Page 33 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
Reviewed by
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.
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.
Westhaven Community
SC
AL
IL
NH
SNF
Boone
40
Facility 40
IA AVG 71
Rank #261 / 334
No
83
Facility 83
IA AVG 46
Rank #28 / 424
14
Facility 14
IA AVG 18
Rank #147 / 258
42.5%
Facility 42.5%
IA AVG 63.7%
Rank #242 / 295
12
3
Facility 3
IA AVG 7
Rank #93 / 299
Crystal Heights Care Center
SC
HOS
NH
PC
RC
SNF
West Oskaloosa
72
Facility 72
IA AVG 71
Rank #72 / 241
No
75
Facility 75
IA AVG 46
Rank #47 / 260
32
Facility 32
IA AVG 18
Rank #36 / 119
97.2%
Facility 97.2%
IA AVG 63.7%
Rank #10 / 229
144
Regency Assisted Living
SC
AL
IL
MC
NH
SNF
Norwalk
60
Facility 60
IA AVG 71
Rank #177 / 334
No
70
Facility 70
IA AVG 46
Rank #78 / 424
20
Facility 20
IA AVG 18
Rank #114 / 258
41.7%
Facility 41.7%
IA AVG 63.7%
Rank #247 / 295
5
6
Facility 6
IA AVG 7
Rank #175 / 299
Bettendorf Health Care Center
SC
AL
NH
SNF
Bettendorf
86
Facility 86
IA AVG 71
Rank #81 / 334
No
51
Facility 51
IA AVG 46
Rank #175 / 424
13
Facility 13
IA AVG 18
Rank #151 / 258
73.3%
Facility 73.3%
IA AVG 63.7%
Rank #123 / 295
37
15
Facility 15
IA AVG 7
Rank #275 / 299
Primrose Retirement Community
SC
AL
IL
MC
RC
Council Bluffs (Kane Township)
64
Facility 64
IA AVG 71
Rank #158 / 334
Yes-
18
Facility 18
IA AVG 18
Rank #125 / 258
54.7%
Facility 54.7%
IA AVG 63.7%
Rank #165 / 295
5
10
Facility 10
IA AVG 7
Rank #237 / 299
Keystone Senior Suites
SC
AL
IL
MC
Keystone
24
Facility 24
IA AVG 71
Rank #326 / 334
Yes
12
Facility 12
IA AVG 46
Rank #381 / 424
28
Facility 28
IA AVG 18
Rank #38 / 258
37.5%
Facility 37.5%
IA AVG 63.7%
Rank #266 / 295
2
4
Facility 4
IA AVG 7
Rank #125 / 299
Fonda Specialty Care
SC
NH
SNF
Fonda
46
Facility 46
IA AVG 71
Rank #153 / 241
No
19
Facility 19
IA AVG 46
Rank #223 / 260
-
89.1%
Facility 89.1%
IA AVG 63.7%
Rank #52 / 229
2512
Montezuma Specialty Care
SC
NH
SNF
Montezuma
41
Facility 41
IA AVG 71
Rank #195 / 241
No
49
Facility 49
IA AVG 46
Rank #132 / 260
-
68.3%
Facility 68.3%
IA AVG 63.7%
Rank #186 / 229
185
Timely Mission Nursing Home
SC
NH
RC
SNF
Buffalo Center
42
Facility 42
IA AVG 71
Rank #193 / 241
No
37
Facility 37
IA AVG 46
Rank #175 / 260
-
78.6%
Facility 78.6%
IA AVG 63.7%
Rank #128 / 229
154
Odebolt Specialty Care
SC
NH
SNF
Odebolt
38
Facility 38
IA AVG 71
Rank #216 / 241
No
27
Facility 27
IA AVG 46
Rank #203 / 260
-
86.8%
Facility 86.8%
IA AVG 63.7%
Rank #78 / 229
2011

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

Rows per page:
View all Nearby Homes
1...323334...53
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

Overview of Crystal Heights Care Center

At its 72-bed medical property on High Avenue West, Crystal Heights Care Center manages resident accounts using a combination of private payments, Medicare credits, and state Medicaid options. Operating under the leadership of administrator Danielle Grove and owner Wesley Wills, the campus sustains a high occupancy rate of nearly 97 percent. Residential placements span an average of 289 days, indicating an environment that balances short-term, post-hospital rehabilitation with extended long-term care programs.

