Best Assisted Living in Iowa

Overview of Edencrest at Timberline

Edencrest at Timberline is a 120-bed senior living community at 14001 Douglas Parkway in Urbandale, Iowa. Managed by Geoff Counasse and part of the Highmark Senior Living portfolio, the facility serves Polk County under license S0471, valid through May 2027. Current occupancy stands at approximately 54% with 65 residents, a figure that reflects its status as a recently established campus building its census. The location is categorized as car-dependent with a Walk Score of zero, though the facility provides scheduled transportation for residents.

Since its licensing in 2023, the facility has undergone one recertification inspection in October 2025, which identified only a single deficiency, a rate 96% lower than the state average. This isolated finding involved staff management of a resident’s monitoring device, but the facility achieved a citations-per-inspection rate of zero for all other evaluated categories. There are no documented fines or enforcement actions in the community’s history.

Clinical care is delivered by a 24/7 on-site team that includes a Director of Nursing and professional caregivers specialized in memory care. Services cover a full continuum, including independent living, assisted living, and high-acuity support for diabetes and incontinence. Memory care starts at approximately $5,600 monthly, while general assisted living begins at $4,400, covering personalized health plans and medication management.

The residential environment features modern apartments with move-in assistance and access to extensive shared amenities. Residents have access to a fitness center, walking trails, a library, and a full-service salon and spa. Social programming includes daily wellness classes, arts and crafts, and curated restaurant-style dining with specific dietary accommodations. The community is pet-friendly and provides private courtyards for outdoor recreation.

Families seeking a newer, high-amenity campus with a specialized memory care program may find this community appropriate. Families should ask directly about the current staff training protocols for resident monitoring and confirm the latest monthly rates for specific apartment floor plans before making a placement decision.

Overview of Stirlingshire of Coralville Al

Stirlingshire of Coralville Al is a 112-bed senior living facility at 1140 Kennedy Parkway in Coralville, Iowa. Administered by Amy Kubik-Hasley, the community serves Johnson County under license S0444, valid through April 9, 2027. Current data shows a 48% occupancy rate with 54 residents, which is lower than the Iowa state average of 75.4%. With a Walk Score of 25, the location is car-dependent for most local services.

State oversight from the Iowa Department of Inspections, Appeals, and Licensing highlights recent safety-related compliance challenges. Since 2021, the facility has recorded nine total deficiencies across five inspections, an average of 1.8 per review. While the most recent July 2025 inspection resulted in a citations-per-inspection rate of zero, this follows an October 2024 investigation that substantiated five deficiencies. These 2024 findings included delayed responses to emergency pendants, medication administration errors, and non-functioning safety equipment during fall incidents.

Clinical care at this five-year-old campus includes independent living, assisted living, and memory care services. A March 2024 recertification identified deficiencies regarding inadequate care for a resident hospitalized for a drug overdose and unsanitary medication administration practices. Initial 2021 records also noted foundational gaps, such as staff failing to complete mandatory dependent adult abuse training and orientation on food handling protocols. The community offers curated dining and designed amenities but has struggled with maintaining consistent resident evaluation schedules.

The residential environment is focused on providing a retirement setting with specialized memory care options. Occupancy has fluctuated since opening, rising from nine residents in 2021 to a peak of 63 in early 2024 before settling at the current 54. While no formal fines or license suspensions have been documented, the facility’s short operational history includes substantiated reports of inconsistent shower schedules and incomplete assistance with daily living tasks. Management has implemented corrective actions following the late 2024 safety failures.

Families can contact the Coralville office to discuss current staffing levels and confirm that 2026 safety standards for medication and emergency response are being strictly maintained.

Southfield Wellness Community is a 50-bed assisted living and rehabilitation facility at 2416 Southfield Drive in Webster City, Iowa. Administered by Megan Hassebrock, the community has served Hamilton County since 2002 under a license active through September 2026. The facility reports 40% occupancy with 20 residents, which is below the state average. The location is moderately walkable with a Walk Score of 58.

State-level monitoring data reflects a consistent history of high regulatory compliance. Over the last nine years, the facility recorded only one deficiency, resulting in an annual average of 0.1, which is 98% below the state average. The most recent recertification in March 2025 resulted in a citations-per-inspection rate of zero. While long-term compliance remains strong, the facility incurred federal penalties totaling $72,000 between November 2023 and December 2024.

