Page 2 of Best Assisted Living in Iowa

Located in a highly walkable neighborhood, St Francis Manor is a skilled nursing home with a strong focus on rehabilitation services. The 78-bed facility has been serving the community for 49 years. Medicare, Medicaid, and private pay give families several options for arranging care.

Rehabilitation is a central part of the facility’s care model. St Francis Manor operates an on-site Rehabilitation Clinic and provides hospital-to-home skilled nursing and rehabilitation services. Residents recovering from surgery, illness, and other acute health events can transition directly into structured care within the community. Physical therapy, occupational therapy, and speech therapy support a wide range of rehabilitation needs. Residents who require ongoing support are provided with long-term nursing care and restorative services.

Daily nurse staffing averages 5 hours and 19 minutes per resident. Registered nurses provide approximately 1 hour and 15 minutes of care each day. They are supported by nurse aides and licensed nurses. This level of staffing provides consistent clinical oversight and hands-on assistance throughout the day.

Wellness and activity are important parts of residents’ daily lives. There’s an on-site S.H.A.P.E. Fitness program, along with a walking track, exercise equipment, and fitness classes for residents who want to maintain strength and mobility. St Francis Manor also has a home healthcare service, so residents can continue receiving care in a setting they are familiar with.

The facility currently has 54 residents living in 78 beds, resulting in an occupancy rate of 69%. State inspections show that the facility has been working to maintain compliance. The most recent review found no health deficiencies. Families considering St Francis Manor should take a tour and explore the therapy areas, fitness amenities, and daily care environment.

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.

Overview of Prairie Vista Village

Prairie Vista Village provides independent housing, assisted living care, and short-term post-acute therapy at 2785 1st Avenue South in Altoona, Iowa. Under the leadership of owner and administrator John Freeman, the campus features a 68-bed nursing wing that frequently maintains a 50 percent occupancy level. Regular monthly accounts are handled through private funding avenues or standard federal Medicare network benefits. Stays here average about 285 days, meaning the daily scheduling balances temporary convalescent therapy cases with extended clinical residential placements.

On-site health routines center around a structured dining setup and a daily therapy calendar. To manage individual clinical needs, the floor staff coordinates an average of 4 hours and 42 minutes of direct hands-on nursing care per resident every day. Registered nurses cover 54 minutes of this daily schedule, working with licensed practical nurses who provide 24 minutes and certified nursing assistants who handle 3 hours and 5 minutes of bedside assistance. Outside the campus grounds, the surrounding neighborhood records a walkability score of 29 out of 100, which means visiting guests and families rely on a vehicle to handle standard errands around the town.

Regular evaluation surveys have logged clean findings across multiple checkup cycles, with past citations restricted to standard, corrected operational items involving localized nutrition and basic care procedures. Internal supervisors analyze these public safety reports to keep floor rules updated and coordinate mandatory ongoing training metrics for the clinical teams.

Prospective residents can call the main admissions line to double-check open room layouts, ask about the independent living floor plans, or set up a morning walkthrough of the common dining areas.

Enjoy the best of your golden years at Mount Carmel Bluffs, an outstanding community in Dubuque, IA, offering independent living. The community also offers enriched living, memory care, and long-term care to meet residents’ healthcare needs. Residents can also keep their peace of mind with housekeeping and other maintenance services.

Plenty of local shops and recreational spaces surround the area, providing residents with unending leisure and wellness opportunities. Residents can also prepare meals according to their dietary needs and preferences with a fully furnished kitchen in each unit. The community’s extensive amenities and exceptional services create the ideal setting for the finest retirement experience.

The Mayflower Home operates a 40-bed skilled nursing wing at its Broad Street campus in Grinnell, Iowa, under the management of administrator Kellie McGriff. This community accommodates residents aged 55 and older, coordinating patient accounts through private pay, Medicare, and Medicaid. Stays here average roughly 331 days, indicating a residential population where long-term care plans are integrated with temporary post-hospital rehabilitation.