The nursing staff provides about 3 hours and 34 minutes of direct care for each resident every day. Aides, LPNs, and registered nurses share the shifts to handle daily medical needs, physical, occupational, and speech therapy, and even on-site dental and podiatry checkups. Having these specialists come directly to the building means residents rarely have to travel out for appointments. If you come to visit, the neighborhood is highly walkable, scoring a 75 out of 100, so you can easily step out and take care of errands on foot.

The Iowa Department of Inspections, Appeals, and Licensing recently reviewed the facility’s daily care routines, infection controls, and staffing levels. Their report gave the home a clean bill of health, confirming that everything meets state operating standards. The administrative staff utilizes these regular health reports to guide internal policy adjustments and direct continuous skill training for the clinical staff.

Older adults looking into local enrollment parameters can contact the front administrative desk to check on active room availability, request an intake guide for on-site physical rehabilitation, or plan a morning to walk through the common lounges.

Contact Crystal Heights Care Center

Overview of Regency Assisted Living

Regency Assisted Living operates a 60-bed skilled nursing property at 815 High Road in Norwalk, Iowa. Owned by Carla Hall and managed under administrator Victoria Lehman, the facility maintains a quiet baseline census, currently holding an occupancy rate around 42 percent with roughly 25 residents. Financial coordinators process transactions through individual out-of-pocket billing channels alongside state Medicaid options and standard federal Medicare programs. Stays here average about 151 days, which reflects an everyday operational design that merges brief physical therapy rehabilitation cases with extended clinical nursing placements.

State safety logs map out historical compliance patterns over the facility’s 20-year operating history. Regular public health evaluations handled by the Iowa Department of Inspections, Appeals, and Licensing highlighted several repeat administrative themes, pointing out explicit procedural gaps in medication management practices, general resident supervision, and health record documentation. Local supervisors use these periodic regulatory summaries to shape employee skill training modules and adjust daily clinical workflows across the floor shifts to meet public healthcare codes.

For local transit, the surrounding town layout records a walkability score of 70 out of 100, showing a highly accessible neighborhood environment where visiting family members can complete routine errands on foot. On-site shift routines support this setting by providing a daily average of 3 hours and 10 minutes of direct, hands-on care to each individual. Certified nurse aides cover the largest block of this bedside timeline at 2 hours and 17 minutes, working alongside licensed practical nurses who provide 1 hour and registered nurses who add 21 minutes of clinical tracking, respite support, and continuous treatment monitoring.

Prospective residents can call the main office desk to check on current bed layouts, ask about the details of the short-term rehabilitation therapies, or schedule a day to see the grounds.

Contact Regency Assisted Living

Overview of Bettendorf Health Care Center

Located in Bettendorf, Iowa, Bettendorf Health Care Center is a nursing home owned by MLS Resources. The 86-bed facility accepts Medicare, Medicaid, and private pay, giving families several options to access short-term rehabilitation and longer-term skilled nursing care. The community has an occupancy rate of 73%, which houses 63 residents. Residents stay an average of 142 days, which includes post-acute patients and those receiving ongoing nursing support.

Residents receive about 2 hours and 50 minutes of nursing care each day. Registered nurses and nurse aides are part of the team that provides daily hands-on support. It’s an important part of care for residents with rehabilitation needs and those requiring continued nursing services.

The facility has a Walk Score of 51. Some nearby errands and services are within walking distance, but most outings and visits require transportation.

Families considering Bettendorf Health Care Center should take time to visit the community and learn more about how it handles resident care and safety. State inspection reports are available for review, and they’re a useful source of information when comparing care options.

