Page 40 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. 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. 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.
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.
Pillar of Cedar Valley
SC
HOS
NH
RC
SNF
Waterloo
114
Facility 114
IA AVG 71
Rank #15 / 241
No
83
Facility 83
IA AVG 46
Rank #24 / 260
-
40
Facility 40
IA AVG 18
Rank #24 / 119
--3422
Midlands Living Center
SC
HOS
NH
RC
SNF
Council Bluffs
-No
14
Facility 14
IA AVG 46
Rank #232 / 260
1 Bed
23
Facility 23
IA AVG 18
Rank #63 / 119
-A+--
Woodlands Creek Senior Living
SC
AL
IL
MC
Clive
-Yes
19
Facility 19
IA AVG 46
Rank #359 / 424
Studio / 1 Bed / 2 Bed
23
Facility 23
IA AVG 18
Rank #87 / 258
-A+--
Keystone Nursing Care Center
SC
AL
HC
NH
RC
SNF
Keystone
55
Facility 55
IA AVG 71
Rank #198 / 334
No
22
Facility 22
IA AVG 46
Rank #348 / 424
--
70.9%
Facility 70.9%
IA AVG 63.7%
Rank #129 / 295
-14
6
Facility 6
IA AVG 7
Rank #175 / 299
Immanuel: Graceview Courtyard
SC
IL
Council Bluffs
-Yes
5
Facility 5
IA AVG 46
Rank #408 / 424
Studio / 1 Bed / 2 Bed
6
Facility 6
IA AVG 18
Rank #201 / 258
-A+--
Fairmeadows Village
SC
IL
West Des Moines
-Yes
27
Facility 27
IA AVG 46
Rank #328 / 424
1 Bed / 2 Bed
32
Facility 32
IA AVG 18
Rank #27 / 258
----
Guttenberg Care Center
SC
AL
NH
SNF
Guttenberg
46
Facility 46
IA AVG 71
Rank #229 / 334
No
26
Facility 26
IA AVG 46
Rank #330 / 424
--
71.7%
Facility 71.7%
IA AVG 63.7%
Rank #128 / 295
---
Silver Oak Nursing and Rehabilitation LLC
SC
HOS
NH
RC
SNF
Marion
91
Facility 91
IA AVG 71
Rank #32 / 241
No
89
Facility 89
IA AVG 46
Rank #13 / 260
--
76.9%
Facility 76.9%
IA AVG 63.7%
Rank #140 / 229
-4926
South Hills Senior Living
SC
AL
Waterloo
116
Facility 116
IA AVG 71
Rank #42 / 334
Yes
11
Facility 11
IA AVG 46
Rank #387 / 424
Studio / 1 Bed / 2 Bed-----
River Valley Place of Fort Madison
SC
AL
MC
RC
Fort Madison
70
Facility 70
IA AVG 71
Rank #129 / 334
Yes--
18
Facility 18
IA AVG 18
Rank #125 / 258
37.1%
Facility 37.1%
IA AVG 63.7%
Rank #267 / 295
-10
13
Facility 13
IA AVG 7
Rank #261 / 299

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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Pillar of Cedar Valley

1410 West Dunkerton Road, Waterloo, IA 50703-9626
Overview of Pillar of Cedar Valley

Owned by Tamid Waterloo LLC, Pillar of Cedar Valley is a skilled nursing facility in Iowa. The 114-bed home specializes in rehabilitation services. It also serves residents with psychiatric care needs and intellectual disabilities through its ICF/PMI programs. Operating for 40 years, the facility has established itself as a long-standing option for post-acute rehabilitation and long-term skilled nursing care. The community has 100% occupancy rate and accepts Medicare, Medicaid, and private pay, giving residents and families several options for covering care.

Daily nurse staffing averages 3 hours and 51 minutes per resident. Registered nurses provide about 21 minutes of care each day, while nurse aides contribute 1 hour and 54 minutes. This staffing structure supports skilled nursing oversight and hands-on assistance with daily activities. The facility’s experience in psychiatric care and services for residents with intellectual disabilities provides specialized support that is not available in every nursing home.

State inspections have identified areas of focus about resident safety protocols, abuse response procedures, medication administration practices, and environmental safety management. The facility has submitted corrective action plans addressing these concerns, showing its efforts to improve care delivery in these critical areas.

Amenities on-site include a large community center, fine dining in a glass-roof dining room, regular church services, and day trips that encourage resident engagement. Complimentary transportation, a beauty shop, concierge services, and high-speed Wi-Fi are also available. The surrounding neighborhood has a Walk Score of 83. It’s highly walkable, so visiting family members can run many errands on foot.

