Page 30 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. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment. 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.
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.
Parkview Care Center
SC
NH
SNF
Fairfield
70
Facility 70
IA AVG 71
Rank #81 / 241
No
87
Facility 87
IA AVG 46
Rank #19 / 260
--
68.6%
Facility 68.6%
IA AVG 63.7%
Rank #185 / 229
225
Avoca Lodge Assisted Living
SC
AL
Avoca
40
Facility 40
IA AVG 71
Rank #261 / 334
No-Semi-Private / 1 Bed
24
Facility 24
IA AVG 18
Rank #77 / 258
-3
4
Facility 4
IA AVG 7
Rank #125 / 299
Chapters Living of Council Bluffs (ALP)
SC
AL
IL
MC
NH
Council Bluffs (Kane Township)
36
Facility 36
IA AVG 71
Rank #293 / 334
No--
3
Facility 3
IA AVG 18
Rank #230 / 258
38.9%
Facility 38.9%
IA AVG 63.7%
Rank #262 / 295
3
1
Facility 1
IA AVG 7
Rank #36 / 299
Legacy of the Meadows
SC
AL
MC
Dewitt
36
Facility 36
IA AVG 71
Rank #293 / 334
No
79
Facility 79
IA AVG 46
Rank #41 / 424
-
1
Facility 1
IA AVG 18
Rank #247 / 258
-1
0
Facility 0
IA AVG 7
Rank #1 / 299
Oak Park Estates AL & Memory Care
SC
AL
HOS
MC
RC
Cedar Falls
34
Facility 34
IA AVG 71
Rank #303 / 334
No
78
Facility 78
IA AVG 46
Rank #45 / 424
-
6
Facility 6
IA AVG 18
Rank #201 / 258
-5
0
Facility 0
IA AVG 7
Rank #1 / 299
Sibley Specialty Care
SC
NH
SNF
North Sibley
46
Facility 46
IA AVG 71
Rank #153 / 241
No
64
Facility 64
IA AVG 46
Rank #80 / 260
--
87.0%
Facility 87.0%
IA AVG 63.7%
Rank #75 / 229
176
University Park Nursing and Rehabilitation Center
SC
AL
NH
RC
SNF
Des Moines (East Village)
108
Facility 108
IA AVG 71
Rank #51 / 334
No
91
Facility 91
IA AVG 46
Rank #2 / 424
-
25
Facility 25
IA AVG 18
Rank #68 / 258
66.7%
Facility 66.7%
IA AVG 63.7%
Rank #143 / 295
36
17
Facility 17
IA AVG 7
Rank #280 / 299
Urbandale Health Care Center
SC
HOS
NH
PC
RC
SNF
Urbandale
115
Facility 115
IA AVG 71
Rank #13 / 241
No
61
Facility 61
IA AVG 46
Rank #89 / 260
--
73.0%
Facility 73.0%
IA AVG 63.7%
Rank #164 / 229
115
Addington Place of Des Moines
SC
AL
MC
Des Moines
54
Facility 54
IA AVG 71
Rank #207 / 334
Yes-Studio / 1 Bed / 2 Bed
14
Facility 14
IA AVG 18
Rank #147 / 258
31.5%
Facility 31.5%
IA AVG 63.7%
Rank #279 / 295
8
19
Facility 19
IA AVG 7
Rank #285 / 299
On With Life Long Term Care
SC
IL
NH
SNF
Polk City
40
Facility 40
IA AVG 71
Rank #261 / 334
No
43
Facility 43
IA AVG 46
Rank #228 / 424
-
30
Facility 30
IA AVG 18
Rank #32 / 258
95.0%
Facility 95.0%
IA AVG 63.7%
Rank #9 / 295
16
4
Facility 4
IA AVG 7
Rank #125 / 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 Parkview Care Center

Parkview Care Center is a 70 bed nursing home in Fairfield, IA, offering skilled nursing care. The number of beds gives families a clear sense of the home’s available residential capacity.

Skilled nursing provides licensed nursing care around the clock for residents who need ongoing clinical support. Rehabilitation services help residents work to regain function after illness, injury or a medical procedure, while Medicare, Medicaid and private pay offer several ways to cover care. Sarah Flattery serves as the administrator. Parkview Care Center may be a good fit for someone who needs skilled nursing care together with rehabilitation services.

Contact Parkview Care Center

Overview of Avoca Lodge Assisted Living

Peacefully nestled in the harmonious neighborhood of Avoca, IA, Avoca Lodge Assisted Living is a blissful haven that offers assisted living. A compassionate and well-trained team provides top-tier care tailored to residents’ daily living activities around the clock. Purposely built and secure accommodations are provided, ensuring residents are comfortable and safe.

