Page 39 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. 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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. 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.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
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.
Keystone Nursing Care Center
SC
AL
HC
NH
RC
SNF
Keystone
55No 22 -- 70.9% -?154
Harmony West Des Moines
SC
AL
HOS
NH
PC
RESC
RC
SNF
West Des Moines
55No 9 -- 97.6% -B+--
Guttenberg Care Center
SC
AL
NH
SNF
Guttenberg
46No 26 -- 71.7% -?--
Midlands Living Center
SC
HOS
NH
RC
SNF
Council Bluffs
-No 14 1 Bed23-A+---
Immanuel: Graceview Courtyard
SC
IL
Council Bluffs
-Yes 5 Studio / 1 Bed / 2 Bed6-A+---
Fairmeadows Village
SC
IL
West Des Moines
-Yes 27 1 Bed / 2 Bed32-----
River Valley Place of Fort Madison
SC
AL
MC
RC
Fort Madison
70Yes--18 44.3% --106
Harvest Acres Nursing & Rehab
SC
HOS
MC
NH
RC
SNF
Keota
35No 32 -- 82.0% -D--
South Hills Senior Living
SC
AL
Waterloo
116Yes 11 Studio / 1 Bed / 2 Bed------
Woodlands Creek Senior Living
SC
AL
IL
MC
Clive
-Yes 21 -23-A+---
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Overview of Keystone Nursing Care Center

Keystone Nursing Care Center offers nursing home, assisted living, home care, respite care, and skilled nursing in Keystone, IA. 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 maintains an apartment.

Home care supports a person in their own home, and respite care provides a short stay when a usual caregiver needs to travel or recover. The center has 55 beds, with total nurse staffing of 4 hours and 43 minutes per resident per day, representing the daily hands-on nursing time assigned to each resident. Keystone Nursing Care Center may be a good fit for a family seeking short-term care while a primary caregiver travels or recovers. Medicare, Medicaid, and private pay are accepted, and Tracy Bruns serves as the administrator.

Contact Keystone Nursing Care Center

Harmony West Des Moines

5010 Grand Ridge Drive, West Des Moines, IA 50265
Overview of Harmony West Des Moines

Harmony West Des Moines provides nursing home care, skilled nursing, assisted living, hospice care, palliative care, residential care, and respite care in West Des Moines, IA. Skilled nursing has licensed nurses on site around the clock. Assisted living and residential care help with daily living needs, while hospice supports residents nearing the end of life and palliative care focuses on comfort during serious illness. Respite care offers a short stay for a family caregiver who needs to travel or recover.

The range of care levels, along with respite care, may suit a resident whose needs may grow over time or a family seeking temporary support. The community has 55 beds, placing it in the smaller community range where staff and residents may get to know each other. Nearly all beds are filled at the time represented by the 98% occupancy rate, which may affect availability.

Total nurse staffing is 3h 33m per resident per day. This represents the overall nurse staffing time allocated to each resident daily. Rehabilitation includes orthopedic care and programs for stroke and other neurological conditions, giving residents support focused on these recovery needs. Short term rehabilitation provides a time limited setting focused on recovery.

Payment options include Medicare, Medicaid, and private pay, so families can use the payment source that applies to their situation. Karah D. serves as the director.

Contact Harmony West Des Moines

Overview of Guttenberg Care Center

Guttenberg Care Center provides nursing home care, assisted living and skilled nursing in Guttenberg, IA. Nursing home and skilled nursing services provide licensed nursing care on site around the clock, while assisted living supports daily tasks such as bathing, dressing and medication management. The range of care levels may suit a resident whose needs grow over time and who may be able to remain in the same community.

The center has 46 beds, making it a smaller community where staff and residents can get to know one another. Its 72% occupancy means some beds are currently unoccupied. Guttenberg Care Center is part of ABCM and follows a person-directed care philosophy centered on each resident’s needs and preferences.

Total nurse staffing is 3 hours and 17 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident. Payment options include Medicare, Medicaid and private pay.

Contact Guttenberg Care Center

Overview of Midlands Living Center

Midlands Living Center is a nursing home in Council Bluffs, Iowa, offering skilled nursing, hospice, and respite care. Skilled nursing provides licensed nursing care around the clock for residents with ongoing medical needs, while respite care offers a short stay when a usual caregiver needs to travel or recover.

