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Other Senior care options in Iowa:

Best Assisted Living in Iowa

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 504 homes in Iowa

Sources: CMS Centers for Medicare and Medicaid Services, and Iowa Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in Iowa.

Watch this Video to see Iowa's Top-rated Senior Communities

Compare Assisted Living around Iowa

The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

Click column headers to sort
Grand Living At Tower Place
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

West Des Moines (South 51St Street)
76Yes 63 Studio / 1 bed / 2 bed5 47.4% -731
Wesley Acres
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Des Moines (Greenwood)
80No 72 -- 91.3% -2183
Prairie Hills at Cedar Rapids
SC

Senior Communitie

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Cedar Rapids
86Yes 47 Studio / 1 Bed / 2 Bed17 50.0% -1863
Allen Place Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Atlantic (East 19Th Street)
78No 11 -12 46.2% A-1031
Bickford of Urbandale
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Urbandale (Sutton Place)
73Yes 28 -26 53.4% -1071
Ramsey Village Continuing Care
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Des Moines (Drake)
78Yes 38 1 bed / 2 bed1 85.8% -2382
MorningStar Assisted Living & Memory Care at Jordan Creek
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

West Des Moines
93No 58 Studio / 1 bed / 2 bed7 58.1% -96-
Valley View Village
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Des Moines (Fairmont Park)
79Yes 38 Studio / 1 Bed / 2 Bed54 100.0% -2472
Vintage Hills of Indianola
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Indianola
90No 15 -16 45.6% A+73-
Arlington Place of Grundy Center
SC

Senior Communitie

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Grundy Center
80No 32 -25 36.3% -1231
Ridgecrest Village
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Davenport (Northwest Boulevard)
82Yes 41 Studio / 1 Bed / 2 Bed- 67.1% -2063
Windsor Manor Nevada
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Ames
70No 26 -14 38.6% -1764
Sunset Park Place
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Dubuque
101Yes 36 1 Bed / 2 Bed24 46.5% -25143
Holland Farms
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Norwalk
116Yes 38 Private Rooms / Semi-Private Rooms4 38.8% -73-
Amelia Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Council Bluffs (Ferndale)
62Yes 2 Studio / 1 Bed31 61.3% A+1021
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Heritage House

1200 Brookridge Cir, Atlantic, Ia 500222304
Overview of Heritage House

Heritage House is an assisted living facility located in Goleta, California. It provides a higher level of service for the elderly, including assistance with daily living activities, medication management, and specialized Alzheimer’s care. The facility features 56 studio and one-bedroom apartments in a home-like environment.

Contact Heritage House

Cornerstone AL

302 2Nd Street Ne, Mason City, Ia 504013412
Overview of Cornerstone Al

Cornerstone Caregiving provides in-home care services in Mason City, IA. They offer a range of services including Alzheimer’s and dementia care, respite care, and 24-hour care. Their dedicated team focuses on compassionate care to enhance the quality of life for seniors.

Contact Cornerstone AL

Overview of Birkwood Village of Fort Madison
Birkwood Village of Fort Madison offers a range of lifestyle choices including independent living, assisted living, memory support, long-term care, skilled nursing, rehabilitation, ventilator care, and respite care. The community focuses on the physical and emotional well-being of its residents, ensuring a warm and welcoming environment. Residents can enjoy a variety of activities and amenities designed to enhance their quality of life.

Contact Birkwood Village of Fort Madison

Overview of Woodlands Creek Senior Living

Woodlands Creek’s vision is to create a warm and welcoming independent living environment where seniors feel at home, fostering meaningful relationships and endless possibilities. Their mission revolves around promoting engaging social interactions and providing personalized care to nurture a sense of belonging. Woodlands prioritizes residents’ well-being, ensuring their needs are met with compassion and respect.

Residents at Woodlands Creek enjoy a vibrant lifestyle with a range of scheduled activities for independent living seniors. The community also offers comprehensive services for assisted living and memory care residents, including transportation, access to senior physicians, and round-the-clock nursing staff, ensuring comfort and security for all residents.

 

What does this home offer?

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Pets Allowed

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact Woodlands Creek Senior Living

Overview of Hospice of the Midwest – Sioux City, Ia

Located in Sioux City, Iowa, Hospice of the Midwest offers outstanding in-home hospice care, ensuring seniors can navigate life’s final stages within their cherished and secure surroundings. They are committed to providing considerate and dignified end-of-life care, strongly emphasizing enabling patients to live their remaining days to the fullest.

Hospice of the Midwest consists of seasoned and empathetic professionals with a range of hospice services that are meticulously customized to cater to the unique requirements and preferences of both seniors and their loved ones. 

Contact Hospice of the Midwest – Sioux City, IA

Overview of St. Croix Hospice

Located in Sioux City, Iowa, St. Croix Hospice is dedicated to delivering personalized hospice care and comfort tailored to senior patients and their families’ unique needs. Their comprehensive end-of-life care and advocacy extend not only to seniors but also to their families and caregivers. Their primary objective is to empower seniors to focus on their quality of life, unhindered by medical diagnoses.

This commitment to care spans across Iowa, Minnesota, Wisconsin, Missouri, Nebraska, Illinois, and Kansas. St. Croix Hospice makes it a point to reach out to senior patients who might not typically seek end-of-life care. It maintains a steadfast policy of never turning away those unable to cover the cost of hospice services. At St. Croix Hospice, the approach to hospice care is centered around preserving the dignity of senior patients, ensuring respect, and providing compassionate support, all based on their terms.  

Contact St. Croix Hospice

Mosaic

2009 Prospect Ave, West Des Moines, IA 50265
Overview of Mosaic

Mosaic, located in central Iowa, is dedicated to serving individuals with intellectual disabilities, emphasizing independence and meaningful relationships. This vibrant community offers a wide spectrum of services, including mental and behavioral health support, as well as specialized programs for those with autism.
In addition to their focus on intellectual disabilities, Mosaic also provides comprehensive senior care. Their commitment to in-home support includes essential services like light housekeeping, medication reminders, transportation, meal preparation, and more. Mosaic stands out by offering customized care plans tailored to each individual’s unique needs. Furthermore, Mosaic extends its services to independent senior living, providing a range of opportunities for social, cultural, educational, and recreational engagement, ensuring a well-rounded experience for residents seeking homes for independent living.

Contact Mosaic

Overview of Unitypoint Hospice – Cedar Rapids

Located in Cedar Rapids, Iowa, UnityPoint at Home is a community that extends its comprehensive care services beyond the confines of the clinic or hospital into the comforting embrace of patients’ homes. Their offerings encompass home infusion, home care, and hospice services, ensuring patients can experience the highest level of care from their homes’ familiar and reassuring environment.

Serving as a pillar of support, their extensive team of nurses, therapists, and dedicated caregivers specializes in a spectrum of healthcare needs. From post-surgical care to managing chronic diseases, they facilitate essential medical care to rejuvenate health, enhance well-being, and foster independence. 

Contact UnityPoint Hospice – Cedar Rapids

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.

Public data 6 weighted categories Updated quarterly
Full methodology

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 69 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.