Other senior care options in Iowa:

Page 30 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 Ridgecrest Village

Ridgecrest Village opened recently in a three-story building on Northwest Boulevard in Davenport, Iowa, and is still filling out its 82-bed capacity. At 67% occupancy, with 55 of 82 beds filled, it is in the early stages of establishing its census. The average resident stay is 174 days, which puts it squarely in the territory of both post-acute rehab and longer-term skilled nursing.

Total nursing care runs close to four hours per resident per day, with registered nurses contributing 59 minutes of that directly. Nurse aides account for another 2 hours and 26 minutes. For families evaluating nursing coverage as a primary criterion, that’s a concrete number to work with.

The care model centers on rehabilitation and skilled nursing: short-term rehab, respite care, and 24-hour staffing are all confirmed services. Chef-prepared meals are served daily, and the activity calendar addresses varying resident interests. A spa, cafe, and garden round out the on-site amenities. The neighborhood is only somewhat walkable (Walk Score 41), so most outside trips will require transportation.

State inspections have focused primarily on medication management, infection control, dietary practices, and resident rights. The payment picture is straightforward: Medicare, Medicaid, and private pay are all accepted.

For a facility still building its census, Ridgecrest Village offers a credible staffing foundation and a flexible payment base. It is most directly suited to residents seeking short-term post-acute rehabilitation or structured skilled nursing care in a newer building with a modest amenity set.

Contact Ridgecrest Village

Overview of Rock Creek Senior Living

Rock Creek Senior Living is a 170-unit multi-tier community at 3602 NW 5th Street in Ankeny, Iowa. Owned by Arrow Senior Living, the campus offers independent living, assisted living, and memory care, with starting rates for assisted living near $3,465 per month. The facility is approximately 2.6 miles from central Ankeny and focuses on an active residential lifestyle.

The community holds an active state license and is certified as an Assisted Living Program for People with Dementia. State oversight for 2026 indicates the facility maintains its standing with zero active health citations for infection control during the most recent monitoring cycle. While the campus is not Medicare or Medicaid certified for skilled nursing, it carries a 2026 “Best Assisted Living” designation from U.S. News & World Report based on resident and family satisfaction surveys.

The 24-hour staffing model supports multiple tiers of care, allowing residents to transition between levels as medical needs change. Specific services for memory care include sensory-based programs and specialized support for both mild and advanced cognitive impairment. While the facility provides transportation, the immediate surroundings are primarily car-dependent with a Walk Score of 13. Professional nursing oversight is available for personal care, though the model emphasizes social engagement and safety over intensive clinical intervention.

The campus environment provides various shared social spaces, including a wellness center, a movie theater, and a dining room serving international cuisine. Residents have access to weekly housekeeping and personal laundry services alongside dedicated concierge assistance and scheduled event programming. Outdoor walking trails and pet-friendly living options are available, with nutritional management providing specialized low-sodium and pureed meal options.

Families and prospective residents should evaluate the current activity calendars and emergency response protocols during a facility tour.

Contact Rock Creek Senior Living

Overview of Legacy of the Meadows

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.

Contact Legacy of the Meadows

Bethany Life

212 Lafayette Avenue, Story City, Ia 502481451
Overview of Bethany Life

Bethany Life operates a nonprofit continuum of senior care from its 126-bed medical community at 212 Lafayette Avenue in Story City, Iowa. Established over half a century ago, the campus manages resident entry through a unique membership model combining an initial entry fee with a predictable monthly rate to secure lifetime care tiers. Business staff process billing through multiple coverage lines, including traditional out-of-pocket funds, standard federal Medicare, and state Medicaid paths. The property runs with a regular occupancy baseline of roughly 89 percent, supporting individual stays that average 229 days.

On-site health teams coordinate an average of 4 hours of daily hands-on care per resident. Certified nursing assistants distribute the largest portion of these floor hours at 2 hours and 42 minutes, while registered nurses contribute 45 minutes, and licensed practical nurses provide 23 minutes of clinical tracking. This staff handles routine treatments, medication management, and dietitian support within dedicated transitional wings, including the LifeBridge Transitional Care track, Cedar Place, and Timberland Village. For local travel, the surrounding downtown area logs a walkability score of 82 out of 100, which allows visitors and residents to complete daily errands entirely on foot.

