Page 29 of Best Senior Communities in Iowa

Why trust this guide? Our editorial team analyzed 526 senior communities in IA using IA Dept. of Inspections, Appeals & Licensing (DIAL) data, inspection records, complaints, amenities, and facility-level details. How we rank senior communities in IA
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Last updated
We analyzed These are the facilities in Iowa our team has analyzed — not a count of every senior community provider in Iowa.
526 homes
Other senior care options in Iowa:
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

Compare Senior Communities 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-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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. SC (Senior Communities):
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.
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.
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.
Chautauqua Guest Home #2 (11th St.)
SC
AL
IL
NH
SNF
Charles City
46
Facility 46
IA AVG 71
Rank #229 / 334
No
77
Facility 77
IA AVG 46
Rank #49 / 424
50
Facility 50
IA AVG 18
Rank #7 / 258
82.6%
Facility 82.6%
IA AVG 63.7%
Rank #72 / 295
14
5
Facility 5
IA AVG 7
Rank #150 / 299
Ruthven Community Care Center
SC
AL
IL
NH
SNF
Ruthven
30
Facility 30
IA AVG 71
Rank #318 / 334
Yes
33
Facility 33
IA AVG 46
Rank #290 / 424
24
Facility 24
IA AVG 18
Rank #77 / 258
-14
4
Facility 4
IA AVG 7
Rank #125 / 299
The Village of Ackley
SC
ADC
AL
IL
MC
NH
SNF
Ackley
38
Facility 38
IA AVG 71
Rank #286 / 334
No
44
Facility 44
IA AVG 46
Rank #221 / 424
-
84.2%
Facility 84.2%
IA AVG 63.7%
Rank #65 / 295
21
14
Facility 14
IA AVG 7
Rank #268 / 299
Winslow House Care Center
SC
NH
SNF
Marion
50
Facility 50
IA AVG 71
Rank #147 / 241
No
89
Facility 89
IA AVG 46
Rank #13 / 260
-
94.0%
Facility 94.0%
IA AVG 63.7%
Rank #25 / 229
3216
Edencrest at Timberline
SC
AL
IL
MC
RC
Urbandale
120
Facility 120
IA AVG 71
Rank #34 / 334
Yes-
1
Facility 1
IA AVG 18
Rank #247 / 258
54.2%
Facility 54.2%
IA AVG 63.7%
Rank #167 / 295
1
0
Facility 0
IA AVG 7
Rank #1 / 299
Bethany Home Retirement Center
SC
IL
MC
NH
SNF
Dubuque (Eagle Point District)
66
Facility 66
IA AVG 71
Rank #151 / 334
No
69
Facility 69
IA AVG 46
Rank #82 / 424
--14
4
Facility 4
IA AVG 7
Rank #125 / 299
Kahl Home for Aged & Infirm
SC
AL
HOS
MC
NH
RC
SNF
Davenport
112
Facility 112
IA AVG 71
Rank #44 / 334
No--
92.9%
Facility 92.9%
IA AVG 63.7%
Rank #23 / 295
36
20
Facility 20
IA AVG 7
Rank #290 / 299
Norwalk Nursing and Rehabilitation Center
SC
NH
RC
SNF
Norwalk
45
Facility 45
IA AVG 71
Rank #182 / 241
No
70
Facility 70
IA AVG 46
Rank #66 / 260
-
93.3%
Facility 93.3%
IA AVG 63.7%
Rank #28 / 229
207
Birkwood Village of Fort Madison
SC
AL
IL
MC
NH
RC
SNF
Fort Madison
42
Facility 42
IA AVG 71
Rank #257 / 334
No-
2
Facility 2
IA AVG 18
Rank #236 / 258
69.0%
Facility 69.0%
IA AVG 63.7%
Rank #138 / 295
2
5
Facility 5
IA AVG 7
Rank #150 / 299
Wellington Place
SC
AL
IL
MC
NH
SNF
Decorah
68
Facility 68
IA AVG 71
Rank #141 / 334
No
84
Facility 84
IA AVG 46
Rank #26 / 424
19
Facility 19
IA AVG 18
Rank #119 / 258
57.4%
Facility 57.4%
IA AVG 63.7%
Rank #161 / 295
10
2
Facility 2
IA AVG 7
Rank #59 / 299

Rank badges are statewide: each community is ranked against every IA community we track that reports that metric, not just the 526 on this page. See how we rank facilities

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Overview of Chautauqua Guest Home #2 (11th St.)

