Other senior care options in Iowa:

Best Assisted Living in Iowa

Why trust this guide? Our editorial team analyzed 333 assisted living communities in Iowa using Iowa Dept. of Inspections, Appeals, and 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
333 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

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
A15
3
Facility 3
IA AVG 7
Rank #93 / 348
2
Facility 2
IA AVG 0.8
Rank #281 / 348
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Overview of American Home Health Care CO

American Home Health Care is a locally owned and operated durable medical equipment provider, proudly serving patients in western Iowa, eastern Nebraska, and southeast South Dakota. Their dedication to quality care underscores their mission of providing essential services to the communities they serve.  
American Home Health Care holds accreditation from the Health Care Quality Association in Waterloo, Iowa, and consistently meets or exceeds the stringent standards set by Medicare/Medicaid and the insurance industry. Committed to delivering comprehensive services, they ensure individuals receive the necessary equipment to support their healthcare needs at home. 

Contact American Home Health Care Co.

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

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

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.