Page 26 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. 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. 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.
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.
Keystone Senior Suites
AL
IL
MC
Keystone
24
Facility 24
IA AVG 71
Rank #326 / 334
Yes
12
Facility 12
IA AVG 46
Rank #381 / 424
1 Bed
28
Facility 28
IA AVG 18
Rank #38 / 258
37.5%
Facility 37.5%
IA AVG 63.7%
Rank #266 / 295
-2
4
Facility 4
IA AVG 7
Rank #125 / 299
Harmony Davenport
AL
NH
RESC
RC
SNF
Davenport
88
Facility 88
IA AVG 71
Rank #76 / 334
No
90
Facility 90
IA AVG 46
Rank #11 / 424
--
79.0%
Facility 79.0%
IA AVG 63.7%
Rank #95 / 295
---
Bickford of Marshalltown
AL
MC
Marshalltown
-Yes
59
Facility 59
IA AVG 46
Rank #131 / 424
Studio / 1 Bed
29
Facility 29
IA AVG 18
Rank #35 / 258
-B---
Friendship Haven
AL
CCRC
HOS
IL
MC
NH
RC
SNF
Fort Dodge
155
Facility 155
IA AVG 71
Rank #17 / 334
No
17
Facility 17
IA AVG 46
Rank #365 / 424
Private Rooms-
76.1%
Facility 76.1%
IA AVG 63.7%
Rank #110 / 295
---
Harmony Dubuque
AL
NH
RESC
RC
SNF
Dubuque
75
Facility 75
IA AVG 71
Rank #109 / 334
No
89
Facility 89
IA AVG 46
Rank #13 / 424
--
74.7%
Facility 74.7%
IA AVG 63.7%
Rank #120 / 295
---
Harmony Waterloo
AL
NH
RESC
RC
SNF
Waterloo
88
Facility 88
IA AVG 71
Rank #76 / 334
No
83
Facility 83
IA AVG 46
Rank #28 / 424
--
84.7%
Facility 84.7%
IA AVG 63.7%
Rank #63 / 295
---
Silvercrest Garner Senior Living
AL
IL
MC
Davenport
-Yes
55
Facility 55
IA AVG 46
Rank #153 / 424
Studio / 1 Bed / 2 Bed
26
Facility 26
IA AVG 18
Rank #60 / 258
-A+--
Whispering Willow AL
AL
MC
RC
Fredericksburg
52
Facility 52
IA AVG 71
Rank #209 / 334
No
47
Facility 47
IA AVG 46
Rank #200 / 424
-
17
Facility 17
IA AVG 18
Rank #131 / 258
46.2%
Facility 46.2%
IA AVG 63.7%
Rank #223 / 295
-3
9
Facility 9
IA AVG 7
Rank #225 / 299
Anamosa Care Center
AL
HOS
NH
SNF
Anamosa
64
Facility 64
IA AVG 71
Rank #158 / 334
No
72
Facility 72
IA AVG 46
Rank #72 / 424
--
85.9%
Facility 85.9%
IA AVG 63.7%
Rank #59 / 295
-18
8
Facility 8
IA AVG 7
Rank #206 / 299
Oakwood Care Center
AL
HC
HOS
IL
MC
NH
RC
SNF
Clear Lake
76
Facility 76
IA AVG 71
Rank #105 / 334
No
64
Facility 64
IA AVG 46
Rank #102 / 424
--
83.6%
Facility 83.6%
IA AVG 63.7%
Rank #68 / 295
---

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 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

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

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

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 Dubuque

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

Located in Dubuque, Iowa, Harmony Dubuque is a nursing home owned by Brandy Feller. The facility accepts Medicare, Medicaid, and private pay, so families have several ways to pay for care. The home focuses on short-term rehabilitation and skilled nursing services. Residents stay an average of 66 days, which includes those recovering from recent health events and receiving transitional care before returning home.

Rehabilitation is a major part of the facility’s daily operations. Residents have access to rehabilitation services and short-term rehab programs. The home also accommodates patients recovering from strokes and other neurological conditions. Respite care is available for families who need temporary care for a loved one. For residents with kidney-related conditions, peritoneal dialysis is available on-site.

Daily nursing support averages about 3 hours and 51 minutes per resident. Residents are also supported by registered nurses, nurse aides, and licensed practical nurses. Daily hands-on support is important in the facility’s approach, particularly for residents recovering from surgery, illness, or hospitalization.

The facility is in a highly walkable area of Dubuque, with a Walk Score of 89. Many nearby services and everyday essentials are within walking distance, making visits more convenient for family members spending time at the community.

Contact Harmony Dubuque

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 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

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

Anamosa Care Center

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

Anamosa Care Center is a 64-bed home at 1209 East Third Street in Anamosa, Iowa. Run by Sheri Sigler, the facility has been a staple in the community for over 40 years, providing everything from long-term medical care and hospice to short-term rehab for people recovering from surgery. Payment structures adapt to diverse situations, accepting public health coverage lines via traditional Medicare and state Medicaid alongside standard private funding options. Individual stays average roughly 345 days, meaning the daily scheduling balances temporary post-hospital rehabilitation with extended medical placements.

Residents get a little over four hours of direct care each day. A team of nurses aides and stays on top of medications, monitors everyone’s health, and leads the physical, occupational, and speech therapy sessions. The neighborhood is also really easy to get around, scoring a 72 out of 100 for walkability, which makes it simple for visiting families to walk to nearby spots or run quick errands.

Official evaluations by state health inspectors routinely track floor workflows, focusing on themes such as resident care standards and daily dignity practices to verify compliance with public codes. Administrative supervisors review these inspection results to guide continuing education programs and adjust internal protocols across the nursing shifts.

Families looking into care can call the main office to see if there are any open rooms, ask how outpatient therapy is scheduled, or set up a time to come take a look around.

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

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.