Page 25 of Best Assisted Living in Iowa

Why trust this guide? Our editorial team analyzed 310 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.
310 homes
Other senior care options in Iowa:

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. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. 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. 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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
Primrose Retirement Community
AL
IL
MC
RC
Council Bluffs (Kane Township)
64
Facility 64
IA AVG 73
Rank #140 / 289
-Yes--
18
Facility 18
IA AVG 18
Rank #107 / 232
51.6%
Facility 51.6%
IA AVG 61.5%
Rank #130 / 259
5
1
Facility 1
IA AVG 6
Rank #214 / 265
Westhaven Community
AL
IL
NH
SNF
Boone
40
Facility 40
IA AVG 73
Rank #225 / 289
?No
83
Facility 83
IA AVG 45
Rank #18 / 302
-
15
Facility 15
IA AVG 18
Rank #129 / 232
-3
2
Facility 2
IA AVG 6
Rank #89 / 265
Regency Assisted Living
AL
IL
MC
NH
SNF
Norwalk
60
Facility 60
IA AVG 73
Rank #158 / 289
?No
70
Facility 70
IA AVG 45
Rank #50 / 302
-
20
Facility 20
IA AVG 18
Rank #96 / 232
-5
4
Facility 4
IA AVG 6
Rank #161 / 265
Keystone Senior Suites
AL
IL
MC
Keystone
24
Facility 24
IA AVG 73
Rank #282 / 289
AYes
12
Facility 12
IA AVG 45
Rank #265 / 302
1 Bed
28
Facility 28
IA AVG 18
Rank #29 / 232
37.5%
Facility 37.5%
IA AVG 61.5%
Rank #231 / 259
2
4
Facility 4
IA AVG 6
Rank #121 / 265
Perry Lutheran Homes Spring Valley Campus
AL
IL
MC
NH
RC
SNF
Perry
77
Facility 77
IA AVG 73
Rank #96 / 289
-No
74
Facility 74
IA AVG 45
Rank #41 / 302
-
24
Facility 24
IA AVG 18
Rank #61 / 232
40.3%
Facility 40.3%
IA AVG 61.5%
Rank #218 / 259
2
0
Facility 0
IA AVG 6
Rank #140 / 265
Friendship Haven
AL
CCRC
HOS
IL
MC
NH
RC
SNF
Fort Dodge
155
Facility 155
IA AVG 73
Rank #17 / 289
?No
17
Facility 17
IA AVG 45
Rank #253 / 302
Private Rooms-
76.1%
Facility 76.1%
IA AVG 61.5%
Rank #84 / 259
--
Harmony Davenport
AL
NH
RESC
RC
SNF
Davenport
88
Facility 88
IA AVG 73
Rank #71 / 289
B-No
90
Facility 90
IA AVG 45
Rank #8 / 302
--
79.0%
Facility 79.0%
IA AVG 61.5%
Rank #74 / 259
--
Harmony Waterloo
AL
NH
RESC
RC
SNF
Waterloo
88
Facility 88
IA AVG 73
Rank #71 / 289
C-No
83
Facility 83
IA AVG 45
Rank #18 / 302
--
84.7%
Facility 84.7%
IA AVG 61.5%
Rank #49 / 259
--
Bickford of Marshalltown
AL
MC
Marshalltown
--Yes
59
Facility 59
IA AVG 45
Rank #87 / 302
Studio / 1 Bed
29
Facility 29
IA AVG 18
Rank #26 / 232
---
Whispering Willow AL
AL
MC
RC
Fredericksburg
52
Facility 52
IA AVG 73
Rank #184 / 289
-No
47
Facility 47
IA AVG 45
Rank #134 / 302
-
18
Facility 18
IA AVG 18
Rank #113 / 232
46.2%
Facility 46.2%
IA AVG 61.5%
Rank #188 / 259
3
1
Facility 1
IA AVG 6
Rank #203 / 265

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other IA assisted living community we track that reports that metric, not just the 310 on this page. See how we rank facilities

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Primrose Retirement Community

1801 East Kanesville Blvd, Council Bluffs, IA 51503
Overview of Primrose Retirement Community

Opened in 2008, Primrose Retirement Community provides assisted living, independent living, memory care, and respite care in Council Bluffs, IA. Nursing services are available, along with 24-hour staffing, ensuring residents receive continuous support as needed. The community also accommodates temporary stays to give their primary caregiver time to recover. Moreover, specialized care is provided for those living with memory-related conditions.

Administered by Hannah Phillips, the community can accommodate up to 64 older adults, with monthly starting prices of $4,495 for independent living, $4,815 for assisted living, and $4,510 for Townhome Villas. Notably, the Townhome Villas rate identifies a separate housing option, while the other two rates correspond to named care types. Occupancy is currently at 51.6%.

