Page 31 of Best Assisted Living in Iowa

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

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

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

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

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

Overview of Harmony Waterloo

Owned by Justin Knapp, Harmony Waterloo is a skilled nursing home in Waterloo, Iowa. The home specializes in short-term rehabilitation and recovery, with dedicated programs in orthopedic and stroke rehabilitation. Medicare, Medicaid, and private pay are accepted, giving families multiple ways to cover post-acute and rehabilitation stays.

The facility focuses on rehabilitation, so it’s best for residents recovering from surgery, a fall, a stroke, or another hospitalization. Residents stay an average of 117 days because of the home’s role in helping people return to independent living or move into a longer-term care setting.

Clinically, the home has solid staffing support. Nurse staffing averages 3 hours and 51 minutes per resident each day, which includes registered nurse time, licensed practical nurses, and nursing aide support. Residents get consistent attention throughout the day.

The home is in a very walkable location with a Walk Score of 83. Families and visitors will find the neighborhood convenient to navigate on foot. The accessibility here makes it easier for loved ones to visit regularly, as residents recover during their stay.

Overview of Bishop Drumm Retirement Center

Bishop Drumm Retirement Center coordinates continuous senior services within a 150-bed campus at 5837 Winwood Drive in Johnston, Iowa. Operated by Sylvania Franciscan Health under administrator Adam Braden, the community maintains an average occupancy level near 76 percent, meaning openings are typically available for new intake. The business office accepts private funding streams, Medicare credits for brief rehabilitation, and standard state Medicaid options. Individual resident stays average of roughly 172 days, establishing a local population structure that balances transitional post-hospital physical therapy with permanent clinical residential housing.

On-site health routines ensure that each individual receives an average of 3 hours and 58 minutes of direct care from the nursing team daily. Certified nursing assistants, licensed practical nurses, and registered nurses split these floor hours to provide speech-language pathology and physical therapy alongside routine treatment protocols. These practitioners work within a wider aging-in-place campus that features independent and assisted living settings alongside adult day programs, while the surrounding town neighborhood records a walkability score of 64 out of 100, letting visitors complete a few basic tasks nearby without relying solely on a car.

Earlier evaluations by state inspectors noted procedural gaps regarding staffing distribution, pressure ulcer prevention tracking, and standard infection control lines. The administrative team updated floor patterns and corrected these points, leading to a late 2025 re-inspection to certify that the entire building had returned to substantial compliance with baseline public healthcare guidelines.

Prospective representatives can contact the main registration desk to confirm immediate room availability, ask about the details of the adult day schedule, or plan a morning to see the therapy common rooms. The intake office can also assist with medical coverage, cross-referencing to outline how personal funds or public assistance networks apply to standard monthly billing statements.

Overview of Navigate Mc at Featherstone at Hickory Trail

Navigate Mc at Featherstone at Hickory Trail is a 32-bed memory care facility that launched in August 2024 at 2450 Hickory Trail, Iowa City, Iowa, in Johnson County. Administered by Tracy Sherzer, the community operates under Iowa Assisted Living Programs for People with Dementia license S0492, issued August 15, 2024, and active through August 15, 2026. Because the facility is a recent addition to the state’s healthcare landscape, the Iowa Department of Inspections, Appeals, and Licensing has not yet published routine inspection records; consequently, the citations-per-inspection rate is currently zero.

The campus provides 24-hour staffing, licensed nursing care, and various rehabilitation services. Residents have access to bird-themed floor plans, including the Sparrow studio, Dunlin one-bedroom, and the Branta or Sandhill two-bedroom units. While the site features professional catering and wellness programming, available records do not currently specify Medicaid or Medicare participation, occupancy metrics, or specific pricing.

Interested individuals should consider the community’s status as a startup operation when reviewing its regulatory profile. Since there is no established history of deficiency reports to evaluate performance, a direct visit is recommended to verify staffing credentials and dementia-specific protocols. Inquiries regarding the current admission process or the timeline for the first routine state evaluation can be made through the administrative office at (319) 595-2270.

Overview of Azria Health Longview

Azria Health Longview runs a dual-care senior community providing skilled nursing and assisted living services at 1010 Longview Road in Missouri Valley, Iowa. The property, operated under owner Douglas Williams, is built to support a 100-bed capacity. Business operations process regular monthly accounts using traditional out-of-pocket payments, standard Medicare plans, and state Medicaid options. Stays average roughly 137 days per individual, pointing to an everyday routine that coordinates short-term therapy recovery with ongoing clinical nursing care.

Floor staff provide an average of 3 hours and 29 minutes of direct, hands-on attention to each resident daily. Certified nursing assistants handle the majority of this bedside timeline at 2 hours and 34 minutes, while licensed practical nurses offer 53 minutes, and registered nurses add 32 minutes of clinical tracking. These shift rotations cover 24-hour treatment monitoring, short-term rehabilitation, and specialized post-acute tracks alongside an on-site physician presence. For local transit, the surrounding neighborhood holds a walkability score of 53 out of 100, showing a moderately accessible layout where visitors can manage a few simple errands on foot.

Daily residential services focus on scheduled meals, complimentary Wi-Fi access, laundry assistance, and a beauty salon. The campus layout includes open space for pet visits and offers specialized respite care setups to ease short-term family transitions. These combined on-site programs are designed to cover basic healthcare demands and support physical rehabilitation plans without requiring frequent travel away from the facility.

Interested individuals can reach the main desk to check on current bed vacancies, ask about the assisted living apartments, or coordinate a time to look around the grounds. The intake staff can also help review health plan benefits to demonstrate how insurance networks or public aid options coordinate with standard monthly room invoices.