Physical, occupational, and speech therapy are available for residents working on mobility, daily activities, or communication. Furthermore, a doctor is on staff, while recreational and spiritual activities offer organized ways to take part in interests, and a restorative exercise program supports continued movement and function.

Medicare, Medicaid, and private pay are accepted, providing a variety of options for eligible skilled care or a longer stay. Steve Chamley serves as director.

Contact Midlands Living Center

Overview of Immanuel: Graceview Courtyard

Make the most of your best years at Immanuel: Graceview Courtyard, an exceptional 55+ community in Council Bluffs, IA, offering independent living. The community features affordable and specially designed one- and two-bedroom floor plans, dedicated to residents’ comfort and safety. Annual income requirements are needed, ensuring those with low income can downsize without hassles.

Residents have easy access to their necessities and leisure opportunities with plenty of recreation sites and thriving local shops nearby. With a fully equipped kitchen in each unit, residents can prepare meals according to their dietary needs and preferences. On-site maintenance is also provided for residents’ convenience. The community is ideal for those looking to live independently in retirement, especially with its vibrant and welcoming environment.

Contact Immanuel: Graceview Courtyard

Overview of Fairmeadows Village

Fairmeadows Village is an active 55+ retirement home that heeds a home-like atmosphere. Its management encourages residents to live vibrantly by socializing and making meaningful memories with people their age. Families of residents can trust that Fairmeadows is committed to maintaining loving and dignified care and supervision for their loved ones.

Community services and amenities center on residents’ comfort and stability– restaurant-style dining with private dining options, engaging events and entertainment, enriching programs, transportation, arts and crafts, library, and wellness centers.

Contact Fairmeadows Village

Overview of River Valley Place of Fort Madison

River Valley Place of Fort Madison’s license in Fort Madison, IA, names assisted living, memory care, and respite care. The license here is written as an assisted living program for people with dementia, and the secured, supervised part of that is memory care. Assisted living covers the daily tasks. A usual caregiver facing a trip or a recovery period can put a resident into respite care meanwhile.

Marlene Siverly is the administrator for 70 beds, and pets are allowed. The spread may suit a family whose needs shift over trime, or whose caregiver needs a short break.

Contact River Valley Place of Fort Madison

Overview of Harvest Acres Nursing & Rehab

Harvest Acres Nursing & Rehab is a 35-bed nursing home in Keota, Iowa, offering skilled nursing, memory care, hospice care, and respite care. The community can accommodate those living with memory-related conditions, as well as short-term stays, through hospice and respite care. Residents also have access to nursing services with licensed nurses on-site.

Additionally, short-term rehabilitation is available for residents who need temporary recovery support and therapy. Occupancy is at 82%, with an average length of stay of 442 days. Total nurse staffing is 3 hours and 41 minutes per resident each day, reflecting the daily nursing time assigned per resident.

Medicare, Medicaid, and private pay are also accepted, giving families public program and self-pay payment routes. Meanwhile, a Walk Score of 32 out of 100 places the area in a car-dependent setting, so residents who do not drive will generally need a car or transportation services for most errands.

Contact Harvest Acres Nursing & Rehab

Overview of South Hills Senior Living

South Hills Senior Living is an assisted living community in Waterloo, Iowa. Assisted living includes help with daily tasks such as dressing, bathing, and medication, while allowing a resident to maintain a personal living space.

Residents can choose a studio, one bedroom, or two bedroom apartment, making the community a possible fit for someone who needs daily support and prefers either a private or shared living arrangement. The community has 116 beds, allows pets, and is administered by Greg Zumbach.

Contact South Hills Senior Living

Overview of Woodlands Creek Senior Living

Considerably one of the trusted senior living communities in the city, Woodlands Creek offers independent living, assisted living, and memory care lifestyle in a warm and welcoming environment for the residents– making them feel right at home. The retirement home strives in promoting an engaging social life for the seniors to create endless possibilities for them as well as develop meaningful relationships that blossom into wonderful memories. Woodlands is the home where people and interests are mattered and cared for.

The resident lifestyle of independent living seniors is focused on maintaing an active lifestyle by offering them a range of scheduled activities. Assisted living levels of care offer a range of services focused on the individualized and personal care needs of its residents: transportation, a geriatric physician, and a 24/7 nursing staff– the same goes for the memory care unit.

Starting Price $3,870/Month

Contact Woodlands Creek Senior Living

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 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