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Best Assisted Living in Des Moines, IA

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 13 homes in Des Moines, IA

Sources: CMS Centers for Medicare and Medicaid Services, and Iowa Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in Des Moines, Iowa.

Watch this Video to see Des Moines's Top-rated Senior Communities
Avg. Monthly cost: $5,300
National average: $5,600
Monthly cost range: $4,800–$7,400
National average: $3,400 – $8,200
Avg. Staff-to-Resident ratio: 1:6 to 1:12
National average: 1:6

Compare Assisted Living around Des Moines (Metro Area)

The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

Click column headers to sort
Grand Living At Tower Place
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

West Des Moines (South 51St Street)
76
Facility 76
IA AVG 74
Rank #139 / 418
Yes
63
Facility 63
IA AVG 48
Rank #134 / 528
Studio / 1 bed / 2 bed
5
Facility 5
IA AVG
Rank #232 / 280
47.4% -731
Wesley Acres
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Des Moines (Greenwood)
80
Facility 80
IA AVG 74
Rank #119 / 418
No
72
Facility 72
IA AVG 48
Rank #89 / 528
-
-
Facility -
IA AVG
91.3% -2183
Ramsey Village Continuing Care
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Des Moines (Drake)
78
Facility 78
IA AVG 74
Rank #132 / 418
Yes
38
Facility 38
IA AVG 48
Rank #305 / 528
1 bed / 2 bed
1
Facility 1
IA AVG
Rank #266 / 280
85.8% -2382
Holland Farms
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Norwalk
116
Facility 116
IA AVG 74
Rank #51 / 418
Yes
38
Facility 38
IA AVG 48
Rank #305 / 528
Private Rooms / Semi-Private Rooms
5
Facility 5
IA AVG
Rank #232 / 280
38.8% -73-
Edencrest at Pleasant Hill
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Pleasant Hill
140
Facility 140
IA AVG 74
Rank #25 / 418
Yes
2
Facility 2
IA AVG 48
Rank #500 / 528
Studio / 1 Bed / 2 Bed
2
Facility 2
IA AVG
Rank #257 / 280
21.4% -21-
Addington Place of Des Moines
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Des Moines (Bloomfield/Allen)
54
Facility 54
IA AVG 74
Rank #259 / 418
Yes
1
Facility 1
IA AVG 48
Rank #507 / 528
Studio / 1 Bed / 2 Bed
14
Facility 14
IA AVG
Rank #169 / 280
31.5% -32191
Edencrest at Beaverdale
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Des Moines (Beaverdale)
160
Facility 160
IA AVG 74
Rank #18 / 418
Yes
76
Facility 76
IA AVG 48
Rank #70 / 528
Studio / 1 Bed / 2 Bed
8
Facility 8
IA AVG
Rank #202 / 280
39.4% -17101
The Rose of East Des Moines
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Des Moines (Martin Luther King Jr. Park)
128
Facility 128
IA AVG 74
Rank #35 / 418
No
70
Facility 70
IA AVG 48
Rank #98 / 528
1 bed / 2 bed
17
Facility 17
IA AVG
Rank #150 / 280
42.2% A+33213
Edencrest at The Tuscany
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Altoona
40
Facility 40
IA AVG 74
Rank #336 / 418
Yes
14
Facility 14
IA AVG 48
Rank #444 / 528
Studio / 1 Bed / 2 Bed
4
Facility 4
IA AVG
Rank #244 / 280
92.5% -74-
Independence Village of Waukee
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Waukee
34
Facility 34
IA AVG 74
Rank #383 / 418
Yes
38
Facility 38
IA AVG 48
Rank #305 / 528
1 Bed / 2 Bed
15
Facility 15
IA AVG
Rank #164 / 280
41.2% -1223
Edencrest at Riverwoods
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Des Moines (Woodside Park)
80
Facility 80
IA AVG 74
Rank #119 / 418
Yes
35
Facility 35
IA AVG 48
Rank #332 / 528
Studio / 1 Bed / 2 Bed
12
Facility 12
IA AVG
Rank #183 / 280
40.0% -1994
Calvin Community AL
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Des Moines (Lower Beaver)
162
Facility 162
IA AVG 74
Rank #17 / 418
No
57
Facility 57
IA AVG 48
Rank #176 / 528
-
6
Facility 6
IA AVG
Rank #223 / 280
21.0% -4--
3801 Grand
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Des Moines (East Village)
106
Facility 106
IA AVG 74
Rank #65 / 418
No
91
Facility 91
IA AVG 48
Rank #2 / 528
-
28
Facility 28
IA AVG
Rank #54 / 280
40.6% -189-
Overview of Grand Living at Tower Place

Enjoy an ultimately worry-free lifestyle with the esteemed senior living community of Grand Living at West Des Moines that provides independent, assisted living, and memory care services. Committed to improving seniors’ quality of life, the community boasts its wide array of services and amenities. The community is fashioned with formal and casual dining options with chef-prepared meals daily. With its dedicated and friendly team, residents can receive the utmost care and support they deserve.