Residents are encouraged to live actively and have fun with a well-thought-out calendar of engaging activities and fun recreational programs. Mealtimes promote social interactions and satisfy dietary needs with delicious and healthy dining options. For convenience and safety, medication management is provided. The community is a good option for those seeking exceptional assistance for the finest retirement experience.

Contact Avoca Lodge Assisted Living

Overview of Chapters Living of Council Bluffs (alp)

Chapters Living of Council Bluffs (alp) offers assisted living, independent living, memory care, and nursing care in Council Bluffs, IA. Independent living provides private living with community services and no daily care, while assisted living adds help with tasks such as dressing, bathing, and medication. Memory care provides a secured setting with supervision for someone at risk of wandering, and nursing care provides licensed nursing care on site around the clock. With several care levels in one community, Chapters Living of Council Bluffs (alp) may be a good fit for a resident whose needs could grow over time without requiring a move to another community.

The community has 36 beds, creating a smaller setting where staff and residents can get to know each other. Chef prepared meals are provided, and the beauty salon and barber shop let residents take care of grooming within the community. Residents can join exercise classes, Bible studies, music, crafts, and game nights, while rehabilitation services are also available. Mike Steinkruger serves as the administrator, and the community is in the Kane Township neighborhood.

Contact Chapters Living of Council Bluffs (ALP)

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 Oak Park Estates Al & Memory Care

Oak Park Estates AL & Memory Care is an intimate 16-bedroom assisted living community at 3212 Greenhill Circle in Cedar Falls, Iowa. Co-founded and administered by Michelle Rasbeck, RN, the facility is certified as a dementia-specific program serving Black Hawk County with a focus on personalized, small-scale memory care. The campus emphasizes a home-like environment where residents step directly from private rooms into shared social spaces to encourage interaction and reduce confusion.

State oversight from the Iowa Department of Inspections, Appeals, and Licensing confirms the facility holds an active dementia-specific license through July 2026. While public databases currently show limited historical inspection data, the community reports maintaining a fully secured building with keypad access controlled exclusively by staff to prevent wandering. The 24-hour care model operates with approximately three staff members per shift and a full-time nurse on-site during business hours to oversee clinical needs. All-inclusive monthly rent is reported to start near $4,710, though specific care levels may impact final pricing.

Professional care is guided by a leadership team with 17 years of healthcare experience, focusing on high-acuity memory support and hospice coordination. The facility maintains a staffing model that includes personal care assistants and nurses who utilize a monitoring system to track resident movement within the short, easy-to-navigate hallways. Residents have access to specialized dementia training for all caregivers, alongside medication management and pharmacy services coordinated on-location. Clinical partnerships with Sartori Memorial Hospital and UnityPoint Health – Allen Hospital facilitate medical transfers when advanced care becomes necessary.

The campus environment features a professional kitchen led by a chef trained at Le Cordon Bleu, focusing on nutritious, home-cooked meals tailored to resident preferences. Common areas are equipped with cable TV and Wi-Fi, while outdoor amenities include fenced walking paths and a backyard designed for residents and their pets. Resident life includes two daily organized activities ranging from music performances to crafting, and the kitchen accommodates various dietary needs such as diabetic, kosher, and low-sodium plans. Scheduled transportation is provided for medical appointments and group outings, while on-site salon services and companion care assist with daily living tasks.

Families and prospective individuals should evaluate the current staff-to-resident ratios and nighttime safety protocols during an on-site visit. It is advisable to ask the director for specific details on the transition process for new residents and to verify that the all-inclusive fee structure covers the resident’s specific 2026 clinical requirements.

Contact Oak Park Estates AL & Memory Care

Overview of Sibley Specialty Care

Sibley Specialty Care is a 46-bed rehabilitation and skilled nursing community in Sibley, Iowa. Owned and operated by David Bronner under the Care Initiatives nonprofit network, the facility keeps about 87 percent of its beds filled. They take Medicare, Medicaid, and private pay, and with stays averaging 239 days, the daily mix balances short-term recovery patients with individuals who live there for long-term care.

The nursing team delivers about 4 hours and 3 minutes of direct, hands-on attention to each resident daily. This round-the-clock clinical schedule is split down into 53 minutes from registered nurses, 2 hours and 10 minutes from nurse aides, and 19 minutes from licensed practical nurses to handle rehabilitation needs after injuries, illnesses, or surgeries. Outside the facility, the local neighborhood has a walkability score of 64 out of 100, meaning you can check off a reasonable number of basic daily errands on foot.

