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Best Senior Communities in Iowa

Reviewed by Dr. Jordan Weiss
Updated Apr 2026
We analyzed 7 homes in Iowa

Sources: CMS Centers for Medicare and Medicaid Services, and Iowa Department of Health, Office of Aging and Long Term Care.

Explore home photos

Video Tour: Top-rated senior communities facilities in Iowa.

Watch this Video to see Iowa's Top-rated Senior Communities

Compare Senior Communities around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

Click column headers to sort
Woodland Terrace
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Waverly
100No--- 87.0% 2510
Eagle Point Health Care Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Clinton
75No--30 70.7% 166
Fort Dodge Health and Rehabilitation
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Fort Dodge
65No--- 93.3% 00
Navigate MC at Featherstone at Hickory Trail
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Iowa City (Lemme)
32No--1-00
Journey Senior Services
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Carroll
36No--7 75.0% 42
Homesteaders at Holland Farms
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Norwalk
80No--4 42.5% 53
Hansen House
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Council Bluffs (Kane Township)
54No--15 53.7% 125
Grand Haven Retirement Community Moments
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Eldridge
36No--18 41.7% 2318
Gardens at Ridgecrest Village
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Davenport (Downtown Davenport)
30No--24 40.0% 3426
Emery Place
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Robins
106No--11 48.1% 1713
Cottage Grove Place – Connections
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Cedar Rapids
36No--6 38.9% 53
Birdee Cottage AL and MC
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Waterloo
33No--4 51.5% 42
Better Living of Walcott
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Walcott
67No--6 34.3% 51
Apple Valley Place
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Osage
78No--17 65.4% 135
Addington Place of Burlington
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Burlington
100No--17 46.0% 2619
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Pillar of Cedar Valley

1410 West Dunkerton Road, Waterloo, IA 507039626
Overview of Pillar of Cedar Valley
Pillar of Cedar Valley is a post-acute care facility located in Waterloo, Iowa. It provides specialized services tailored to meet the specific needs of residents, including rehabilitation and nursing services. The facility emphasizes a commitment to quality resident-centered care and community involvement.

Contact Pillar of Cedar Valley

Overview of On with Life Long Term Care
On With Life is a world-class neuro rehabilitation facility dedicated to providing comprehensive care for individuals recovering from a brain injury, stroke, concussion, Parkinson's disease, spinal cord injury or other neurological condition. The facility aims to help individuals regain their independence and improve quality of life through personalized, transdisciplinary rehabilitation programs. It offers a continuum of care including inpatient, outpatient, long-term skilled care, and independent living.

Contact On With Life Long Term Care

Overview of Edgewood Convalescent Home
Edgewood Convalescent Home is located in Edgewood, Iowa. It offers a range of services including long-term care, skilled nursing, and assisted living. The facility is community-owned and focuses on providing compassionate, high-quality care to its residents.

Contact Edgewood Convalescent Home

Overview of Norwalk Nursing and Rehabilitation Center
Norwalk Nursing and Rehabilitation Center is located in Norwalk, Iowa. It offers skilled nursing and rehabilitation services, including personalized therapy programs and compassionate support. The facility is dedicated to enriching the quality of life for each resident.

Contact Norwalk Nursing and Rehabilitation Center

Overview of Crown Pointe Estates Al Memory Care
Crown Pointe Estates is a community in Sioux Center, Iowa, focused on providing care and support for residents. It offers various levels of care, including independent living, assisted living, and memory care. The community emphasizes connection, compassion, and a life of purpose for its residents.

Contact Crown Pointe Estates AL Memory Care

North Crest Living Center

34 Northcrest Drive, Council Bluffs, IA 515031695
Overview of North Crest Living Center
Northcrest Living Center is a locally owned and operated skilled nursing facility in Council Bluffs, IA. It offers a range of services including skilled nursing, rehabilitation, and various in-house amenities. The facility focuses on providing individualized care and has been rated above average in quality of resident care.

Contact North Crest Living Center

Overview of Montrose Health Center INC
Montrose Health Center is a respected nursing home in Montrose, IA. It provides skilled nursing, long-term care, respite care, and hospice services. The facility focuses on quality care and fostering a welcoming environment for its residents.

Contact Montrose Health Center INC

Overview of Monticello Nursing & Rehab Center
Monticello Nursing & Rehab Center is a senior living community located in Monticello, Iowa. It offers a continuum of care including skilled nursing, rehabilitation, and assisted living services. The facility is dedicated to enriching the lives of its residents through compassionate care and a variety of lifestyle options.

Contact Monticello Nursing & Rehab Center

Overview of Mississippi Valley Healthcare and Rehabilitation Center
Mississippi Valley Healthcare & Rehabilitation Center is a skilled nursing facility located in Keokuk, Iowa. It specializes in respiratory and complex medical care, providing a compassionate environment for individuals to achieve their highest level of well-being. The facility offers personalized rehabilitation programs and has a professional staff dedicated to patient care.

Contact Mississippi Valley Healthcare and Rehabilitation Center

Overview of Holy Spirit Retirement Home
Holy Spirit Retirement Home is located in Sioux City, Iowa. It offers a continuum of care including independent living apartments, assisted living options, and skilled nursing care. The facility provides a nurturing environment with a focus on individual health goals and community engagement.

Contact Holy Spirit Retirement Home

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How Assisted Living Magazine Evaluates & Scores Nursing Homes

Assisted Living Magazine ranks nursing homes using a rigorous, data-driven scoring model built specifically for skilled nursing.
Because this care level is regulated, clinical outcomes and compliance carry significantly more weight than transparency or digital presence.
Each community receives a ranking based on the factors below, weighted according to their importance in predicting resident safety, care quality, and long-term stability.

Update cadence: Reviewed quarterly, with prompt updates when new reviews, reports, or complaints are filed.

What We Prioritize Most

The largest share of every nursing home’s score — 45% of the total weighting — comes from clinical and regulatory indicators, including:

  • Overall, staffing, and inspection ratings
  • Long-stay and short-stay quality measures
  • Nurse-to-resident and staff-to-resident ratios
  • Health deficiencies and regulatory history
  • Accreditations and positive local news reporting

These factors directly reflect resident safety, care quality, and compliance.

Operational Stability & Resident Support

Another 35% of the score comes from operational and stability signals, such as:

  • Nurse hours per patient per day
  • Occupancy levels and cleanliness citations
  • Administrative stability and ownership quality
  • Readmission rates and registered-nurse turnover
Balancing Additional Factors

The remaining 20% of the score includes contextual elements such as:

  • Year built or renovated
  • Penalties, fines, and preventable readmissions
  • Revenue per bed
  • Administrator tenure

These factors help round out the overall picture but carry less weight because our methodology prioritizes clinical outcomes and regulatory consistency above all else.
The result is a clear, data-driven ranking system that elevates nursing homes delivering exceptional care and long-term resident safety.

Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.
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.

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