Contact Pillar of Cedar Valley

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 Woodlands Creek Senior Living

Woodlands Creek’s vision is to create a warm and welcoming independent living environment where seniors feel at home, fostering meaningful relationships and endless possibilities. Their mission revolves around promoting engaging social interactions and providing personalized care to nurture a sense of belonging. Woodlands prioritizes residents’ well-being, ensuring their needs are met with compassion and respect.

Residents at Woodlands Creek enjoy a vibrant lifestyle with a range of scheduled activities for independent living seniors. The community also offers comprehensive services for assisted living and memory care residents, including transportation, access to senior physicians, and round-the-clock nursing staff, ensuring comfort and security for all residents.

 

Contact Woodlands Creek Senior Living

Overview of Keystone Nursing Care Center

Keystone Nursing Care Center operates a 55-bed facility in Keystone, IA, combining nursing home care, skilled nursing, assisted living, home care, and respite stays. Assistance spans daily personal support, clinical oversight, in-home aid, and short-term relief for family caregivers.

Daily nurse staffing averages 4 hours and 43 minutes per resident across the community. Under administrator Tracy Bruns, the center recorded a 71 percent occupancy rate. Payment options cover Medicare, Medicaid, and private funds depending on qualification and service level.

Interested individuals can connect with the Keystone Nursing Care Center team to discuss care options, verify bed openings, or plan an in-person tour.

Contact Keystone Nursing Care 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 Guttenberg Care Center

Guttenberg Care Center operates in Guttenberg, Iowa, providing nursing home, skilled nursing, and respite care. Assisted daily tasks and clinical support assist long-term residents, while short-term respite stays offer temporary relief for home caregivers. Operating under the ABCM network, the location emphasizes person-directed care to incorporate individual resident preferences into everyday routines.

Occupancy stands at 72 percent, indicating open capacity during recent reporting. Total nurse staffing averages 3 hours and 17 minutes per resident daily. Funding pathways include Medicare, Medicaid, and private payment depending on individual program eligibility and coverage requirements.

Older adults and their families can contact the Guttenberg Care Center team to review current room availability, discuss shift staffing arrangements, or book an on-site visit.

Contact Guttenberg Care Center

Overview of Silver Oak Nursing and Rehabilitation

Located at 455 31st Street in Marion, Iowa, Silver Oak Nursing and Rehabilitation is a nursing home owned by Ryan Coane and administered by Ailson De Jong. The 91-bed facility provides skilled nursing care, rehabilitation services, and dementia support. Medicare, Medicaid, and private pay are accepted, so families have several options for covering short-term rehabilitation and longer-term residential care.

The community has an occupancy rate of 77%, and residents stay an average of 134 days. The facility’s location in a highly walkable neighborhood offers convenient access to nearby services for visiting family members and staff.

Rehabilitation is a major focus of the community. Physical therapy staffing exceeds state averages. Daily nurse staffing averages 4 hours and 28 minutes per resident, combining registered nurse, licensed practical nurse, and certified nurse aide support. The facility operates 24 hours a day and provides care for residents needing dementia support, rehabilitation services, and skilled nursing care.

Meals are prepared by chefs and served according to every resident’s dietary requirements to accommodate a range of nutritional needs and preferences.

State inspections by the Iowa Department of Inspections, Appeals, and Licensing addressed recurring issues related to care delivery, documentation, and resident safety. The facility meets regulatory standards and welcomes family tours to discuss how these operational areas are managed.

Contact Silver Oak Nursing and Rehabilitation LLC

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 River Valley Place of Fort Madison

Lisa Elmore administers the daily operations at River Valley Place of Fort Madison, a 70-bed senior living community located at 5025 River Valley Road in Fort Madison, Iowa. Drawing on 17 years of service in Lee County, this facility operates at approximately 37 percent occupancy, housing 26 residents across a care spectrum that covers standard assisted living, short-term respite stays, and specialized dementia care.

The facility structures its long-term enrollment into separate service models, specifically anchoring its cognitive care around the specialized “Better Days” memory care program to manage progressive dementia. The surrounding physical environment is entirely car-dependent, carrying a walkability score of 0 out of 100, which requires staff and visiting relatives to use vehicles for all off-site travel.

Reports managed by Iowa’s Department of Inspections, Appeals, and Licensing indicate an ongoing administrative focus on stabilizing staff levels, executing physician care plans, monitoring resident safety, and standardizing exit-door alarm protocols.

Interested individuals and family caregivers evaluating local senior housing can visit the campus during scheduled weekday touring hours from 8:00 AM to 5:00 PM.

Contact River Valley Place of Fort Madison

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 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.