Daily clinical operations utilize a 24-hour nursing model supported by a team of 129 CNAs, LPNs, and medication aides. Bedside support hours for nurse aides run 9% above Iowa averages, and the facility maintains a staff-to-resident ratio of 3.65:1. Services include short-term rehabilitation, respite care, and extended residential support, with a payer mix of 55% private pay, 25% Medicare, and 20% Medicaid. Clinical data shows 100% vaccination rates for long-stay residents and zero major falls among high-risk individuals.

The residential environment provides private family gathering spaces and basic cable services for residents. Despite established care quality, the community faced financial challenges in 2023 with a reported $703,000 operating loss. Historical records from 2008 noted a single deficiency involving inconsistent health assessments, but all subsequent complaint investigations have been unsubstantiated. The campus is designed to accommodate both post-acute recovery and long-term assisted care.

Interested individuals should consider the community’s 23-year history and its strong clinical metrics regarding vaccination and fall prevention. It is advisable to discuss the recent federal penalties with the administrator to understand the specific corrective measures implemented over the last year. Families may contact the Webster City office to verify current availability and confirm that the facility’s established care protocols meet their 2026 requirements.

Legacy of the Meadows is a 36-bed senior living community at 119 East 2nd Street in DeWitt, Iowa. Administered by Gayle Holquist, the facility serves Clinton County under license S0501, which was issued in August 2025 and remains active through August 2027. The property specializes in both general assisted living and personalized memory care for individuals with Alzheimer’s and dementia. Its downtown location features a Walk Score of 79, providing residents with foot access to local banking, dining, and community services.

Monitoring data from the Iowa Department of Inspections, Appeals, and Licensing reflects the community’s status as a newly established provider. To date, the facility has a citations-per-inspection rate of zero, as it has not yet undergone its initial routine state review. This lack of historical data is typical for new licenses, requiring a reliance on direct observation and internal protocols to evaluate current care standards.

Clinical care is delivered through an all-inclusive pricing model that covers medication management and assistance with activities of daily living, such as bathing and dressing. Professional support includes licensed nursing and CNA staff who focus on maintaining resident independence while providing health monitoring. The memory care program is designed to offer a secured environment that emphasizes dignity and purpose for those with cognitive impairment.

The residential environment focuses on a small-town, family-like atmosphere with a variety of engaging social activities and wellness programs. Shared amenities include housekeeping, laundry services, and scheduled transportation for physician visits. The community is a certified member of the Iowa Assisted Living Association and accepts both private pay and Medicaid Elderly Waiver arrangements.

Families evaluating Legacy of the Meadows should ask directly about the specific credentials of the memory care leadership team and request a copy of the current staff training curriculum for dementia support before making a placement decision.

Overview of Edencrest at Kettlestone

Edencrest at Kettlestone is a 120-bed senior living community at 805 SE Tallgrass Lane in Waukee, Iowa. Managed by Miah Baum and operated by Highmark Senior Living, the facility provides independent living, assisted living, and memory care under license S0485. Current data reports an occupancy of approximately 24% with 29 residents, a level typical for a newer program establishing its presence. While the neighborhood is developing, the location earns a Walk Score of 29, meaning residents generally utilize the facility’s scheduled transportation for local medical and retail needs.

State monitoring records from the Iowa Department of Inspections, Appeals, and Licensing indicate a strong initial compliance record. Since opening in 2024, the facility has undergone two major reviews, resulting in an annual deficiency average 96% lower than the state benchmark. A March 2026 survey for the memory care program resulted in a citations-per-inspection rate of zero. Earlier documentation in late 2024 identified two administrative findings regarding staff background check procedures, which were promptly addressed with no documented fines or resident care violations.

Clinical care is delivered by a 24-hour on-site team providing medication management, incontinence care, and high-acuity health monitoring. Professional services include specialized dementia care and on-site nursing oversight. Monthly costs for independent living begin at approximately $3,000, while assisted living starts at $4,700 and memory care at $6,200. These fees cover personalized care plans and wellness coordination through partners like Fox Therapy.

The residential environment features modern apartments with kitchenettes and private bathrooms designed for accessibility. Shared amenities include restaurant-style dining with seasonal menus, a full-service salon, and a fitness center. Social engagement is supported through arts and crafts, book clubs, and devotional activities. The community is pet-friendly and includes landscaped outdoor gardens and walking trails.

