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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Oaknoll Retirement Residence | AL IL NH | Iowa City (Roosevelt) | 70
Facility
70
IA AVG
71
Rank
#156 / 407 | No |
33
Facility
33
IA AVG
45
Rank
#344 / 528 | Private Rooms | 49
Facility
49
IA AVG
19
Rank
#13 / 282 |
81.4%
Facility
81.4%
IA AVG
66.2%
Rank
#111 / 379 | - | 12 | 2
Facility
2
IA AVG
7
Rank
#57 / 348 | 1
Facility
1
IA AVG
0.8
Rank
#250 / 348 |
| Mill Pond | AL IL MC NH SNF | Ankeny | 60
Facility
60
IA AVG
71
Rank
#214 / 407 | Yes |
16
Facility
16
IA AVG
45
Rank
#439 / 528 | Studio / 1 Bed / 2 Bed | 23
Facility
23
IA AVG
19
Rank
#107 / 282 |
98.3%
Facility
98.3%
IA AVG
66.2%
Rank
#14 / 379 | - | 16 | 5
Facility
5
IA AVG
7
Rank
#158 / 348 | 1
Facility
1
IA AVG
0.8
Rank
#250 / 348 |
| Green Hills Retirement Community | AL IL MC NH SNF | Ames (Hamilton Drive) | 56
Facility
56
IA AVG
71
Rank
#234 / 407 | Yes |
18
Facility
18
IA AVG
45
Rank
#430 / 528 | 1 Bed / 2 Bed | 40
Facility
40
IA AVG
19
Rank
#24 / 282 |
78.6%
Facility
78.6%
IA AVG
66.2%
Rank
#130 / 379 | - | 11 | 2
Facility
2
IA AVG
7
Rank
#57 / 348 | 3
Facility
3
IA AVG
0.8
Rank
#298 / 348 |
| Friendship Village | AL IL MC NH SNF | Waterloo | 72
Facility
72
IA AVG
71
Rank
#143 / 407 | No |
52
Facility
52
IA AVG
45
Rank
#202 / 528 | 2 Bed / 3 Bed | 50
Facility
50
IA AVG
19
Rank
#8 / 282 |
91.7%
Facility
91.7%
IA AVG
66.2%
Rank
#50 / 379 | - | 17 | 0
Facility
0
IA AVG
7
Rank
#1 / 348 | 3
Facility
3
IA AVG
0.8
Rank
#298 / 348 |
| Maple Ridge Assisted Living | AL NH | Mt Ayr (Mount Ayr) | 24
Facility
24
IA AVG
71
Rank
#398 / 407 | No |
13
Facility
13
IA AVG
45
Rank
#452 / 528 | Private / Shared Rooms | 24
Facility
24
IA AVG
19
Rank
#98 / 282 | - | - | 7 | 1
Facility
1
IA AVG
7
Rank
#31 / 348 | 0
Facility
0
IA AVG
0.8
Rank
#1 / 348 |
| Cedar Ridge Village | AL IL NH SNF | West Des Moines (Heritage Bend) | 40
Facility
40
IA AVG
71
Rank
#325 / 407 | Yes |
5
Facility
5
IA AVG
45
Rank
#488 / 528 | 1 Bed / 2 Bed | 8
Facility
8
IA AVG
19
Rank
#202 / 282 |
95.0%
Facility
95.0%
IA AVG
66.2%
Rank
#24 / 379 | A+ | 15 | 3
Facility
3
IA AVG
7
Rank
#93 / 348 | 1
Facility
1
IA AVG
0.8
Rank
#250 / 348 |
| The Views of Marion | AL MC NH SNF | Marion | 60
Facility
60
IA AVG
71
Rank
#214 / 407 | No |
37
Facility
37
IA AVG
45
Rank
#315 / 528 | Private Rooms | 7
Facility
7
IA AVG
19
Rank
#211 / 282 |
48.3%
Facility
48.3%
IA AVG
66.2%
Rank
#282 / 379 | - | 4 | 1
Facility
1
IA AVG
7
Rank
#31 / 348 | 0
Facility
0
IA AVG
0.8
Rank
#1 / 348 |
| Calvin Community | AL NH IL MC | Des Moines (Beaverdale) | 59
Facility
59
IA AVG
71
Rank
#226 / 407 | No |
61
Facility
61
IA AVG
45
Rank
#145 / 528 | 1 Bed / 2 Bed | 1
Facility
1
IA AVG
19
Rank
#268 / 282 |
93.2%
Facility
93.2%
IA AVG
66.2%
Rank
#42 / 379 | - | 17 | 2
Facility
2
IA AVG
7
Rank
#57 / 348 | 3
Facility
3
IA AVG
0.8
Rank
#298 / 348 |
| Independence Village of Waukee | AL NH IL MC SNF | Waukee | 34
Facility
34
IA AVG
71
Rank
#373 / 407 | Yes |
38
Facility
38
IA AVG
45
Rank
#305 / 528 | 1 Bed / 2 Bed | 15
Facility
15
IA AVG
19
Rank
#164 / 282 |
41.2%
Facility
41.2%
IA AVG
66.2%
Rank
#332 / 379 | - | 12 | 2
Facility
2
IA AVG
7
Rank
#57 / 348 | 3
Facility
3
IA AVG
0.8
Rank
#298 / 348 |
| Corridor Crossing Place | AL MC RESC RC | Cedar Rapids (Southwest Area) | 61
Facility
61
IA AVG
71
Rank
#210 / 407 | No |
44
Facility
44
IA AVG
45
Rank
#269 / 528 | Private Rooms | 31
Facility
31
IA AVG
19
Rank
#42 / 282 | - | - | 9 | 6
Facility
6
IA AVG
7
Rank
#187 / 348 | 0
Facility
0
IA AVG
0.8
Rank
#1 / 348 |
| Amelia Senior Living | AL | Council Bluffs (Ferndale) | 62
Facility
62
IA AVG
71
Rank
#202 / 407 | Yes |
2
Facility
2
IA AVG
45
Rank
#500 / 528 | Studio / 1 Bed | 31
Facility
31
IA AVG
19
Rank
#42 / 282 |
61.3%
Facility
61.3%
IA AVG
66.2%
Rank
#218 / 379 | A+ | 10 | 2
Facility
2
IA AVG
7
Rank
#57 / 348 | 1
Facility
1
IA AVG
0.8
Rank
#250 / 348 |
| Edencrest at The Tuscany | AL IL MC RC | Altoona | 40
Facility
40
IA AVG
71
Rank
#325 / 407 | Yes |
14
Facility
14
IA AVG
45
Rank
#444 / 528 | Studio / 1 Bed / 2 Bed | 5
Facility
5
IA AVG
19
Rank
#232 / 282 |
92.5%
Facility
92.5%
IA AVG
66.2%
Rank
#44 / 379 | - | 7 | 4
Facility
4
IA AVG
7
Rank
#131 / 348 | 0
Facility
0
IA AVG
0.8
Rank
#1 / 348 |
| Independence Village of Ames | AL MC RC | Ames | 30
Facility
30
IA AVG
71
Rank
#390 / 407 | No |
51
Facility
51
IA AVG
45
Rank
#213 / 528 | Studio / 1 Bed / 2 Bed | 25
