Page 32 of Best Assisted Living in Iowa

Why trust this guide? Our editorial team analyzed 319 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
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We analyzed These are the facilities in Iowa our team has analyzed — not a count of every assisted living provider in Iowa.
319 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: 46/ 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
Overview of The Ivy at Davenport

Ivy at Davenport operates a 75-bed nursing and rehabilitation facility on East Rusholme Street in Davenport, Iowa. Managed by Accordius Health, this home has provided clinical care in the community for 46 years, maintaining an average occupancy rate of 88 percent. The property occupies a highly walkable urban setting, scoring 90 out of 100 for walkability, which makes it easy for local relatives and visiting staff to reach neighborhood destinations on foot.

The healthcare team works on a 24-hour rotation to supply an average of three hours and thirty-four minutes of direct daily care per resident. This hands-on coverage is split between registered nurses, licensed practical nurses, and certified nurse aides to address both temporary post-hospital recovery and long-term medical needs. Stays average about 136 days overall, reflecting a balanced mix of transitional therapy patients and permanent residents. On-site services feature general physical rehabilitation, a dedicated dementia support program, a therapy gym, a chapel, a salon, and chef-prepared meals served restaurant-style in a communal dining room.

The Iowa Department of Inspections, Appeals, and Licensing regulates the facility through unannounced field visits to monitor clinical and environmental standards. Recent state evaluation records note that surveyors look closely at resident handling during transfers, overall supervision practices, medication management, care planning, and infection control measures. Reviewing the home’s public inspection logs with the program director during an in-person visit is a useful step to evaluate their ongoing compliance focus.

Prospective representatives can contact the admissions coordinator to check on current room openings or to verify the clinical intake process. The business team can explain how they process insurance claims across Medicare, Medicaid, and out-of-pocket private payments, and they can schedule a time to show you the physical layout of the therapy rooms and gathering spaces.

Contact The Ivy at Davenport

Overview of Holy Spirit Retirement Home

Welcome to Holy Spirit Retirement Home, a distinguished senior living community located in Sioux City, Iowa. Holy Spirit offers a unique continuum of care approach, providing residents with independent living apartments, various assisted living options, and skilled nursing home care. Each resident’s individual needs take center stage as their services are thoughtfully tailored to help them achieve their specific health goals. Residents can look forward to an enriching experience, as Holy Spirit Retirement Home is committed to delivering care that goes beyond the ordinary – it is truly exceptional.
At Holy Spirit Retirement Home, the focus remains on the residents, aiming to provide care that not only meets but exceeds their expectations. The healthcare providers prioritize communication with residents and their families, recognizing the significance of bridging the gap between medical practices and personal beliefs and values. With utmost respect and understanding for each resident’s unique value system, this assisted living community creates a compassionate and supportive environment where residents can flourish. Prospective residents are invited to join Holy Spirit Retirement Home, where exceptional care and a welcoming ambiance await, making it the ideal place for them to embark on a fulfilling and enriched life journey.

Contact Holy Spirit Retirement Home

Overview of Heartwood House

Heartwood House is an assisted living and memory care community in Ames, Iowa, that provides 24-hour support and specialized memory care for individuals living with Alzheimer’s disease and other forms of dementia. Additional services include medication management, diabetic care, and respite care for families seeking temporary support.

Residents have access to secured indoor and outdoor common areas, promoting both safety and social engagement. Wheelchair-accessible showers also accommodate varying mobility needs.

On-site parking is available for visiting family members and friends, making regular visits more convenient. The surrounding neighborhood is slightly walkable, allowing a limited number of errands to be completed on foot, though most destinations are more easily reached by car.

For families seeking a combination of assisted living and specialized memory support, Heartwood House offers services tailored to residents with memory-related conditions while also addressing everyday care needs.

Contact Heartwood House

Overview of Prairie Vista Village

Located northeast of Des Moines, Prairie Vista Village  in Altoona is an independent living, assisted living, short-term rehab, and long-term care community that provides graceful and compassionate care. The person-centered community understands the meaning of family which is why they make it a point to create an environment that is home-like and welcoming. Prairie Vista is where residents feel comfortable and secure in a nurturing environment. 
Residents can rest easy knowing that they are placed first with the list of services and amenities provided for them: ADLs, transportation, library, and private dining rooms. Skilled nursing and personalized care are also offered to the residents. 

Contact Prairie Vista Village

Overview of Clarence Nursing Home

Clarence Nursing Home is a 46-bed non-profit facility located on Second Avenue in Clarence, Iowa, approximately 40 miles east of Davenport. Affiliated with a local church community, this home has provided a mix of short-term post-hospital rehabilitation and long-term residential care since 1968. The neighborhood has a walk score of 26, meaning the immediate area is largely car-dependent, and families will need a vehicle to manage visits and errands outside the grounds.

The facility maintains a steady 97.4 percent occupancy rate, with an average resident stay of about 292 days. To ensure consistent medical oversight and assistance with daily activities, the clinical team delivers an average of four hours and two minutes of direct care per resident each day. This hands-on coverage is distributed across a 24-hour rotation of registered nurses, licensed practical nurses, and nurse aides. From a regulatory perspective, federal records show the home has a clean administrative history over the past three years, with zero financial penalties or payment denials issued during this window.

The Iowa Department of Inspections, Appeals, and Licensing monitors the facility through unannounced site visits to audit clinical charting, environmental safety, and overall operations.

Interested individuals can contact the administrative office to inquire about current bed availability or to discuss the clinical intake process. The business team can explain how they coordinate billing across Medicare, Medicaid, and private pay options, and they can schedule a time for an in-person tour of the therapy areas and residential wings.

Contact Clarence Nursing Home

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 Rock Creek Senior Living

Rock Creek Senior Living offers assisted living, independent living, and memory care in Ankeny, IA. Assisted living provides help with daily tasks such as dressing, bathing, and medication while a resident maintains a private apartment. Independent living offers private living with community services and no daily care, while memory care provides a secured setting with supervision for someone at risk of wandering.

Because the community offers several care levels, a resident whose needs grow may be able to move to a different level of care without leaving the community. Independent living has a starting price of $3,615, and memory care has a starting price of $6,065, allowing families to compare the cost of private living with a secured, supervised care setting. Rock Creek Senior Living may be a good fit for someone who wants the possibility of changing care levels over time while remaining in the same community.

Seven Houses Restaurant offers flexible dining hours, and the community also has a 24-hour bistro. Residents can use the pool, fitness center, walking trails, transportation services, Events & Entertainment programs, and Wellness programs for recreation, exercise, outdoor time, activities, and travel support. Pets are allowed, so a resident may bring a pet when moving in. Holly Perkins serves as the director.

Contact Rock Creek Senior Living

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.

Contact OakView Nursing & Rehabilitation

Overview of Heart of Siouxland Senior Care

Heart of Siouxland Senior Care is a 20-bed nursing home and assisted living community on Virginia Street in Sioux City, Iowa, located about a mile from the city center. The facility is certified to accept both Medicare and Medicaid, providing multiple payment options for families.

The community’s small 20-bed scale allows it to offer a quiet residential environment. It currently operates at a 33 percent occupancy rate, meaning rooms are readily available. Daily life here includes an active resident council, which meets regularly to give those who live there a direct voice in planning activities, reviewing policies, and shaping the community’s overall care quality.

The area carries a walk score of 66, meaning it is moderately walkable, and some daily errands can be managed on foot. Individuals looking for a collaborative care setting close to downtown Sioux City can reach out to the community to discuss current room availability and daily routines.

Contact Heart of Siouxland Senior Care

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.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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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 319 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.