Page 18 of Best Assisted Living in Iowa

Overview of Clearview Home

Clearview Home delivers long-term medical housing and short-term post-acute therapy at 406 West Washington Street in Mount Ayr, Iowa. Managed by administrator Gary Routh, the 82-bed facility functions with a consistent occupancy rate of 89 percent. Billing processes adapt to diverse customer financial models, balancing regular out-of-pocket payments with standard state Medicaid and federal Medicare network coverages. Stays average 196 days per individual, establishing a daily census where brief convalescent turnarounds are integrated with ongoing skilled nursing placements.

Floor nursing schedules distribute a round-the-clock shift routine providing an average of 3 hours and 45 minutes of direct hands-on care per resident daily. Registered nurses, licensed practical nurses, and certified nursing assistants manage these floor hours to coordinate specialized intermediate therapy tracks, respite strategies, and a dedicated memory care environment for Alzheimer’s and dementia patients. Basic internal features include a barber shop, specialized dietary plans, and nutrition counseling, while the surrounding town environment records a walkability score of 52 out of 100, indicating that while visitors can navigate a few common tasks on foot, everyday travel relies on local driving.

Public health inspections executed by the Iowa Department of Inspections, Appeals, and Licensing track internal quality patterns, certifying that the facility operates in substantial compliance with state rules. Local management uses historical corrective updates on care delivery and resident safeguarding systems to shape current employee training modules and adjust daily clinical workflows.

Prospective residents can call the administrative office to double-check active room availability, ask about specialized dietary options, or set up a time to view the dedicated memory care units. The desk coordinators can also assist with medical coverage, cross-referencing to detail how personal funds, private insurance policies, or state health benefits apply to monthly statements.

Overview of Ossian Care Center

A 46-bed skilled nursing and rehabilitation home in Ossian, Iowa, is Ossian Care Center. It caters to residents needing post-acute recovery, ongoing nursing care, or memory support. Ossian Senior Hospice Incorporated-owned and Rachael Marshall-administered, the facility accepts Medicare, Medicaid, and private pay, providing flexible ways for families to navigate care financing. It’s near full occupancy at 80 percent, and residents stay on average about 242 days, a span reflecting short-term rehab stays and longer-term residency.

The home is built around rehabilitation services, focusing on short-term rehab for occupants returning from hospital stays. Staffing is a visible strength: the facility provides 5 hours 15 minutes of total nursing care per resident day, meaningfully above many comparable homes. That staffing level breaks down to 3 hours 10 minutes of attentive certified nurse aide time per resident daily, along with contributions from licensed practical nurses and registered nurses. The higher aide hours per resident translate to more direct help with bathing, dressing, meals, and daily activities. Located in Ossian, the neighborhood scores 38 for walkability, meaning some errands are walkable, though most outings need a car. This layout is typical of rural Iowa communities and suits families who don’t rely on pedestrian access. Ossian Care Center offers assisted living, memory care, and skilled nursing, so it can serve residents across different care needs in one setting.

State inspectors have centered their attention on medication management, kitchen sanitation, and care coordination practices. The facility has worked to address such areas and maintain compliance with state standards.

For families touring the home, it’s worth asking how the facility coordinates care among its different care levels and what programs support each resident’s recovery or daily engagement. Plus, it fits families who don’t depend on pedestrian access.

Overview of Holy Spirit Retirement Home

Serving the Sioux City community for nearly three decades, Holy Spirit Retirement Home is a small nursing home owned and operated by The Diocese of Sioux City. The home provides skilled nursing care and rehabilitation support. Pastoral attention to spiritual needs is also available. Medicare, Medicaid, and private pay are accepted, so families have different ways to arrange care coverage.

Residents receive an average of 3 hours and 57 minutes of total nursing support each day. Registered nurses, nurse aides, and licensed practical nurses are all part of the care team. Daily hands-on support is a central part of the nursing model, and residents have access to consistent clinical care throughout their stay.

The facility has 52 beds, which maintains a smaller, residential feel while supporting a dedicated rehabilitation program. Residents stay an average of 190 days, including those recovering through post-acute rehabilitation and receiving longer-term care. The neighborhood has a Walk Score of 91. Many nearby services and destinations are within walking distance, which can make visits easier for family members.

Spiritual care is part of daily life through the home’s Spiritual Life program. The program exists because of the facility’s religious identity and the values associated with Diocese ownership. The community also offers independent apartment-style housing, so residents have an option as their care needs change over time.

State inspections focused on documentation practices, staff training in areas such as dementia care, and the completeness of resident agreements and care plans. The facility continues to address and monitor these areas as part of its daily operations. Families touring the home may want to ask how these matters are monitored daily.

