Best Assisted Living in Iowa

Why trust this guide? Our editorial team analyzed 309 assisted living communities in IA using IA Dept. of Inspections, Appeals & Licensing (DIAL) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in IA
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Last updated
We analyzed These are the facilities in Iowa our team has analyzed — not a count of every assisted living provider in Iowa.
309 homes
Other senior care options in Iowa:
Avg Monthly Cost: $5,500The average monthly cost across facilities in Iowa. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 47/ 100The average Walk Score across facilities in Iowa. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 72The average licensed bed capacity across facilities in Iowa. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Iowa

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 to lowest based on our ranking 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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
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.
Sunrise Retirement Community
AL
IL
MC
NH
RC
SNF
Sioux City
74
Facility 74
IA AVG 72
Rank #136 / 403
Yes
22
Facility 22
IA AVG 47
Rank #410 / 504
Studio
52
Facility 52
IA AVG 19
Rank #5 / 286
90.5%
Facility 90.5%
IA AVG 67%
Rank #49 / 362
A+25
3
Facility 3
IA AVG 7
Rank #93 / 299
6
Facility 6
IA AVG 0.9
Rank #289 / 299
Friendship Village
AL
IL
MC
NH
SNF
Waterloo
72
Facility 72
IA AVG 72
Rank #143 / 403
Yes
52
Facility 52
IA AVG 47
Rank #202 / 504
2 Bed / 3 Bed
50
Facility 50
IA AVG 19
Rank #9 / 286
91.7%
Facility 91.7%
IA AVG 67%
Rank #40 / 362
-14
0
Facility 0
IA AVG 7
Rank #1 / 299
3
Facility 3
IA AVG 0.9
Rank #253 / 299
Stoney Brook Village
AL
West Union
72
Facility 72
IA AVG 72
Rank #143 / 403
No
67
Facility 67
IA AVG 47
Rank #112 / 504
-
21
Facility 21
IA AVG 19
Rank #125 / 286
50.0%
Facility 50.0%
IA AVG 67%
Rank #254 / 362
A+2
1
Facility 1
IA AVG 7
Rank #36 / 299
0
Facility 0
IA AVG 0.9
Rank #1 / 299
St Francis Manor
AL
HOS
NH
SNF
Grinnell
78
Facility 78
IA AVG 72
Rank #119 / 403
No
82
Facility 82
IA AVG 47
Rank #39 / 504
-
49
Facility 49
IA AVG 19
Rank #16 / 286
69.2%
Facility 69.2%
IA AVG 67%
Rank #195 / 362
-13
4
Facility 4
IA AVG 7
Rank #125 / 299
0
Facility 0
IA AVG 0.9
Rank #1 / 299
Stonehill Care Center
AL
IL
MC
NH
SNF
Dubuque
185
Facility 185
IA AVG 72
Rank #4 / 403
No
89
Facility 89
IA AVG 47
Rank #17 / 504
-
21
Facility 21
IA AVG 19
Rank #125 / 286
85.4%
Facility 85.4%
IA AVG 67%
Rank #89 / 362
-17
8
Facility 8
IA AVG 7
Rank #206 / 299
0
Facility 0
IA AVG 0.9
Rank #1 / 299
Martina Place
AL
Johnston (Winwood Apartments)
120
Facility 120
IA AVG 72
Rank #37 / 403
No
67
Facility 67
IA AVG 47
Rank #112 / 504
Private / Studio / 1 Bed
29
Facility 29
IA AVG 19
Rank #49 / 286
43.3%
Facility 43.3%
IA AVG 67%
Rank #302 / 362
-2
2
Facility 2
IA AVG 7
Rank #59 / 299
1
Facility 1
IA AVG 0.9
Rank #205 / 299
Valley View Village
AL
HOS
IL
MC
NH
RC
SNF
Des Moines (Fairmont Park)
79
Facility 79
IA AVG 72
Rank #117 / 403
Yes
38
Facility 38
IA AVG 47
Rank #304 / 504
Studio / 1 Bed / 2 Bed
54
Facility 54
IA AVG 19
Rank #3 / 286
100.0%
Facility 100.0%
IA AVG 67%
Rank #1 / 362
-27
7
Facility 7
IA AVG 7
Rank #191 / 299
2
Facility 2
IA AVG 0.9
Rank #236 / 299
Bethany Lutheran Home
AL
MC
NH
SNF
Council Bluffs
112
Facility 112
IA AVG 72
Rank #50 / 403
Yes
77
Facility 77
IA AVG 47
Rank #59 / 504
-
51
Facility 51
IA AVG 19
Rank #6 / 286
80.4%
Facility 80.4%
IA AVG 67%
Rank #125 / 362
-38
21
Facility 21
IA AVG 7
Rank #294 / 299
0
Facility 0
IA AVG 0.9
Rank #1 / 299
Oaknoll Retirement Residence
AL
IL
NH
Iowa City (Roosevelt)
70
Facility 70
IA AVG 72
Rank #156 / 403
No
33
Facility 33
IA AVG 47
Rank #343 / 504
Private Rooms
50
Facility 50
IA AVG 19
Rank #9 / 286
81.4%
Facility 81.4%
IA AVG 67%
Rank #118 / 362
-13
2
Facility 2
IA AVG 7
Rank #59 / 299
1
Facility 1
IA AVG 0.9
Rank #205 / 299
Heritage House
AL
ADC
IL
MC
NH
SNF
Atlantic
108
Facility 108
IA AVG 72
Rank #57 / 403
No
73
Facility 73
IA AVG 47
Rank #86 / 504
-
27
Facility 27
IA AVG 19
Rank #62 / 286
57.4%
Facility 57.4%
IA AVG 67%
Rank #225 / 362
-16
5
Facility 5
IA AVG 7
Rank #150 / 299
0
Facility 0
IA AVG 0.9
Rank #1 / 299

