Page 19 of Best Assisted Living in Iowa

Why trust this guide? Our editorial team analyzed 319 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.
319 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: 46/ 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: 71The 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-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.
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.
River Valley Place of Ottumwa
AL
MC
RC
Ottumwa
100
Facility 100
IA AVG 71
Rank #60 / 334
Yes
77
Facility 77
IA AVG 46
Rank #49 / 424
-
19
Facility 19
IA AVG 18
Rank #119 / 258
-9
19
Facility 19
IA AVG 7
Rank #285 / 299
0
Facility 0
IA AVG 0.9
Rank #1 / 299
Pleasantview Assisted Living
AL
HOS
IL
MC
NH
SNF
Kalona
56
Facility 56
IA AVG 71
Rank #192 / 334
No
50
Facility 50
IA AVG 46
Rank #185 / 424
-
3
Facility 3
IA AVG 18
Rank #236 / 258
41.1%
Facility 41.1%
IA AVG 63.7%
Rank #251 / 295
1
0
Facility 0
IA AVG 7
Rank #1 / 299
0
Facility 0
IA AVG 0.9
Rank #1 / 299
Wesley Acres
AL
ADC
CCRC
IL
MC
NH
SNF
Des Moines (Greenwood)
80
Facility 80
IA AVG 71
Rank #87 / 334
Yes
72
Facility 72
IA AVG 46
Rank #72 / 424
--
91.3%
Facility 91.3%
IA AVG 63.7%
Rank #28 / 295
23
8
Facility 8
IA AVG 7
Rank #206 / 299
3
Facility 3
IA AVG 0.9
Rank #253 / 299
Brio of Johnston Assisted Living
AL
IL
MC
NH
SNF
Johnston
68
Facility 68
IA AVG 71
Rank #141 / 334
Yes--
7
Facility 7
IA AVG 18
Rank #189 / 258
54.4%
Facility 54.4%
IA AVG 63.7%
Rank #166 / 295
5
2
Facility 2
IA AVG 7
Rank #59 / 299
0
Facility 0
IA AVG 0.9
Rank #1 / 299
Southfield Wellness Community AL
AL
HOS
NH
RC
SNF
Webster City
50
Facility 50
IA AVG 71
Rank #215 / 334
No
58
Facility 58
IA AVG 46
Rank #137 / 424
-
24
Facility 24
IA AVG 18
Rank #77 / 258
-17
6
Facility 6
IA AVG 7
Rank #175 / 299
0
Facility 0
IA AVG 0.9
Rank #1 / 299
Maple Grove Senior Living
AL
NH
RC
SNF
Centerville
30
Facility 30
IA AVG 71
Rank #318 / 334
No
66
Facility 66
IA AVG 46
Rank #96 / 424
-
24
Facility 24
IA AVG 18
Rank #77 / 258
-3
4
Facility 4
IA AVG 7
Rank #125 / 299
0
Facility 0
IA AVG 0.9
Rank #1 / 299
Oak Park Place Dubuque
AL
IL
MC
Dubuque
64
Facility 64
IA AVG 71
Rank #158 / 334
Yes
19
Facility 19
IA AVG 46
Rank #359 / 424
Studio / 1 Bed / 2 Bed
20
Facility 20
IA AVG 18
Rank #114 / 258
23.4%
Facility 23.4%
IA AVG 63.7%
Rank #292 / 295
9
20
Facility 20
IA AVG 7
Rank #290 / 299
3
Facility 3
IA AVG 0.9
Rank #253 / 299
Birdee Cottage AL and MC
AL
MC
Waterloo
33
Facility 33
IA AVG 71
Rank #307 / 334
No
2
Facility 2
IA AVG 46
Rank #418 / 424
-
4
Facility 4
IA AVG 18
Rank #223 / 258
51.5%
Facility 51.5%
IA AVG 63.7%
Rank #181 / 295
4
2
Facility 2
IA AVG 7
Rank #59 / 299
0
Facility 0
IA AVG 0.9
Rank #1 / 299
Floyd Senior Living
AL
Sergeant Bluff
47
Facility 47
IA AVG 71
Rank #228 / 334
Yes
60
Facility 60
IA AVG 46
Rank #125 / 424
Studio / 1 Bed
11
Facility 11
IA AVG 18
Rank #160 / 258
-6
3
Facility 3
IA AVG 7
Rank #93 / 299
2
Facility 2
IA AVG 0.9
Rank #236 / 299
Heritage Court Assisted Living
AL
West Des Moines
56
Facility 56
IA AVG 71
Rank #192 / 334
No
31
Facility 31
IA AVG 46
Rank #305 / 424
-
27
Facility 27
IA AVG 18
Rank #46 / 258
35.7%
Facility 35.7%
IA AVG 63.7%
Rank #271 / 295
9
7
Facility 7
IA AVG 7
Rank #191 / 299
1
Facility 1
IA AVG 0.9
Rank #205 / 299

