Other senior care options in Iowa:

Page 7 of Best Assisted Living in Iowa

Why trust this guide? Our editorial team analyzed 310 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
Reviewed by
Last updated
Jul 2026
We analyzed
310 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

Info below is compiled from the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Oaknoll Retirement Residence
AL
IL
NH
Iowa City (Roosevelt)
70
Facility 70
IA AVG 71
Rank #156 / 406
No
33
Facility 33
IA AVG 45
Rank #344 / 528
Private Rooms
49
Facility 49
IA AVG 19
Rank #14 / 286
81.4% -12
2
Facility 2
IA AVG 7
Rank #55 / 294
1
Facility 1
IA AVG 0.9
Rank #200 / 294
Green Hills Retirement Community
AL
IL
MC
NH
SNF
Ames (Hamilton Drive)
56
Facility 56
IA AVG 71
Rank #233 / 406
Yes
18
Facility 18
IA AVG 45
Rank #430 / 528
1 Bed / 2 Bed
40
Facility 40
IA AVG 19
Rank #25 / 286
78.6% -11
2
Facility 2
IA AVG 7
Rank #55 / 294
3
Facility 3
IA AVG 0.9
Rank #248 / 294
Sunrise Retirement Community
AL
IL
MC
NH
RC
SNF
Sioux City
74
Facility 74
IA AVG 71
Rank #136 / 406
Yes
22
Facility 22
IA AVG 45
Rank #411 / 528
Studio
52
Facility 52
IA AVG 19
Rank #5 / 286
90.5% A+25
3
Facility 3
IA AVG 7
Rank #89 / 294
6
Facility 6
IA AVG 0.9
Rank #284 / 294
Mill Pond
AL
IL
MC
NH
SNF
Ankeny
60
Facility 60
IA AVG 71
Rank #213 / 406
Yes
16
Facility 16
IA AVG 45
Rank #439 / 528
Studio / 1 Bed / 2 Bed
23
Facility 23
IA AVG 19
Rank #106 / 286
98.3% -16
5
Facility 5
IA AVG 7
Rank #146 / 294
1
Facility 1
IA AVG 0.9
Rank #200 / 294
Wesley Acres
AL
ADC
IL
MC
NH
SNF
Des Moines (Greenwood)
80
Facility 80
IA AVG 71
Rank #105 / 406
Yes
72
Facility 72
IA AVG 45
Rank #89 / 528
-- 91.3% -21
8
Facility 8
IA AVG 7
Rank #201 / 294
3
Facility 3
IA AVG 0.9
Rank #248 / 294
Deerfield Health Care Center
AL
NH
IL
RESC
Urbandale
30
Facility 30
IA AVG 71
Rank #389 / 406
Yes
5
Facility 5
IA AVG 45
Rank #488 / 528
-
21
Facility 21
IA AVG 19
Rank #126 / 286
73.3% A+19
3
Facility 3
IA AVG 7
Rank #89 / 294
3
Facility 3
IA AVG 0.9
Rank #248 / 294
Terrace Glen Village
AL
IL
NH
SNF
Marion (Flynn)
40
Facility 40
IA AVG 71
Rank #324 / 406
Yes
14
Facility 14
IA AVG 45
Rank #444 / 528
-
8
Facility 8
IA AVG 19
Rank #200 / 286
95.0% A13
0
Facility 0
IA AVG 7
Rank #1 / 294
3
Facility 3
IA AVG 0.9
Rank #248 / 294
Meth Wick Community
AL
IL
MC
NH
RC
SNF
Cedar Rapids (The Meth-Wick Community)
69
Facility 69
IA AVG 71
Rank #167 / 406
No
23
Facility 23
IA AVG 45
Rank #405 / 528
-- 81.4% ----
Heart of Siouxland Senior Care
AL
Sioux City
-
Facility -
IA AVG 71
Rank #401 / 406
No
66
Facility 66
IA AVG 45
Rank #118 / 528
--0----
Simpson Memorial Home
AL
IL
NH
SNF
West Liberty (North Miller Street)
55
Facility 55
IA AVG 71
Rank #239 / 406
No
41
Facility 41
IA AVG 45
Rank #287 / 528
-- 58.2% -18
3
Facility 3
IA AVG 7
Rank #89 / 294
4
Facility 4
IA AVG 0.9
Rank #269 / 294
St Francis Manor
AL
HOS
NH
SNF
Grinnell
78
Facility 78
IA AVG 71
Rank #119 / 406
No
82
Facility 82
IA AVG 45
Rank #39 / 528
-
49
Facility 49
IA AVG 19
Rank #14 / 286
69.2% -10
4
Facility 4
IA AVG 7
Rank #121 / 294
0
Facility 0
IA AVG 0.9
Rank #1 / 294
Friendship Village
AL
IL
MC
NH
SNF
Waterloo
72
Facility 72
IA AVG 71
Rank #143 / 406
Yes
52
Facility 52
IA AVG 45
Rank #202 / 528
2 Bed / 3 Bed
50
Facility 50
IA AVG 19
Rank #9 / 286
91.7% -17
0
Facility 0
IA AVG 7
Rank #1 / 294
3
Facility 3
IA AVG 0.9
Rank #248 / 294
Prairie Vista Village
AL
IL
NH
SNF
South Altoona
68
Facility 68
IA AVG 71
Rank #170 / 406
Yes
29
Facility 29
IA AVG 45
Rank #372 / 528
-
12
Facility 12
IA AVG 19
Rank #178 / 286
50.0% A7
1
Facility 1
IA AVG 7
Rank #31 / 294
0
Facility 0
IA AVG 0.9
Rank #1 / 294
Mount Carmel Bluffs
AL
IL
MC
NH
SNF
Dubuque (South Switch Junction)
60
Facility 60
IA AVG 71
Rank #213 / 406
No
2
Facility 2
IA AVG 45
Rank #500 / 528
1 Bed / 2 Bed
5
Facility 5
IA AVG 19
Rank #233 / 286
93.3% -10
2
Facility 2
IA AVG 7
Rank #55 / 294
2
Facility 2
IA AVG 0.9
Rank #231 / 294
Mayflower Home
AL
IL
MC
NH
SNF
Grinnell
40
Facility 40
IA AVG 71
Rank #324 / 406
No
82
Facility 82
IA AVG 45
Rank #39 / 528
-- 77.5% -11
3
Facility 3
IA AVG 7
Rank #89 / 294
0
Facility 0
IA AVG 0.9
Rank #1 / 294
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Heritage House