Rank badges are statewide: each community is ranked against every IA community we track that reports that metric, not just the 309 on this page.

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Overview of Sunrise Retirement Community

Welcome to Sunrise Retirement Community, a distinguished assisted living community nestled in Sioux City, Iowa. Sunrise takes great pride in its resident-centered care philosophy, focusing on individual needs and promoting the “freedom of choice” for the beloved residents. The community’s approach aims to create an inviting and less institutionalized environment, allowing residents to experience increased independence, privacy, and flexibility in their daily lives. At Sunrise, the team tailors services to cater to each resident’s unique preferences and requirements, ensuring they receive the best possible care that suits them best.

As part of Sunrise Retirement Community’s commitment to enhancing the quality of life for the residents, the community has embraced the Eden approach, fostering meaningful connections with children, pets, and green spaces, further enriching their daily experiences. The funding sources for Sunrise include Medicare, Medicaid, third-party arrangements, and private payment options, ensuring that compassionate care is provided while addressing residents’ financial considerations. At Sunrise Retirement Community, the staff deeply cares for the residents, establishes meaningful connections every day, leads with boldness, and serves faithfully, creating a nurturing and fulfilling environment for all. 

Contact Sunrise Retirement Community

Overview of Friendship Village

Conveniently located near MercyOne Waterloo Medical Center in Waterloo, IA, Friendship Village is an astounding community that offers independent living, assisted living, and long-term care. The community also features beautifully furnished and spacious floor plans, ensuring residents are comfortable and safe. Residents can also keep their peace of mind with the community helping with housekeeping and chores.

Fun recreational activities and enriching programs are conducted, encouraging residents to live actively and maintain social connections. Residents also enjoy a delightful dining experience with delicious and well-balanced meals to meet their dietary needs and preferences. Pets are welcome to stay to ease residents’ loneliness. The community is ideal for those seeking independence in retirement, especially with its vibrant and welcoming environment.

Contact Friendship Village

Stoney Brook Village

705 South Pine Street, West Union, IA 52175-1548
Overview of Stoney Brook Village

Stoney Brook Village is a 72-bed assisted living facility at 705 South Pine Street in West Union, Iowa. Administered by Kathryn Moser, the community serves Fayette County under license S0238, which is valid through August 4, 2026. The facility reports a 50% occupancy rate with 36 residents, which is below the Iowa state average of 75.4%. The location is moderately walkable, holding a Walk Score of 67.

Data from the Iowa Department of Inspections, Appeals, and Licensing highlights a trajectory of consistent regulatory strength. Since 2008, state monitors have recorded nine deficiencies over nine visits, yielding a yearly average of 0.5—a figure 67% lower than the state benchmark. Most recently, the March 2025 recertification concluded with a citations-per-inspection rate of zero. This performance aligns with a long-term trend, as the community achieved perfect compliance in three of its last four primary reviews.

Clinical care at this 21-year-old campus is centered on individualized support and resident-specific activity planning. While the recent state record is favorable, an October 2022 survey noted three administrative gaps concerning the documentation of resident weight loss and unupdated occupancy agreements. Professional services have been delivered without any recorded history of fines or license suspensions. Additionally, every complaint investigation filed against the facility has resulted in an unsubstantiated finding by state inspectors.

