7
IA AVG 7
Rank #191 / 299
6
Facility 6
IA AVG 0.9
Rank #289 / 299

Rank badges are statewide: each community is ranked against every IA community we track that reports that metric, not just the 5 on this page. See how we rank facilities

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Financial Assistance for
Assisted Living in Iowa

The Heritage At Northern Hills is located in Sioux City, Iowa.
Here are the financial assistance programs available to residents in Iowa.

Get Financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+
General Iowa resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Rural focus; waitlists possible.

Benefits
In-home care (5-7 hours/day) Meals ($6/meal) Respite (240 hours/year) Adult day care ($60/day)

Iowa Family Caregiver Support

IA NFCSP

Age Caregiver of someone 60+
General Iowa resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
IA

Limited slots; rural emphasis.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled
General Iowa resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
IA

Three tiers; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+
General Iowa resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR, Medicaid-eligible
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy Respite

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Iowa resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
IA

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Able Up Iowa

Able Up Iowa

Age 65+ or disabled
General Iowa resident, ability to repay loan, need for assistive tech or mods.
Income Limits (2025) No strict limit; must demonstrate repayment capacity.
Asset Limits Not specified; credit-based.
IA

Loans up to $25,000; statewide via Easterseals partnership.

Benefits
Loans for wheelchairs Ramps Walk-in tubs (~$500-$10,000 avg.) Reducing reliance on paid care

Frequently Asked Questions about The Heritage At Northern Hills

What neighborhood is The Heritage At Northern Hills in?

The Heritage At Northern Hills is in the Teton Trace neighborhood of Sioux City.

Is The Heritage At Northern Hills in a walkable area?

The Heritage At Northern Hills has a walk score of 18. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of The Heritage At Northern Hills?

According to IA state health department records, The Heritage At Northern Hills's license number is S0058.

When does The Heritage At Northern Hills's license expire?

According to IA state health department records, The Heritage At Northern Hills's license expires on December 12, 2027.

What is the occupancy rate at The Heritage At Northern Hills?

The Heritage At Northern Hills's occupancy is 49.2%.

How long has The Heritage At Northern Hills been in business?

The Heritage At Northern Hills has been operating for approximately 26 years, based on available licensing and registration records.

Are pets allowed at The Heritage At Northern Hills?

Yes, The Heritage At Northern Hills allows residents to bring their pets.

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