Chautauqua Guest Home #2 provides skilled nursing care from its 53-bed property at 602 Eleventh Street in Charles City, Iowa. Managed by administrator Misty Hobert under owner David Ayers, the facility usually runs at about 83 percent occupancy. Families can handle regular bills through private out-of-pocket payments, standard Medicare, or state Medicaid programs. Stays here average around 409 days, which shows the building blends short-term physical rehabilitation for people coming out of the hospital with traditional, extended nursing care.

Residents get an average of 4 hours and 9 minutes of hands-on attention from the floor nursing staff every day. Certified nursing assistants cover the largest share of this time at 2 hours and 58 minutes, while registered nurses add 53 minutes and licensed practical nurses provide 25 minutes of clinical oversight. This team handles daily treatments and medication schedules, while the surrounding neighborhood scores a 77 out of 100 for walkability, making it easy for visiting family members to take care of local errands on foot.

Recent state surveys noted a few areas that needed improvement, specifically regarding food safety protocols and pain medication administration lines, which the management team corrected. Local supervisors use these state reports to update floor routines and keep continuing education programs current for the staff.

Families looking into local care options can call the front desk to check on open room availability, ask about the rehabilitation setup, or schedule a time to look around the facility.

Contact Chautauqua Guest Home #2 (11th St.)

Overview of Ruthven Community Care Center

Ruthven Community Care Center runs a 30-bed nursing and rehabilitation property at 2701 Mitchell Street in Ruthven, Iowa. Operating with a 23-year history in the local region, the facility stands out by running at a 100 percent occupancy level. The business office processes regular statements using private payment options, traditional federal Medicare, and standard state Medicaid paths. Individual stays average roughly 136 days, creating a daily population profile that shifts between short-term physical therapy and permanent skilled nursing placements.

The clinical floor structure delivers an average of 3 hours and 54 minutes of total hands-on nursing attention to each resident daily. Registered nurses cover 28 minutes of this bedside schedule to handle specialized medical oversight, working in tandem with the broader nursing staff to coordinate functional maintenance programs, speech therapy, and post-hospital recovery tracks. This medical team serves a wider community-owned campus that integrates independent living apartments and assisted living services alongside the primary skilled nursing wing, allowing individuals to access multiple care tiers within a single rural property.

Interested individuals can get in touch with the admissions office to double-check waiting list timelines, ask about the independent villa apartments, or schedule an afternoon walkthrough of the campus.

Contact Ruthven Community Care Center

Overview of The Village of Ackley

Owned by Korey Deberg, The Village of Ackley is a nursing home in Iowa. With 38 beds, the smaller community serves residents who need skilled nursing care and rehabilitation services. The area has a Walk Score of 44, so the facility is somewhat walkable. Some nearby services are accessible on foot, while most trips require transportation.

The facility focuses on short-term rehabilitation and respite care and also provides ongoing nursing support. Residents stay an average of 360 days, including those recovering from acute health events and those transitioning into longer-term care. The community has an occupancy rate of 84%, with 32 residents living in its 38 beds.

Daily nurse staffing averages 4 hours and 11 minutes per resident. Registered nurses provide 1 hour and 7 minutes of care each day, while nurse aides contribute 2 hours and 30 minutes of direct support. This level of staffing provides substantial hands-on assistance for residents. Medicare, Medicaid, and private pay are accepted, giving families several options for arranging care.

Home-cooked meals are an important part of daily life within the community. Residents receive three hearty meals each day because of the facility’s personal approach to care. This style of dining may appeal to residents and families who value a more home-like atmosphere.

