Page 31 of Best Senior Communities in Iowa

Why trust this guide? Our editorial team analyzed 512 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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We analyzed These are the facilities in Iowa our team has analyzed — not a count of every senior community provider in Iowa.
512 homes
Other senior care options in Iowa:

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. 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.
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.
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.
Belle Plaine Specialty Care
SC
NH
SNF
Belle Plaine
46No 59 - 78.3% B+237-
Mississippi Valley Healthcare and Rehabilitation Center
SC
NH
SNF
Keokuk
83No 53 - 65.1% C+2711-
Westhaven Community
SC
AL
IL
NH
SNF
Boone
40No 83 15 42.5% ?32-
Pillar of Cedar Valley
SC
HOS
NH
RC
SNF
Waterloo
114No 83 40 100.0% B+4122-
Kingsley Specialty Care
SC
HOS
NH
SNF
Kingsley
43No 21 1 86.0% C-2233
Bettendorf Health Care Center
SC
AL
NH
SNF
Bettendorf
86No 51 14 62.8% D-3714-
Regency Assisted Living
SC
AL
IL
MC
NH
SNF
Norwalk
60No 70 20 38.3% ?54-
Keystone Senior Suites
SC
AL
IL
MC
Keystone
24Yes 12 28 37.5% A24-
Primrose Retirement Community
SC
AL
IL
MC
RC
Council Bluffs (Kane Township)
64Yes-18 51.6% -51-
Azria Health Park Place
SC
NH
SNF
Des Moines (Union Park)
70No 51 1 72.9% C-2982
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Overview of Belle Plaine Specialty Care

Belle Plaine Specialty Care in Belle Plaine, Iowa, offers nursing home care and skilled nursing services within a 46-bed setting. Clinical programs assist residents who require ongoing medical attention, while on-site rehabilitation services provide physical therapy during recovery stays or as part of long-term care plans.

The community operates under the leadership of administrator Mitchell Huff. Daily nurse staffing across the facility averages 3 hours and 31 minutes per resident. Financial coverage includes Medicare for qualifying short-term rehab, Medicaid for long-term residential assistance, and direct private payment.

Prospective residents and their families can contact Belle Plaine Specialty Care to inquire about current room availability, tour the facility, or review specific health coverage options.

Contact Belle Plaine Specialty Care

Overview of Mississippi Valley Healthcare and Rehabilitation Center

Mississippi Valley Healthcare and Rehabilitation Center is a nursing home and skilled nursing facility in Keokuk, IA. Skilled nursing provides licensed nursing care on site around the clock, while rehabilitation services support recovery and functional work during a stay.

Respiratory and complex medical care are areas of specialization. The home may be a good fit for a resident whose needs include those forms of care and rehabilitation.

The home has 83 beds. Total nurse staffing is 2 hours and 56 minutes per resident per day, representing the daily hands on nursing time assigned to each resident. A doctor is on staff, providing physician care within the facility.

Payment options are Medicare, Medicaid, and private pay. Medicare can cover short term skilled care after a hospital stay, Medicaid may help with a longer stay when personal savings do not cover the cost, and private pay means paying directly. Michael Blume serves as the administrator.

Contact Mississippi Valley Healthcare and Rehabilitation Center

Overview of Westhaven Community

Westhaven Community offers nursing home care, assisted living, independent living, and skilled nursing in Boone, Iowa. Having several care levels in one community can suit a resident whose needs grow over time, because moving to a different level of care does not require leaving the community.

Independent living supports private living without daily care. Assisted living provides help with daily tasks such as dressing, bathing, and medication. Skilled nursing provides licensed nursing care on site around the clock for residents who need ongoing clinical support. With these options, the community may be a good fit for someone who wants to remain in one place if their care needs change.

Westhaven Community has 40 beds and opened in 2012. Total nurse staffing is 5 hours 4 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident. Payment options include Medicare, Medicaid, and private pay. Medicare can cover short-term skilled care after a hospital stay, Medicaid may help with longer-term care when savings do not cover the full stay, and private pay means paying directly. An on-site salon gives residents access to personal grooming without arranging an off-site visit. A Walk Score of 83 places the area in the very walkable band, meaning most errands can be done on foot and a resident who no longer drives can still get out independently. Breanna Streeter serves as the administrator.

Contact Westhaven Community

Pillar of Cedar Valley

1410 West Dunkerton Road, Waterloo, IA 50703-9626
Overview of Pillar of Cedar Valley

Pillar of Cedar Valley provides nursing home and skilled nursing care, hospice care, and respite care in Waterloo, IA. Rehabilitation services are also available, providing recovery support to improve residents’ mobility. The community also accommodates older adults with life-limiting conditions through hospice services. Additionally, respite care offers a short stay when a primary caregiver needs to travel or recover.

Operating for over 40 years, the community has a 114-bed capacity and is currently fully occupied. Residents also receive a total of 3 hours and 46 minutes of nursing care daily. Medicare, Medicaid, and private pay are also accepted, giving families public coverage options or the ability to pay directly.

Complimentary transportation is available for medical appointments or family visits. Moreover, residents can use the beauty shop, attend regular church services, and meet with a visiting chaplain. With Kersten Kelinlein as the administrator, the community also provides concierge services.

Furthermore, dining takes place in a large community-style glass-roofed dining room. A large community center also provides space for resident activities and gatherings.

Contact Pillar of Cedar Valley

Overview of Kingsley Specialty Care

Kingsley Specialty Care sits at 305 W 3rd St in Kingsley, Iowa, part of Plymouth County, where getting around still mostly means driving. Walk Score puts the neighborhood at 21, car-dependent territory, so this isn’t a place built around strolling to nearby errands. The 43-bed nursing home is run by Care Initiatives, with Evangelina Klein administering day-to-day operations.

