Best Assisted Living in Iowa

Why trust this guide? Our editorial team analyzed 318 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.
318 homes
Other senior care options in Iowa:

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-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. 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. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
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 73
Rank #104 / 289
Yes
22
Facility 22
IA AVG 45
Rank #238 / 302
Studio
52
Facility 52
IA AVG 18
Rank #4 / 232
90.5%
Facility 90.5%
IA AVG 61.5%
Rank #27 / 259
A+25
3
Facility 3
IA AVG 7
Rank #89 / 265
6
Facility 6
IA AVG 0.9
Rank #256 / 265
Friendship Village
AL
IL
MC
NH
SNF
Waterloo
72
Facility 72
IA AVG 73
Rank #108 / 289
Yes
52
Facility 52
IA AVG 45
Rank #111 / 302
2 Bed / 3 Bed
50
Facility 50
IA AVG 18
Rank #7 / 232
91.7%
Facility 91.7%
IA AVG 61.5%
Rank #22 / 259
-14
0
Facility 0
IA AVG 7
Rank #1 / 265
3
Facility 3
IA AVG 0.9
Rank #225 / 265
St Francis Manor
AL
HOS
NH
SNF
Grinnell
78
Facility 78
IA AVG 73
Rank #92 / 289
No
82
Facility 82
IA AVG 45
Rank #20 / 302
-
49
Facility 49
IA AVG 18
Rank #11 / 232
69.2%
Facility 69.2%
IA AVG 61.5%
Rank #104 / 259
-13
4
Facility 4
IA AVG 7
Rank #121 / 265
0
Facility 0
IA AVG 0.9
Rank #1 / 265
Green Hills Retirement Community
AL
CCRC
IL
MC
NH
SNF
Ames
56
Facility 56
IA AVG 73
Rank #168 / 289
Yes
18
Facility 18
IA AVG 45
Rank #249 / 302
1 Bed / 2 Bed
40
Facility 40
IA AVG 18
Rank #15 / 232
78.6%
Facility 78.6%
IA AVG 61.5%
Rank #75 / 259
A+14
2
Facility 2
IA AVG 7
Rank #58 / 265
3
Facility 3
IA AVG 0.9
Rank #225 / 265
Heritage House
AL
ADC
IL
MC
NH
SNF
Atlantic
108
Facility 108
IA AVG 73
Rank #48 / 289
No
73
Facility 73
IA AVG 45
Rank #44 / 302
-
27
Facility 27
IA AVG 18
Rank #34 / 232
57.4%
Facility 57.4%
IA AVG 61.5%
Rank #126 / 259
-16
5
Facility 5
IA AVG 7
Rank #140 / 265
0
Facility 0
IA AVG 0.9
Rank #1 / 265
Stonehill Care Center
AL
IL
MC
NH
SNF
Dubuque
185
Facility 185
IA AVG 73
Rank #3 / 289
No
89
Facility 89
IA AVG 45
Rank #10 / 302
-
21
Facility 21
IA AVG 18
Rank #85 / 232
85.4%
Facility 85.4%
IA AVG 61.5%
Rank #46 / 259
-17
8
Facility 8
IA AVG 7
Rank #188 / 265
0
Facility 0
IA AVG 0.9
Rank #1 / 265
Valley View Village
AL
HOS
IL
MC
NH
RC
SNF
Des Moines (Fairmont Park)
79
Facility 79
IA AVG 73
Rank #90 / 289
Yes
38
Facility 38
IA AVG 45
Rank #175 / 302
Studio / 1 Bed / 2 Bed
55
Facility 55
IA AVG 18
Rank #1 / 232
100.0%
Facility 100.0%
IA AVG 61.5%
Rank #1 / 259
-27
7
Facility 7
IA AVG 7
Rank #174 / 265
2
Facility 2
IA AVG 0.9
Rank #210 / 265
Cottage Grove Place
AL
IL
MC
NH
SNF
Cedar Rapids (Oakhill Jackson)
82
Facility 82
IA AVG 73
Rank #78 / 289
Yes
79
Facility 79
IA AVG 45
Rank #27 / 302
-
27
Facility 27
IA AVG 18
Rank #34 / 232
67.1%
Facility 67.1%
IA AVG 61.5%
Rank #108 / 259
-5
8
Facility 8
IA AVG 7
Rank #188 / 265
0
Facility 0
IA AVG 0.9
Rank #1 / 265
Stoney Brook Village
AL
West Union
72
Facility 72
IA AVG 73
Rank #108 / 289
No
67
Facility 67
IA AVG 45
Rank #60 / 302
-
21
Facility 21
IA AVG 18
Rank #85 / 232
50.0%
Facility 50.0%
IA AVG 61.5%
Rank #152 / 259
A+2
1
Facility 1
IA AVG 7
Rank #35 / 265
0
Facility 0
IA AVG 0.9
Rank #1 / 265
Martina Place
AL
Johnston (Winwood Apartments)
120
Facility 120
IA AVG 73
Rank #34 / 289
No
67
Facility 67
IA AVG 45
Rank #60 / 302
Private / Studio / 1 Bed
29
Facility 29
IA AVG 18
Rank #26 / 232
43.3%
Facility 43.3%
IA AVG 61.5%
Rank #200 / 259
-2
2
Facility 2
IA AVG 7
Rank #58 / 265
1
Facility 1
IA AVG 0.9
Rank #180 / 265