Daily care routines are supported by an on-floor nursing team providing an average of 5 hours and 2 minutes of direct attention per resident. Registered nurses, licensed practical nurses, and nurse aides distribute this 24-hour schedule to manage wound protocols, medication delivery, and active physical therapies. Residents have access to recreational programs organized by the internal residents’ association, while the surrounding Grinnell neighborhood scores a high 82 out of 100 for walkability, allowing visiting families to manage most local trips on foot.

Past inspections by state regulators identified some necessary updates in care documentation and quality procedures, which the administration resolved; the most recent complaint investigation confirmed the home remains in substantial compliance. Current occupancy levels hover around 78 percent, giving the management room to accommodate incoming admissions.

Families can reach out to the admissions office to check on current bed availability, request details on the residents’ association events, or set up a time to view the campus.

Overview of Marian Home

Marian Home is a 90-bed nonprofit nursing home in Fort Dodge, Iowa, offering skilled nursing, independent living, memory care, and rehabilitation services to residents in Webster County. The facility accepts Medicare, Medicaid, and private pay and is managed by a nonprofit.

Across 16 inspections since 2019, Marian Home recorded 11 total deficiencies — 59% below the Iowa average of 27. The most recent standard inspection, completed in April 2025, found no deficiencies. One substantiated incident in 2024 involved a resident fall resulting in a fracture, attributed to staff not using a gait belt during a transfer; staff education was implemented afterward. No fines or enforcement actions appear in the record.

The facility’s staffing stands out as a genuine differentiator. Nurse staffing averages 5 hours and 16 minutes per resident per day compared with Iowa’s average of 4 hours and 25 minutes, placing Marian Home 24th out of 241 Iowa SNFs on adjusted nursing hours — a meaningful gap for residents with higher care needs. The facility also provides therapy services, along with community living areas, social programs, and group activities in Halverson Hall, and offers 24-hour staffing. The occupancy rate is 78%, close to the Iowa average, indicating moderate availability.

The combination of a clean recent inspection record, well-above-average nurse staffing, and a continuum that spans independent living, skilled nursing, and memory care makes it best suited for residents seeking a long-term residential setting where care intensity can increase without requiring relocation.

Overview of Spurgeon Manor

Spurgeon Manor is a 55-bed nonprofit skilled nursing and memory care community in Dallas Center, Dallas County, Iowa, offering skilled nursing, rehabilitation, memory care, and assisted living services to residents across the greater Des Moines area. It is administered by Crystal Scroggin.

Spurgeon Manor holds a 5-star CMS overall rating — the highest possible — with every sub-rating performing above Iowa averages. Staffing is the standout: nurse staffing averages 5 hours and 36 minutes per resident per day, roughly 27% above the Iowa average of 4 hours and 25 minutes, ranking the facility 18th among 241 Iowa skilled nursing facilities.

Across 21 inspections since 2020 — 40% more visits than the Iowa average of 15 — the facility averaged 1.4 deficiencies per inspection, 22% below the Iowa mean of 1.8. The most recent inspection on December 10, 2025, accepted the facility’s plan of correction. Two substantiated complaints appear in the record: one involving timely abuse reporting (February 2023) and one involving the posting of required information (August 2024). No fines, immediate jeopardy findings, or license actions have been issued.

The facility’s occupancy rate is 89%, well above the Iowa average of 75.4%, reflecting consistent local demand. The facility accepts both Medicare and Medicaid and maintains 24-hour staffing. On-site services include physician services, laboratory, pharmacy, podiatry, and optometry. Amenities include a chapel, private dining rooms, and an exercise room. The facility received a 2021 Silver Achievement in Quality Award.

Spurgeon Manor is best suited for residents seeking long-term skilled nursing or memory care in a small nonprofit community with strong staffing ratios and a consistent compliance record in Dallas Center, Iowa.