Northgate Care Center operates a 50-bed medical community at 960 4th Street NW in Waukon, Iowa. The facility manages its accounts through private billing methods alongside standard Medicare and Medicaid authorizations. Residents generally stay for an average of 103 days, meaning the daily census is composed of temporary post-hospital rehab patients living alongside individuals who require extended skilled nursing supervision.

Round-the-clock assistance is managed by a team of registered nurses, licensed practical nurses, and nurse aides who coordinate routine physical therapy and outpatient medical exercises. Practical features inside the building include basic cable television access and private family gathering areas, while the surrounding neighborhood scores a 68 out of 100 for walkability, which means visiting guests can manage a handful of basic daily errands on foot.

Families can contact the administrative office to check on current bed availability, ask about the outpatient therapy schedules, or plan a morning to visit the common rooms. The financial staff can also look over your insurance policies and explain how state aid or private funds apply to monthly care costs.

Overview of Hillcrest Health Care Center

At its 64-bed skilled nursing property located at 2121 Avenue L, Hillcrest Health Care Center manages regional patient accounts through a mix of private payments, Medicare credits, and state Medicaid options. The facility emphasizes sustained, continuity-based setups rather than temporary recoveries, with residential admissions averaging near a full calendar year. These longer operational timelines establish a stable daily baseline for seniors requiring ongoing clinical monitoring in the Hawarden area.

Round-the-clock shift support relies on an internal clinical team comprised of registered nurses, licensed practical nurses, and certified nurse aides who distribute floor hours to implement medical treatment logs and assist with daily physical tasks. This group works directly with incoming individuals to construct personal recovery profiles, which are paired with an internal social engagement program to manage therapeutic communication.

For neighborhood accessibility, the local surroundings register a walkability score of 49 out of 100, indicating that visiting family members or staff will typically require a personal car for basic community travel and appointments.

Prospective families can contact the business manager to check on active bed availability, ask about the schedule of in-house therapy sessions, or coordinate a time to view the property. The administrative department is also set up to review individual insurance parameters and outline how public aid networks or personal assets apply to monthly billing statements.

Overview of West Bend Health and Rehabilitation

West Bend Health and Rehabilitation is a 45-bed skilled nursing facility at 203 Fourth Street NW in West Bend, Iowa. Affiliated with The Ensign Group, the center serves Kossuth, Palo Alto, and Humboldt counties with 24-hour nursing and rehabilitative services. The campus is centrally located with a Walk Score of 41 and accepts both Medicare and Medicaid.

The facility is regulated by the Iowa Department of Inspections, Appeals, and Licensing. CMS data as of 2026 shows an overall rating of 3 out of 5 stars, reflecting an “Average” performance. While the quality measure rating is high at 4 stars, the health inspection rating is lower at 2 stars. A May 2025 standard survey identified six deficiencies, including issues with infection control, resident rights documentation, and care planning coordination. No fines or immediate jeopardy findings are currently on record.

The medical model emphasizes in-house therapy with professional oversight for short-term recovery and long-term care. Staffing data reveals a strong focus on rehabilitation, with physical therapist hours per resident day at 6 minutes—200% above the Iowa state average. Registered nurse (RN) hours also exceed the state average, though licensed practical nurse (LPN) and nurse aide hours are lower than typically seen in Iowa facilities. Quality metrics show that short-stay residents experience major injury falls at a rate of 2.9%, which is significantly higher than the state average of 0.8%.

The facility provides a residential setting with landscaped grounds and a calendar of social and recreational activities.Services include:Housekeeping, laundry, and chef-prepared meals tailored to nutritional needs. The community fosters a home-like environment, though the 53.3% nursing staff turnover rate is higher than the state average of 43.9%, which may impact the consistency of care relationships.

Interested individuals should evaluate the current staffing model and therapy outcomes during an on-site visit. It is advisable to ask the administrator for specific details on current fall prevention protocols for short-stay residents and to verify how nighttime and weekend nursing coverage is managed following the 2025 health inspection results.

Overview of Stone Cottage Care Center

Based in Sigourney, Iowa, Stone Cottage Care Center is a 41-bed nursing home owned and operated by Gabriel Sebbag and the Samara Family. The home currently houses 31 residents and works with multiple funding options, accepting private pay alongside Medicare and Medicaid. Because lengths of stay average about 547 days, the daily routine focuses mostly on long-term residential care, though they also take in patients for short-term recovery.

The building runs with a staff-to-resident ratio of around 2 to 1, with the nursing team providing about 3 hours and 18 minutes of direct care per resident each day. Registered nurses handle direct clinical oversight on the floor, while on-site physical and occupational therapists provide regular sessions to help people regain their functional mobility after a hospital stay. To keep families involved, the facility sets up active resident and family councils so people can weigh in on community decisions.

For anyone planning a visit, the small-town neighborhood scores a 45 out of 100 for walkability, meaning a car will be necessary for most regular trips.

Interested individuals can call the admissions desk to see which rooms are open, find out how the resident council functions, or coordinate a time to tour the building. The front office can also walk you through the standard entry paperwork and explain how insurance coverage applies to extended care stays.

Overview of OakView Nursing & Rehabilitation

OakView Nursing & Rehabilitation in Burlington, IA, is a nursing home that offers long-term care and rehabilitation. The community’s nurturing and welcoming environment ensures older adults can ease their worries throughout their stay. With 24-hour care, well-balanced meals, and recreational activities, residents experience a maintenance-free lifestyle. Through personalized care plans, the community strives to meet residents’ unique needs and preferences.

Games, social events, and light exercises encourage residents to stay active and make friends. Cozy sitting areas and thoughtfully furnished rooms also ensure residents’ relaxation and wellness. Residents also experience the utmost comfort during their stay, as it is situated in the tree-lined neighborhood of Burlington. This nursing home is a good option for senior living in Iowa, especially with high-quality services.