Overview of Westhaven Community

Westhaven Community is a 40-bed nonprofit skilled nursing facility in Boone, Iowa, offering independent living, assisted living, and skilled care. The community is operated as a ministry of the Evangelical Free Church and accepts Medicare, Medicaid, and private pay.

Across inspections since 2017, the facility has averaged approximately 2 deficiencies per year — 55% below the Iowa average of 4.4 — a strong long-term compliance picture. That record includes two notable exceptions: a 2023 inspection that found an Immediate Jeopardy citation for failure to re-evaluate a resident’s advance directives and code status.

A separate complaint investigation that year in which a resident sustained a fatal fall and staff were cited for inadequate supervision. The April 2025 standard inspection recorded 8 deficiencies covering medication management, infection control, and respiratory care. The most recent visit, a September 2025 complaint investigation, found no regulatory issues.

CMS rates Westhaven 4 stars overall, with staffing hours 34.8% above the Iowa average — nurse staffing averaging 5 hours and 20 minutes per resident per day places the community 24th out of 241 Iowa skilled nursing facilities. Occupancy is significantly below the state average at 43%, indicating current availability.

The on-site salon is the one amenity listed on the profile; the facility’s broader lifestyle programming is not detailed on the page.

Westhaven Community is best studied for residents seeking independent, assisted, or skilled nursing care in a small, faith-affiliated residential setting in Boone County, with immediate availability across bed types. However, families should review the facility’s prior Immediate Jeopardy finding and fall-related complaint history.

Overview of Wellington Place

Wellington Place is a 68-bed nursing home that operates as a continuing care campus, allowing residents to transition between independent living, assisted living, memory support, and skilled nursing. The community has been operating for 19 years and handles financial coverage through Medicare, Medicaid, and private-pay sources. Given its mix of temporary post-acute recovery clients and permanent long-term nursing placements, the facility logs an extended 288-day average length of stay. The property is built in a highly walkable area with a walkability score of 84 out of 100, meaning visiting families and staff can easily manage daily errands on foot.

Files from the Iowa Department of Inspections, Appeals, and Licensing display a minimal citation history alongside solid daily nursing resources. Caregivers supply an average of 4 hours and 20 minutes of direct care per resident each day, with registered nurses, licensed practical nurses, and certified nursing assistants splitting the floor coverage. On the compliance side, official health records show a consistently clean multi-year track record where the few documented citations were minor and resolved. On-site physical therapy and rehabilitation programs are also available to support short-term recovery goals for individuals stepping down from local hospital stays.

Prospective residents searching for a regional multi-level care community or a small-scale nursing home can look through these state reports to examine the building’s historical baseline. The public documentation shows a stable, highly accessible campus backed by consistent daily caregiver hours and an exceptional regulatory track record with minimal paperwork issues.

Overview of Elm Crest Retirement Community

Elm Crest Retirement Community is a 64-bed nursing facility at 2104 12th Street in Harlan, Iowa. Administered by Tim Nauslar and operated by American Baptist Homes of the Midwest, the campus provides a continuum of care including independent living, assisted living, and skilled nursing. While the facility was recently awarded a 5-star quality rating, current occupancy for the skilled nursing wing is reported at 94%, with 47 of 50 beds occupied, placing it in line with state averages. The location earns a Walk Score of 50, indicating moderate accessibility to local amenities in Shelby County.

In early 2026, the facility achieved substantial compliance following a survey, and the assisted living component previously recorded a citations-per-inspection rate of zero. However, the broader health center recorded 18 moderate citations over the last three years, including a Quality of Care deficiency in November 2025. A short payment denial was issued in late 2024, but the facility has since remediated several infection control and nutrition findings.

Clinical care is delivered by a team providing 3 hours and 53 minutes of total nursing time per resident daily, which is approximately 12% below the Iowa average. Professional services focus on short-term rehabilitation, with 82% of admissions coming from Medicare recipients who typically stay for one to two months. While long-stay metrics have shown challenges in mobility and urinary tract infection rates, the facility performs above state averages in pressure ulcer prevention and maintaining low antipsychotic medication use.

The residential environment is faith-based and features various floor plans with access to landscaped grounds and outdoor walking paths. Shared amenities include a library, beauty salon, and a health and wellness center. Social programming is provided through an activity center, offering arts and crafts and local outings. The community emphasizes a nurturing atmosphere, balancing professional healthcare with home-like amenities.