Overview of Mill Valley Care Center

Serving the community for more than 50 years, Mill Valley Care Center is a skilled nursing home in Iowa owned by Robert Dempewolf. The 46-bed facility accepts Medicare, Medicaid, and private pay, so families have several options for arranging both short-term rehabilitation and longer-term nursing care. The community has 76% occupancy, and residents stay an average of 211 days, including rehabilitation patients and those receiving ongoing nursing care.

Rehabilitation and recovery services are the main focus of the facility. Residents have access to rehabilitation services and outpatient therapy as they work toward greater independence. Daily nurse staffing averages just under 5 hours per resident. Registered nurses provide about 47 minutes of care daily, nurse aides contribute 2 hours and 51 minutes, and LPN/LVN staff provide another 33 minutes. The facility also has 24-hour staffing to support residents.

State inspections have examined resident transfer safety practices, resident dignity and responsiveness to care requests, and the management of specialized care procedures. These areas have been a part of the facility’s quality focus.

Residents receive meals twice each day and have access to rehabilitation and outpatient therapy services on-site. The community has a Walk Score of 64, which is a moderately walkable area. Some nearby services and errands are within walking distance, but most trips require driving.

Overview of Clarence Nursing Home

Clarence Nursing Home manages a 46-bed skilled medical building at 409 Lombard Street in Clarence, Iowa, operating as a core element of the local Clarence Senior Living Campus since 1968. Overseen by Clarence Nursing Home Inc and administrator Jason Tjaden, the facility sustains a 91 percent occupancy rate. Financial processing integrates individual private payments with standard state Medicaid and federal Medicare network credentials. Stays average 292 days, which reflects a steady operational balance between transitional post-hospital physical therapy and permanent clinical housing.

The daily floor plan delivers an average of 4 hours and 2 minutes of direct hands-on care to each individual. Certified nursing assistants, licensed practical nurses, and registered nurses split these 24-hour shift rotations to provide bedside medical assistance and structured physical rehabilitation routines. For community transit, the surrounding rural neighborhood scores a 34 out of 100 for walkability, which means visiting guests and staff members rely on cars to handle most regional errands.

Official compliance documentation indicates that the building functions in substantial compliance with public health regulations and maintains a deficiency rate that tracks favorably against broader Iowa nursing property averages. Local coordinators analyze these regular health evaluation logs to verify internal procedural safety and align staff clinical training protocols with current state operating guidelines.

Interested individuals can call the main desk to verify active room layouts, request information regarding campus physical therapy options, or schedule an afternoon walkthrough of the property.

Overview of Newton Village

Located on North 5th Avenue West in Newton, Iowa, Newton Village. is a skilled nursing home owned by Paul Anderson. The community provides short-term rehabilitation and long-term skilled nursing care. Staffing is available around the clock, and the facility accepts Medicare and private pay. That gives families some flexibility when arranging coverage.

The 70-bed home has an occupancy rate of 53%. Residents stay an average of 117 days, including those recovering through post-acute rehabilitation and receiving longer-term skilled care. Registered nurses provide about 1 hour and 35 minutes of care per resident each day. Nursing aides average 2 hours and 49 minutes, while total direct nursing care comes to about 5 hours and 9 minutes per resident daily. It’s a staffing model built around both hands-on support and nursing oversight.

Newton Village is in a moderately walkable area with a Walk Score of 67. Some errands and services are within walking distance, but many trips still require transportation. Residents have access to landscaped gardens, walking paths, and patios for outdoor time. There’s also a library, fitness center, beauty salon, and barber shop. Meals are served in a communal setting with chef-inspired dining, and residents can join in lots of activities and events.

Respite care and rehabilitation services are part of the community’s care programs. State inspections have been cleanly documented. Recent certification found no deficiencies or investigated complaints. The facility is in good standing based on those findings. Families considering Newton Village can expect a well-staffed setting that focuses on rehabilitation and skilled care.