The residential atmosphere is supported by a commitment to transparent business practices, as shown by the facility’s A+ Better Business Bureau accreditation. Shared amenities and services are designed for mid-sized community living, focusing on resident engagement and social interaction. Although earlier inspections in 2008 and 2010 cited service plans for missing provider details, subsequent clean surveys in 2012, 2014, 2016, and 2018 suggest these foundational issues were effectively resolved.

Families should consider the community’s two decades of operation and its 67% below-average deficiency rate when evaluating local care options. It is advisable to confirm the current protocol for exception-based nurse’s notes and service plan reviews during a personal tour. Interested individuals may contact the West Union office to discuss current openings and to verify that the community’s established safety record meets their 2026 care expectations.

Contact Stoney Brook Village

St Francis Manor

2021 Fourth Avenue, Grinnell, IA 50112-2064
Overview of St Francis Manor

Located in a highly walkable neighborhood, St Francis Manor is a skilled nursing home with a strong focus on rehabilitation services. The 78-bed facility has been serving the community for 49 years. Medicare, Medicaid, and private pay give families several options for arranging care.

Rehabilitation is a central part of the facility’s care model. St Francis Manor operates an on-site Rehabilitation Clinic and provides hospital-to-home skilled nursing and rehabilitation services. Residents recovering from surgery, illness, and other acute health events can transition directly into structured care within the community. Physical therapy, occupational therapy, and speech therapy support a wide range of rehabilitation needs. Residents who require ongoing support are provided with long-term nursing care and restorative services.

Daily nurse staffing averages 5 hours and 19 minutes per resident. Registered nurses provide approximately 1 hour and 15 minutes of care each day. They are supported by nurse aides and licensed nurses. This level of staffing provides consistent clinical oversight and hands-on assistance throughout the day.

Wellness and activity are important parts of residents’ daily lives. There’s an on-site S.H.A.P.E. Fitness program, along with a walking track, exercise equipment, and fitness classes for residents who want to maintain strength and mobility. St Francis Manor also has a home healthcare service, so residents can continue receiving care in a setting they are familiar with.

The facility currently has 54 residents living in 78 beds, resulting in an occupancy rate of 69%. State inspections show that the facility has been working to maintain compliance. The most recent review found no health deficiencies. Families considering St Francis Manor should take a tour and explore the therapy areas, fitness amenities, and daily care environment.

Contact St Francis Manor

Overview of Stonehill Care Center

Stonehill Care Center, situated at 3485 Windsor Avenue, is a skilled nursing facility that provides long-term care and post-acute physical rehabilitation. Public monitoring logs from an August 2025 review recorded a resident census of 158 individuals, which translates to an 85% building occupancy rate. This current enrollment sits below the facility’s historical pre-pandemic high, which frequently exceeded 180 residents.

Records from state healthcare registries track a strong long-term regulatory background alongside minor, corrected technical citations. Over a six-year tracking window, the property has averaged 1.7 deficiencies per year, which tracks 61% better than the Iowa state average. A standard August 2025 health survey flagged two deficiencies regarding an 8% insulin pen priming medication error and basic cleaning protocols for blood sugar meters. The administration quickly implemented a plan of correction, and a subsequent October 2025 complaint check verified that the property had returned to full compliance.

Looking further back, both the 2022 and 2024 annual surveys closed with zero deficiencies on record, though a mid-2023 review turned up two citations after a staff member failed to follow a fall-prevention care plan, resulting in minor resident injuries. The broader complaint record is largely favorable, with the majority of filed grievances returning unsubstantiated by state investigators.

Prospective residents checking into regional nursing care or post-acute recovery services can utilize these public health profiles to gauge the building’s operating history. The state documentation outlines a highly occupied environment with a low historical deficiency rate and a quick response to corrective actions, balanced against recent minor kitchen and medication administration citations.

Contact Stonehill Care Center

Overview of Martina Place

Age without worries at Martina Place, a blissful retreat in Johnston, IA, offering assisted living. Residents do not have to worry about their daily living activities and personal needs with a compassionate and well-trained team available around the clock. Housekeeping and laundry services are also provided, ensuring residents have a worry-free lifestyle.

With fun recreational activities and enriching programs, residents will not run out of things to do for leisure and wellness. Mealtimes promote social connections with delicious and healthy dining options, striving to provide the finest dining experience. Medication management is also provided for convenience and safety. Residents enjoy a blissful retirement accompanied by the community’s nurturing and inviting environment.

