Page 39 of Best Senior Communities in Iowa

Why trust this guide? Our editorial team analyzed 513 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.
513 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.
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.
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.
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
55?No 22 -- 70.9% -154
Harmony West Des Moines
SC
AL
HOS
NH
PC
RESC
RC
SNF
West Des Moines
55A-No 9 -- 97.6% ---
Guttenberg Care Center
SC
AL
NH
SNF
Guttenberg
46?No 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----
Community Memorial AL
SC
AL
MC
NH
SNF
West Hartley
32-No 43 -24--2-
River Valley Place of Fort Madison
SC
AL
MC
RC
Fort Madison
70-Yes--18 44.3% -106
Harvest Acres Nursing & Rehab
SC
HOS
MC
NH
RC
SNF
Keota
35DNo 32 -- 82.0% ---
Silver Oak Nursing and Rehabilitation LLC
SC
HOS
NH
RC
SNF
Marion
91D-No 89 -- 82.4% -4924
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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

Community Memorial AL

233 North 8Th Avenue West, Hartley, IA 51346-1077

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Overview of Community Memorial Al

Community Memorial Al provides assisted living, memory care, nursing home care, and skilled nursing in Hartley, IA. Assisted living provides help with daily tasks such as bathing, dressing, and medication management, while skilled nursing provides licensed nursing care around the clock. Memory care offers a secured setting with supervision for a resident at risk of wandering.

The community has 32 beds, making it a smaller setting where staff and residents may get to know each other. Its multiple care levels can suit a resident whose needs may grow over time without requiring a move to a different community. Community Memorial Al opened in 1994.

On-site rehabilitation services can support recovery without arranging transportation to an outside therapy location, and short-term rehabilitation is available for residents who need rehab for a limited period. A hair salon gives residents access to grooming services on site.

The area has a Walk Score of 43, a car-dependent setting where most errands require a car or a ride, so a resident who no longer drives would need transportation for routine errands. Rosemary Hibbs serves as the administrator, and Kay Wynja is the director.

Contact Community Memorial AL

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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.

Starting Price $3,250/Month Info Pricing updated on October 7th, 2026

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

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Overview of Silver Oak Nursing and Rehabilitation

Silver Oak Nursing and Rehabilitation runs four care types in one 91-bed building in Marion: nursing home care, skilled nursing, hospice care, and respite. Two of those assume the stay ends.

Dementia Support & Care is a named program, not a separate wing. The help attaches to the resident, which is important for someone who needs dementia care and nursing at the same time.

Hospice is symptom work; pain and breathing get managed for their own sake and not as steps to recovery. Respite covers the weeks when the caregiver cannot.

Nursing time draws up to 4 hours and 25 minutes for each resident daily, on average. Rehabilitation Services handle therapy on site.

Medicare, Medicaid, and private pay are all accepted payment methods for interested families. A stay that starts as a few covered weeks can sometimes turn into years, and the payer can change without forcing the resident to move. Alison de Jong serves as administrator.

Contact Silver Oak Nursing and Rehabilitation LLC

Rankings on this page follow the same method as page 1: see how we rank these communities.

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