Rank badges are statewide: each community is ranked against every IA community we track that reports that metric, not just the 319 on this page. See how we rank facilities

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Overview of River Valley Place of Ottumwa

River Valley Place of Ottumwa offers assisted living, memory care, and respite care in Ottumwa, IA. Assisted living includes help with daily tasks, while memory care provides a secured setting with supervision. Respite care offers a short stay when a usual caregiver needs to travel or recover.

The combination of care levels may suit a resident whose needs grow over time, as well as a family needing short term support while a primary caregiver travels or recovers. River Valley Place of Ottumwa has 100 beds, and Shelby Frank serves as the administrator. A Walk Score of 77 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still get out independently. Pets are allowed, enabling a resident to bring a pet when moving into the community.

Contact River Valley Place of Ottumwa

Overview of Pleasantview Assisted Living

Pleasantview Assisted Living offers independent living, assisted living, memory care, hospice care, nursing home care, and skilled nursing in Kalona, IA. Independent living provides private living with community services and no daily care, while assisted living adds help with daily tasks. Memory care provides a secured setting with supervision for someone at risk of wandering, and skilled nursing provides licensed nursing care on site around the clock. Nursing home care supports long-term residence, while hospice care serves a resident receiving end-of-life care.

With multiple care levels, Pleasantview Assisted Living can suit a resident whose needs may grow over time without requiring a move to another community. The community has 56 beds, a smaller size that can allow staff and residents to get to know each other. A Walk Score of 50 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to complete certain nearby errands independently.

Pleasantview Assisted Living opened in 1958 and is administered by Marcille Ward. The community is faith-based, which may suit someone seeking a faith-based setting. Its programs include Skilled Care, Dementia Care, a Dementia Support Group, and Volunteer Opportunities; the support group offers a forum for dementia-related support, while volunteer opportunities allow participation in volunteer work.

Contact Pleasantview Assisted Living

Overview of Wesley Acres

A community that strives in exceedingly making its residents comfortable, the Wesley Acres offers the best balance of urban living and assistance with everyday living.  A proud member of the Wesley Senior Living Group, Acres places integrity at the heart of its mission; ensuring that residents can feel inspired in creating a better life with the continuum of care being provided. Wesley Acres is an elegant senior living home that aims to enhance and enrich the lives of its residents. 

Wesley offers independent living, assisted living, memory care, short-term rehabilitation, and long-term care. Their engaging activities and programs to name a few are the recreational activities, fitness activities, and entertainment programs available for residents to take part in at the library, media room, or outdoor social areas.

Contact Wesley Acres

Overview of Brio of Johnston Assisted Living

Brio of Johnston Assisted Living is a 68-bed nursing home and assisted living community at 6901 Peckham Street in Johnston, Iowa. It opened seven years ago and now operates at 54 percent occupancy. Medicare, Medicaid, and private pay give families multiple routes for coverage. The starting monthly price is $2,000.

Short-term rehabilitation is the facility’s core clinical program, anchored by 24-hour staffing totaling 5 hours 18 minutes of nursing care per resident day. Staffing breakdowns include registered nurses providing 58 minutes daily, nurse aides delivering 2 hours 50 minutes, and LPNs or LVNs contributing 48 minutes per day. The average stay length runs 64 days, which reflects the community’s shorter-stay rehabilitation model. Brio of Johnston Assisted Living sits in a car-dependent part of Johnston, so visiting family and residents typically need a vehicle for most errands and outings. It offers a cutting-edge wellness center along with a library, walking trails, and a pet recreation area for those wanting activity and connection. A chapel, salon, general store, and guest room round out the amenities. Occupants can access respite care services, valuable for families needing momentary placement or relief during a care transition.

State inspections have found Brio of Johnston Assisted Living operating with no major compliance issues, with recent inspection activity clearing complaint investigations.

The community’s focus on rehabilitation and respite care naturally fits people healing from an acute hospital stay or injury, or those needing temporary care relief.

Contact Brio of Johnston Assisted Living

Overview of Southfield Wellness Community Al

Southfield Wellness Community Al in Webster City provides assisted living, nursing home and skilled nursing, hospice care, and respite care. Assisted living includes help with daily tasks, while nursing home and skilled nursing provide licensed nursing care on site around the clock. Hospice supports residents receiving care at the end of life, and respite offers a short stay when a usual caregiver needs temporary support.