Individuals seeking a modern, multi-level care campus with integrated wellness programming may find this setting appropriate. Prospective representatives should ask directly about the most recent staff screening audits and confirm current monthly rates for specific apartment layouts before making a placement decision.

Southcrest Manor II is a 32-bed assisted living community at 1102 3rd Avenue SW in Waukon, Iowa. Led by administrator Jennifer Woods, the facility serves Allamakee County under license S0221, providing income-based housing for adults aged 62 and older or disabled individuals. Current occupancy is at 44% with 14 residents, which is lower than the Iowa average. The location is moderately walkable with a Walk Score of 68.

State oversight through the Iowa Department of Inspections, Appeals, and Licensing highlights a record of high regulatory performance. Since 2013, the facility has recorded an annual average of 0.7 deficiencies, performing 84% better than the state average. The most recent recertification in October 2025 resulted in a citations-per-inspection rate of zero. No fines, formal enforcement actions, or substantiated complaint investigations appear in the community’s 20-year history.

Daily operations at this campus provide 24-hour nursing coverage and support with activities of daily living. As a HUD Section 8 property, the facility offers rents set at 30% of resident income, ensuring financial access for those on fixed or limited budgets. A single historical compliance issue from 2013 involved gaps in staff background checks and mandatory reporter training, but state records indicate these administrative errors were resolved through an accepted corrective action plan.

The residential environment includes a continental breakfast and optional noon meal programs to support nutritional needs. Residents have access to emergency response systems and scheduled assistance with medication management. While independently operated without a parent entity, the facility has maintained local operations for two decades, serving both seniors and younger disabled adults.

Prospective residents may find this community suitable if they require budget-conscious housing paired with a stable regulatory track record. It is recommended to verify current income qualification requirements and confirm meal program details during a site visit. Interested individuals can contact the administrative office to discuss current openings and ensure the facility’s safety standards meet their 2026 care needs.

Homestead of Oskaloosa is a senior living community at 2102 South Market Street in Oskaloosa, Iowa. Administered by Candice Fuller, the facility serves Mahaska County under license S0186, which is active through February 2026. Current data shows a 67% occupancy rate with 64 residents, which is below the Iowa state average of 75.4%. The location earns a Walk Score of 75, indicating that most local errands can be completed on foot.

State monitoring records from the Iowa Department of Inspections, Appeals, and Licensing indicate a history of high regulatory compliance. Over the past six years, the facility has recorded an annual average of 0.5 deficiencies, a rate 89% lower than the state benchmark. The most recent complaint investigation in February 2025 resulted in a citations-per-inspection rate of zero. While a 2023 review identified three minor administrative issues regarding staff background checks and service plan updates, no fines or enforcement actions are documented.

Clinical care is delivered by a professional team that includes licensed nurses and certified nursing assistants available 24 hours a day. Services include medication management, personalized health assessments, and specialized support for residents with Alzheimer’s and dementia. The facility follows an elderly waiver-eligible model and offers different levels of care to match the specific functional needs of each resident.

The residential environment focuses on an intimate, personalized atmosphere where residents can maintain independence through customized care plans. Shared amenities feature home-cooked meals, transportation services, and daily assistance with activities such as dressing and grooming. Although the community is currently pet-free, it provides a secure environment with various common spaces for social engagement.

This environment suits individuals seeking a highly walkable setting with a consistent record of regulatory excellence. Families evaluating Homestead of Oskaloosa should ask directly about the corrective actions taken following the 2023 service plan citation and request a copy of the current dementia-specific activity schedule before making a placement decision.

Overview of Solon Assisted Living Village

Solon Assisted Living Village is a 36-bed retirement community at 623 E. 5th Street in Solon, Iowa. Administered by Melissa Reed, the facility serves Johnson County and operates as part of a campus that has served the local area since 1973. Current occupancy is reported at 47%, with 17 of 36 beds filled. The location is moderately walkable, holding a Walk Score of 54.

Recent oversight from the Iowa Department of Inspections, Appeals, and Licensing highlights a return to high compliance standards. Over the last 16 years, the facility has recorded an annual average of 0.9 deficiencies, which is 47% better than the state average. Most recently, the March 2025 recertification resulted in a citations-per-inspection rate of zero. This performance marks a notable correction from 2022, when a survey identified nine deficiencies involving medication administration and resident privacy.