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other IA assisted living community we track that reports that metric, not just the 318 on this page. See how we rank facilities

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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 an assisted living community in West Union, IA. The community opened in 2006 and has 72 beds, providing assisted living residences for older adults who need support with daily routines.

Residents live in one-bedroom apartments with kitchens, while assisted living provides help with tasks such as bathing, dressing and medication while residents keep their own apartments. This arrangement may suit someone who needs daily assistance but wants a one-bedroom home with a kitchen.

Daily activities include arts and crafts, exercise classes and movie nights, giving residents scheduled options for creative, physical and entertainment-based participation. Religious services are also available for residents who wish to attend them.

A barber and salon are available on site, allowing residents to receive grooming services within the community, and transportation can help with off-site appointments or errands. A Walk Score of 67 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may still manage occasional outings independently. Kathryn Moser serves as the administrator.

Contact Stoney Brook Village

St Francis Manor

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

St Francis Manor provides nursing home care, assisted living, hospice care, and skilled nursing in Grinnell, Iowa. Nursing home care supports residents who need ongoing assistance, while skilled nursing provides licensed nursing care on site around the clock. Assisted living includes help with daily tasks such as bathing, dressing, and medication while a resident keeps a private living space. Hospice care focuses on comfort and end of life needs.

The Rehabilitation Clinic offers inpatient and outpatient physical, occupational, and speech therapy, so residents can receive rehabilitation during a stay or through scheduled visits. Home Healthcare, along with hospital to home skilled nursing and rehabilitation services, supports care after a resident returns home. S.H.A.P.E. Fitness includes fitness classes, exercise equipment, and a walking track for structured movement activities.

St Francis Manor has 78 beds, with total nurse staffing of 5 hours and 39 minutes per resident each day. Medicare, Medicaid, and private pay are accepted, and Dion Schrack serves as the administrator. A Walk Score of 82 out of 100 places the area in the very walkable band, meaning most errands can be done on foot; a resident who no longer drives can still reach nearby shops, a pharmacy, or cafes independently.

The range of nursing, assisted living, hospice, and rehabilitation services may suit a resident whose care needs change over time. That breadth can allow related services to remain available as needs shift, from daily assistance and rehabilitation to around the clock nursing or hospice support.

Contact St Francis Manor

Overview of Green Hills Retirement Community

Green Hills Retirement Community offers a vibrant lifestyle designed to support those in their golden years. This sprawling 33-acre property, nestled near Iowa State University, provides an exquisite living experience for individuals aged 55 and above. The community boasts beautifully appointed living spaces, ranging from apartments to townhomes, ensuring residents have a variety of comfortable options to choose from.Beyond the luxurious accommodations, Green Hills offers a plethora of wellness opportunities, engaging activities, and delightful restaurant-style dining experiences, creating a fulfilling environment for its residents.

