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Other Senior care options in Iowa:

Best Assisted Living in Iowa

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 504 homes in Iowa

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 Iowa.

Watch this Video to see Iowa's Top-rated Senior Communities

Compare Assisted Living around Iowa

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)
76Yes 63 Studio / 1 bed / 2 bed5 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)
80No 72 -- 91.3% -2183
Prairie Hills at Cedar Rapids
SC

Senior Communitie

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.

Cedar Rapids
86Yes 47 Studio / 1 Bed / 2 Bed17 50.0% -1863
Allen Place Senior Living
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.

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.

Atlantic (East 19Th Street)
78No 11 -12 46.2% A-1031
Bickford of Urbandale
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.

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.

Urbandale (Sutton Place)
73Yes 28 -26 53.4% -1071
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)
78Yes 38 1 bed / 2 bed1 85.8% -2382
MorningStar Assisted Living & Memory Care at Jordan Creek
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.

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.

West Des Moines
93No 58 Studio / 1 bed / 2 bed7 58.1% -96-
Valley View Village
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 (Fairmont Park)
79Yes 38 Studio / 1 Bed / 2 Bed54 100.0% -2472
Vintage Hills of Indianola
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.

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.

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.

Indianola
90No 15 -16 45.6% A+73-
Arlington Place of Grundy Center
SC

Senior Communitie

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.

Grundy Center
80No 32 -25 36.3% -1231
Ridgecrest Village
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.

Davenport (Northwest Boulevard)
82Yes 41 Studio / 1 Bed / 2 Bed- 67.1% -2063
Windsor Manor Nevada
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.

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.

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.

Ames
70No 26 -14 38.6% -1764
Sunset Park 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.

Dubuque
101Yes 36 1 Bed / 2 Bed24 46.5% -25143
Holland Farms
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
116Yes 38 Private Rooms / Semi-Private Rooms4 38.8% -73-
Amelia Senior Living
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.

Council Bluffs (Ferndale)
62Yes 2 Studio / 1 Bed31 61.3% A+1021
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Overview of Rose Haven Nursing Home

Rose Haven Nursing Home is located in Marengo, Iowa, and provides short-term rehabilitation and long-term skilled nursing care. The facility is dedicated to quality nursing care and offers personalized care plans, engaging lifestyle activities, and a supportive community. It is a 58-bed facility that emphasizes dignity, safety, and quality of life for its residents.

Contact Rose Haven Nursing Home

Overview of Mercyone Siouxland Home Care

Serving the greater Sioux City, Iowa area, Mercyone Siouxland Home Care is a community dedicated to delivering comprehensive and personalized home-based care. The range of services offered by Mercyone Siouxland Home Care encompasses nursing, speech-language therapy, occupational therapy, physical therapy, and specialized programs, all designed to cater to the unique needs of each individual under their care. 
Mercyone Siouxland Home Care Is committed to bringing quality care to senior residents in Sioux City. Their mission revolves around enhancing the quality of life for patients by assisting them in achieving their health objectives while prioritizing their well-being, safety, and independence within the familiar surroundings of their homes.

Contact MercyOne Siouxland Home Care

Overview of Windmill Manor

Nestled in Coralville, Iowa, Windmill Manor shines as a beacon of exceptional skilled nursing services. Their extensive medical offerings range from long-term care to outpatient services, respite care, and hospice care, with a team of dedicated professionals providing 24-hour nursing support. Residents benefit from the expertise of a registered dietitian and regular physician visits, ensuring comprehensive well-being. This secure community is further enhanced by its picturesque gardens, offering a haven for seniors seeking a serene yet engaging lifestyle.

Here, residents enjoy both security and freedom in a thoughtfully designed environment, where airy surroundings blend seamlessly with safety measures. With the option of private or companion suites, and a range of social and recreational activities, including a remarkable geriatric nutritional program, Windmill Manor creates a holistic living experience. This exceptional community doesn’t just promise excellence – it’s backed by the positive reviews and strong reputation that reflect its commitment to top-tier care and support.

Contact Windmill Manor

Edencrest at Riverwoods

2210 E Park Ave, Des Moines, Ia 50320, Usa
Overview of Edencrest at Riverwoods

Ideally set in the tranquil neighborhood of East Park Avenue, Des Moines, IA, is the reliable senior living community of Edencrest at Riverwoods that provides assisted living and memory care. Experience the highest quality of care and support with a compassionate and responsible team caring for residents’ needs and preferences around the clock. Featuring different levels of care for individuals with dementia and other memory-related needs, the community promotes a vibrant and welcoming environment where residents thrive.

