Page 26 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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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:

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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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
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.
Anamosa Care Center
AL
HOS
NH
SNF
Anamosa
64
Facility 64
IA AVG 73
Rank #140 / 289
A+No
72
Facility 72
IA AVG 45
Rank #46 / 302
--
85.9%
Facility 85.9%
IA AVG 61.5%
Rank #45 / 259
-18
9
Facility 9
IA AVG 6
Rank #188 / 265
Oakwood Care Center
AL
HC
HOS
IL
MC
NH
RC
SNF
Clear Lake
76
Facility 76
IA AVG 73
Rank #98 / 289
?No
64
Facility 64
IA AVG 45
Rank #68 / 302
--
83.6%
Facility 83.6%
IA AVG 61.5%
Rank #54 / 259
---
Harmony Dubuque
AL
NH
RESC
RC
SNF
Dubuque
75
Facility 75
IA AVG 73
Rank #102 / 289
CNo
89
Facility 89
IA AVG 45
Rank #10 / 302
--
74.7%
Facility 74.7%
IA AVG 61.5%
Rank #91 / 259
---
Azria Health Longview
AL
IL
MC
NH
SNF
Missouri Valley
100
Facility 100
IA AVG 73
Rank #56 / 289
C+Yes
53
Facility 53
IA AVG 45
Rank #107 / 302
--
81.4%
Facility 81.4%
IA AVG 61.5%
Rank #62 / 259
---
Silvercrest Garner Senior Living
AL
IL
MC
Davenport
--Yes
55
Facility 55
IA AVG 45
Rank #102 / 302
Studio / 1 Bed / 2 Bed
26
Facility 26
IA AVG 18
Rank #47 / 232
-A+--
Rolling Green Village
AL
NH
SNF
Nevada
58
Facility 58
IA AVG 73
Rank #166 / 289
B-No
71
Facility 71
IA AVG 45
Rank #49 / 302
--
76.6%
Facility 76.6%
IA AVG 61.5%
Rank #81 / 259
---
Hallmark Care Center
AL
HOS
NH
SNF
Mount Vernon
55
Facility 55
IA AVG 73
Rank #173 / 289
?No
73
Facility 73
IA AVG 45
Rank #44 / 302
--
73.8%
Facility 73.8%
IA AVG 61.5%
Rank #93 / 259
---
Northgate Care Center
AL
HOS
NH
SNF
Nw Waukon
50
Facility 50
IA AVG 73
Rank #190 / 289
DNo
68
Facility 68
IA AVG 45
Rank #56 / 302
--
82.4%
Facility 82.4%
IA AVG 61.5%
Rank #58 / 259
---
Home Instead – Cedar Rapids
AL
HC
HOS
MC
Cedar Rapids
--No
51
Facility 51
IA AVG 45
Rank #117 / 302
Private Rooms / Semi-Private Rooms
23
Facility 23
IA AVG 18
Rank #71 / 232
-A+--
Spurgeon Manor
AL
IL
MC
NH
SNF
Dallas Center
55
Facility 55
IA AVG 73
Rank #173 / 289
?No
47
Facility 47
IA AVG 45
Rank #134 / 302
--
90.9%
Facility 90.9%
IA AVG 61.5%
Rank #30 / 259
-23
8
Facility 8
IA AVG 6
Rank #188 / 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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Anamosa Care Center

1209 East Third Street, Anamosa, IA 52205-1503
Overview of Anamosa Care Center

Anamosa Care Center in Anamosa, Iowa, offers nursing home care, assisted living, skilled nursing, and hospice support. Assisted living programs assist residents with daily tasks such as bathing, dressing, and medication management, while hospice services focus on end-of-life care. Physical recovery offerings include skilled rehabilitation alongside outpatient therapy programs that do not require an extended residential stay.

Ashley Wirth leads the 64-bed community as administrator. Daily nurse staffing averages 3 hours and 50 minutes per resident. Located in a neighborhood with a 72 walk score, the setting allows residents to handle everyday errands and reach nearby shops on foot. Financial arrangements accept Medicare for short-term post-hospital rehabilitation, Medicaid for long-term residency, and direct private payment.

Prospective individuals seeking long-term placement or outpatient therapy options can call Anamosa Care Center to evaluate room availability, inquire about coverage, or request a campus walkthrough.

Contact Anamosa Care Center

Oakwood Care Center

400 Highway 18 West, Clear Lake, IA 50428-1108
Overview of Oakwood Care Center

Oakwood Care Center offers nursing home, assisted living, home care, hospice care, independent living, memory care, respite care, nursing care, and skilled nursing in Clear Lake, IA. Nursing home care, nursing care, and skilled nursing provide licensed nursing care on site around the clock, while assisted living helps with daily tasks such as dressing, bathing, and medication. Independent living provides private living with community services and no daily care.

