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
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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.
310 homes
Other senior care options in Iowa:

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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-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Number of years the company has been in operation.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Inspection events categorized as complaint-related by the state regulator.
Count of incident-based investigations (e.g. reported events) in the regulatory record for the reporting period.
Perry Lutheran Home
AL
IL
MC
NH
RC
SNF
Perry
70
Facility 70
IA AVG 73
Rank #115 / 289
?No
74
Facility 74
IA AVG 45
Rank #41 / 302
-
26
Facility 26
IA AVG 18
Rank #47 / 232
71.4%
Facility 71.4%
IA AVG 61.5%
Rank #69 / 259
28
11
Facility 11
IA AVG 6
Rank #233 / 265
0
Facility 0
IA AVG 0.9
Rank #1 / 265
The Meadows
AL
IL
MC
Manchester
74
Facility 74
IA AVG 73
Rank #104 / 289
A+No
29
Facility 29
IA AVG 45
Rank #214 / 302
-
26
Facility 26
IA AVG 18
Rank #47 / 232
50.0%
Facility 50.0%
IA AVG 61.5%
Rank #148 / 259
3
4
Facility 4
IA AVG 6
Rank #121 / 265
0
Facility 0
IA AVG 0.9
Rank #1 / 265
Edencrest at The Legacy
AL
IL
MC
RC
Norwalk
80
Facility 80
IA AVG 73
Rank #82 / 289
A+Yes
29
Facility 29
IA AVG 45
Rank #214 / 302
Studio / 1 Bed / 2 Bed
8
Facility 8
IA AVG 18
Rank #157 / 232
33.8%
Facility 33.8%
IA AVG 61.5%
Rank #239 / 259
7
5
Facility 5
IA AVG 6
Rank #140 / 265
0
Facility 0
IA AVG 0.9
Rank #1 / 265
The Rose of Dubuque
AL
NH
Dubuque (Ace Mobile Home Park)
140
Facility 140
IA AVG 73
Rank #21 / 289
A+Yes
37
Facility 37
IA AVG 45
Rank #184 / 302
1 Bed / 2 Bed
13
Facility 13
IA AVG 18
Rank #134 / 232
48.6%
Facility 48.6%
IA AVG 61.5%
Rank #162 / 259
8
7
Facility 7
IA AVG 6
Rank #174 / 265
1
Facility 1
IA AVG 0.9
Rank #180 / 265
Grand Living At Tower Place
AL
IL
MC
West Des Moines
76
Facility 76
IA AVG 73
Rank #98 / 289
A-Yes
63
Facility 63
IA AVG 45
Rank #74 / 302
Studio / 1 bed / 2 bed
5
Facility 5
IA AVG 18
Rank #187 / 232
47.4%
Facility 47.4%
IA AVG 61.5%
Rank #177 / 259
7
3
Facility 3
IA AVG 6
Rank #89 / 265
1
Facility 1
IA AVG 0.9
Rank #180 / 265
The Heritage at Fox Run
AL
IL
MC
RC
Council Bluffs
132
Facility 132
IA AVG 73
Rank #25 / 289
AYes
14
Facility 14
IA AVG 45
Rank #257 / 302
Studio / 1 Bed / 2 Bed
22
Facility 22
IA AVG 18
Rank #81 / 232
50.8%
Facility 50.8%
IA AVG 61.5%
Rank #150 / 259
6
5
Facility 5
IA AVG 6
Rank #140 / 265
2
Facility 2
IA AVG 0.9
Rank #210 / 265
Prairie Hills at Cedar Rapids
AL
Cedar Rapids
86
Facility 86
IA AVG 73
Rank #76 / 289
DYes
47
Facility 47
IA AVG 45
Rank #134 / 302
Studio / 1 Bed / 2 Bed
18
Facility 18
IA AVG 18
Rank #107 / 232
50.0%
Facility 50.0%
IA AVG 61.5%
Rank #152 / 259
9
6
Facility 6
IA AVG 6
Rank #161 / 265
3
Facility 3
IA AVG 0.9
Rank #225 / 265
Edencrest at Pleasant Hill
AL
IL
MC
Pleasant Hill
140
Facility 140
IA AVG 73
Rank #21 / 289
D-Yes
2
Facility 2
IA AVG 45
Rank #297 / 302
Studio / 1 Bed / 2 Bed
1
Facility 1
IA AVG 18
Rank #223 / 232
21.4%
Facility 21.4%
IA AVG 61.5%
Rank #258 / 259
2
1
Facility 1
IA AVG 6
Rank #35 / 265
0
Facility 0
IA AVG 0.9
Rank #1 / 265
Happy Siesta Healthcare Center
AL
MC
NH
RC
SNF
Remsen
62
Facility 62
IA AVG 73
Rank #151 / 289
-No
49
Facility 49
IA AVG 45
Rank #130 / 302
-
22
Facility 22
IA AVG 18
Rank #81 / 232
87.1%
Facility 87.1%
IA AVG 61.5%
Rank #66 / 259
19
7
Facility 7
IA AVG 6
Rank #174 / 265
0
Facility 0
IA AVG 0.9
Rank #1 / 265
Summit House Assisted Living
AL
IL
RC
Nw Britt
90
Facility 90
IA AVG 73
Rank #67 / 289
-No
38
Facility 38
IA AVG 45
Rank #175 / 302
-
13
Facility 13
IA AVG 18
Rank #134 / 232
48.9%
Facility 48.9%
IA AVG 61.5%
Rank #167 / 259
3
1
Facility 1
IA AVG 6
Rank #58 / 265
0
Facility 0
IA AVG 0.9
Rank #1 / 265

