Other senior care options in Iowa:

Page 29 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 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.

 

Contact Woodlands Creek Senior Living

Harmony Davenport

815 East Locust Street, Davenport, Ia 528030000
Overview of Harmony Davenport

Harmony Davenport is a nursing home owned by Rachel Arnold in downtown Davenport, Iowa. It caters to residents needing skilled nursing care, post-acute rehabilitation, and longer-term residential placement. The 97-day average stay duration reflects this mixed population, from those healing after hospitalization to those settling into ongoing care. Daily staffing includes registered nurses, licensed practical nurses, and nurse aides, with total nursing care averaging 3 hours and 47 minutes per resident. The home takes Medicare, Medicaid, and private pay, giving many ways for families to arrange coverage.

Clinical services span rehabilitation and specialized care: post-hospital recovery, orthopedic and neurological rehabilitation, wound care, respite stays for momentary placements, and 24/7 medical oversight. For residents in active rehabilitation, advanced therapy techniques and equipment support recovery pathways. Harmony Davenport’s downtown location earns a Walk Score of 90, a “Walker’s Paradise” where daily errands don’t need a car. Residents and visiting families benefit from easy foot access to nearby shops, services, and public transit, making the neighborhood an upside for those who cherish walkability and independence.

Contact Harmony Davenport

Harmony Dubuque

901 West Third Street, Dubuque, Ia 520016699
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

Overview of The Village of Ackley

Owned by Korey Deberg, The Village of Ackley is a nursing home in Iowa. With 38 beds, the smaller community serves residents who need skilled nursing care and rehabilitation services. The area has a Walk Score of 44, so the facility is somewhat walkable. Some nearby services are accessible on foot, while most trips require transportation.

The facility focuses on short-term rehabilitation and respite care and also provides ongoing nursing support. Residents stay an average of 360 days, including those recovering from acute health events and those transitioning into longer-term care. The community has an occupancy rate of 84%, with 32 residents living in its 38 beds.

Daily nurse staffing averages 4 hours and 11 minutes per resident. Registered nurses provide 1 hour and 7 minutes of care each day, while nurse aides contribute 2 hours and 30 minutes of direct support. This level of staffing provides substantial hands-on assistance for residents. Medicare, Medicaid, and private pay are accepted, giving families several options for arranging care.

Home-cooked meals are an important part of daily life within the community. Residents receive three hearty meals each day because of the facility’s personal approach to care. This style of dining may appeal to residents and families who value a more home-like atmosphere.

Recent state inspections reviewed areas such as abuse and neglect prevention, timely reporting of resident concerns, communication with families regarding health changes, staffing levels, and clinical documentation. Families touring the community should ask about these core operational areas before making a placement decision.

Contact The Village of Ackley

Care Initiatives

1611 W Lakes Pkwy, West Des Moines, IA 50266
Overview of Care Initiatives

Care Initiatives, located in West Des Moines, Iowa, is a care facility offering a spectrum of services that offer skilled nursing, long-term care, rehabilitation, and hospice care. Their unwavering commitment to enhancing the lives of those they serve is evident in their approach. Every interaction with residents is valued, and they prioritize personal growth for each individual. Care Initiatives boasts a team of dedicated professionals, including registered nurses, licensed practical nurses, and certified nursing assistants, who provide various services, spanning dietary support, social services, and engaging activities.
In terms of skilled nursing services, Care Initiatives excels in providing specialized care such as tube feedings, wound care management, and access to beauty and barbershop services. They also offer bariatric accommodations and cater to the unique needs of veterans. Additionally, their rehabilitation services are top-notch, featuring accelerated care, state-of-the-art therapy equipment, and expert care in occupational, physical, and speech therapy. Care Initiatives is renowned for its expertise, making it a trusted community where seniors can be assured of safe and high-quality care.

Contact Care Initiatives

Overview of Emmetsburg Care Center

Emmetsburg Care Center coordinates short-term convalescence alongside medical housing from a 46-bed skilled nursing property located at 2405 21st Street in Emmetsburg, Iowa. Financial accounts flow dynamically through traditional out-of-pocket billing pathways or standard state Medicaid and federal Medicare network credentials. Residential intervals track to an average length of stay around 109 days, creating an operational baseline that favors fast-paced post-hospital therapy over indefinite, permanent placements.

The medical staff coordinates an average of 3 hours and 28 minutes of hands-on nursing attention for every individual daily. Certified nurse aides, licensed practical nurses, and registered nurses distribute this 24-hour setup to administer customized speech, occupational, and physical therapies within an internal rehab-to-home framework. For community movement, the surrounding area registers a walkability score of 63 out of 100, providing an accessible town environment where visitors can navigate simple regional errands or local retail stops without a vehicle.

Individuals looking into local enrollment parameters can contact the front administrative desk to check on active room availability, request an intake guide for on-site physical rehabilitation, or plan a morning to walk through the common lounges. The business coordinators are also available to review personal healthcare options and show how insurance policies interface with monthly room statements.

Contact Emmetsburg Care Center

Harmony West Des Moines

5010 Grand Ridge Drive, West Des Moines, IA 50265
Overview of Harmony West Des Moines

Harmony West Des Moines is a 113-bed skilled nursing facility at 5010 Grand Ridge Drive in West Des Moines, Iowa. Affiliated with Legacy Healthcare, the center provides specialized post-acute care, including orthopedic rehabilitation, stroke recovery, and advanced wound management. Centrally located in the Des Moines metro, the campus offers proximity to major health systems and accepts Medicaid, Medicare, and various state assistance programs.