Enjoy a 200-seat theater showcasing an array of entertainment options and events including music. Spend quality time with friends within its several community spaces including a grand library, lounge, and an activities room. Relax and meditate in several of its outdoor recreation areas. In Grand Living, every day is made more filled with purpose through utmost care and commitment.

Contact Grand Living At Tower Place

Overview of Wesley Acres

A community that strives in exceedingly making its residents comfortable, the Wesley Acres offers the best balance of urban living and assistance with everyday living.  A proud member of the Wesley Senior Living Group, Acres places integrity at the heart of its mission; ensuring that residents can feel inspired in creating a better life with the continuum of care being provided. Wesley Acres is an elegant senior living home that aims to enhance and enrich the lives of its residents. 

Wesley offers independent living, assisted living, memory care, short-term rehabilitation, and long-term care. Their engaging activities and programs to name a few are the recreational activities, fitness activities, and entertainment programs available for residents to take part in at the library, media room, or outdoor social areas.

Contact Wesley Acres

Overview of Ramsey Village Continuing Care

Situated in the welcoming town of Des Moines, IA, Ramsey Village Continuing Care is a respected senior living community that offers independent living, assisted living, memory care, respite care, and rehabilitation services. A wide array of spacious and cozy accomodations are available including studio, one-bedroom, and two-bedroom are available for its residents. With a competent and empathetic team, this community provides 24/7 care and support to ensure comfort and security within the place.

With its top-of-the-line amenities and services, residents can enjoy 3 well-balanced meals and snacks daily, community library, game room, and a parlor with a fireplace. Explore its beautifully made shared spaces such as the landscaped interior courtyard. Engage in life enrichment programs in the crafts and activity center to gain more knowledge and experiences. Meet new companions and create unforgettable memories together. Equipped with the right tools and people, seniors can enjoy a glorious retirement with Ramsey Village Continuing Care.

Contact Ramsey Village Continuing Care

Overview of Holland Farms

Backed by more than three decades of gold-standard service, Holland Farms Senior Living is one of Agemark Senior Living’s heralded communities, located in Norwalk, Iowa. Surrounded by beautiful views of the Echo Valley Country Club and Des Moines skyline, Holland Farms provides a peaceful and scenic environment for memory care, independent and assisted senior living.

Featuring an impressive range of top-class amenities, spend your golden years in the comfort of cozy, fully-equipped living quarters, savor a delectable meal at elegantly designed dining rooms or take a relaxing stroll along the lush walking trails. Immerse yourself in the library, mingle with the community in dedicated areas for special events, movie screenings, and classes, or pamper yourself with an in-house salon for hair care, manicures, and pedicures. Enjoy all these and more, without worrying about daily activities or medical assistance thanks to an expert staff that’s always there to lend a warm, helping hand. Live life to the fullest, safest, and in the utmost comfort, at Holland Farms.

Contact Holland Farms

Edencrest at Pleasant Hill

6151 Martha L. Miller Dr, Pleasant Hill, Ia 50327, Usa
Overview of Edencrest at Pleasant Hill

Take in the beauty of Pleasant Hill, IA, with the astounding senior living community of Edencrest at Pleasant Hill, which provides assisted living, independent living, and memory care. Here, residents are well-cared for, with a kind and highly trained team attending to their needs and aspirations 24/7. Promoting a bright and friendly environment, the community strives to provide a haven where residents are comfortable and well-cared for.

Alongside cozy amenities and pet-friendly spaces, a robust calendar of events and activities is also conducted for residents to make the most out of their days. Delight with delectable and healthy meals for the finest dining experience. Residents create unforgettable moments with the community’s warmth and dedication.

Contact Edencrest at Pleasant Hill

Overview of Addington Place of Des Moines

Treat yourself to a luxurious retirement with the prestigious senior living community of Addington Place of Des Moines in South East 27th Street, Des Moines, IA, offering assisted living, memory care, and respite care. Featuring cozy and sophisticated studio, one-bedroom, and two-bedroom residences, the community ensures seniors enjoy a comfortable and secure retirement. Moreover, 24-hour care and assistance allow seniors to flourish and live to their potential.