Contact Bettendorf Health Care Center

Primrose Retirement Community

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

Primrose Retirement Community is a 64-bed senior living campus at 1801 East Kanesville Boulevard in Council Bluffs, Iowa. Administered by Tiffany Eggett and certified as a dementia-specific assisted living program, the facility serves Pottawattamie County with a clinical continuum ranging from independent townhome villas to specialized memory care. The campus maintains a current occupancy rate of approximately 55%, with private room rates starting near $4,900 per month.

State inspection records show a deficiency rate that is 6% more favorable than the Iowa state average. While a May 2024 recertification audit was completed with zero deficiencies, a November 2024 follow-up cited three concerns regarding service plan accuracy and memory care unit door alarms. Long-term data indicate a per-inspection citation rate that is 17% below the state mean, though the community remains a private-pay facility and does not currently participate in Medicare or Medicaid.

On-site nursing, personal aid, and therapy are managed through a 24-hour staffing framework. This model emphasizes individualized cognitive support, addressing various stages of memory loss within a secure environment. Though residents utilize regular wellness monitoring and restorative programs, the rural-style location is car-dependent with a Walk Score of zero. Notably, the facility has maintained its license without any suspensions since it began operations in 2008.

A home-like residential setting is supported by three daily meals and specialized social spaces like a 1950s-style ice cream parlor. Common areas available to residents include a chapel, wellness center, billiard room, and library. The service package also features weekly housekeeping, laundry, and local transportation, alongside pet-friendly housing options that offer quiet views. For convenience, basic cable and Wi-Fi access are fully integrated into the monthly residency costs.

Interested individuals should examine the current protocols for service plan updates and perimeter security during a tour of the grounds. It is recommended to consult with the administrator regarding the specific remedies applied to the 2024 citation findings and to ensure current staffing ratios are sufficient for the resident’s 2026 care requirements.

Contact Primrose Retirement Community

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

Overview of Fonda Specialty Care

Fonda Specialty Care operates a 46-bed skilled nursing property on Queen Street in rural Fonda, Iowa. Managed by administrator Faith Epperson as part of the nonprofit Care Initiatives network, the building retains a consistent occupancy rate near 89 percent. Billing processes combine standard private accounts with state Medicaid and federal Medicare network credentials. Admissions reflect an average length of stay around 372 days, establishing a daily census where short-term physical therapy transitions are combined with conventional long-term clinical monitoring.

Daily nursing schedules ensure an average of 4 hours and 14 minutes of direct care is delivered to each resident. Certified nursing aides provide 2 hours and 25 minutes of this baseline assistance, while registered nurses contribute 31 minutes daily alongside licensed practical nurses to manage medication tracks, wound care, and physical recovery sessions. Because the regional Pocahontas County setting carries a walkability score of 19 out of 100, visiting family members and local employees rely almost exclusively on personal vehicles to handle community travel.

State reports show routine monitoring of the home’s operational quality over multiple evaluation intervals. Recent health audits from state regulators focused on system corrections across fall prevention tracking, professional treatment standards, and standard medication inventory management lines. Local supervisors use these recurring safety inspections to adapt floor patterns, refine internal safety guidelines, and update the continuing training requirements for the clinical staff.

Prospective individuals can contact the intake coordinator to verify current bed layouts, ask about the customized therapy setups, or plan an afternoon walkthrough of the campus common rooms.

Contact Fonda Specialty Care

Montezuma Specialty Care

316 Meadow Lane Drive, Montezuma, IA 50171-1114
Overview of Montezuma Specialty Care

Montezuma Specialty Care operates as a 41-bed governmental skilled nursing facility under the direction of administrator Mitchell Huff in Montezuma, Iowa. The property houses roughly 28 residents and manages billing through private pay, Medicare, and Medicaid. Resident stays average about eight months, though individual intervals vary by funding type, as Medicare recovery stays typically run one to two months, private-pay situations average six to seven months, and Medicaid placements last around two years.

