Page 28 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:

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. 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.
Woodland Terrace
AL
IL
MC
Nw Waverly
100
Facility 100
IA AVG 73
Rank #56 / 289
-No
24
Facility 24
IA AVG 45
Rank #233 / 302
--
81.0%
Facility 81.0%
IA AVG 61.5%
Rank #42 / 259
-28
8
Facility 8
IA AVG 6
Rank #214 / 265
Independence Village Of Des Moines (Beaverdale Estates)
AL
IL
Des Moines (Beaverdale)
--Yes
62
Facility 62
IA AVG 45
Rank #77 / 302
Studio / 1 Bed / 2 Bed
2
Facility 2
IA AVG 18
Rank #214 / 232
-A--
Nora Springs Care Center
AL
NH
SNF
Nora Springs
50
Facility 50
IA AVG 73
Rank #190 / 289
A+No
33
Facility 33
IA AVG 45
Rank #200 / 302
--
88.2%
Facility 88.2%
IA AVG 61.5%
Rank #37 / 259
---
Manor House Care Center
AL
HOS
NH
SNF
Sigourney
55
Facility 55
IA AVG 73
Rank #173 / 289
B-No
45
Facility 45
IA AVG 45
Rank #144 / 302
--
76.5%
Facility 76.5%
IA AVG 61.5%
Rank #82 / 259
---
Ossian Care Center
AL
MC
NH
SNF
Ossian
46
Facility 46
IA AVG 73
Rank #204 / 289
B-No
38
Facility 38
IA AVG 45
Rank #175 / 302
--
91.3%
Facility 91.3%
IA AVG 61.5%
Rank #67 / 259
-20
7
Facility 7
IA AVG 6
Rank #188 / 265
Hillcrest Health Care Center
AL
MC
NH
SNF
L Hawarden
64
Facility 64
IA AVG 73
Rank #140 / 289
CNo
49
Facility 49
IA AVG 45
Rank #130 / 302
--
83.8%
Facility 83.8%
IA AVG 61.5%
Rank #53 / 259
---
Stone Cottage Care Center
AL
HOS
NH
RC
SNF
Sigourney
41
Facility 41
IA AVG 73
Rank #223 / 289
D-No
45
Facility 45
IA AVG 45
Rank #144 / 302
--
81.5%
Facility 81.5%
IA AVG 61.5%
Rank #61 / 259
---
Woodlands Creek Senior Living
AL
IL
MC
Clive
--Yes
19
Facility 19
IA AVG 45
Rank #247 / 302
Studio / 1 Bed / 2 Bed
23
Facility 23
IA AVG 18
Rank #71 / 232
-A+--
Amera Senior Living
AL
IL
MC
RC
Sioux City
170
Facility 170
IA AVG 73
Rank #9 / 289
-Yes
91
Facility 91
IA AVG 45
Rank #1 / 302
Studio / 1 Bed / 2 Bed-----
Keystone Nursing Care Center
AL
HC
NH
RC
SNF
Keystone
55
Facility 55
IA AVG 73
Rank #173 / 289
?No
22
Facility 22
IA AVG 45
Rank #238 / 302
--
70.9%
Facility 70.9%
IA AVG 61.5%
Rank #98 / 259
-15
4
Facility 4
IA AVG 6
Rank #161 / 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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Woodland Terrace

1922 Fifth Avenue Nw, Waverly, IA 50677-1903
Overview of Woodland Terrace

Woodland Terrace offers assisted living, independent living, and memory care in Waverly, IA. Assisted living helps with daily tasks such as bathing, dressing, and medication while the resident keeps a private apartment. Independent living provides private living with community services and no daily care, while memory care offers a secured setting with supervision for someone at risk of wandering.

All three care levels are on one campus. Woodland Terrace may be a good fit for a resident whose needs could grow over time without requiring a move to another community. The community opened in 1997 and has 100 beds, with Veronica Shea serving as administrator.