Residents may bring pets, while a beauty salon allows them to arrange grooming on-site. A chapel and religious services also provide a place for worship. Moreover, restaurant-style dining gives residents a structured setting for daily meals. Scheduled transportation can also support trips arranged through the community.

$4,815/Month

Contact Primrose Retirement Community

Overview of Westhaven Community

Westhaven Community offers nursing home care, assisted living, independent living, and skilled nursing in Boone, Iowa. Having several care levels in one community can suit a resident whose needs grow over time, because moving to a different level of care does not require leaving the community.

Independent living supports private living without daily care. Assisted living provides help with daily tasks such as dressing, bathing, and medication. Skilled nursing provides licensed nursing care on site around the clock for residents who need ongoing clinical support. With these options, the community may be a good fit for someone who wants to remain in one place if their care needs change.

Westhaven Community has 40 beds and opened in 2012. Total nurse staffing is 5 hours 4 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident. Payment options include Medicare, Medicaid, and private pay. Medicare can cover short-term skilled care after a hospital stay, Medicaid may help with longer-term care when savings do not cover the full stay, and private pay means paying directly. An on-site salon gives residents access to personal grooming without arranging an off-site visit. A Walk Score of 83 places the area in the very walkable band, meaning most errands can be done on foot and a resident who no longer drives can still get out independently. Breanna Streeter serves as the administrator.

Contact Westhaven Community

Overview of Regency Assisted Living

Regency Assisted Living covers five care types in Norwalk, IA. They are assisted living, memory care, skilled nursing, independent living, and nursing home care. Licensed nursing at every hour describes a rota rather than an aspiration, and somebody’s shift covers three in the morning.

Assisted living pays for help with bathing, dressing, and medication. The resident’s private living space is not part of what is being helped with. Independent living goes further, with community services and no daily care. attached. Memory care is the secured, supervised level, and somebody whose wandering has become a risk may reach it from inside the building rather than from outside.

Five care levels under one roof suit needs that grow, since growing here does not mean moving. Sixty beds fall under its license. Per resident, day amounts to 3 hours and 1 minute of nursing.

Victoria Lehman administers the community. A Walk Score of 70 is very walkable, which runs high for an address of this kind. Most errands are within range on foot.

Medicare, Medicaid, and private pay are accepted. Short-term stays and respite care answer a different question about time, covering a stretch while the person normally doing the caregiving is away or recovering. Rehabilitation services back residents recovering or holding on to function.

Contact Regency Assisted Living

Overview of Keystone Senior Suites

Make the most of your best years at Keystone Senior Suites, a distinguished community in Keystone, IA, offering assisted living. Residents can keep their peace of mind with a compassionate and well-trained team that provides top-notch care tailored to their daily living activities and personal needs around the clock. With housekeeping and laundry services, residents enjoy a hassle-free lifestyle.

Dedicated to enhancing residents’ living experience, a thoughtfully curated calendar of enriching activities and stimulating programs is conducted. Mealtimes are something to look forward to, with delicious and healthy dining options served to meet residents’ dietary needs and preferences. The community is a good option for those needing assistance to live comfortably in retirement, especially with its quality services and well-maintained amenities.

Contact Keystone Senior Suites

Overview of Perry Lutheran Homes Spring Valley Campus

Perry Lutheran Homes Spring Valley Campus offers independent living, assisted living, memory care, nursing home care, skilled nursing care and respite care in Perry, IA. Independent living provides community services without daily care, while assisted living helps with tasks such as bathing, dressing and medication. Memory care is provided in a secured setting with supervision, and skilled nursing includes licensed nursing care on site around the clock. Respite care supports short stays when a family caregiver needs time away or is recovering.

As a continuing care retirement community with multiple care levels, the campus may suit a resident whose needs change over time and who may need a different level of care within the same community. The home has 77 beds, and Tanya Swank serves as its administrator. Rehabilitative therapy is available through the campus, giving residents access to therapy services without leaving the community. Meals on Wheels is also a specific program here.

A Walk Score of 74 means the area is very walkable, with most errands possible on foot. A resident who no longer drives can still get out independently.

Contact Perry Lutheran Homes Spring Valley Campus

Overview of Friendship Haven

Friendship Haven in Fort Dodge, IA, is a non-profit continuing care retirement community (CCRC) that offers independent living, assisted living, rehabilitation, and skilled nursing. With a nurturing, home-like environment, the community ensures older adults can live comfortably during their stay. Light housekeeping, nutritious meals, and medication management are among the excellent services provided to improve residents’ living experiences. Residents also receive the utmost attention and care to recover and return to their routines with ease through personalized care plans.