Daily lifestyle configurations are built around a central hub featuring dining at Tom & Stevie’s Bistro alongside massage therapy, chaplain services, and organized wellness education. To prevent unnecessary travel, the campus integrates personal emergency response systems and home health aides to assist individuals who reside in the adjacent Twin Homes independent living options. These internal systems are structured to help stabilize physical recovery following major surgeries or complex hospital stays while preserving as much personal independence as possible.

Older adults exploring active neighborhood placement details can call the front reception area to confirm room availability, ask about the lifetime membership tiers, or coordinate a time to see the shared dining spaces.

Contact Bethany Life

Bethany Lutheran Home

Seven Elliott Street, Council Bluffs, Ia 515030297
Overview of Bethany Lutheran Home

A 112-bed skilled nursing community owned by Diana Roberts in Council Bluffs, Iowa, is Bethany Lutheran Home. Operating for 51 years, it maintains an 80 percent occupancy rate, reflecting steady census in a mid-sized facility. Medicare, Medicaid, and private pay are accepted to provide numerous ways for families to arrange care.

The facility’s clinical focus includes rehabilitation services, with a dedicated Rehab to Home program tailored to support occupants transitioning back to independent living after acute illness, surgery, or hospitalization. Total nursing care averages 4 hours 53 minutes per resident day, distributed across registered nurses, licensed practical nurses, and nursing aides. That daily staffing level bolsters 24/7 support for residents. The home is found in a really walkable area of Council Bluffs with a Walk Score of 77, meaning visiting family members and mobile residents can run most errands on foot and have good access to nearby services. For regular visits and outings, the surrounding neighborhood is accessible and convenient. The average stay duration is 152 days, signaling a mix of short-term rehabilitation patients and longer-term residents.

Care planning, medication administration, staffing, safety protocols, and infection control practices have been addressed by state inspections.

It’s encouraged that families considering the home tour it in person and ask about how clinical areas are managed daily.

Contact Bethany Lutheran Home

Overview of Trinity Center at Luther Park

Operating under the Gardens at Luther Park organization, Trinity Center at Luther Park is a 120-bed nursing home that provides short-term rehabilitation and long-term skilled care for residents aged 55 and older. The building maintains a high local volume with a 91% occupancy rate and manages an extended 239-day average length of stay. Financial coverage handles a standard mix of Medicare, Medicaid, and private-pay sources. The campus is built in an exceptionally walkable downtown neighborhood, making local errands and shops easily accessible on foot.

Daily care lines supply an average of 4 hours and 34 minutes of direct nursing time per resident each day, with a combination of registered nurses, licensed practical nurses, and nurse aides covering the floor alongside on-site physical therapists. On the compliance side, public monitoring files from the Iowa Department of Inspections, Appeals, and Licensing indicate that state inspectors have noted recurring administrative issues centered on care documentation, food handling protocols, and basic infection control.

Beyond the medical operations, daily life on the campus is organized around faith-based Christian values, spiritual support programs, regular activities, and local volunteer networks.

Prospective representatives researching faith-based senior care options or multi-level nursing setups can review these state health filings to assess the property’s operational history. The public records outline a busy, highly occupied facility backed by solid daily direct care hours and a walkable location, balanced against some recurring regulatory points regarding kitchen and documentation maintenance.

Contact Trinity Center at Luther Park

Overview of Ams Memorial-Greene

Ams Memorial-Greene runs a 31-bed skilled nursing building at 108 South High Street in Greene, Iowa. Owned by Michael Steinkruger, the facility focuses on helping people recover after a hospital stay or manage ongoing medical needs. The front office takes standard private pay, Medicare, and state Medicaid. Stays here average just 52 days, which shows that the daily routine is geared much more toward short-term rehab and therapy rather than lifetime placements.

The building usually sits at about 61 percent occupancy, so they typically have open beds ready for new admissions. Staff work around the clock to provide daily clinical monitoring, outpatient therapy, and respite care. As for the area, the surrounding Butler County neighborhood scores a 43 out of 100 for walkability, which means visiting family members and friends will need a car to get around town or run quick errands.

State inspectors have monitored this home throughout its 34-year history. Past health audits turned up a few procedural issues involving staff distribution, paperwork, and care planning. The management team put together an official plan of correction to fix these issues, and state oversight agencies cleared the building, confirming it meets current health and safety codes.

Interested individuals can get in touch with the front office to check on current room layouts, ask about the rehab schedules, or plan a time to look around the building.