With 50 beds, the community has a smaller setting where residents and staff may get to know one another. Private rooms give one resident a living space of their own, while semi private rooms are shared. Rehabilitation services and short term rehabilitation can support recovery without requiring a permanent nursing placement.

Medicare, Medicaid, and private pay are accepted, giving families several ways to cover care. Total nurse staffing is 4 hours and 7 minutes per resident each day, representing the daily nursing time assigned to each resident. A private family gathering space gives residents and visitors a designated place to spend time together.

A Walk Score of 58 means some errands can be completed on foot in this somewhat walkable area. Autumn Davis serves as administrator. The range of care may suit a resident whose needs grow over time, while respite care may suit a family caregiver who needs a short term arrangement.

Contact Southfield Wellness Community AL

Maple Grove Senior Living

1917 South 18Th Street, Centerville, IA 52544-3136
Overview of Maple Grove Senior Living

Maple Grove Senior Living offers assisted living, nursing home care, skilled nursing, and respite care in Centerville, IA. Assisted living provides help with daily tasks while a resident maintains their own apartment, nursing home and skilled nursing care provide licensed nursing support on site, and respite care offers a short stay when a usual caregiver needs to travel or recover.

With 30 beds, Maple Grove Senior Living is a smaller community, which may suit a resident who prefers a setting where staff and residents can get to know each other. The range of assisted living, skilled nursing, and respite care may also be a good fit for a resident whose needs may grow over time or a family caregiver who needs short-term care.

Rehabilitation services are available alongside skilled nursing care, so a resident receiving nursing support can also receive recovery-focused services through the community. Patricia Smith serves as the administrator.

The area has a Walk Score of 66 and is somewhat walkable, meaning some errands can be done on foot and a resident who no longer drives may still get out independently for nearby errands.

Contact Maple Grove Senior Living

Overview of Oak Park Place Dubuque

Oak Park Place Dubuque offers independent living, assisted living, and memory care in Dubuque, IA. Independent living provides a private home with community services but no daily care, while assisted living adds help with tasks such as dressing, bathing, and medication while the resident keeps a private apartment. Memory care is provided in a secured setting with supervision for someone at risk of wandering, and the range of care levels can accommodate changing needs over time.

Opened in 2005, the community has 64 beds with studios, one bedroom residences, and two bedroom residences. A studio offers one private living space, while a two bedroom layout can work for a couple moving together or for someone who wants a companion. Laura Brandt serves as the administrator.

A salon and spa provides grooming services within the community, and transportation gives residents an option for travel without driving themselves. Rehabilitation services are also available. Dining menus balance personal preferences with nutritional needs and use fresh, locally sourced ingredients, while pets are allowed.

Contact Oak Park Place Dubuque

Overview of Birdee Cottage Al and Mc

Birdee Cottage Al and Mc provides assisted living and memory care in Waterloo, IA. Assisted living includes help with daily tasks while residents maintain their own apartments, and memory care provides a secured setting with supervision for someone at risk of wandering.

The community has 33 beds, which may suit a resident who prefers a smaller setting where staff and residents can get to know one another. Studio units provide a single private living space, while private bathrooms and grab bars support residents using their personal living and bathing areas.

Special diets are accommodated, allowing meals to be adjusted for documented dietary needs. Kim Meyer serves as the administrator.

Contact Birdee Cottage AL and MC

Overview of Floyd Senior Living

Floyd Place is a distinguished assisted living community situated in the heart of Sergeant Bluff, Iowa. Residents at Floyd Place flourish in an engaging senior living environment, surrounded by an array of invigorating activities and enriching social outings, complemented by compassionate care and top-notch assisted living services. 

From spa days to ball games, seniors of all interests find something to participate in and relish. Whether they are seeking respite care, a short-term stay, or an urgent placement, Floyd Place offers a welcoming space where seniors can fully engage and savor life. 

Contact Floyd Senior Living

Overview of Heritage Court Assisted Living

Heritage Court Assisted Living is an assisted living community in West Des Moines, IA, with 56 beds in a defined residential setting. Assisted living provides help with daily tasks such as dressing, bathing, and medication while allowing a resident to maintain a private living space.

The area has a Walk Score of 31, making it a car-dependent setting where most errands require a car or a ride. A resident who no longer drives would need transportation for routine errands.

Patricia Wiltfang serves as the administrator.

Contact Heritage Court Assisted Living

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 319 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.