Daily clinical services utilize a multi-level care model that includes independent condos, assisted living, and skilled nursing. While current evaluations are clean, a December 2023 complaint investigation substantiated a violation of tenant rights regarding unauthorized restrictions on visitor access. Professional support is provided by licensed nurses and CNAs, who facilitate transitions between care levels as resident needs change. The campus also provides outpatient therapy and long-term nursing care.

The residential environment is community-owned and provides a setting for seniors to age in place without a corporate parent entity. Shared features include nutrition support, wellness programs, and social activities tailored to a small-town retirement setting. Although the facility has faced a declining occupancy trend in recent years, its long-term operational history in Solon provides a stable foundation for the continuing care model.

Prospective representatives should note the facility’s success in achieving zero deficiencies in its most recent 2025 state review. It is recommended to discuss current visitor policies and medication oversight protocols with the administrator to ensure that previous documentation gaps remain resolved. Interested individuals can contact the administrative office to verify current staffing ratios and to confirm that the community’s personalized care standards meet their 2026 residential goals.

Overview of Homestead of Denison

Homestead of Denison is a 43-bed assisted living facility at 2506 3rd Avenue North in Denison, Iowa. Administered by Ashlee Killian, the community serves Crawford County and has been in operation for 27 years. The property currently reports a 58% occupancy rate with 25 residents, a figure below the Iowa state average of 75.4%. Given its central location and a Walk Score of 33, residents generally rely on transportation for errands and medical appointments.

Over 16 years, the facility has recorded an annual average of 0.6 deficiencies, which is 67% lower than the state benchmark. Most recently, the May 2025 recertification survey resulted in a citations-per-inspection rate of zero. While a 2019 complaint was substantiated regarding guardian notification, more recent state reviews indicate these isolated administrative gaps have been addressed.

Clinical care is delivered by 24-hour staffing, including licensed nurses and certified nursing assistants. The campus provides a broad range of services such as skilled nursing, short-term rehabilitation, and hospice care. Professional support includes specialized memory care and outpatient therapy programs tailored for seniors and individuals with disabilities. CMS metrics for similar regional care models show that these multi-level services support resident transitions as medical needs evolve.

The residential environment features private and companion suites with roll-in showers and upscale furnishings. Shared social features include free Wi-Fi, communal dining areas, and organized activities designed for a home-like feel. The facility also offers respite care options for families requiring temporary support. Because the community is located just 0.4 miles from Crawford County Memorial Hospital, residents have quick access to emergency and specialized clinical consultations.

This environment suits seniors seeking small-scale assisted living with integrated medical and rehabilitation services. Families evaluating Homestead of Denison should ask directly about the specific results of the 2025 zero-deficiency survey and confirm current nurse-to-resident ratios for the memory care wing before making a placement decision.

Overview of Silveridge, an Eventide Community, LLC

Silveridge, An Eventide Community, is a 72-bed assisted living facility located at 12 Silveridge Drive in Denison, Iowa. Administered by Kara Webb, the community serves Crawford County as an Eventide-affiliated property under a license active through July 2027. Current data shows a 50% occupancy rate with 36 residents, reflecting steady growth since its initial licensing. The location holds a Walk Score of 33, indicating that errands and outside activities require vehicle transportation.

State oversight from the Iowa Department of Inspections, Appeals, and Licensing highlights a record of perfect regulatory compliance. Throughout its 15-year operational history, the facility has recorded zero regulatory deficiencies. All eight inspections conducted between 2011 and September 2025 resulted in a citations-per-inspection rate of zero. Available state records show no history of fines, enforcement actions, or substantiated complaint investigations.

Daily clinical operations include specialized memory care, rehabilitation services, and short-term respite care. Professional support is delivered by licensed nurses and CNAs through a 24-hour staffing model. Clinical reviews consistently note satisfactory program operations and positive tenant feedback regarding personal and health-related services. The facility provides apartment-style living accommodations designed to support residents with cognitive decline or those recovering from illness.

The residential environment is maintained with a focus on housekeeping and program consistency. As an Eventide-affiliated community, the facility operates with local senior living expertise and offers a range of social activities within its 72-bed campus. While the property is independently licensed, it provides a larger-scale setting compared to many rural alternatives, allowing for dedicated memory care and rehabilitation programming.

Families seeking a high level of regulatory consistency may find this community’s unblemished 15-year record particularly notable. It is recommended to observe the interactions between the nursing staff and memory care residents during a personal tour to confirm the facility’s individualized approach. Interested individuals can contact the administration to discuss current availability and ensure the community’s established care protocols meet their 2026 requirements.