Contact AMS Memorial-Greene

Overview of Perry Lutheran Home

The Perry Lutheran Home operates a 26-year-old continuing care retirement campus on Willis Avenue in Perry, Iowa, under the management of administrator Melissa Gannon. The building houses 70 residents, runs at about 80 percent occupancy, and handles accounts through private pay, Medicare, and Medicaid. Lengths of stay average 315 days, indicating that the daily routine integrates short-term therapy patients into an established, long-term residential community.

The hands-on clinical team delivers an average of 4 hours and 20 minutes of direct care to each resident every day. Registered nurses, licensed practical nurses, and nurse aides balance this 24-hour schedule to coordinate standard therapies, respite care, and independent home health services. The church-affiliated nonprofit property sits in a neighborhood that scores a 74 out of 100 for walkability, allowing visiting families to manage a variety of local trips on foot.

Interested individuals can get in touch with the main desk to ask about the independent or assisted living availability, request details on the home care services, or schedule an afternoon to see the campus. The front office can also explain the admission paperwork and clarify how different insurance options apply to the monthly fees.

Contact Perry Lutheran Home

Overview of Regency Assisted Living

Regency Assisted Living operates a 60-bed skilled nursing property at 815 High Road in Norwalk, Iowa. Owned by Carla Hall and managed under administrator Victoria Lehman, the facility maintains a quiet baseline census, currently holding an occupancy rate around 42 percent with roughly 25 residents. Financial coordinators process transactions through individual out-of-pocket billing channels alongside state Medicaid options and standard federal Medicare programs. Stays here average about 151 days, which reflects an everyday operational design that merges brief physical therapy rehabilitation cases with extended clinical nursing placements.

State safety logs map out historical compliance patterns over the facility’s 20-year operating history. Regular public health evaluations handled by the Iowa Department of Inspections, Appeals, and Licensing highlighted several repeat administrative themes, pointing out explicit procedural gaps in medication management practices, general resident supervision, and health record documentation. Local supervisors use these periodic regulatory summaries to shape employee skill training modules and adjust daily clinical workflows across the floor shifts to meet public healthcare codes.

For local transit, the surrounding town layout records a walkability score of 70 out of 100, showing a highly accessible neighborhood environment where visiting family members can complete routine errands on foot. On-site shift routines support this setting by providing a daily average of 3 hours and 10 minutes of direct, hands-on care to each individual. Certified nurse aides cover the largest block of this bedside timeline at 2 hours and 17 minutes, working alongside licensed practical nurses who provide 1 hour and registered nurses who add 21 minutes of clinical tracking, respite support, and continuous treatment monitoring.

Prospective residents can call the main office desk to check on current bed layouts, ask about the details of the short-term rehabilitation therapies, or schedule a day to see the grounds.

Contact Regency Assisted Living

Overview of Lutheran Living Senior Campus

Founded in 1895, Lutheran Living Senior Campus runs a 155-bed continuing care retirement community on Lutheran Drive in Muscatine, Iowa. This nonprofit facility is managed by executive director Andrew Harris and operates under a church affiliation with the Evangelical Lutheran Church in America. Standard billing balances private payment options with Medicare coverage networks, and the overall property runs near an 80 percent occupancy rate. Typical stays average about 166 days, indicating an environment that coordinates transitional physical rehabilitation alongside permanent residential placements.

An average of 4 hours and 21 minutes of hands-on attention is provided to each resident daily by the on-floor medical team. Certified nursing aides, licensed practical nurses, and registered nurses maintain this 24-hour setup to supervise standard physical therapies alongside secure memory care programs. For daily amenities, residents have access to an internal salon, an outdoor courtyard, and spiritual care resources led by a full-time chaplain, while the surrounding town neighborhood provides a walkable layout for visitors running local errands.

Past inspection reports from state oversight departments noted some administrative and clinical areas for improvement, specifically highlighting corrections needed for care planning records, general resident supervision routines, and behavioral health support structures. The administrative leaders use these formal survey findings to modify ongoing training requirements for the floor staff and update internal safety guidelines.

Prospective residents can reach out to the marketing office to check on current apartment availability, verify specific memory care openings, or schedule a morning to tour the therapy spaces. The business desk can also assist with insurance verification and clarify how individual out-of-pocket costs or Medicare benefits align with monthly fees.

Contact Lutheran Living Senior Campus

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.