With mind-stimulating programs and enriching activities, Addington Place of Des Moines ensures residents enhance their cognition and live an active lifestyle. Delight in healthy and delicious meals that satisfy cravings and dietary needs. Addington Place of Des Moines is a pet-friendly community that strives to create a safe place for seniors to spend their golden years doing the things they love.

Contact Addington Place of Des Moines

Edencrest at The Tuscany

1600 8Th St Se, Altoona, Ia 50009, Usa
Overview of Edencrest at the Tuscany

Have a peaceful retirement with Edencrest at the Tuscany, an outstanding senior living community in Altoona, IA, that offers assisted living, independent living, and memory care. With its commitment to enhancing residents’ quality of life, a reliable and highly skilled team cares for their personal needs and other responsibilities 24/7. A resident-centered approach is also utilized for residents to live their lives to the fullest.

Fostering a nurturing and inviting environment, enriching social programs, and fun activities are orchestrated for residents’ happiness and wellness. Here, delectable and nutritious meals are served to meet dietary needs and tastes. Filled with beautiful scenery and tranquil walking trails, residents live a serene lifestyle while receiving the utmost care they deserve.

Contact Edencrest at The Tuscany

Edencrest at Beaverdale

3410 Beaver Ave, Des Moines, IA 50310
Overview of Edencrest at Beaverdale

Lead a meaningful life with the idyllic senior living community of Edencrest at Beaverdale in Des Moines, IA, providing assisted living, memory care, and respite care. Individuals with dementia and other memory-related needs are well-cared for through different levels of care provided to meet their unique needs. With its commitment to understanding residents, the community crafts personalized care plans for their comfort.

Residents receive the utmost care and support with a care team attending to them 24/7, ensuring they enjoy every moment of their best years. With fun recreation and wellness programs, residents experience fun-filled days. The community promotes a pet-friendly and welcoming environment, making it ideal for those aiming to optimize their independence.

Contact Edencrest at Beaverdale

Overview of The Rose of East Des Moines

Nestled in the serene neighborhood of Des Moines, IA, The Rose of East Des Moines is a paradisal senior living community, offering premiere assisted living services. The community provides an array of beautifully designed one-bedroom and two-bedroom apartments with large windows for plenty of natural light and convenient access to medical facilities, restaurants, hotels, shopping, and entertainment venues. Residents feel safe and secure with round the clock emergency response systems and a dependable team available to attend to residents’ needs.

A wide selection of fun and entertaining activities tailored to residents’ various interests and passions are available to help them stay physically and mentally stimulated for maintaining their wellness. Residents also enjoy delicious, well-balanced meals served in an inviting dining room that fosters bonding and socialization. Various amenities, such as a sunroom, card & game room, cozy, reading area, and beautiful outdoor spaces are available for residents’ enjoyment.

Contact The Rose of East Des Moines

Overview of Independence Village of Waukee

Tucked away in Waukee, IA Independence Village of Waukee is a one-of-a-kind senior living community that offers an array of care options, including independent living, assisted living, memory care, and skilled nursing. The community offers a wide range of apartment floor plans, including one-bedroom, two-bedroom apartments, and shared suites for memory care residents. A dedicated care team is available 24-hours a day to provide licensed support and various assistance, from daily living activities to medication reminders, and mobility assistance.

Committed to offering a nurturing and engaging environment that fosters social interaction and vibrant living, the community offers a wide array of activities and events inspired by residents’ interests and skills. Residents also enjoy a personalized dining experience, consisting of tastefully prepared meals tailored to their dietary needs and tastes. Here, residents are given access to the necessities they need to live a fulfilling golden years.

Contact Independence Village of Waukee

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
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Frequently Asked Questions about Assisted Living in Des Moines, IA

What is the average cost of assisted living in Des Moines, IA?

The average monthly cost of assisted living in Des Moines, IA is approximately $5,300. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in Des Moines, IA?

Assisted living in Des Moines, IA typically ranges from $4,800–$7,400 per month, depending on the community, room type, and care needs.

What is the typical staff-to-resident ratio at assisted living facilities in Des Moines, IA?

Assisted living facilities in Des Moines, IA typically operate with a staff-to-resident ratio in the range of 1:6 to 1:12.

How many licensed assisted living facilities are there in Des Moines, IA?

According to state licensing records, there are approximately ~50–60 licensed assisted living facilities in Des Moines, IA.

What's the difference between assisted living and memory care in Iowa?

Assisted living in Iowa supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Iowa?

Assisted living in Iowa is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Iowa Medicaid cover assisted living?

Iowa Medicaid does not directly pay room-and-board for assisted living, but most states (including Iowa) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.