Best Assisted Living in Iowa

Overview of Elite Lodge of Ashworth

Elite Lodge of Ashworth offers a comfortable home-like setting for round-the-clock support and assistance for senior independent living. As Iowa’s premier retirement home, expect to be treated with kindness and an immense amount of patience for a more personal touch approach to resort-style living. Elit Lodge ensures a serene atmosphere and an efficient service that puts its residents at the top of their priority.

As its name suggests, an elite-level of care and superior service is provided. The home has a registered nurse available 24/7, maintenance-free services, housekeeping, and laundry weekly, an emergency call system, a dining room, a resident parking, spacious independent living apartments, a full-service salon, social activities, and stimulating programs available.

Welcome to Kingsley Specialty Care, a reputable assisted living community nestled in Sioux City, Iowa. With a capacity of 43 beds, Kingsley Specialty Care’s skilled nursing facility offers a comprehensive range of services, including rehabilitation, skilled nursing care, long-term care, and hospice care. As a proud member of Care Initiatives, Iowa’s largest not-for-profit skilled nursing and long-term care provider, Kingsley Specialty Care is dedicated to delivering compassionate and personalized care tailored to each resident’s unique needs. The facility’s unwavering commitment to dignity and empathy ensures that residents receive the utmost attention and support they deserve.

At Kingsley Specialty Care, the team extends caring services to Iowans from all walks of life, focusing on their transitional health care requirements and overall well-being. As a testament to their dedication, the facility accepts both Medicare and Medicaid, and proudly serves as a contracted provider for the Veterans Affairs Community Nursing Home Program. When residents or their loved ones choose Kingsley Specialty Care, they can trust that they will be in capable and compassionate hands, receiving the highest standard of care in a warm and welcoming environment. 

Brookdale Sioux City is a premier assisted living community in Sioux City, Iowa. Residents at this community enjoy a range of exceptional services tailored to their individual needs, ensuring a personalized and comfortable living experience. As a pet-friendly community, Brookdale Sioux City fosters a warm and home-like atmosphere, providing a welcoming environment for cherished residents.

Benefiting from its strategic location, Brookdale Sioux City offers easy access to four hospitals within a 25-mile radius, with St. Luke’s Regional Medical Center and Mercy Medical Center-Sioux City being the closest. This proximity brings peace of mind to the community’s residents and their families, knowing that healthcare facilities are conveniently within reach. Brookdale Sioux City prides itself on providing a variety of key amenities, including inviting outdoor areas, ample parking, and a refreshing pool for relaxation. Engaging social outings are organized to foster a sense of connection and camaraderie among residents, creating a vibrant and thriving community. Additionally, each unit at Brookdale Sioux City is thoughtfully equipped with a washer and dryer, further enhancing the convenience and comfort of living in this exceptional community. 

Overview of Atrium Village

Atrium Village is a haven of tranquility and exceptional senior care in Saint Hills, Iowa. This warm and inviting home offers a range of services, including nursing home care and independent living options. What sets Atrium Village apart is its intimate size, ensuring that residents receive the utmost attention and care they rightfully deserve. With a dedicated and friendly staff, as well as licensed nursing professionals, residents can rest assured that their well-being is in capable hands.

From convenient van services to specialized podiatry and pharmacy care, every aspect of comfort and health is meticulously considered. The community boasts a variety of amenities that contribute to residents’ well-rounded experience, including an exercise room for maintaining vitality, an on-site beautician and barber for personal grooming needs, and even a chapel for moments of reflection and spirituality. At Atrium Village, seniors can embrace their golden years in an environment that prioritizes their comfort, safety, and overall well-being.

Countryside Health Care Center is an esteemed facility in Sioux City, Iowa. This privately-owned center offers a diverse range of care options, including Reliant Rehab therapy, short-term and long-term skilled nursing, and respite care, ensuring specialized attention for each resident. Their holistic approach caters to residents’ physical, mental, and social needs, creating a fulfilling experience for each individual. Conveniently located near Highway 20 in Sioux City, this senior care facility serves families across the Siouxland areas, fostering a supportive community. 

At Countryside Health Care Center, a dedicated team with extensive knowledge and experience ensures personalized and compassionate care for every resident. This assisted living community’s unwavering commitment to residents’ well-being creates a welcoming environment where seniors can thrive and achieve optimal health and happiness. 

