Page 34 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. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. 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. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving. 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.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Klein Center
SC
NH
West Burlington
160
Facility 160
IA AVG 71
Rank #3 / 241
No
5
Facility 5
IA AVG 46
Rank #252 / 260
Private Rooms-
89.6%
Facility 89.6%
IA AVG 63.7%
Rank #49 / 229
-
Rockwell Community Nursing Home
SC
HOS
NH
RC
SNF
Rockwell
40
Facility 40
IA AVG 71
Rank #197 / 241
No
32
Facility 32
IA AVG 46
Rank #190 / 260
--
55.0%
Facility 55.0%
IA AVG 63.7%
Rank #205 / 229
-
Heritage Care & Rehabilitation Center
SC
HOS
MC
NH
RC
SNF
Mason City
71
Facility 71
IA AVG 71
Rank #127 / 334
No
85
Facility 85
IA AVG 46
Rank #22 / 424
--
88.6%
Facility 88.6%
IA AVG 63.7%
Rank #45 / 295
-
Accura Healthcare of Spirit Lake
SC
HOS
MC
NH
PC
RC
SNF
Spirit Lake
80
Facility 80
IA AVG 71
Rank #87 / 334
No
76
Facility 76
IA AVG 46
Rank #55 / 424
--
88.8%
Facility 88.8%
IA AVG 63.7%
Rank #43 / 295
-
Harmony Davenport
SC
AL
NH
RESC
RC
SNF
Davenport
88
Facility 88
IA AVG 71
Rank #76 / 334
No
90
Facility 90
IA AVG 46
Rank #11 / 424
--
79.0%
Facility 79.0%
IA AVG 63.7%
Rank #95 / 295
-
The Villages at Marion
SC
IL
Marion
-No
63
Facility 63
IA AVG 46
Rank #109 / 424
Private Rooms / Semi-Private Rooms
28
Facility 28
IA AVG 18
Rank #38 / 258
-A+
Bickford of Marshalltown
SC
AL
MC
Marshalltown
-Yes
59
Facility 59
IA AVG 46
Rank #131 / 424
Studio / 1 Bed
29
Facility 29
IA AVG 18
Rank #35 / 258
-B-
Westview of Indianola Care Center
SC
HOS
MC
NH
RC
SNF
Indianola
71
Facility 71
IA AVG 71
Rank #127 / 334
No
75
Facility 75
IA AVG 46
Rank #59 / 424
--
89.4%
Facility 89.4%
IA AVG 63.7%
Rank #37 / 295
-
Friendship Haven
SC
AL
CCRC
HOS
IL
MC
NH
RC
SNF
Fort Dodge
155
Facility 155
IA AVG 71
Rank #17 / 334
No
17
Facility 17
IA AVG 46
Rank #365 / 424
Private Rooms-
76.1%
Facility 76.1%
IA AVG 63.7%
Rank #110 / 295
-
Oelwein Health Care Center
SC
HOS
MC
NH
RC
SNF
Se Oelwein
61
Facility 61
IA AVG 71
Rank #173 / 334
No
77
Facility 77
IA AVG 46
Rank #49 / 424
--
83.3%
Facility 83.3%
IA AVG 63.7%
Rank #69 / 295
-

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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Klein Center

1307 S Gear Ave, West Burlington, IA 52655
Overview of Klein Center

Klein Center is an award-winning nursing home in West Burlington, IA, offering long-term care and rehabilitation. Fostering comfort and healing, the community ensures older adults are well-cared for in its supportive and welcoming environment. Residents also receive high-quality services, including round-the-clock care, nutritious meals, and recreational activities, ensuring a maintenance-free lifestyle. The community also strives to get to know residents’ needs and habits to help them recover and return to their routines with ease.

Social events, light exercises, and recreational opportunities encourage residents to explore interests and gain meaningful experiences. Well-maintained therapy gyms and spacious living areas also ensure residents’ relaxation and wellness. Residents also have quick access to necessities and leisure with the Southeast Iowa Regional Medical Center and public transportation in the area. As one of the best options for senior living in Iowa, this nursing home goes above and beyond in helping residents live to their potential in retirement.

Contact Klein Center

Overview of Rockwell Community Nursing Home

Owned by the International Association of Lions, Rockwell Community Nursing Home is a nursing home providing rehabilitation and short-term nursing care. The 40-bed community serves residents recovering from illness, injury, and hospitalization who benefit from skilled nursing oversight and therapy services. Medicare, Medicaid, and private pay are accepted, giving families several options for arranging care.

The facility has an occupancy rate of 55%, which can support a more individualized care environment. Residents stay an average of 127 days because of the home’s role as a rehabilitation and recovery community. However, some residents transition into longer-term care when needed.

Daily nurse staffing averages 5 hours and 34 minutes per resident, so residents receive substantial support for their clinical and personal care needs. The nursing team regularly works with residents at different stages of recovery, from post-hospital rehabilitation to ongoing skilled nursing care.