Memory care provides a secured setting with supervision for someone at risk of wandering. Home care brings assistance in a person’s residence, hospice care supports end of life needs, and respite care provides a short stay. The range of care levels and respite care can suit a resident whose needs may change over time or a family caregiver who needs short term support.

Oakwood Care Center has 76 beds, with total nurse staffing of 3h 49m per resident per day, representing the daily hands on nursing time allocated to each resident. Rehabilitation services include short term rehabilitation and outpatient therapy, giving residents access to therapy during recovery while allowing outpatient clients to receive treatment without an inpatient stay. A relaxation room and open dining options are also available, and Krystal T. serves as director. Medicare, Medicaid, and private pay are accepted. A Walk Score of 64 places the area in the somewhat walkable band, meaning some errands can be done on foot and a resident who no longer drives can reach some nearby errands independently.

Contact Oakwood Care Center

Harmony Dubuque

901 West Third Street, Dubuque, IA 52001-6699
Overview of Harmony Dubuque

A walk score of 89 is unusual for a nursing home. Most errands around Harmony Dubuque can be done on foot, which means a resident who gave up driving can still get to a pharmacy or a cafe without asking anyone.

Five care types operate in this 75-bed building: nursing home care, skilled nursing, assisted living, residential care, and respite. Assisted living and residential care cover bathing, dressing, and the medication schedule.

Somebody at home is already working the night shift, unpaid and untrained. Licensed nursing on site means that job belongs to staff instead.

Rehabilitation and short-term rehabilitation handle the recovery work, and two programs carry names of their own: peritoneal dialysis, and stroke and other neurological conditions. A long hospital admission with no surgery in it still leaves legs that stopped doing what they did in March.

Respite covers a stretch a caregiver cannot move. A busy season at work, a required trip, a deployment: the dates are set by somebody other than the family.

Medicare, Medicaid, and private pay are accepted. Nursing time sits at 3 hours and 26 minutes per resident each day. A resident whose needs change can change care type here without changing address.

Contact Harmony Dubuque

Azria Health Longview

1010 Longview Road, Missouri Valley, IA 51555-1227
Overview of Azria Health Longview

Located in Missouri Valley, IA, Azria Health Longview provides nursing home, skilled nursing, assisted living, independent living, and memory care. The community’s multiple levels of care can accommodate older adults’ needs, including those seeking support for daily tasks and older adults living with Alzheimer’s and other forms of dementia. With a doctor on-site and 24-hour staffing, residents receive care around the clock.

Moreover, postacute rehabilitation and specialized care programs support residents who need recovery support after a medical stay. Respite care also provides a short stay when a resident’s usual caregiver needs time to travel or recover.

Of 100 beds, 81.4% are currently occupied. Total nurse staffing is 4 hours and 13 minutes per resident per day, representing the daily nursing time allocated to each resident. Payment options also include Medicare, Medicaid, and private pay, giving families several listed ways to cover care depending on the resident’s circumstances.

Residents can use the beauty salon and spa services on-site. Dining includes home cooked meals served on a schedule that works for the resident. This pet-friendly community also provides housekeeping and laundry services to help with household chores.

A Walk Score of 53 places the area in the somewhat walkable band, meaning some errands can be done on foot and a resident who no longer drives may be able to manage some outings independently.

Contact Azria Health Longview

Overview of Silvercrest Garner Senior Living

Silvercrest Garner Senior Living provides exceptional memory care and assisted living services tailored to each individual’s needs. The community prides itself on providing the best services, striving to be one of the top-ranked assisted living homes in the city. 

Silvercrest boasts elegant designs and upscale amenities such as its dining room, brightly-lit lounge areas, spacious apartments, courtyard, and arts and crafts studio. 

Contact Silvercrest Garner Senior Living

Overview of Rolling Green Village

Rolling Green Village in Nevada, IA, offers assisted living and nursing home care. Skilled nursing is the third name on it. Both of the last two point past personal care to work a nurse’s license is required for.

Assisted living stays on the daily side, bathing, dressing, and medications. A resident whose needs climb over the years finds the next level already inside the same community.

Rehabilitation services and short-term rehabilitation give a recovery its own temporary setting. The accepted payers are Medicare, Medicaid, and private pay. Medicare is confined to the short skilled course a hospital stay opens, and the other two carry what it does not.

A Walk Score of 71 makes the area very walkable, so most errands can be done on foot for somebody who has given up the care. The building holds 58 beds, and nursing time per resident runs four hours and nine minutes across a day.