They provide specialized memory care services, catering to individuals with dementia, alongside independent living options. The community is characterized by a compassionate atmosphere, where residents can enjoy their lives to the fullest. Moreover, Green Hills features a Medicare five-star rated health care center, offering both short-term and long-term services, including comprehensive rehabilitation programs. With all these amenities and services under one roof, Green Hills Retirement Community truly becomes a premier choice for residential assisted living.

Contact Green Hills Retirement Community

Overview of Stonehill Care Center

Stonehill Care Center offers skilled nursing, assisted living, independent living, and memory care in Dubuque, IA. Skilled nursing provides licensed nursing care around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication. Independent living provides private living with community services and no daily care, and memory care provides a secured setting with supervision for someone at risk of wandering. The range of care settings may suit a resident whose needs grow over time, since different care levels are available within the same community.

Stonehill Care Center has 185 beds, a size that brings more residents, staff, and usually more programming. Its 85% occupancy means the community is operating below full bed capacity. Total nurse staffing is 4h 50m per resident/day, representing the daily hands-on nursing time allocated to each resident.

Medicare, Medicaid, and private pay are accepted; Medicare applies to short-term skilled care after a hospital stay, Medicaid may help cover a long stay when personal savings are limited, and private pay allows a family to pay directly. A Walk Score of 89 / 100 places the area in the very walkable band, meaning most errands can be done on foot and a resident who no longer drives can still get out independently. Matt Jahn serves as the administrator. Outpatient therapy provides rehabilitation services through the community, while personal training gives residents access to structured exercise with a trainer.

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

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

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

Cottage Grove Place

2115 1St Ave Se, Cedar Rapids, IA 52402-6358
Overview of Cottage Grove Place

Cottage Grove Place is an 82-bed healthcare facility at 2115 First Avenue SE in Cedar Rapids, Iowa. Administered by Jennifer Snook and operated as a voluntary non-profit by Life Care Services LLC, the campus serves Linn County with a license valid through February 2027. Current data shows a census of 37 residents, representing a 45% occupancy rate, which is below the Iowa average of 75.4%. The location earns a high Walk Score of 79, placing it near city center amenities and pharmacies.

Monitoring data from the Iowa Department of Inspections, Appeals, and Licensing shows a history of lower-than-average citations. Over two decades, the facility has recorded an annual deficiency rate 31% lower than state benchmarks, averaging 0.9 violations per year. While the January 2026 inspection concluded with four health citations—focusing on medication administration and service plan documentation, the assisted living program achieved a citations-per-inspection rate of zero in its most recent certification. There are no documented fines or severe penalties in the past three years.

Clinical care is delivered by a team providing 4 hours and 22 minutes of nursing time per resident daily, exceeding the Iowa average by approximately 15%. Professional services emphasize short-term recovery, with physical therapy staffing levels 150% above state averages. While short-stay outcomes are strong, quality measures for long-term residents show historical challenges in functional mobility and pressure ulcer prevention, which occur at rates above the state benchmark. The facility accepts a combination of private pay and Medicare, which accounts for 40% of new admissions.

The residential environment is part of a Continuing Care Retirement Community, featuring private suites and a full therapy gym. Shared amenities include a woodworking shop, a private movie theater, a library, and landscaped courtyards. Social programming is provided through a Life Enrichment department, offering cultural workshops and educational events. The community is pet-friendly and includes emergency response systems in all apartments.

Prospective representatives seeking specialized physical therapy and short-term rehabilitation may find this campus appropriate. Families should ask directly about the specific interventions implemented to address long-term functional decline and request current data on nurse aide turnover rates before making a placement decision.

Contact Cottage Grove Place

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 318 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.

Assisted Living in Iowa at a glance

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: 45/ 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: 73The average licensed bed capacity across facilities in Iowa. Individual facilities can vary widely from this average.
National Average: 90