The facility is regulated by the Iowa Department of Inspections, Appeals, and Licensing and is CMS-certified. As of May 2026, the community holds a 1-star overall rating, reflecting performance categorized as “Much Below Average”. While quality measures are rated at 3 stars, the health inspection component carries a 1-star rating based on 14 citations during the most recent standard survey cycle, which is more than double the Iowa average of 6.1. Recent reports include zero deficiencies for infection control inspections over the past three years.

Staffing levels present a mixed clinical picture. Registered Nurse (RN) hours are 38 minutes per resident day, which is 14% below the Iowa average of 44 minutes. Conversely, physical therapist hours are notably high at 6 minutes, 200% above the state average of 2 minutes. Clinical outcomes for short-stay residents are generally strong, with zero falls with major injury and a rehospitalization rate 15% better than the state average. The nursing staff turnover rate is 62.9%, which is higher than the state mean of 43.9%.

The campus offers a residential setting focused on recovery and short-term placement. Shared clinical and social amenities include:24-hour nursing support, physical, occupational, and speech therapy, and specialized memory care wings. The facility provides respite care for families needing temporary placement and offers social programming to support long-term residents. Located in a car-dependent suburban area, the community coordinates medical transportation for its residents.

Prospective residents and their families should evaluate the current bedside care standards and staffing stability during an on-site visit. It is advisable to ask the administrator for specific details on the corrective actions taken following the 2025 health inspection citations and to confirm that current RN staffing levels meet the individual clinical needs of the resident.

Contact Harmony West Des Moines

Overview of Risen Son Christian Village

Located just outside Ohama, Risen Son Christian Village is a community deeply rooted in faith, offering a holistic approach to senior living. Within its welcoming embrace, residents have access to a range of exceptional services, including assisted living, memory care, short-term rehabilitation, and long-term healthcare support. Embracing a philosophy of spaciousness and tranquility, the home offers comfortable and thoughtfully designed apartments. These living spaces become sanctuaries where residents can find solace and contentment, surrounded by an atmosphere of faith and love. With compassionate caregivers available around the clock, residents can enjoy peace of mind, knowing that their needs are attended to with utmost care and dedication.
The community exudes a distinct small-town charm, creating an intimate and close-knit environment that fosters genuine connections among residents and staff. It’s a place where neighbors become friends, and a true sense of community thrives. Residents can bid farewell to the burdens of household chores and upkeep, allowing them to focus on embracing the fullness of their lives. With meticulous attention to cleanliness and aesthetics, Risen Son Christian Village emanates a sense of professionalism and elegance, creating an ambiance that enhances the overall living experience.

Contact Risen Son Christian Village

Overview of Oak Park Estates Al & Memory Care

Oak Park Estates AL & Memory Care is an intimate 16-bedroom assisted living community at 3212 Greenhill Circle in Cedar Falls, Iowa. Co-founded and administered by Michelle Rasbeck, RN, the facility is certified as a dementia-specific program serving Black Hawk County with a focus on personalized, small-scale memory care. The campus emphasizes a home-like environment where residents step directly from private rooms into shared social spaces to encourage interaction and reduce confusion.

State oversight from the Iowa Department of Inspections, Appeals, and Licensing confirms the facility holds an active dementia-specific license through July 2026. While public databases currently show limited historical inspection data, the community reports maintaining a fully secured building with keypad access controlled exclusively by staff to prevent wandering. The 24-hour care model operates with approximately three staff members per shift and a full-time nurse on-site during business hours to oversee clinical needs. All-inclusive monthly rent is reported to start near $4,710, though specific care levels may impact final pricing.

Professional care is guided by a leadership team with 17 years of healthcare experience, focusing on high-acuity memory support and hospice coordination. The facility maintains a staffing model that includes personal care assistants and nurses who utilize a monitoring system to track resident movement within the short, easy-to-navigate hallways. Residents have access to specialized dementia training for all caregivers, alongside medication management and pharmacy services coordinated on-location. Clinical partnerships with Sartori Memorial Hospital and UnityPoint Health – Allen Hospital facilitate medical transfers when advanced care becomes necessary.

The campus environment features a professional kitchen led by a chef trained at Le Cordon Bleu, focusing on nutritious, home-cooked meals tailored to resident preferences. Common areas are equipped with cable TV and Wi-Fi, while outdoor amenities include fenced walking paths and a backyard designed for residents and their pets. Resident life includes two daily organized activities ranging from music performances to crafting, and the kitchen accommodates various dietary needs such as diabetic, kosher, and low-sodium plans. Scheduled transportation is provided for medical appointments and group outings, while on-site salon services and companion care assist with daily living tasks.

Families and prospective individuals should evaluate the current staff-to-resident ratios and nighttime safety protocols during an on-site visit. It is advisable to ask the director for specific details on the transition process for new residents and to verify that the all-inclusive fee structure covers the resident’s specific 2026 clinical requirements.

Contact Oak Park Estates AL & Memory Care

Overview of Rotary Senior Living

Find all the care you need with the astounding senior living community of Rotary Senior Living in Eagle Grove, IA, which offers an array of care options including assisted living, independent living, memory care, long-term care, and rehabilitation. With its dedication to delivering the highest quality of care and support, the community provides a team of licensed and well-trained professionals helping seniors with their needs 24/7. Families can also rest easy with the knowledge that their loved ones are well-cared for.

The community fosters a vibrant and welcoming environment, ensuring residents have the freedom to live as they please. Healthy and delicious meals await residents every mealtime for a delightful dining experience. Rotary Senior Living is great for seniors looking to enjoy their golden years in one place.

Contact Rotary Senior Living

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.