Clinical services are a major part of the community’s care model. Physical therapy, occupational therapy, speech therapy, outpatient therapy services, restorative nursing, and lymphedema management are available on-site. Individual care plans and discharge planning guide each resident’s recovery goals.

The facility also offers respite care for families seeking temporary skilled nursing support for a loved one. Residents can join in group and individual activities, entertainment programs, and enjoy access to beauty and barber services. Home-cooked meals with a variety of menu options are also part of daily life.

The community is located in an area with a Walk Score of 32, where some nearby destinations may be reached on foot, but most travel requires transportation. State inspections show the home is compliant with health requirements.

Contact Rockwell Community Nursing Home

Overview of Heritage Care & Rehabilitation Center

Heritage Care & Rehabilitation Center is a 71 bed nursing home in Mason City, Iowa, offering hospice care, memory care, respite care, and skilled nursing. Licensed nursing care is available on site around the clock, while memory care provides a secured setting with supervision for someone at risk of wandering. Hospice focuses on comfort for someone with serious illness, and respite care offers a short stay when a usual caregiver needs to travel or recover.

Rehabilitation services and short term rehabilitation give residents a temporary setting for recovery while they receive therapy. Total nurse staffing is 3 hours and 38 minutes per resident each day, representing that amount of daily nurse time allocated to each resident. An outdoor walking trail provides a place to walk outside on the property.

The area has an 85 out of 100 Walk Score, placing it in the very walkable range, where most errands can be completed on foot and a resident who no longer drives can still get out independently. Medicare, Medicaid, and private pay are accepted, giving families public payment options or the ability to fund care directly. Claire N. serves as the director, and the center may be a good fit for a resident who needs supervised memory support or short term rehabilitation, or for a family caregiver needing temporary care.

Contact Heritage Care & Rehabilitation Center

Overview of Accura Healthcare of Spirit Lake

Accura Healthcare of Spirit Lake is a skilled nursing home in Spirit Lake, Iowa, set in the rural surroundings of Dickinson County. The community offers nursing home and skilled nursing care alongside memory care, hospice, palliative, and respite services, giving families a range of care options as a resident’s needs change over time. It accepts Medicare, Medicaid, and private pay, which opens several paths to covering both short-term and ongoing care.

The community has 80 beds and tends to run close to full, with an occupancy rate of 83.5 percent. The average stay is 77 days, a length that points to a meaningful mix of short-term rehabilitation and longer nursing care. Nursing support is a steady presence day to day, with total nursing care averaging 4 hours and 18 minutes per resident daily, including dedicated registered nurse time.

Rehabilitation is a core part of daily life here, with rehabilitation services and short-term rehab programs supporting residents recovering from surgery, illness, or a hospital stay. Twenty-four hour staffing means clinical support is available around the clock, and respite care gives family caregivers a reliable option for short-term relief.

Outside of clinical care, residents have access to a salon, building-wide Wi-Fi, and private short-stay suites for those here on a shorter recovery timeline. A courtyard and patio give residents places to spend time outdoors close to home. With a Walk Score of 76, the surrounding area is very walkable, so visiting family can comfortably get around the neighborhood on foot.

Families weighing a nursing home placement in the Spirit Lake area may want to ask about how the memory care and hospice programs work alongside standard nursing care, since both are offered here within the same community.

Contact Accura Healthcare of Spirit Lake

Harmony Davenport

815 East Locust Street, Davenport, IA 52803-0000
Overview of Harmony Davenport

Harmony Davenport provides nursing home and skilled nursing care, assisted living, residential care, and respite care in Davenport, IA. Skilled nursing includes licensed nursing care on site around the clock, while assisted living provides help with daily tasks such as bathing, dressing, and medication while the resident keeps a private apartment. Respite care offers a short term stay when a usual caregiver needs time away or recovery.

The range of care settings can support a resident whose needs grow over time without leaving the community. Harmony Davenport may also suit someone recovering after a hospital stay or a family caregiver who needs temporary support. Rehabilitation includes post hospital rehabilitation, medical rehabilitation, short term rehabilitation, and advanced therapy techniques and equipment, giving a resident access to recovery focused care during a temporary rehabilitation stay.

Total nurse staffing is 3 hours 41 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Harmony Davenport has 88 beds and accepts Medicare, Medicaid, and private pay. Medicare covers short term skilled care after a hospital stay, Medicaid may help eligible residents whose savings do not cover a long stay, and private pay allows a family to pay directly. With a Walk Score of 90 out of 100, the area is considered a walker’s paradise, so daily errands do not require a car and a resident who no longer drives can still get out independently.