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other IA assisted living community we track that reports that metric, not just the 310 on this page. See how we rank facilities

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Overview of Perry Lutheran Home

Perry Lutheran Home provides nursing home, assisted living, independent living, memory care, respite care, and skilled nursing in Perry, IA. Independent living offers private living with community services and no daily care, while assisted living helps with daily tasks such as bathing, dressing, and medication. Memory care is a secured setting with supervision for someone at risk of wandering, and skilled nursing provides licensed nursing care on site around the clock.

Respite care offers a short stay when a family’s usual caregiver needs to travel or recover. As a continuing care retirement community, Perry Lutheran Home brings these care levels together, which may suit a resident whose needs grow over time because changing care can happen without leaving the community. The home has 70 beds.

Rehabilitative therapy can support a resident working to regain function. The Meals on Wheels program provides meal delivery through that service. Medicare, Medicaid, and private pay are accepted, giving families those payment routes for care costs.

Total nurse staffing is 4h 40m per resident/day, representing the daily hands-on nurse staffing time per resident. A Walk Score of 74 places the area in the very walkable band, so most errands can be done on foot and a resident who no longer drives can still get out independently. Melissa Gannon serves as the administrator.

Contact Perry Lutheran Home

Overview of The Meadows

Make the most of your best years at The Meadows, a welcoming retreat in Manchester, IA, offering assisted living. Featuring specially designed and secure accommodations, the community ensures residents are comfortable and safe. Residents can also keep their peace of mind with a compassionate and well-trained team helping with their daily living activities around the clock.

A thoughtfully planned calendar of engaging activities and fun recreational programs is conducted, encouraging residents to interact with their surroundings and live actively. Residents have a delightful dining experience with delicious and well-balanced dining options that cater to their dietary needs and preferences. The community is ideal for those needing assistance to live comfortably in retirement, especially with its exceptional care and well-maintained amenities.

Contact The Meadows

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

Overview of The Rose of Dubuque

Administered by Carol Sheets, The Rose of Dubuque is an assisted living and nursing care community at 3390 Lake Ridge Drive in Dubuque, Iowa, about 3.4 miles from the city center. Residents live in one-bedroom and two-bedroom apartments. They also receive personal care that includes 24-hour emergency response, laundry service, and assistance with activities of daily living.

The three-story community has 140 beds. It has been serving residents for 13 years, giving it an established presence in the Dubuque area. It currently has an occupancy rate of about 49%, with 69 of its 140 beds occupied. The area has a Walk Score of 37, which is somewhat walkable. A few nearby destinations can be reached on foot, but most trips require a car.