Recent state inspections reviewed areas such as abuse and neglect prevention, timely reporting of resident concerns, communication with families regarding health changes, staffing levels, and clinical documentation. Families touring the community should ask about these core operational areas before making a placement decision.

Contact The Village of Ackley

Overview of Winslow House Care Center

Serving residents who need skilled nursing care and rehabilitation support, Winslow House Care Center is a community in Marion, Iowa. The 50-bed facility is owned by The Capstone Group Inc. It accepts Medicare, Medicaid, and private pay, giving families several options for arranging coverage.

The community has an occupancy rate of 94%. Residents stay an average of 459 days due to the significant long-term care population, as well as those receiving rehabilitation services.

Daily nurse staffing averages about 4 hours per resident. Residents are supported by registered nurses, licensed practical nurses, and nursing aides. This level of staffing helps support both rehabilitation programs and the daily nursing care needs of residents.

The community has a Walk Score of 89, so it’s highly walkable. Family members and visitors can easily access many nearby services and destinations on foot.

State inspections reviewed areas such as resident rights, care assessments, documentation practices, staffing information, and infection prevention procedures. The facility has responded to inspection findings with corrective actions to strengthen these operations.

Contact Winslow House Care Center

Overview of Edencrest at Timberline

Edencrest at Timberline offers assisted living, independent living, memory care, and respite care in Urbandale, IA. The community has 120 beds. Independent living provides private living without daily care, while assisted living adds help with daily tasks such as dressing, bathing, and medication. Memory care provides a secured setting with supervision, and respite care offers a short stay when a usual caregiver needs to travel or recover.

With several care levels in one community, Edencrest at Timberline may be a good fit for a resident whose needs could grow over time and who may be able to move to a different level of care without leaving the community. Starting prices are $2,900 for independent living, $2,900 for assisted living, and $5,600 for memory care, giving families a separate entry point for each care level.

Transportation options and outings give residents ways to participate in activities beyond their apartment, while outdoor gardens and patios provide outdoor areas on the property. A fitness center, health classes, salon, and spa room support exercise, learning, grooming, and spa services without requiring residents to leave for those activities. Pets are allowed, so a resident may bring a pet when moving in.

Geoff Counasse serves as the administrator.

Contact Edencrest at Timberline

Overview of Bethany Home Retirement Center

Surrounded by thriving local amenities in Dubuque, IA, Bethany Home Retirement Center is an outstanding community that offers independent living, memory care, and rehabilitation. Featuring purposely built and spacious one- and two-bedroom floor plans, the community ensures residents are comfortable and safe. Housekeeping, laundry, and maintenance are taken care of, providing residents more time to do the things they love.

A variety of recreational activities and engaging programs are conducted to keep residents active and socially connected. With a food service program, residents enjoy delightful and healthy meals that cater to their dietary needs and preferences. The community also offers wellness services to improve residents’ living experiences. Residents are guaranteed the finest retirement experience amidst the community’s vibrant and welcoming environment.

Contact Bethany Home Retirement Center

Overview of Kahl Home for Aged & Infirm

Kahl Home for Aged & Infirm is a nursing home and skilled nursing community in Davenport, IA that also offers assisted living, hospice care, memory care, and respite care. Skilled nursing provides licensed nursing care on site around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication while a resident lives in an apartment. Memory care provides a secured setting with supervision for someone at risk of wandering, hospice care supports residents with end of life needs, and respite care offers a short stay when a usual caregiver needs to travel or recover.

The range of care levels can suit a resident whose needs grow over time, since moving between care levels may not require leaving the community. Kahl Home for Aged & Infirm has 112 beds and opened in 2012. Accommodations include private rooms, semi-private suites, one bedroom apartments, and studio apartments.

Residents can use two courtyards for walking and socializing, along with a pub, bistro, gift shop, and common living areas. Scheduled outings provide planned opportunities to participate in activities away from the residence, while rehabilitation services support residents who need therapy, and daily mass is available in the chapel. Medicare, Medicaid, and private pay are accepted; total nurse staffing is 4h 5m per resident/day, representing the daily nurse staffing time allocated per resident, and Kimberly Hufsey serves as the administrator.