Elevate your retirement with fun recreation and wellness programs, highlighting your interests and strengths. Delightful and healthy meals are also provided to foster comfort and meet dietary needs. With beautiful courtyards and pet-friendly spaces, residents enjoy a peaceful and happy retirement.

What does this home offer?

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Pets Allowed

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 2-story

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Dining Services

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Beauty Services

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Housekeeping Services

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Social and Recreational Activities

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Exercise Programs

Contact Edencrest at Riverwoods

Overview of The Meadows

Make the most of your best years at The Meadows, a welcoming retreat in Manchester, IA, offering assisted living. Featuring specially designed and secure accommodations, the community ensures residents are comfortable and safe. Residents can also keep their peace of mind with a compassionate and well-trained team helping with their daily living activities around the clock.

A thoughtfully planned calendar of engaging activities and fun recreational programs is conducted, encouraging residents to interact with their surroundings and live actively. Residents have a delightful dining experience 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 retirement, especially with its exceptional care and well-maintained amenities.

Contact The Meadows

Overview of The Kensington in Fort Madison

Nestled in the vibrant community of Fort Madison, IA, the Kensington in Fort Madison is an esteemed senior living community that offers assisted living and memory care services. A wide array of spacious and cozy accommodations ranging from studio to deluxe studio, one-bedroom, large one-bedroom, deluxe suite, and deluxe one-bedroom are available for its residents. The community is committed to providing a warm an supportive atmosphere for its residents to live a more fulfilling life. In terms of memory care, the community thoughtfully created a memory care neighborhood called Primrose Path catering to the needs of those with Alzheimer’s and dementia.

Known for its top-notch amenities and services, residents can enjoy 3 delectable and healthy home-cooked meals, housekeeping and laundry services, and complimentary health care services. Meet new companions in recreational trips and scenic tours with transportation provided. Further self-care efforts by going to an on-site salon. Equipped with the right tools and people, seniors are guaranteed a wonderful retirement with the Kensington in Fort Madison.

What does this home offer?

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Housing Options: Studio / 1 Bed

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Building Type: Mid-rise

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Transportation Services

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Fitness and Recreation

Contact The Kensington in Fort Madison

Overview of American Home Health Care CO.

American Home Health Care is a locally owned and operated durable medical equipment provider, proudly serving patients in western Iowa, eastern Nebraska, and southeast South Dakota. Their dedication to quality care underscores their mission of providing essential services to the communities they serve.  
American Home Health Care holds accreditation from the Health Care Quality Association in Waterloo, Iowa, and consistently meets or exceeds the stringent standards set by Medicare/Medicaid and the insurance industry. Committed to delivering comprehensive services, they ensure individuals receive the necessary equipment to support their healthcare needs at home. 

Contact American Home Health Care Co.

Overview of Apria Healthcare

Apria Healthcare is a prominent figure for home respiratory services and essential medical equipment provision across the nation. Over 325 locations sprawled throughout the United States, Apria dedicates itself to aiding and supporting more than 1.8 million patients annually. 
With a vast reach, Apria offers crucial services such as oxygen therapy, inhalation therapies, sleep apnea treatment, enteral nutrition, and negative pressure wound therapy. Apria Healthcare is committed to ensuring that patients receive the essential care and support they need in the comfort of their homes, fostering improved well-being and quality of life.

Contact Apria Healthcare

Overview of Pine Acres Rehabilitation & Care Center

Pine Acres Rehabilitation and Care Center is an upscale nursing home that aims to change the meaning of skilled nursing and rehabilitation for seniors. The community understands that aging can be daunting, much more with a disability or condition. The exceptional level of care delivered by their patient-friendly staff is an approach to offering the best care possible for their residents. Pine Acres is a trusted community that cares for every senior’s needs.
The person-centered community strives to enhance the quality of life for its residents by ensuring that seniors can satisfy their overall wellness. They house licensed medical professionals and staff and offer a list of social and stimulating activities, holistic therapy, and specialized residency training for an enriching experience.

Contact Pine Acres Rehabilitation & Care Center

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.

What does this home offer?

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Room Sizes: 940 - 1,826 sq. ft

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Housing Options: 2 Bed / 3 Bed

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Building Type: Mid-rise

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Dining Services

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Beauty Services

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Housekeeping Services

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Social and Recreational Activities

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Exercise Programs

Contact Friendship Village

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 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 69 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.