Residents can participate in arts and crafts, table games, social events, and fitness and recreation programs. Walking paths and gardens provide outdoor space to enjoy. There’s also an on-site beauty salon and transportation services. Pets are welcome here, allowing residents to keep a companion animal during their stay.

The Iowa Department of Inspections, Appeals, and Licensing conducts inspections of the community. Over the years, inspections have reviewed tenant rights, staff training, food service sanitation, and documentation of individualized service plans. Other inspection cycles found no concerns in these areas. Families considering The Rose of Dubuque may ask how these practices are managed daily.

Contact The Rose of Dubuque

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

Overview of The Heritage at Fox Run

The Heritage at Fox Run offers independent living, assisted living, memory care, and respite care in Council Bluffs, IA. Independent living means a resident has a private home with community services but no daily care, while assisted living adds help with tasks such as dressing, bathing, and taking medication. Memory care provides a secured setting with supervision for someone at risk of wandering. Respite care supports a short stay when a usual caregiver needs to travel or recover.

Several care levels are available in one community. If a resident’s needs grow, they may be able to move to another level without leaving the community or starting over socially, which may make The Heritage at Fox Run a good fit for someone whose care needs may change over time. The community has 132 beds and offers studio, one bedroom, and two bedroom housing, including layouts for a single resident, someone who wants a separate bedroom, or a couple moving together. Pets are allowed, so a resident can bring a pet when moving in, and Jenny Munro serves as the administrator.

Contact The Heritage at Fox Run

Overview of Prairie Hills at Cedar Rapids

Set in a 3-story building, Prairie Hills at Cedar Rapids is an 86-bed residential community in Cedar Rapids. Operating for 18 years, it maintains three housing options to fit different needs: studios, one-bedroom, and two-bedroom apartments. With current occupancy at 50 percent (43 occupied beds), the home has availability.

The setting scores 47 for walkability, meaning a few nearby services are walkable, but most trips require transportation. This kind of setting fits residents and families who love a quieter neighborhood feel.

For families contemplating Prairie Hills at Cedar Rapids, a tour is an efficient way to see the housing options, meet the team, and understand present services and daily activities.

Contact Prairie Hills at Cedar Rapids

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.

$4,300/Month

Contact Edencrest at Pleasant Hill

Overview of Happy Siesta Healthcare Center

Set up for memory care, respite care, assisted living, skilled nursing, and nursing home care, Happy Siesta Healthcare Center works in Remsen, IA. The nursing home level is built around staying put for good, while skilled nursing is the level under which licensed nursing work gets done here. Dressing, bathing, and medication all get help under assisted living.

Where a wandering risk has come with the dementia, memory care supplies the secured setting and the supervision inside it. Respite covers the temporary stay taken while a primary caregiver travels or recovers.

Sixty-two beds are what the center is licensed to run, and a change in what a resident needs can be met without a change of building. Jennifer Kuiken has been named administrator.

Pool & Fitness Center and Outpatient Therapy are named programs, so exercise and rehabilitation both happen on the premises. The Dreams Program and Short Term Rental Apartments are named separately. The Walk Score comes out at 49, car-dependent, and most errands call for a ride.

Contact Happy Siesta Healthcare Center

Overview of Summit House Assisted Living

Summit House Assisted Living provides assisted living, independent living, and respite care in Britt, Iowa. Assisted living provides help with daily tasks such as dressing, bathing, and medication management, while independent living offers private living with community services and no daily care. Respite care provides a short-term stay, which can suit a family caregiver who needs time to travel or recover.

The community has 90 beds. With assisted living, independent living, and respite care available in one community, a resident whose needs change may be able to move to a different care level without leaving Summit House Assisted Living. Terri Tweedy serves as the administrator.

Summit House Assisted Living has a Walk Score of 38, placing it in a car-dependent setting where most errands require a car or a ride. A resident who no longer drives would need transportation for those errands.

Contact Summit House Assisted Living

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.

Assisted Living in Iowa at a glance

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: 73The average licensed bed capacity across facilities in Iowa. Individual facilities can vary widely from this average.
National Average: 90