Contact Kahl Home for Aged & Infirm

Overview of Norwalk Nursing and Rehabilitation Center

Providing short-term rehabilitation and longer-term skilled care, Norwalk Nursing and Rehabilitation Center is a nursing home with 45 beds. It is owned by Karah Appleget and accepts Medicare, Medicaid, and private pay, so families have several options for covering both post-acute recovery and ongoing nursing care. The facility has an occupancy rate of 93%. Residents stay an average of 137 days, which includes rehabilitation admissions and longer-term care residents.

Clinical support is a central part of daily operations. Licensed nurses are available 24 hours a day, and physicians make regular visits to oversee medical care. The facility offers restorative rehabilitation, dietary and nutritional counseling, and disease management programs to reduce preventable hospital readmissions.

Vision and dental services are available on-site. Staff also develop individualized care plans based on each resident’s needs.

The facility has a Walk Score of 70. Visiting family members can easily navigate the neighborhood on foot and access nearby services. It’s a walkable community where many errands can be completed without a car, which is less common in many rural care settings.

Families considering Norwalk Nursing and Rehabilitation Center should take a tour of the facility to see the environment, meet staff members, and learn more about the home’s rehabilitation services and care programs.

Contact Norwalk Nursing and Rehabilitation Center

Overview of Birkwood Village of Fort Madison

Birkwood Village of Fort Madison offers a continuous care setup covering independent living, assisted living, and skilled nursing at 1701 41st Street in Fort Madison, Iowa. Mark Holtkamp privately owns the 42-bed campus, which operates under the direction of administrator Brenda Graham. The facility currently sits at a 69 percent occupancy rate and accepts payment via private accounts, Medicare, and state Medicaid. Stays here average about 179 days, which splits the daily routine between short-term physical therapy and permanent clinical housing.

Residents receive a daily average of 4 hours and 14 minutes of direct nursing attention, including 33 minutes from registered nurses. A full-time recreation director designs activities, and the kitchen provides made-to-order menus for all three meals. The building features studio, one-bedroom, and two-bedroom options, alongside dedicated memory care spaces for people with cognitive decline. The rural neighborhood has a walk score of 29, meaning you will need a car for most errands and family visits.

State inspections over the two years since opening have highlighted a few areas for improvement, specifically noting procedural issues with care plans, staffing levels, infection control, and medication management. The facility’s management reviews these reports to retrain employees and update floor practices.

Interested individuals can call the main office to find out about room openings, ask about the made-to-order dining options, or set up a time to see the apartments. The front desk can also cross-reference insurance details to outline how public programs or personal funding cover the monthly rates.

Contact Birkwood Village of Fort Madison

Overview of Wellington Place

Wellington Place offers independent living, assisted living, memory care, and skilled nursing in Decorah, IA. Independent living means a resident has a private living space with community services but no daily care, while assisted living provides help with tasks such as dressing, bathing, and medication while the resident keeps an apartment. 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.

Multiple care levels on one campus may suit a resident whose needs grow over time, since moving between levels does not require leaving the community. The campus also provides skilled nursing and rehabilitation services, including short term rehabilitation for someone recovering after an illness, injury, or hospital stay. Wellington Place has 68 beds, and Mary Miller serves as the administrator.

Medicare, Medicaid, and private pay are accepted, giving families payment routes for covered or privately funded care. Total nurse staffing is 4h 38m per resident per day, representing the daily hands on nursing time allocated to each resident. With a Walk Score of 84, the area is very walkable, so most errands can be completed on foot and a resident who no longer drives can still get out independently.

Contact Wellington Place

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 Senior Communities in Iowa

What is senior living?

Senior communities are residential settings designed for adults aged 55 or older, with options ranging from active independent living to assisted living and memory care.

How many senior communities are listed on this page?

This page features 526 senior communities in Iowa. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right senior community 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 senior communities 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.