Contact Woodland Terrace

Overview of Independence Village of Des Moines (beaverdale Estates)

Make the most of your retirement years at the vibrant senior living community of Independence Village Of Des Moines (Beaverdale Estates) in Des Moines, IA, offering independent living. The community features pet-friendly apartments featuring large windows with plenty of natural light, along with convenient access to housekeeping for a maintenance-free living. The community is conveniently located near numerous parks, recreational facilities and walking trails, as well as excellent health care facilities, including the MercyOne Des Moines Medical Center.

The community fosters a vibrant living experience and social connection through their diverse array of social, cultural and recreational activities, as well as exercise, fitness and wellness programs. A talented culinary team carefully prepares diverse menu options catered to residents’ dietary needs and preferences. Amenities include a business center and library, beauty salon and barbershop, and community activity room, including a game room and lounge, for relaxing gathering spaces.

Starting Price $3,100/Month

Contact Independence Village Of Des Moines (Beaverdale Estates)

Overview of Nora Springs Care Center

Offering skilled nursing and rehabilitation services, Nora Springs Care Center is a 50-bed community in Nora Springs, Iowa. Residents have access to nursing services with licensed nurses on-site. Short-term rehabilitation is also available for those recovering after an illness, injury, or hospital stay.

Additionally, the Rehab to Home program connects rehabilitation with a return home, while outpatient therapy allows someone to continue therapy without an overnight rehabilitation stay, giving residents options during a stay and after leaving inpatient rehabilitation.

Occupancy is at 88.2%, with a total nurse staffing of 3 hours and 38 minutes per resident each day. Furthermore, Medicare, Medicaid, and private pay are accepted, covering public programs for eligible residents as well as direct payment by families.

A private family gathering space gives residents and visitors a designated place to meet on-site. Meanwhile, a Walk Score of 33 places the area in a car-dependent setting, so most errands require a car or a transportation service.

Contact Nora Springs Care Center

Manor House Care Center

1212 South Stuart Street, Sigourney, IA 52591-1300
Overview of Manor House Care Center

Manor House Care Center license in Sigourney, IA, lists independent living, assisted living, nursing home care, skilled nursing, and hospice care.

Independent living is the community’s services with no daily care behind them. The assisted living side handles bathing, dressing, and medication. Nursing home care and skilled nursing make the clinical pair; both are licensed work. Hospice care answers what the end of life asks for.

Fifty-five beds set this at the smaller end, where a resident and the staff get familiar. At 45, the Walk Score means this is car-dependent ground, so most errands require a car or a lift.

Short-Term Rehab and Rehab-to-home are the two recovery names, aimed at a stay that ends with going home. That range holds up when somebody’s needs shift over the years.

The nursing roster gives 4 hours and 26 minutes to each resident in a day. Payment splits three ways here. Medicare and Medicaid makeup two of them, and the third is private pay, which matters when savings run short during a long stay.

Contact Manor House Care Center

Overview of Ossian Care Center

Ossian Care Center offers nursing home, skilled nursing, assisted living, and memory care in Ossian, Iowa. Skilled nursing provides licensed nursing care on site around the clock, while assisted living supports daily tasks such as bathing, dressing, and medication management. Memory care provides a secured setting with supervision for someone at risk of wandering.

The combination may be a good fit for someone whose care needs may grow over time, since a resident may be able to move between care levels without leaving the community. The home has 46 beds, creating a smaller community where staff and residents get to know each other.

Total nurse staffing is 5 hours 24 minutes per resident per day, representing that amount of nursing time per resident across a day. Payment options include Medicare, Medicaid, and private pay. Medicare is used for short term skilled care after a hospital stay, while Medicaid can help when savings do not cover a long stay. Rachael Marshall serves as the administrator.

Rehabilitation services include short term rehab, giving a resident a time limited stay focused on rehabilitation rather than long term residence. The area has a Walk Score of 38 out of 100 and is car dependent, so a resident who no longer drives would need a car or a ride for most errands.