Strength exercises, social events, and various recreational activities ensure residents can make friends and have fun. Safe trails, accessible common areas, and a garden also provide residents with more opportunities for recreation and wellness. Located near the Fort Museum and Frontier Village and bus stops along Kenyon Road, the community guarantees accessibility and convenience. This CCRC has a wide range of care options and a clean setting, making it a great choice for senior living in Iowa.

Contact Friendship Haven

Harmony Davenport

815 East Locust Street, Davenport, IA 52803-0000
Overview of Harmony Davenport

Harmony Davenport provides nursing home and skilled nursing care, assisted living, residential care, and respite care in Davenport, IA. Skilled nursing includes licensed nursing care on site around the clock, while assisted living provides help with daily tasks such as bathing, dressing, and medication while the resident keeps a private apartment. Respite care offers a short term stay when a usual caregiver needs time away or recovery.

The range of care settings can support a resident whose needs grow over time without leaving the community. Harmony Davenport may also suit someone recovering after a hospital stay or a family caregiver who needs temporary support. Rehabilitation includes post hospital rehabilitation, medical rehabilitation, short term rehabilitation, and advanced therapy techniques and equipment, giving a resident access to recovery focused care during a temporary rehabilitation stay.

Total nurse staffing is 3 hours 41 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Harmony Davenport has 88 beds and accepts Medicare, Medicaid, and private pay. Medicare covers short term skilled care after a hospital stay, Medicaid may help eligible residents whose savings do not cover a long stay, and private pay allows a family to pay directly. With a Walk Score of 90 out of 100, the area is considered a walker’s paradise, so daily errands do not require a car and a resident who no longer drives can still get out independently.

Contact Harmony Davenport

Harmony Waterloo

201 West Ridgeway Avenue, Waterloo, IA 50701-4235
Overview of Harmony Waterloo

Harmony Waterloo provides nursing home, assisted living, residential care, respite care, and skilled nursing in Waterloo, Iowa. Assisted living includes help with everyday tasks such as dressing, bathing, and taking medication while the resident keeps an apartment. Skilled nursing provides licensed nursing care on site around the clock, and respite care offers a short stay when a usual caregiver needs to travel or recover.

The range of care levels may suit a resident whose needs change over time. Rehabilitation includes orthopedic care and treatment for stroke and other neurological conditions, with structured support during recovery from those health events. Temporary rehabilitation stays are available, while the 88 bed community also offers ongoing residential care.

Michelle B. serves as director. Total nurse staffing is 3 hours and 19 minutes per resident each day, representing the total daily nursing time allocated to each resident. Payment options include Medicare, Medicaid, and private pay: Medicare covers short term skilled care after a hospital stay, Medicaid supports eligible long term care, and private pay means paying directly.

The community has a Walk Score of 83, meaning the area is very walkable. Most errands can be done on foot, so a resident who no longer drives can still get out independently.

Contact Harmony Waterloo

Overview of Bickford of Marshalltown

Serving Marshalltown, Iowa for 29 years, Bickford of Marshalltown is an assisted living community offering personal care and memory care. It also features studio and one-bedroom apartments in a two-story setting. Moreover, its location on Newcastle Road has a Walk Score of 59, allowing some errands to be completed on foot.

Salon and transportation services support residents’ daily comfort and convenience. It also offers a Montessori-based memory care program with structured, personalized activities for individuals living with cognitive decline. The community also welcomes pets, allowing residents to bring small animal companions.

Contact Bickford of Marshalltown

Whispering Willow AL

601 Dawn Avenue, Fredericksburg, IA 50630-1033
Overview of Whispering Willow Al

Whispering Willow Al offers assisted living, memory care, and respite care in Fredericksburg, IA. Assisted living includes help with daily tasks, while memory care provides a secured setting with supervision for someone at risk of wandering. Respite care offers a short stay when a usual caregiver needs to travel or recover.

The combination of care types can suit a resident whose needs grow over time, since the community offers multiple care settings without requiring a move elsewhere. With 52 beds, it is a smaller community where staff and residents have the opportunity to get to know one another. Storm Freese serves as the administrator.

Residents have access to table service dining, a salon and spa, secure private outdoor space, and a gated patio, so meals, personal care, and time outside can all take place within the community. Group games, fitness classes, and the Live2B Healthy wellness program provide scheduled activities, and rehabilitation services are available as well. The area has a Walk Score of 47, making it car dependent, with most errands requiring a car or a ride; a resident who no longer drives would generally need transportation for errands.

Contact Whispering Willow AL

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 310 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.

Assisted Living in Iowa at a glance

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: 45/ 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: 73The average licensed bed capacity across facilities in Iowa. Individual facilities can vary widely from this average.
National Average: 90