Other senior care options in Iowa:

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
Reviewed by
Last updated
Jul 2026
We analyzed
310 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: 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: 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 to lowest based on our ranking methodology.

Oaknoll Retirement Residence
AL
IL
NH
Iowa City (Roosevelt)
70
Facility 70
IA AVG 71
Rank #156 / 406
No
33
Facility 33
IA AVG 45
Rank #344 / 528
Private Rooms
49
Facility 49
IA AVG 19
Rank #14 / 286
81.4% -12
2
Facility 2
IA AVG 7
Rank #55 / 294
1
Facility 1
IA AVG 0.9
Rank #200 / 294
Green Hills Retirement Community
AL
IL
MC
NH
SNF
Ames (Hamilton Drive)
56
Facility 56
IA AVG 71
Rank #233 / 406
Yes
18
Facility 18
IA AVG 45
Rank #430 / 528
1 Bed / 2 Bed
40
Facility 40
IA AVG 19
Rank #25 / 286
78.6% -11
2
Facility 2
IA AVG 7
Rank #55 / 294
3
Facility 3
IA AVG 0.9
Rank #248 / 294
Sunrise Retirement Community
AL
IL
MC
NH
RC
SNF
Sioux City
74
Facility 74
IA AVG 71
Rank #136 / 406
Yes
22
Facility 22
IA AVG 45
Rank #411 / 528
Studio
52
Facility 52
IA AVG 19
Rank #5 / 286
90.5% A+25
3
Facility 3
IA AVG 7
Rank #89 / 294
6
Facility 6
IA AVG 0.9
Rank #284 / 294
Mill Pond
AL
IL
MC
NH
SNF
Ankeny
60
Facility 60
IA AVG 71
Rank #213 / 406
Yes
16
Facility 16
IA AVG 45
Rank #439 / 528
Studio / 1 Bed / 2 Bed
23
Facility 23
IA AVG 19
Rank #106 / 286
98.3% -16
5
Facility 5
IA AVG 7
Rank #146 / 294
1
Facility 1
IA AVG 0.9
Rank #200 / 294
Wesley Acres
AL
ADC
IL
MC
NH
SNF
Des Moines (Greenwood)
80
Facility 80
IA AVG 71
Rank #105 / 406
Yes
72
Facility 72
IA AVG 45
Rank #89 / 528
-- 91.3% -21
8
Facility 8
IA AVG 7
Rank #201 / 294
3
Facility 3
IA AVG 0.9
Rank #248 / 294
Deerfield Health Care Center
AL
NH
IL
RESC
Urbandale
30
Facility 30
IA AVG 71
Rank #389 / 406
Yes
5
Facility 5
IA AVG 45
Rank #488 / 528
-
21
Facility 21
IA AVG 19
Rank #126 / 286
73.3% A+19
3
Facility 3
IA AVG 7
Rank #89 / 294
3
Facility 3
IA AVG 0.9
Rank #248 / 294
Terrace Glen Village
AL
IL
NH
SNF
Marion (Flynn)
40
Facility 40
IA AVG 71
Rank #324 / 406
Yes
14
Facility 14
IA AVG 45
Rank #444 / 528
-
8
Facility 8
IA AVG 19
Rank #200 / 286
95.0% A13
0
Facility 0
IA AVG 7
Rank #1 / 294
3
Facility 3
IA AVG 0.9
Rank #248 / 294
Meth Wick Community
AL
IL
MC
NH
RC
SNF
Cedar Rapids (The Meth-Wick Community)
69
Facility 69
IA AVG 71
Rank #167 / 406
No
23
Facility 23
IA AVG 45
Rank #405 / 528
-- 81.4% ----
Heart of Siouxland Senior Care
AL
Sioux City
-
Facility -
IA AVG 71
Rank #401 / 406
No
66
Facility 66
IA AVG 45
Rank #118 / 528
--0----
Simpson Memorial Home
AL
IL
NH
SNF
West Liberty (North Miller Street)
55
Facility 55
IA AVG 71
Rank #239 / 406
No
41
Facility 41
IA AVG 45
Rank #287 / 528
-- 58.2% -18
3
Facility 3
IA AVG 7
Rank #89 / 294
4
Facility 4
IA AVG 0.9
Rank #269 / 294
St Francis Manor
AL
HOS
NH
SNF
Grinnell
78
Facility 78
IA AVG 71
Rank #119 / 406
No
82
Facility 82
IA AVG 45
Rank #39 / 528
-
49
Facility 49
IA AVG 19
Rank #14 / 286
69.2% -10
4
Facility 4
IA AVG 7
Rank #121 / 294
0
Facility 0
IA AVG 0.9
Rank #1 / 294
Friendship Village
AL
IL
MC
NH
SNF
Waterloo
72
Facility 72
IA AVG 71
Rank #143 / 406
Yes
52
Facility 52
IA AVG 45
Rank #202 / 528
2 Bed / 3 Bed
50
Facility 50
IA AVG 19
Rank #9 / 286
91.7% -17
0
Facility 0
IA AVG 7
Rank #1 / 294
3
Facility 3
IA AVG 0.9
Rank #248 / 294
Prairie Vista Village
AL
IL
NH
SNF
South Altoona
68
Facility 68
IA AVG 71
Rank #170 / 406
Yes
29
Facility 29
IA AVG 45
Rank #372 / 528
-
12
Facility 12
IA AVG 19
Rank #178 / 286
50.0% A7
1
Facility 1
IA AVG 7
Rank #31 / 294
0
Facility 0
IA AVG 0.9
Rank #1 / 294
Mount Carmel Bluffs
AL
IL
MC
NH
SNF
Dubuque (South Switch Junction)
60
Facility 60
IA AVG 71
Rank #213 / 406
No
2
Facility 2
IA AVG 45
Rank #500 / 528
1 Bed / 2 Bed
5
Facility 5
IA AVG 19
Rank #233 / 286
93.3% -10
2
Facility 2
IA AVG 7
Rank #55 / 294
2
Facility 2
IA AVG 0.9
Rank #231 / 294
Mayflower Home
AL
IL
MC
NH
SNF
Grinnell
40
Facility 40
IA AVG 71
Rank #324 / 406
No
82
Facility 82
IA AVG 45
Rank #39 / 528
-- 77.5% -11
3
Facility 3
IA AVG 7
Rank #89 / 294
0
Facility 0
IA AVG 0.9
Rank #1 / 294
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Overview of The New Homestead Care Center
The New Homestead Senior Living Community in Guthrie Center, Iowa provides quality independent and assisted living options, nursing home care, and skilled rehabilitation. It offers a homelike setting for residents, focusing on enriching lives through kind and compassionate care. The facility is equipped to provide both short-term and long-term care.