State inspectors noted a few operational areas that need attention during recent facility surveys. The review outlined documentation gaps regarding infection control, kitchen food service setups, nursing supervision routines, and general resident safety rules, which the management uses to adjust staff workflows and guidelines.

Representatives can call the main office to verify current bed availability, ask about the tailored physical therapy options, or schedule a tour of the building. The business staff is also ready to discuss payment choices and explain how insurance plans or state aid programs fit into the monthly billing.

Contact Sibley Specialty Care

Overview of University Park Nursing and Rehabilitation Center

Owned by Scott Berger, University Park Nursing and Rehabilitation Center is a nursing home in Des Moines, Iowa, that has served residents for 25 years. The 108-bed facility currently houses 72 residents, with an occupancy rate of 67%. Medicare, Medicaid, and private pay are accepted, giving families several options for covering rehabilitation services and ongoing nursing care.

The center focuses on short-term rehabilitation and skilled nursing services. Residents have access to specialized programs for diabetes management, enteral nutrition support, ostomy care, pain management, IV therapy, and tracheotomy care. These services can benefit individuals recovering from surgery, hospitalization, and other health conditions that require ongoing clinical support.

Residents stay an average of 157 days, including short-term rehabilitation patients and those receiving longer-term care. Respite care is also available for families seeking temporary placement options.

Daily nurse staffing averages 3 hours and 37 minutes per resident. Registered nurses provide approximately 43 minutes of care each day, while nurse aides contribute about 2 hours and 36 minutes. This level of hands-on support is for residents with significant medical and personal care needs.

The community has a Walk Score of 91. It’s in a highly walkable area of Des Moines, which is convenient for family members and residents. State inspections have tracked the facility’s focus on care quality and compliance for several years. Responses to earlier findings demonstrate the facility’s ongoing commitment to maintaining care standards.

Contact University Park Nursing and Rehabilitation Center

Overview of Urbandale Health Care Center

Urbandale Health Care Center is a rehabilitation and skilled nursing facility located in Urbandale, IA, northwest of Meredith Park. Aside from rehabilitation and long-term care, they also provide specialized services like respite care, and hospice care. Their current facility can house 106 patients, with access to a full nursing assistance 24 hours daily. Aside from this, the patients also receive medication administration done by licensed professionals, meal provisions, grooming services, housekeeping, and various therapy depending on patient needs.

Urbandale Health Care Center admission inquiries are open 24/7 including holidays. They also provide tours for those who would like to learn more about this long-term care nursing home. However, due to their capacity limit, admissions to the facility will be based on bed availability.

Contact Urbandale Health Care Center

Overview of Addington Place of Des Moines

Treat yourself to a luxurious retirement with the prestigious senior living community of Addington Place of Des Moines in South East 27th Street, Des Moines, IA, offering assisted living, memory care, and respite care. Featuring cozy and sophisticated studio, one-bedroom, and two-bedroom residences, the community ensures seniors enjoy a comfortable and secure retirement. Moreover, 24-hour care and assistance allow seniors to flourish and live to their potential.

With mind-stimulating programs and enriching activities, Addington Place of Des Moines ensures residents enhance their cognition and live an active lifestyle. Delight in healthy and delicious meals that satisfy cravings and dietary needs. Addington Place of Des Moines is a pet-friendly community that strives to create a safe place for seniors to spend their golden years doing the things they love.

Contact Addington Place of Des Moines

Overview of On with Life Long Term Care

On with Life Long Term Care provides nursing home care, skilled nursing, and independent living in Polk City, IA. Nursing home and skilled nursing care include licensed nursing on site around the clock, while independent living offers private living without daily care. With 40 beds, the community is small enough for staff and residents to get to know each other.

Neuro rehabilitation includes inpatient post acute care, outpatient care, residential neuro rehabilitation, day services, and neuropsychological services. These programs support people recovering from brain injury, stroke, concussion, Parkinson’s disease, or spinal cord injury, with care available through inpatient, outpatient, residential, and day based services. Short term rehabilitation and respite care are also available, offering recovery stays or temporary care when a usual caregiver needs to travel or recover.

Staffing is available around the clock. The 95% occupancy rate means most beds are occupied at a given time, so availability may matter when considering a move. A Walk Score of 43 places the area in a car dependent setting, meaning most errands require a car or a ride; someone who no longer drives would generally need transportation for those trips.

Jeni Lewis serves as the administrator. The combination of neuro rehabilitation, short term rehabilitation, respite care, and long term skilled care may suit someone whose recovery or care needs require different lengths of stay.

Contact On With Life Long Term Care

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 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.