Contact Harmony Davenport

Overview of The Villages at Marion

The Villages at Marion is an independent living and assisted living community in Marion, Iowa, set about a mile from the city center at 345 Marion Boulevard. The community describes itself as resident centered, with a warm and home like setting built around compassionate, individualized support. With 28 years in operation, it has a long history serving older adults in the area, which can reflect steady experience delivering day to day care. The three story building offers both private and semi private rooms, giving families a couple of options depending on a resident’s needs and budget.

Because The Villages offers both independent living and assisted living, it can suit residents who are largely self sufficient as well as those who need a hand with everyday activities, and it may allow a resident to stay in a familiar place as their needs change over time. Daily life is supported by restaurant style dining with meals served each day, along with fitness and recreation and a schedule of engaging activities. The community also provides personal and scheduled transportation, which helps residents keep up with appointments, errands, and outings without needing to arrange their own rides.

The neighborhood scores 63 out of 100 for walkability, meaning some errands can be handled on foot while others will involve a short drive, and the roughly one mile distance to central Marion keeps shops and services close by. That kind of setting can appeal to residents and visiting family who value an established, convenient location. For families weighing this community, an in person tour is a good way to see the room options, dining, and activity programming firsthand and get a feel for the atmosphere the community emphasizes.

Contact The Villages at Marion

Overview of Bickford of Marshalltown

Serving Marshalltown, Iowa for 29 years, Bickford of Marshalltown is an assisted living community offering personal care and memory care. It also features studio and one-bedroom apartments in a two-story setting. Moreover, its location on Newcastle Road has a Walk Score of 59, allowing some errands to be completed on foot.

Salon and transportation services support residents’ daily comfort and convenience. It also offers a Montessori-based memory care program with structured, personalized activities for individuals living with cognitive decline. The community also welcomes pets, allowing residents to bring small animal companions.

Contact Bickford of Marshalltown

Overview of Westview of Indianola Care Center

Westview of Indianola Care Center in Indianola, IA, provides nursing home care, hospice care, memory care, respite care, and skilled nursing. Memory care offers a secured setting with supervision for a resident at risk of wandering, while skilled nursing provides licensed nursing care on site around the clock. Hospice care supports residents at the end of life, and the range of care may suit someone whose needs change from short term support to ongoing nursing or end of life care.

Respite care provides a short stay while a usual caregiver travels or recovers. Rehabilitation services and short term rehabilitation support residents recovering from an illness, injury, or hospital stay, with care focused on helping them regain function. The community has 71 beds.

Medicare, Medicaid, and private pay are accepted. Medicare can cover short term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay allows a family to pay directly. These payment options matter because coverage can differ depending on whether the need is temporary, ongoing, or related to end of life care.

Total nurse staffing is 4 hours and 23 minutes per resident per day, representing the daily nursing staff time allocated per resident. A Walk Score of 75 places the area in the very walkable band, meaning most errands can be done on foot. A resident who no longer drives may still reach nearby shops, a pharmacy, or cafes independently.

Contact Westview of Indianola Care Center

Overview of Friendship Haven

Friendship Haven in Fort Dodge, IA, is a non-profit continuing care retirement community (CCRC) that offers independent living, assisted living, rehabilitation, and skilled nursing. With a nurturing, home-like environment, the community ensures older adults can live comfortably during their stay. Light housekeeping, nutritious meals, and medication management are among the excellent services provided to improve residents’ living experiences. Residents also receive the utmost attention and care to recover and return to their routines with ease through personalized care plans.

Strength exercises, social events, and various recreational activities ensure residents can make friends and have fun. Safe trails, accessible common areas, and a garden also provide residents with more opportunities for recreation and wellness. Located near the Fort Museum and Frontier Village and bus stops along Kenyon Road, the community guarantees accessibility and convenience. This CCRC has a wide range of care options and a clean setting, making it a great choice for senior living in Iowa.

Contact Friendship Haven

Overview of Oelwein Health Care Center

Oelwein Health Care Center operates a 61-bed skilled nursing facility located at 600 Seventh Street SE in Oelwein, Iowa. Managed under the leadership of administrator Craig Allen, the property keeps a steady resident population with an occupancy rate hovering around 87.3 percent. The building manages financial accounts dynamically and holds federal certifications that allow the team to coordinate insurance billing through both Medicare and Medicaid networks.

Direct staffing routines are structured to provide an average of 4.04 hours of nursing attention per resident daily, placing the facility in the upper half of providers statewide in hands-on coverage. On the regulatory front, state files show the home has never received a federal monetary fine.

Annual surveys and complaint reviews from state inspectors documented 20 total health citations over multiple inspection cycles, though the facility maintains a top-tier standing for the complete absence of serious clinical violations.

Prospective residents can call the administrative department to inquire about open beds, request a breakdown of the daily nursing schedules, or arrange a personal walkthrough of the community areas. The billing coordinators are also available to help you look over your coverage options and explain how public aid or private funds apply to standard medical stays.

Contact Oelwein Health Care Center

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.