Facility
25
IA AVG
19
Rank
#87 / 282 |
100.0%
Facility
100.0%
IA AVG
66.2%
Rank
#1 / 379 | A+ | 21 | 11
Facility
11
IA AVG
7
Rank
#279 / 348 | 2
Facility
2
IA AVG
0.8
Rank
#281 / 348 |
| Thornton Heights Assisted Living | AL NH | Lansing (Main Street) | 26
Facility
26
IA AVG
71
Rank
#397 / 407 | No |
14
Facility
14
IA AVG
45
Rank
#444 / 528 | 1 Bed / 2 Bed | 22
Facility
22
IA AVG
19
Rank
#120 / 282 | - | - | 7 | 1
Facility
1
IA AVG
7
Rank
#31 / 348 | 0
Facility
0
IA AVG
0.8
Rank
#1 / 348 |
| Northridge Village | AL IL MC NH SNF | Ames (Somerset) | 38
Facility
38
IA AVG
71
Rank
#352 / 407 | Yes |
44
Facility
44
IA AVG
45
Rank
#269 / 528 | 1 Bed / 2 Bed | 10
Facility
10
IA AVG
19
Rank
#189 / 282 |
94.7%
Facility
94.7%
IA AVG
66.2%
Rank
#28 / 379 | A | 15 | 3
Facility
3
IA AVG
7
Rank
#93 / 348 | 2
Facility
2
IA AVG
0.8
Rank
#281 / 348 |
A memory care community on F Avenue NW in Cedar Rapids, Iowa, is The Views of Cedar Rapids | MeadowView Memory Care. Its neighborhood has a Walk Score of 47, so a few nearby services and errands are walkable, but most outings and appointments require a car. The location has reasonable access to local medical services and shopping without needing a long drive from central Cedar Rapids.
Such memory care communities are designed for people with Alzheimer’s disease, dementia, and other memory-related conditions. Unlike general assisted living, memory care highlights the unique challenges present in progressive cognitive changes, confusion, disorientation, and difficulty with daily tasks. A dedicated memory care setting typically offers secured environments where residents can move about safely, staff trained in dementia-specific methods, and daily programming built around familiar activities and gentle engagement instead of stimulation or demand. The daily feel in memory care communities is usually routinary and calm. Helping residents feel more secure, meals, activities, and personal care follow schedules. Many memory care communities supply therapeutic activities like reminiscence programs, art, music, and gardening that connect to long-term memory and can boost mood and engagement. Good memory care also means family involvement is encouraged, and staff know how to talk to those with memory changes.
Families scouting memory care options in Cedar Rapids must plan to visit the facility in person. An on-site tour allows you to see the physical environment, meet the staff, and observe residents-caregiver interactions. Ask about certain details like staffing ratios, dementia care training, meal preparation, activities programming, and how the community handles behavioral changes that sometimes come with memory loss. These talks will help you know if the community’s approach matches your family’s values and your loved one’s needs.
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.
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.
Located in Sioux City, Iowa, Hospice of Siouxland has proudly served as the premier provider of hospice services since 1981. Their services cater to patients of all age groups, ensuring compassionate support during this crucial time. The dedicated care team is wholeheartedly devoted to providing comfort and care and preserving the dignity of each patient.
Hospice of Siouxland specializes in offering comprehensive care to terminally ill patients and their families. With an unwavering focus on symptom management for patients facing serious illnesses, Hospice of Siouxland delivers high-quality services prioritizing the well-being and quality of life for all those under their care. As a locally-owned, not-for-profit organization, their longstanding commitment to the senior community is a testament to their dedication.
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.
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.
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.
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.
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.
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.
Ranking Methodology
How we rank these assisted living communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
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
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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 333 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.