The floor staff delivers an average of 3 hours and 47 minutes of direct care to each resident daily. Registered nurses, licensed practical nurses, and nurse aides balance this 24-hour clinical schedule to coordinate routine medical monitoring and physical therapy sessions. For out-of-town visitors, the local neighborhood scores a 49 out of 100 for walkability, indicating that a personal vehicle is useful for the majority of local trips and errands.

State safety records confirm regular monitoring of the building’s operational standards. The most recent health and safety survey conducted by state inspectors in April 2025 showed full compliance with regulatory care requirements and quality assurance practices.

Older adults can get in touch with the main office to check on current room openings, ask about the tailored rehabilitation schedules, or arrange a time to look around the facility.

Contact Montezuma Specialty Care

Overview of Timely Mission Nursing Home

Owned by Lorie Bierle, Timely Mission Nursing Home is a skilled nursing community in Iowa. The 42-bed home accepts Medicare, Medicaid, and private pay, which gives families multiple ways to cover short-term rehabilitation, respite care, or longer-term skilled nursing stays. With a lower than 80% occupancy, the community has the capacity to serve residents. Most stay an average of nearly 1 year, with rehabilitation and ongoing care needs.

The facility offers short-term rehabilitation and respite care with 24-hour staffing support. Total nurse staffing averages 4 hours and 5 minutes per resident daily. Registered nurses provide about 36 minutes of that care. That hands-on staffing baseline supports rehabilitation-focused residents and those with more complex ongoing needs. This is an ideal setting for patients recovering from surgery or hospitalization, or for families seeking a structured short-term respite break.

Timely Mission’s neighborhood has a Walk Score of 37, so it’s somewhat car-dependent. However, there are a few nearby services within walking distance. Residents and visiting family will need transportation for most outings, but the home provides facility transportation for residents.

Residents’ daily lives are centered on meals and activities. They get three balanced meals daily, open dining hours, and snacks prepared by dietary staff. There are holiday events, picnics, gardening in the raised-bed flower garden, Bible studies, Sunday afternoon church services, and Happy Hour. The facility has an outdoor gazebo and family room, giving residents and visiting family spaces to spend time together. Plus, the surrounding seating areas make the grounds usable year-round.

Over the past six years, the facility’s inspection history shows that it has received compliance certifications. It has worked to address past findings through corrective action plans. As with any skilled nursing home, families should ask about daily care practices and how the home supports therapy documentation and care coordination.

Contact Timely Mission Nursing Home

Odebolt Specialty Care

801 South Des Moines Street, Odebolt, IA 51458-4867
Overview of Odebolt Specialty Care

Under the leadership of administrator Madison Leisinger, Odebolt Specialty Care manages a 38-bed skilled nursing community. The facility operates at an 87 percent occupancy level, processing monthly billing through private pay alongside Medicare and Medicaid networks. Lengths of stay hover around 198 days on average, creating an environment that balances post-hospital recovery therapies with traditional extended care.

An average of 4 hours and 44 minutes of direct daily care is delivered to each resident by the hands-on nursing staff. This round-the-clock clinical schedule utilizes a blended team of registered nurses, licensed practical nurses, and certified nurse aides who collaborate on physical therapy, medical monitoring, and everyday assistance. The community has a walkability score of 27 out of 100, indicating that visitors and family members will need a vehicle to handle local trips and errands.

Recent audits from the Iowa Department of Inspections, Appeals, and Licensing noted some administrative and operational issues. State files highlighted specific documentation corrections needed for high-risk medication records, general resident supervision routines, care planning, and basic infection control protocols. The management uses these formal inspection findings to adjust staff training programs and refine internal safety routines.

Prospective individuals can reach out to the administrative desk to verify room openings, request information about the customized rehabilitation therapies, or set up a time to visit the building. The office staff can also assist with insurance verification and explain how public coverage or private payments apply to monthly care costs.

Contact Odebolt Specialty 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
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Submit a correction
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

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.