Contact The New Homestead Care Center

Overview of St Luke Lutheran Nursing Home

Owned by St Luke Homes, St Luke Lutheran Nursing Home is a facility that provides skilled nursing and rehabilitation care. The 79-bed home is well integrated into its neighborhood, with a Walk Score of 81, so most errands and services are within walking distance. Its occupancy rate of 86% shows that there is strong community trust in the setting.

Medicare, Medicaid, and private pay are accepted, giving families flexibility in their coverage arrangements. Residents stay an average of 182 days, including post-acute rehabilitation residents and those receiving longer-term nursing care.

Clinically, the home offers structured rehabilitation services and nursing care. It’s a practical choice for residents recovering from surgery or hospitalization. Total nurse staffing averages roughly 4 hours and 54 minutes per resident each day, with registered nurses available 54 minutes per day per resident, nursing aides providing 2 hours and 28 minutes of hands-on care, and licensed practical nurses contributing an additional 30 minutes.

Dining is traditional in the facility. There are continental and hot breakfast choices alongside lunch and dinner served in the main dining room. Residents have a variety and opportunity for structured meals.

State inspections identified areas where the home has worked to improve procedures, including response times to resident requests and the integrity of care protocols. A re-inspection in fall 2025 documented that prior concerns had been corrected. The facility has been operating in substantial compliance.

Contact St Luke Lutheran Nursing Home

Overview of Sheffield Care Center

Sheffield Care Center is a 45-bed nonprofit skilled nursing facility in Sheffield, Iowa, providing intermediate care, skilled nursing, and outpatient therapy services. The facility is owned by Bonnie Hubka and serves Franklin County. The center accepts Medicare, Medicaid, and private pay, with Medicare accounting for roughly half of new admissions.

CMS rates the facility 4 stars overall, driven by a strong Health Inspection sub-rating that runs 35.6% above the Iowa average. Staffing is the counterweight: a 2-star staffing rating reflects total nursing coverage of 4 hours and 31 minutes per resident per day — near the Iowa average — but RN staffing averages just 26 minutes per day, 41% below the state mean. Certified nurse aide coverage is the bright spot, running 16% above Iowa averages and providing much of the facility’s direct daily care coverage.

Across 15 inspections since 2020, the facility recorded 35 deficiencies — about 30% above the Iowa average of 27. The most recent standard inspection, in August 2025, cited nine deficiencies across care planning, fall prevention, infection control, RN coverage, and abuse-prevention training. A follow-up visit in November 2025 found zero deficiencies and resulted in certification of compliance.

Six civil money penalties, all issued in 2023, totaled roughly $26,000 — 45% below the Iowa average for penalized facilities; no fines have been issued since. One substantiated complaint involving incomplete assessments of outpatient dialysis was addressed. No Immediate Jeopardy findings or license actions appear in the record.