Overview of Windsor Park Retirement Apartments

Ideally set in the harmonious neighborhood of Dubuque, IA, Windsor Park Retirement Apartments is a distinct community that offers independent living. Those 55+ can rest assured of finding the accommodation based on their preferences with a variety of specially designed one- and two-bedroom floor plans. On-site maintenance and laundry spaces are also provided, so residents have more time to do the things they love.

Residents can spend their days as they please with a carefully curated calendar of engaging activities and exciting events that highlight their interests and capabilities. With a fully furnished kitchen, residents can prepare meals according to their needs and preferences. The community is a great option for those looking to live independently in retirement.

Experience a worry-free retirement at Tower Living Center, an idyllic retreat in Garnavillo, IA, offering assisted living. Residents do not have to worry about their daily living activities and personal needs with a kind and highly trained team available 24/7. With its nurturing and welcoming environment, residents are guaranteed the utmost comfort and safety.

Residents will not run out of things to do for leisure and wellness with a jam-packed calendar of engaging activities and enriching programs. Mealtimes are also something to look forward to, with delicious and well-balanced dining options that cater to their dietary needs and preferences. The community is ideal for those needing assistance to live comfortably in their golden years, especially with its dedicated services and well-maintained amenities.

Located in Sioux City, Iowa, Hospice of Siouxland has proudly served as the premier provider of hospice services since 1981. Their services cater to patients of all age groups, ensuring compassionate support during this crucial time. The dedicated care team is wholeheartedly devoted to providing comfort and care and preserving the dignity of each patient.

Hospice of Siouxland specializes in offering comprehensive care to terminally ill patients and their families. With an unwavering focus on symptom management for patients facing serious illnesses, Hospice of Siouxland delivers high-quality services prioritizing the well-being and quality of life for all those under their care. As a locally-owned, not-for-profit organization, their longstanding commitment to the senior community is a testament to their dedication.

Urbandale Health Care Center is a rehabilitation and skilled nursing facility located in Urbandale, IA, northwest of Meredith Park. Aside from rehabilitation and long-term care, they also provide specialized services like respite care, and hospice care. Their current facility can house 106 patients, with access to a full nursing assistance 24 hours daily. Aside from this, the patients also receive medication administration done by licensed professionals, meal provisions, grooming services, housekeeping, and various therapy depending on patient needs.

Urbandale Health Care Center admission inquiries are open 24/7 including holidays. They also provide tours for those who would like to learn more about this long-term care nursing home. However, due to their capacity limit, admissions to the facility will be based on bed availability.

Overview of Oakview Nursing & Rehabilitation

Oakview Nursing & Rehabilitation is a 40-bed facility at 720 Oakbrook Drive in Marion, Iowa. Owned and administered by Dallas Urbain, the community has operated since 2020, primarily serving short-term rehabilitation patients while also offering long-term and specialized dementia care. Centrally located in Linn County, the campus is highly accessible with a Walk Score of 89.

The facility is CMS-certified and carries an above average 4-star overall rating, a performance tier higher than the state average. Between 2020 and 2025, the Iowa Department of Inspections, Appeals, and Licensing (DIAL) conducted 18 inspections, yielding a per-inspection average of 1.6 deficiencies, 11% below the state average. While the August 2025 annual survey resulted in one administrative citation, a 2024 survey identified five deficiencies, including a physical abuse finding involving a staff member and unsanitary kitchen conditions. No fines or payment denials have been issued in the past three years.

Staffing levels are a clinical differentiator, particularly regarding specialized nursing presence. Total nursing hours run 4 hours 5 minutes per resident day, exceeding the Iowa average of 3 hours 48 minutes. Registered Nurse (RN) hours are 11% above the state average, and weekend RN coverage is remarkably high at 1 hour 2 minutes per day—double the Iowa average of 30 minutes. Quality metrics show zero short-stay falls with major injury, though long-stay residents experience high-risk pressure ulcers and UTIs at rates significantly higher than state averages.

The campus provides a residential setting with 24-hour visitation and a full-time chaplain for spiritual support. Shared amenities and services include on-site physical, occupational, and speech therapy, private rooms with facility-wide Wi-Fi, and a beauty shop. The facility offers bereavement accommodations and coordinates complimentary transportation for medical and social needs. Lifestyle programs feature multi-denominational weekly religious services and volunteer-led social engagement.

Prospective residents should evaluate the current bedside care standards during an on-site visit. It is advisable to ask the administrator for specific details on the corrective actions taken following the 2024 abuse and 2025 supervision findings, and to confirm how the facility is addressing clinical outliers related to pressure ulcers and infection prevention to maintain its 2026 quality performance.