Contact Rolling Green Village

Hallmark Care Center

215 Highway 30 Sw, Mount Vernon, IA 52314-0000
Overview of Hallmark Care Center

Hallmark Care Center operates out of Mount Vernon, IA, providing assisted living, hospice care, nursing home care, and skilled nursing. Assisted living provides a second pair of hands for bathing, dressing, and medication, and the resident keeps a private living space. Skilled nursing marks the point where a family stops managing the care themselves and hands it to licensed staff.

Nursing home care is for the resident whose needs are ongoing rather than temporary. Hospice belongs to the other end of that, where comfort rather than recovery is the object. Fifty-five beds and 4 hours and 23 minutes of nursing per resident per day are the two numbers describing the scale of the place.

The smaller size is also quieter, which is part of what draws somebody to a building this size. Rehabilitation Services, Short-Term Rehab, and Rehab-to-Home are all on the list, and the last of those says outright what the stay is aimed at.

Medicaid, Medicare, and private pay are all accepted. Medicare takes the skilled weeks that follow a hospital admission and stops there. Medicaid becomes the route once a family’s own funds stop reaching across a long stay.

Somebody whose needs run to nursing care, hospice support, or a recovery stretch before going home fits the shape of this place. The area comes out very walkable, and the number behind that is 73 on Walk Score. For a resident who no longer drives, a fair part of the week is spent on foot.

Contact Hallmark Care Center

Overview of Northgate Care Center

In Waukon, IA, Northgate Care Center works under a license naming assisted living, nursing home care, hospice care and skilled nursing. Help with daily tasks is the assisted living side, while the nursing sides carry the ongoing clinical work. Hospice is the comfort level, for end-of-life needs, and it is where nothing further is being planned. Four levels here answer needs that shift over time.

Fifty beds keep the community small, which means the same people recur rather than rotate. Nursing assigned across a resident’s care is 3h 35m daily. Medicare, Medicaid and private pay all work here, whether a family uses public coverage or pays directly.

Outpatient therapy is a named program, so therapy can happen without an inpatient rehabilitation stay. A private family gathering space gives visits a room of their own.

The area rates 68 for walking, inside the somewhat walkable range. A few errands are manageable on foot, which leaves some local trips within reach after driving stops.

Contact Northgate Care Center

Overview of Home Instead – Cedar Rapids

Serving Cedar Rapids and nearby areas, Home Instead offers senior home care assistance that prioritizes enhancing quality of life and independence for retirees, from the comfort of their family home. Personalizing each elderly care plan to meet the specific needs of every individual, Home Instead brings the full-range of daily living support and medical management from retirement homes, to your doorstep.

Family members and seniors alike can rest easy knowing that Home Instead’s brand of dependable personal care and companionship are handled with the utmost respect and compassion, by a duly licensed team. Light housekeeping, meal preparations, errands, and medication reminders, are conducted warmly and professionally. For those struggling with the challenges of Alzheimer’s, Home Instead has got you covered as well.

Contact Home Instead – Cedar Rapids

Spurgeon Manor

1204 Linden Street, Dallas Center, IA 50063-1052
Overview of Spurgeon Manor

Spurgeon Manor offers independent living, assisted living, memory care, nursing home care, and skilled nursing in Dallas Center, Iowa. Independent living provides a private home with community services and no daily care, while assisted living offers help with bathing, dressing, medication, and other daily tasks while the resident keeps an apartment. Memory care is provided in a secured setting with supervision for someone at risk of wandering. Skilled nursing provides licensed nursing care on site around the clock.

Several care levels are available in one community. Spurgeon Manor may be a good fit for a resident whose needs may grow over time and who may want to remain in one community. The community opened in 1971 and has 55 beds, creating a smaller setting where staff and residents can get to know one another. Crystal Scroggin serves as the administrator.

Total nurse staffing is 5 hours and 31 minutes per resident per day, representing the daily hands on nurse time assigned to each resident. Medicare, Medicaid, and private pay are accepted, giving families multiple ways to cover care depending on eligibility and available resources.

Rehabilitation services support therapy within the care setting, while physician, podiatry, laboratory, optometry, and pharmacy services provide access to several health related services through the community. A beauty salon allows residents to arrange hair and grooming services on site. Daily activities include crafts, games, social activities, and spiritual gatherings, giving residents scheduled ways to spend time with others.

Transportation is available for residents. The Walk Score is 47 out of 100, placing the area in a setting where most errands require a car or a ride, so transportation can matter for trips beyond the community.

Contact Spurgeon Manor

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
No paid rankings Communities cannot pay to influence placement.
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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