Contact Martina Place

Overview of Valley View Village

Valley View Village 2571 is a high-standard nursing home in Des Moines, IA, that offers a wide range of care options, from independent living to rehabilitation. Promoting a welcoming environment, the community strives to maintain connections for older adults’ happiness and wellness. Delicious dining, recreational activities, and pet-friendly spaces are among the community’s unique features that make it an ideal retirement destination. With its dedication to residents’ welfare, personalized care plans are crafted to meet their healthcare needs and lifestyle preferences.

Hobby groups, fun excursions, and spiritual activities are just some of the activities that residents can join for leisure and wellness. The community also features a variety of amenities, including a library, well-maintained gardens, and walking paths, dedicated to enriching residents’ living experiences. As a community of its own, Valley View Village has all the local amenities needed for residents’ needs and leisure. This retirement community is one of Iowa’s finest choices for senior living, especially for its wide range of care options and extensive amenities.

Contact Valley View Village

Bethany Lutheran Home

Seven Elliott Street, Council Bluffs, IA 51503-0297
Overview of Bethany Lutheran Home

A 112-bed skilled nursing community owned by Diana Roberts in Council Bluffs, Iowa, is Bethany Lutheran Home. Operating for 51 years, it maintains an 80 percent occupancy rate, reflecting steady census in a mid-sized facility. Medicare, Medicaid, and private pay are accepted to provide numerous ways for families to arrange care.

The facility’s clinical focus includes rehabilitation services, with a dedicated Rehab to Home program tailored to support occupants transitioning back to independent living after acute illness, surgery, or hospitalization. Total nursing care averages 4 hours 53 minutes per resident day, distributed across registered nurses, licensed practical nurses, and nursing aides. That daily staffing level bolsters 24/7 support for residents. The home is found in a really walkable area of Council Bluffs with a Walk Score of 77, meaning visiting family members and mobile residents can run most errands on foot and have good access to nearby services. For regular visits and outings, the surrounding neighborhood is accessible and convenient. The average stay duration is 152 days, signaling a mix of short-term rehabilitation patients and longer-term residents.

Care planning, medication administration, staffing, safety protocols, and infection control practices have been addressed by state inspections.

It’s encouraged that families considering the home tour it in person and ask about how clinical areas are managed daily.

Contact Bethany Lutheran Home

Overview of Oaknoll Retirement Residence

Amidst the vibrant charm of Oaknoll Retirement Residence, an unparalleled retirement experience unfolds, seamlessly merging assisted-living and on-site nursing care services. Expertly curated by a dedicated full-time chef, meals are savored in posh and elegant dining venues, enhancing the overall dining experience. As a testament to their commitment to holistic well-being, Oaknoll extends access to an array of essential services including physical, occupational, and speech therapy, as well as personalized guidance from skilled dietitians and dedicated companion support.

Families can rest assured that Oaknoll collaborates closely, not only tailoring services to individual needs but also accommodating various insurance options, including Medicare, Social Security, veterans administration, and private insurance, ensuring a comprehensive approach to care. Moreover, Oaknoll fosters a sense of unity by offering invaluable support groups, promoting connections among residents and their loved ones.

Contact Oaknoll Retirement Residence

Heritage House

1200 Brookridge Cir, Atlantic, IA 50022-2304
Overview of Heritage House

Heritage House provides assisted living and memory care from its 68-room, two-story building at 5200 Hollister Avenue in the Goleta area of Santa Barbara, California. Run by administrator Alejandra Nunez under the Heritage House Group, this home has been open for 23 years and usually runs at about 85 percent occupancy. Families cover the costs here through private, out-of-pocket payments. The building blends standard assisted living with specialized support for people navigating Alzheimer’s and dementia.

An in-house kitchen team makes home-style meals served across an on-site pub, café, and main dining room. On the floor, the care team provides a weekend average of 3 hours and 41 minutes of nursing attention per resident, with nurse aides covering 2 hours and 48 minutes of daily hands-on help alongside scheduled registered nurses and licensed practical nurses. The private rooms are set up with kitchenettes and wheelchair-accessible showers. Outside, the neighborhood scores a 67 out of 100 for walkability, so visiting family can easily handle a few quick errands on foot.

State inspectors haven’t found a single problem here lately, locking in a track record of zero deficiencies over recent evaluation cycles. The management team uses these clean reports to back up their current safety routines, local transportation services, and daily social programs. Residents also have access to open shared spaces around the property, including a fitness center, billiards lounge, media room, and ballroom.

Families checking out local care options can call the front desk to check on current room openings, ask how the memory care program is set up, or book a time to walk through the building.

Contact Heritage House

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
No paid rankings Communities cannot pay to influence placement.
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Frequently Asked Questions about Assisted Living in Iowa

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.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 309 assisted living facilities in Iowa. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Iowa?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Iowa, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Iowa?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.