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

Heritage House provides assisted living and memory care from its 68-room, two-story building at 5200 Hollister Avenue in the Goleta area of Santa Barbara, California. Run by administrator Alejandra Nunez under the Heritage House Group, this home has been open for 23 years and usually runs at about 85 percent occupancy. Families cover the costs here through private, out-of-pocket payments. The building blends standard assisted living with specialized support for people navigating Alzheimer’s and dementia.

An in-house kitchen team makes home-style meals served across an on-site pub, café, and main dining room. On the floor, the care team provides a weekend average of 3 hours and 41 minutes of nursing attention per resident, with nurse aides covering 2 hours and 48 minutes of daily hands-on help alongside scheduled registered nurses and licensed practical nurses. The private rooms are set up with kitchenettes and wheelchair-accessible showers. Outside, the neighborhood scores a 67 out of 100 for walkability, so visiting family can easily handle a few quick errands on foot.

State inspectors haven’t found a single problem here lately, locking in a track record of zero deficiencies over recent evaluation cycles. The management team uses these clean reports to back up their current safety routines, local transportation services, and daily social programs. Residents also have access to open shared spaces around the property, including a fitness center, billiards lounge, media room, and ballroom.

Families checking out local care options can call the front desk to check on current room openings, ask how the memory care program is set up, or book a time to walk through the building.

Contact Heritage House

Overview of Bickford of Marshalltown

Serving Marshalltown, Iowa for 29 years, Bickford of Marshalltown is an assisted living community offering personal care and memory care. It also features studio and one-bedroom apartments in a two-story setting. Moreover, its location on Newcastle Road has a Walk Score of 59, allowing some errands to be completed on foot.

Salon and transportation services support residents’ daily comfort and convenience. It also offers a Montessori-based memory care program with structured, personalized activities for individuals living with cognitive decline. The community also welcomes pets, allowing residents to bring small animal companions.