Prospective representatives should weigh the facility’s recent 5-star quality rating against its moderate deficiency history and staffing levels. Families are encouraged to ask directly about the specific improvements made following the 2025 quality of care citation and request current data on nurse aide staffing ratios before making a placement decision.

St. Luke’s Hospice, positioned on Blairs Ferry Road Northeast in Cedar Rapids, Iowa, integrates assisted living and specialized end-of-life care. The facility features a 24-hour staffing model and holds a Disability Confident Leader certification, establishing an environment built for accessibility and inclusive medical care.

The clinical framework combines professional health services with personalized comfort strategies, tailoring daily routines around each senior’s medical requirements and end-of-life choices. Dedicated teams work alongside an active volunteer network to encourage social interaction and provide companion support during serious health transitions.

The property sits roughly four miles from downtown Cedar Rapids, providing convenient access for visiting families. A walkability score of 56 out of 100 indicates that the surrounding neighborhood is moderately walkable, making some simple tasks feasible on foot while most regional trips require a vehicle.

Interested families evaluating local palliative options or residential care can reach the coordination desk to verify program specifics.

Overview of Independence Village of Des Moines (beaverdale Estates)

Make the most of your retirement years at the vibrant senior living community of Independence Village Of Des Moines (Beaverdale Estates) in Des Moines, IA, offering independent living. The community features pet-friendly apartments featuring large windows with plenty of natural light, along with convenient access to housekeeping for a maintenance-free living. The community is conveniently located near numerous parks, recreational facilities and walking trails, as well as excellent health care facilities, including the MercyOne Des Moines Medical Center.

The community fosters a vibrant living experience and social connection through their diverse array of social, cultural and recreational activities, as well as exercise, fitness and wellness programs. A talented culinary team carefully prepares diverse menu options catered to residents’ dietary needs and preferences. Amenities include a business center and library, beauty salon and barbershop, and community activity room, including a game room and lounge, for relaxing gathering spaces.

Overview of Willows of Marshalltown Assisted Living

Willows of Marshalltown Assisted Living is a 66-bed community at 2315 Campbell Drive in Marshalltown, Iowa. Administered by Jennifer Stanley, the facility serves Marshall County under license S0385, which remains active through July 2, 2026. The community currently reports a 61% occupancy rate with 40 residents, slightly below the Iowa state average of 75.4%. The location is highly accessible with a Walk Score of 85, allowing most daily errands to be finished on foot.

State monitoring from the Iowa Department of Inspections, Appeals, and Licensing shows a history of recurring care planning and training deficiencies. Since 2018, the facility has recorded 16 total deficiencies over seven inspections, averaging 2.3 violations per review—a rate 28% above the state per-inspection average. While investigations in 2020 and 2022 resulted in a citations-per-inspection rate of zero, the most recent review in September 2024 identified seven deficiencies involving medication administration, wound care treatment, and delays in resident evaluations.

Professional support is delivered through a 24-hour staffing model providing both assisted living and memory care. An August 2021 investigation substantiated a serious complaint regarding a resident injury during transportation after a wheelchair was not properly secured, resulting in citations for inadequate staff training and care oversight. Although the facility has operated for nine years and provides nursing services and restaurant-style dining, records show a persistent pattern of failing to update service plans as residents’ conditions change.

The residential environment features integrated floral courtyards and social activities within a newer building. Management has historically struggled with documentation compliance, including failures in food safety training for staff and missing signatures on occupancy agreements. Despite periods of clean compliance in 2020 and 2022, the 2024 violations suggest that previous corrective actions in specialized training and care coordination have not been sustained.

Prospective residents should weigh the facility’s walkable location and state-of-the-art building against its repeated findings in core care planning. It is necessary to verify that current personnel have completed all required training for specialized tasks, such as wound care and transportation safety, before making a placement decision. Families may contact the administrative office at (641) 758-3123 to discuss the specific remediation steps implemented after the 2024 inspection to ensure 2026 safety standards are met.

Overview of Bickford of Iowa City

Bickford of Iowa City offers compassionate assisted living services in Iowa City. With a genuine dedication to seniors, their authentic approach shines through in every aspect of care. The community comes alive with a variety of engaging activities, creating an atmosphere that promotes both happiness and well-being. Moreover, their commitment to nursing home quality measures ensures that residents receive the highest standard of care, enhancing their overall experience.

Their homestyle menu offers not only nourishing meals but also a sense of familiarity and comfort. Alongside pet-friendly policies, the community embraces memory care benefits that cater to specific needs. From medication management to dementia programming and registered nurse care coordination, each aspect of care is handled with grace and compassion, creating an environment where residents thrive with dignity and respect.