Short-stay rehabilitation outcomes are a clear strength: re-hospitalization rates are 64% below the Iowa average, and emergency department visits are 69% below — both meaningful for post-acute patients and their families. The facility’s occupancy at 82% exceeds the Iowa average of 75%, signaling steady local demand.

Services available are Meals-on-Wheels, and restorative services extend the facility’s reach beyond its walls.

Sheffield Care Center is best studied for residents seeking short-term Medicare rehabilitation and transitional post-acute care in rural Franklin County, with capacity for longer private-pay stays in a small, community-operated setting.

Contact Sheffield Care Center

Garden View

502 South Maple Street, Carroll, IA 51401
Overview of Garden View

Garden View is a 72-bed assisted living facility at 502 South Maple Street in Carroll, Iowa. Administered by Jaycie Schwenk and affiliated with St. Anthony Regional Hospital, the community operates under license S0438, which is valid through June 2026. Current data indicates a census of 35 residents, representing a 49% occupancy rate, which is below the Iowa state average of 75.4%. The property holds a Walk Score of 80, placing it within foot access of pharmacies, cafes, and essential medical services in downtown Carroll.

Regulatory records from the Iowa Department of Inspections, Appeals, and Licensing indicate a flawless compliance history since the facility opened in 2018. The community has achieved a citations-per-inspection rate of zero across all major state reviews, including its most recent recertification in March 2025. No substantiated complaints, fines, or enforcement actions are documented in the facility’s eight-year operational history.

Clinical care is delivered by a 24-hour team of licensed nurses and certified nursing assistants who focus on a personalized, home-centered model. Professional services include medication management and assistance with activities of daily living, such as dressing and bathing, tailored to individual health assessments. While the facility generally does not allow pets, its integrated healthcare connection provides residents with simplified access to the broader diagnostic and rehabilitative services of the adjacent hospital campus.

The residential environment is designed to avoid an institutional feel, featuring spacious one- and two-bedroom apartments with kitchenettes. Shared amenities include home-cooked meals with dietary accommodations, social activity rooms, and a relaxing spa room with a whirlpool tub. The facility provides housekeeping, laundry, and scheduled local transportation for those who prefer not to walk. Monthly costs are estimated to start near $4,793, which covers 24-hour staffing and regular wellness monitoring.

Prospective residents seeking a small-scale community with a perfect regulatory record and high walkability may find this setting appropriate. Families should ask directly about the specific coordination of emergency services between the assisted living wing and the hospital to ensure a clear understanding of safety protocols before making a final decision.

Contact Garden View

Overview of Meadowview of Davenport

Meadowview of Davenport is a 106-unit continuing care retirement community at 5330 Belle Avenue in Davenport, Iowa. Managed by Cassia and led by Executive Director Sarah Coy, the facility serves the Quad Cities region across a seven-acre campus. The property offers a continuum of care, including independent living, assisted living, and memory care services. Its integrated design allows residents to transition between these care levels without the need for relocation.

A January 2024 inspection identified deficiencies concerning delayed functional and cognitive assessments for new tenants. Although the facility is a newer addition to the local market, these initial findings yielded a citations-per-inspection rate of zero for more serious categories, such as physical abuse or environmental safety.

Clinical care at this campus follows an aging-in-place philosophy, providing personalized support and health-related services within one- and two-bedroom apartments. Professional services include medication management and assistance with activities of daily living, supported by Cassia’s faith-based nonprofit mission. The community also provides a fitness center and art studio to support resident wellness and cognitive stimulation.

The residential environment features spacious floor plans, maintenance services, and healthy dining options tailored to resident dietary preferences. Shared social amenities include recreational programming and community events designed to promote engagement across all levels of the campus. While the community is pet-friendly and serves a broad regional area, the limited public inspection history makes it difficult to assess multi-year compliance trends.

This environment suits older adults seeking a modern continuum of care with the stability of a nonprofit, faith-based mission. Families evaluating Meadowview of Davenport should ask directly about the corrective actions taken following the January 2024 care planning deficiencies, specifically regarding the timeliness of health assessments and service plan updates, before making a placement decision.

Contact Meadowview of Davenport

Overview of Bettendorf Health Care Center

Located in Bettendorf, Iowa, Bettendorf Health Care Center is a nursing home owned by MLS Resources. The 86-bed facility accepts Medicare, Medicaid, and private pay, giving families several options to access short-term rehabilitation and longer-term skilled nursing care. The community has an occupancy rate of 73%, which houses 63 residents. Residents stay an average of 142 days, which includes post-acute patients and those receiving ongoing nursing support.

Residents receive about 2 hours and 50 minutes of nursing care each day. Registered nurses and nurse aides are part of the team that provides daily hands-on support. It’s an important part of care for residents with rehabilitation needs and those requiring continued nursing services.