Right now the building is at 72% occupancy, 31 of its 43 beds filled. That’s not packed, but it’s not empty either. What stands out more is how long people tend to stay: 270 days on average.

On staffing, registered nurses put in about 51 minutes per resident each day, and when you add up all nursing staff types together, residents get roughly 3 hours and 18 minutes of nursing care daily. Kingsley also holds a contract with the VA Community Nursing Home Program, so veterans in the area have a direct path into care here alongside everyone else. Coverage-wise, the facility takes Medicare, Medicaid, and private pay, so families aren’t boxed into one payment route. Iowa’s routine inspections for nursing homes like this one tend to circle the same territory: medication management, infection control, staffing credentials, how care plans get documented, and how dietary and food service are handled.

Kingsley Specialty Care is set up for residents who need real, ongoing nursing support, not a brief stay, backed by a staffing structure that shows up daily and payment options that don’t force families into a single lane.

Contact Kingsley Specialty Care

Overview of Bettendorf Health Care Center

Bettendorf Health Care Center in Bettendorf, Iowa, delivers assisted living, skilled nursing, and general nursing home care within an 86-bed setting. Daily support in assisted living assists residents with routine tasks like dressing, bathing, and medication management. On-site therapy programs and medical oversight help address short-term recovery needs alongside long-term support.

Administrator Jennifer Dunk manages operations at the center, which operates as part of the MGM Healthcare network. Daily nursing time averages 3 hours and 10 minutes per resident. The surrounding neighborhood holds a walk score of 51, making a few daily errands feasible on foot. Financial options for prospective residents include Medicare, Medicaid, and private payment.

Prospective residents evaluating long-term placement or short-term assistance can reach out to Bettendorf Health Care Center to request admissions details, check bed availability, or plan a tour of the campus.

Contact Bettendorf Health Care Center

Overview of Regency Assisted Living

Regency Assisted Living covers five care types in Norwalk, IA. They are assisted living, memory care, skilled nursing, independent living, and nursing home care. Licensed nursing at every hour describes a rota rather than an aspiration, and somebody’s shift covers three in the morning.

Assisted living pays for help with bathing, dressing, and medication. The resident’s private living space is not part of what is being helped with. Independent living goes further, with community services and no daily care. attached. Memory care is the secured, supervised level, and somebody whose wandering has become a risk may reach it from inside the building rather than from outside.

Five care levels under one roof suit needs that grow, since growing here does not mean moving. Sixty beds fall under its license. Per resident, day amounts to 3 hours and 1 minute of nursing.

Victoria Lehman administers the community. A Walk Score of 70 is very walkable, which runs high for an address of this kind. Most errands are within range on foot.

Medicare, Medicaid, and private pay are accepted. Short-term stays and respite care answer a different question about time, covering a stretch while the person normally doing the caregiving is away or recovering. Rehabilitation services back residents recovering or holding on to function.

Contact Regency Assisted Living

Overview of Keystone Senior Suites

Make the most of your best years at Keystone Senior Suites, a distinguished community in Keystone, IA, offering assisted living. Residents can keep their peace of mind with a compassionate and well-trained team that provides top-notch care tailored to their daily living activities and personal needs around the clock. With housekeeping and laundry services, residents enjoy a hassle-free lifestyle.

Dedicated to enhancing residents’ living experience, a thoughtfully curated calendar of enriching activities and stimulating programs is conducted. Mealtimes are something to look forward to, with delicious and healthy dining options served to meet residents’ dietary needs and preferences. The community is a good option for those needing assistance to live comfortably in retirement, especially with its quality services and well-maintained amenities.

Contact Keystone Senior Suites

Primrose Retirement Community

1801 East Kanesville Blvd, Council Bluffs, IA 51503
Overview of Primrose Retirement Community

Opened in 2008, Primrose Retirement Community provides assisted living, independent living, memory care, and respite care in Council Bluffs, IA. Nursing services are available, along with 24-hour staffing, ensuring residents receive continuous support as needed. The community also accommodates temporary stays to give their primary caregiver time to recover. Moreover, specialized care is provided for those living with memory-related conditions.

Administered by Hannah Phillips, the community can accommodate up to 64 older adults, with monthly starting prices of $4,495 for independent living, $4,815 for assisted living, and $4,510 for Townhome Villas. Notably, the Townhome Villas rate identifies a separate housing option, while the other two rates correspond to named care types. Occupancy is currently at 51.6%.

Residents may bring pets, while a beauty salon allows them to arrange grooming on-site. A chapel and religious services also provide a place for worship. Moreover, restaurant-style dining gives residents a structured setting for daily meals. Scheduled transportation can also support trips arranged through the community.

$4,815/Month

Contact Primrose Retirement Community

Overview of Azria Health Park Place

Azria Health Park Place is a skilled nursing and rehabilitation center in Des Moines. It is proud to be one of the few communities in the city that delivers exceptional individualized care for its unique residents. They aim to change the meaning of recovery for seniors through the outstanding level of care delivered by their patient-friendly staff to offer the best care possible for their residents. Azria strives to have all its residents experience the comprehensive and exemplary care offered.

Expect nothing but quality regarding their service: an advanced level of recovery found in long-term and post-acute rehabilitative services. They also proudly offer specialized care programs such as neurological and stroke services, orthopedic care, prosthetic training, pulmonary rehabilitation, post-cardiac care, and wound care– all created to have the right provision of multidisciplinary healthcare services such as therapy, enriching activities, and discharge planning.

Contact Azria Health Park 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
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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 512 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.

Senior Communities in Iowa at a glance

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