Contact Bickford of Marshalltown

Overview of Charter Senior Living of Northpark Place

Charter of Northpark Place is an assisted living community in Sioux City, Iowa. It offers 48 independent living apartments, 57 assisted living apartments, and 2 guest suites. At Charter Senior Living of Northpark Place, seniors experience an enriching and empowering lifestyle with compassionate caregivers treating them like family. The community boasts a leadership team with decades of experience, ensuring residents receive top-notch care and attention.

Residents have access to a wide range of amenities and services, including meals, housekeeping, laundry services, pet-friendly facilities, private dining, beauty/barber services, a fitness center, arts and crafts studio, internet access, chapel, concierge service, pharmacy support, pendant use for safety, and free transportation. Engaging life-enrichment programs provide abundant choices, fostering a full and connected life. Charter Senior Living of Northpark Place is dedicated to delivering the highest quality senior living experience, offering a life filled with joy and comfort.

Contact Charter Senior Living of Northpark Place

Overview of Prime Assisted Living

Prime Assisted Living has been part of downtown Sioux City for 19 years, sitting at 725 Pearl St in one of the more walkable stretches of the city. A Walk Score of 88 means residents and visiting family can get to most errands on foot. The three-story building holds 120 beds and offers a mix of studio, one-bedroom, and two-bedroom layouts, and it combines two levels of care, assisted living and memory care, under one roof.

Some of the studio apartments aren’t studios in the usual sense. They’re built as two connected bedrooms and bathrooms sharing a kitchen and living room, a layout clearly meant to encourage company rather than isolation.

Right now, 59 of the 120 beds are filled, putting occupancy at 49%. Prime Care, L.L.C. operates the community, and Missie Fischer serves as administrator. Residents have transportation services and fitness and recreation programming available, and the minimum age for admission is 55.

Iowa’s Department of Inspections, Appeals, and Licensing is the regulator responsible for oversight here. Its reviews of this facility have tended to center on medication management, staffing and staff credentials, and care planning and documentation.

This is a mid-sized, long-standing memory care and assisted living community in a walkable part of Sioux City, built for residents 55 and older who may need both levels of support without relocating as their needs change.

Contact Prime Assisted Living

Scenic Manor

1409 N. Fremont, Iowa Falls, Ia 501261319
Overview of Scenic Manor

Owned by the Bearden Family Revocable Trust, Scenic Manor is a skilled nursing home that accepts Medicare, Medicaid, and private pay. These payment options give families flexibility when arranging both rehabilitation services and ongoing nursing care. With 77 beds, the community has an occupancy rate of 84%, and residents stay an average of 251 days, including short-term rehabilitation patients and those receiving longer-term care.

Rehabilitation services and short-term rehab programs are central to the facility’s care model. Residents recovering from hospitalization, surgery, and other acute health events will find a place here. Daily nurse staffing averages 4 hours and 20 minutes per resident. Registered nurses, nurse aides, and licensed practical nurses provide care around the clock, especially for residents who need hands-on support at all times.

The facility is in a neighborhood with a Walk Score of 60. As a moderately walkable area, some errands can be completed on foot, but most trips require transportation. This setting may appeal to families looking for a quieter residential environment while still having access to nearby services.

Dining is important for residents, with attention given to the dining experience and atmosphere. The facility has inspection compliance within its regulatory framework, which particularly focuses on medication management and infection control protocols.

Families considering Scenic Manor should take a tour to see the care environment, meet staff members, and learn more about how the facility supports rehabilitation and recovery.

Contact Scenic Manor

Overview of Great River Care Center

Owned by Edgewood Convalescent Home Inc., Great River Care Center is a skilled nursing home with four decades of experience serving residents in Iowa. It accepts Medicare, Medicaid, and private pay, providing ways for families to arrange care. The 39-bed facility has an occupancy rate of 79% and operates with the expectation of longer-term stays. Residents stay an average of around 291 days.

The facility provides rehabilitation services and maintains nursing care at 4 hours and 22 minutes per resident daily. Registered nurses, nurse aides, and licensed practical nurses are distributed throughout the day. This level of staffing supports residents working toward recovery and those requiring ongoing skilled nursing support.