Contact Ossian Care Center

Overview of Hillcrest Health Care Center

Hillcrest Health Care Center in Hawarden, Iowa, provides long-term nursing home care, assisted living support, memory care, and skilled nursing services. Assistance with daily tasks helps residents maintain independence, while memory care programs utilize secured environments to safeguard individuals experiencing memory loss. In-house therapy gym services allow residents to complete physical rehabilitation programs on site.

The facility maintains 64 beds and logs an average of 3 hours and 47 minutes of daily nursing care per resident. Financial accommodations cover Medicare for short-term rehabilitation, Medicaid for extended stays, and direct private payment. Located in an area with a 49 walk score, the setting relies primarily on vehicular transport for off-site errands.

Prospective families evaluating local care environments can contact Hillcrest Health Care Center to inquire about room availability, review financial guidelines, or plan a tour of the community.

Contact Hillcrest Health Care Center

Stone Cottage Care Center

900 South Stone Street, Sigourney, IA 52591-0000
Overview of Stone Cottage Care Center

Stone Cottage Care Center is based in Sigourney, IA, with hospice care, assisted living, skilled nursing, respite care, and nursing home care under the license. Assisted living is the step below, covering dressing, bathing, and managing medications. Skilled nursing is the licensed cover on site, and both levels share the same night.

End-of-life care is what hospice covers here. Respite care answers a usual caregiver’s need for temporary relief.

Rehabilitation services and short-term rehabilitation both appear, so recovery work can happen during a stay meant to end. With 41 beds, the building is small enough that knowing everybody is the default. Changing needs over time fit here, and so does a family after something short.

Medicare, Medicaid, and private pay are accepted. A resident’s day draws 3 hours and 59 minutes of nursing. A Walk Score of 45 lands in the car-dependent band despite falling near the middle of the scale, and getting to most errands takes a driver.

Contact Stone Cottage Care Center

Overview of Woodlands Creek Senior Living

Woodlands Creek’s vision is to create a warm and welcoming independent living environment where seniors feel at home, fostering meaningful relationships and endless possibilities. Their mission revolves around promoting engaging social interactions and providing personalized care to nurture a sense of belonging. Woodlands prioritizes residents’ well-being, ensuring their needs are met with compassion and respect.

Residents at Woodlands Creek enjoy a vibrant lifestyle with a range of scheduled activities for independent living seniors. The community also offers comprehensive services for assisted living and memory care residents, including transportation, access to senior physicians, and round-the-clock nursing staff, ensuring comfort and security for all residents.

 

Starting Price $3,870/Month

Contact Woodlands Creek Senior Living

Overview of Amera Senior Living

Beautifully set in the thriving neighborhood of Sioux City, IA, Amera Senior Living is an exceptional community that offers independent living, assisted living, and memory care. The community has purposely built and spacious one- and two-bedroom floor plans, ensuring residents’ comfort and safety. Residents also enjoy a hassle-free lifestyle with maintenance services and plenty of convenient apartment features.

With a variety of exciting events and engaging programs, residents will not run out of things to do for leisure and wellness. Delightful and healthy meals are also available, striving to satisfy residents’ dietary needs and preferences. The community is ideal for those looking to downsize in retirement, especially with its warm and welcoming environment.

Contact Amera Senior Living

Overview of Keystone Nursing Care Center

Keystone Nursing Care Center offers nursing home, assisted living, home care, respite care, and skilled nursing in Keystone, IA. Skilled nursing provides licensed nursing care on site around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication while a resident maintains an apartment.

Home care supports a person in their own home, and respite care provides a short stay when a usual caregiver needs to travel or recover. The center has 55 beds, with total nurse staffing of 4 hours and 43 minutes per resident per day, representing the daily hands-on nursing time assigned to each resident. Keystone Nursing Care Center may be a good fit for a family seeking short-term care while a primary caregiver travels or recovers. Medicare, Medicaid, and private pay are accepted, and Tracy Bruns serves as the administrator.

Contact Keystone Nursing 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
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