The facility has a Walk Score of 51. Some nearby errands and services are within walking distance, but most outings and visits require transportation.

Families considering Bettendorf Health Care Center should take time to visit the community and learn more about how it handles resident care and safety. State inspection reports are available for review, and they’re a useful source of information when comparing care options.

Contact Bettendorf Health Care Center

Overview of HallMar Village

HallMar Village is a one-of-a-kind community in Cedar Rapids, IA, offering independent living. In collaboration with Mercy Medical Center, the community also offers assisted living and memory care to meet residents’ healthcare needs. Thoughtfully designed and spacious accommodations are provided in a nurturing and welcoming environment, so residents can feel at ease during their stay.

With a jam-packed calendar of enriching programs and stimulating activities, residents are encouraged to live actively and maintain social connections. Plenty of delectable and healthy dining options are also provided to meet residents’ dietary needs and preferences. The community’s comprehensive services and extensive amenities create the ideal setting for residents to enjoy their golden years without hassles.

Contact HallMar Village

Overview of The Lindens at Green Hills

Operated by the Green Hills Residents’ Association, The Lindens at Green Hills is a senior living community in the Green Hills neighborhood of Ames, Iowa. It offers nursing home care, assisted living, independent living, memory care, and skilled nursing services. The community is housed in a mid-rise building about 2.7 miles from Mary Greeley Medical Center, providing residents and families with convenient access to nearby hospital care.

The care team helps residents with daily activities such as bathing, grooming, and medication management while emphasizing personal choice and maintaining independence. Residents can choose from one-bedroom and two-bedroom residences ranging from about 536 to 1,489 square feet. Residents can access transportation services, fitness and recreation programs, and a pet-friendly environment.

The Lindens at Green Hills has 56 beds, with an occupancy rate of 79%, with an average daily census of approximately 44 residents. Nursing staff provides nearly 6 hours of direct nursing care per resident each day, giving families a useful measure of the hands-on support available within the community.

The neighborhood has a Walk Score of 18, which is car-dependent. Most errands and outings require a vehicle rather than a walk. Families considering The Lindens at Green Hills should ask about current apartment availability, especially for the one-bedroom and two-bedroom floor plans.

Contact The Lindens at Green Hills

Manor House Care Center

1212 South Stuart Street, Sigourney, Ia 525911300
Overview of Manor House Care Center

Seniors seeking post-hospital recovery paths can find independent living, assisted living, and skilled nursing care at the 72-bed Manor House Care Center at 1212 South Stuart Street in Sigourney, Iowa. The property coordinates monthly accounts through private pay options, along with standard Medicare and Medicaid billing. Stays here average around 128 days, creating a routine structured around specialized rehab-to-home programs designed to help individuals transition safely back to their homes.

Direct clinical care is delivered through a 24-hour staffing pattern that averages 4 hours and 28 minutes of hands-on attention per resident daily. Registered nurses, licensed practical nurses, and nurse aides distribute these hours to manage medical tracking, therapy routines, and basic physical assistance. For visiting guests, the surrounding area carries a walkability score of 45 out of 100, which means personal vehicles are useful for most distant neighborhood errands.

Families can get in touch with the administrative office to check on apartment availability, ask about the customized therapy setups, or schedule a tour of the common areas. The intake coordinators can also look over personal insurance policies and explain how public coverage pathways manage standard rehab stays.

Contact Manor House Care Center

Overview of Birkwood Village of Fort Madison

Birkwood Village of Fort Madison offers a continuous care setup covering independent living, assisted living, and skilled nursing at 1701 41st Street in Fort Madison, Iowa. Mark Holtkamp privately owns the 42-bed campus, which operates under the direction of administrator Brenda Graham. The facility currently sits at a 69 percent occupancy rate and accepts payment via private accounts, Medicare, and state Medicaid. Stays here average about 179 days, which splits the daily routine between short-term physical therapy and permanent clinical housing.

Residents receive a daily average of 4 hours and 14 minutes of direct nursing attention, including 33 minutes from registered nurses. A full-time recreation director designs activities, and the kitchen provides made-to-order menus for all three meals. The building features studio, one-bedroom, and two-bedroom options, alongside dedicated memory care spaces for people with cognitive decline. The rural neighborhood has a walk score of 29, meaning you will need a car for most errands and family visits.

State inspections over the two years since opening have highlighted a few areas for improvement, specifically noting procedural issues with care plans, staffing levels, infection control, and medication management. The facility’s management reviews these reports to retrain employees and update floor practices.

Interested individuals can call the main office to find out about room openings, ask about the made-to-order dining options, or set up a time to see the apartments. The front desk can also cross-reference insurance details to outline how public programs or personal funding cover the monthly rates.

Contact Birkwood Village of Fort Madison

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.