The location has a score of 43 for walkability. Some errands can be handled on foot, while most trips will need transportation. The surrounding area is typical of Iowa nursing homes, with a combination of residential character and accessibility to regional services.

Inspections over the past six years focused on operational and care-procedure matters. The facility has worked through findings and maintained compliance certifications. Families touring the home should ask how the care team manages daily clinical processes and staff routines.

Contact Great River Care Center

Edencrest at Pleasant Hill

6151 Martha L. Miller Dr, Pleasant Hill, IA 50327
Overview of Edencrest at Pleasant Hill

Take in the beauty of Pleasant Hill, IA, with the astounding senior living community of Edencrest at Pleasant Hill, which provides assisted living, independent living, and memory care. Here, residents are well-cared for, with a kind and highly trained team attending to their needs and aspirations 24/7. Promoting a bright and friendly environment, the community strives to provide a haven where residents are comfortable and well-cared for.

Alongside cozy amenities and pet-friendly spaces, a robust calendar of events and activities is also conducted for residents to make the most out of their days. Delight with delectable and healthy meals for the finest dining experience. Residents create unforgettable moments with the community’s warmth and dedication.

Contact Edencrest at Pleasant Hill

Edencrest at The Tuscany

1600 8Th St Se, Altoona, IA 50009
Overview of Edencrest at the Tuscany

Have a peaceful retirement with Edencrest at the Tuscany, an outstanding senior living community in Altoona, IA, that offers assisted living, independent living, and memory care. With its commitment to enhancing residents’ quality of life, a reliable and highly skilled team cares for their personal needs and other responsibilities 24/7. A resident-centered approach is also utilized for residents to live their lives to the fullest.

Fostering a nurturing and inviting environment, enriching social programs, and fun activities are orchestrated for residents’ happiness and wellness. Here, delectable and nutritious meals are served to meet dietary needs and tastes. Filled with beautiful scenery and tranquil walking trails, residents live a serene lifestyle while receiving the utmost care they deserve.

Contact Edencrest at The Tuscany

Overview of Grand Living at Tower Place

Grand Living at Tower Place is an assisted living community in West Des Moines, Iowa, in an average walkable neighborhood where some daily errands can be finished on foot. Operating for five years, it’s housed in a mid-rise building. It offers an array of housing configurations: studio, one-bedroom, and two-bedroom units to cater to different preferences and care needs. The 76-bed facility currently maintains a 47 percent occupancy rate, with 36 residents in place. This lower occupancy may give new families a chance to tour the home and experience the setting with more availability and attention to queries.

The Iowa authorities’ regulatory inspections have identified areas for improvement across policies and procedures, including medication management, emergency response protocols, background verification processes, and activity programming. These are operational areas that families must discuss directly with management during a tour to know how it’s addressing and fortifying such practices.

An in-person visit by prospective residents and their families would be valuable to learn about the specific services, care offerings, amenities, dining, and daily activities offered at Grand Living at Tower Place, plus to better understand its approach to resident support and engagement.

Contact Grand Living At Tower Place

Edencrest at The Legacy

2901 Cedar St, Norwalk, IA 50211
Overview of Edencrest at the Legacy

Edencrest at the Legacy sits in Norwalk, Iowa, offering a full care continuum under one roof. It provides assisted living, independent living, memory care, and respite care, giving families flexibility if a loved one’s needs shift over time. Administrator Anna Austin leads the operation, which opened in 2018. The two-story building holds 80 beds with housing in studio, one-, and two-bedroom layouts. With 28 beds occupied, current occupancy is at 35 percent.

While the neighborhood isn’t especially walkable, with a Walk Score of 29, the home operates an on-site transportation service so occupants don’t need to rely on family or personal vehicles for appointments and outings. Fitness and recreation are offered in-house, and the facility welcomes pets, so residents can bring along a beloved dog or cat. That matters more than it might seem if a pet is part of someone’s daily life and comfort. Built for continuity is Edencrest at the Legacy. An occupant can move in needing minimal support for daily activities and stay through a transition to memory care without changing addresses. Between on-site transportation and organized recreation, the community fills gaps that a car-dependent neighborhood would otherwise create.

The breadth of care levels in one location simplifies future planning, noteworthy for families exploring choices in central Iowa.

Contact Edencrest at The Legacy

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.
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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 310 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.