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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.

Explore home photos

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
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.

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).

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
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.

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).

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
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.

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
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.

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).

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 Birdee Cottage Al and Mc

Birdee Cottage is a family-owned assisted living and memory care facility located in Waterloo, IA. It offers personalized care and a home-like environment for residents, focusing on safety and comfort. The facility provides memory care services and home-cooked meals, ensuring a supportive atmosphere for individuals with memory loss.

Contact Birdee Cottage AL and MC

Overview of Better Living of Walcott
Better Living of Walcott offers compassionate senior living services in Walcott, IA. It provides assisted living, memory care, respite care, and a welcoming community atmosphere. Residents are treated like family, with personalized support and meaningful connections.

Contact Better Living of Walcott

Overview of Apple Valley Place
Apple Valley Place of Osage offers compassionate senior living services. It provides assisted living, memory care, and respite care options in Osage, IA. The community is designed to create a warm and vibrant environment for residents.

Contact Apple Valley Place

Overview of Addington Place of Burlington
Addington Place of Burlington is a senior living community where care and comfort come first. Residents enjoy their days with the right mix of independence and support, participating in group activities and enjoying fresh meals. The community focuses on creating a warm atmosphere where residents feel at home.

Contact Addington Place of Burlington

Overview of Careage Hills Rehabilitation and Healthcare
Careage Hills Rehabilitation and Healthcare is a facility that focuses on providing exceptional care and service to its residents. The dedicated and compassionate staff work to create a sense of community and exceed expectations. They offer customizable therapy programs tailored to meet the unique needs of each patient.

Contact Careage Hills Rehabilitation and Healthcare

Overview of Regency Park Nursing and Rehabilitation Center
Regency Park Nursing and Rehabilitation Center of Jefferson is a skilled health care facility designed to meet the needs of the aging population, the disabled, and rehabilitating residents. It offers a range of services including skilled nursing, rehabilitation, and therapy services. The center emphasizes compassionate care and individualized resident care plans.

Contact Regency Park Nursing and Rehabilitation Center

Overview of Hillcrest Family Services – Rcf
Hillcrest Family Services - RCF provides a full spectrum of care to meet the diverse needs of the community. It offers residential services, outpatient services, and outreach services, including behavioral health intervention and supported living programs. The organization has been a trusted provider of behavioral health and community services for over 125 years.

Contact Hillcrest Family Services – RCF

Midlands Living Center LLC

2452 North Broadway, Council Bluffs, Ia 515030434
Overview of Midlands Living Center LLC
Midlands Living Center is a locally owned 94-bed skilled nursing facility located on the north edge of Council Bluffs. It provides both short- and long-term care, specialized nursing care, rehabilitation, respite care, and hospice. The facility is committed to meeting the physical, social, emotional, recreational, and spiritual needs of all residents.

Contact Midlands Living Center LLC

Meth Wick Health Center

1625 Brendelwood Drive, Cedar Rapids, Ia 524052499
Overview of Meth Wick Health Center
Meth Wick Health Center is a senior living community located in Cedar Rapids, Iowa. It offers a range of services including independent living, assisted living, memory care, and skilled nursing care. The community emphasizes wellness and recreation, providing various events and classes for residents.

Contact Meth Wick Health Center

Everystep

3000 Easton Blvd, Des Moines, Ia 503173124
Overview of Everystep
EveryStep provides hospice, home health, grief and community care with compassion and dignity, guiding families through life’s most important moments. It offers a range of services including hospice care, home health care, and grief support. The organization is dedicated to supporting families during challenging times.

Contact Everystep

Ranking Methodology

How we rank these assisted living communities

Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.

Public data 6 weighted categories Updated quarterly
Full methodology

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.