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Homestead of Denison is a 43-bed assisted living facility at 2506 3rd Avenue North in Denison, Iowa. Administered by Ashlee Killian, the community serves Crawford County and has been in operation for 27 years. The property currently reports a 58% occupancy rate with 25 residents, a figure below the Iowa state average of 75.4%. Given its central location and a Walk Score of 33, residents generally rely on transportation for errands and medical appointments.
Over 16 years, the facility has recorded an annual average of 0.6 deficiencies, which is 67% lower than the state benchmark. Most recently, the May 2025 recertification survey resulted in a citations-per-inspection rate of zero. While a 2019 complaint was substantiated regarding guardian notification, more recent state reviews indicate these isolated administrative gaps have been addressed.
Clinical care is delivered by 24-hour staffing, including licensed nurses and certified nursing assistants. The campus provides a broad range of services such as skilled nursing, short-term rehabilitation, and hospice care. Professional support includes specialized memory care and outpatient therapy programs tailored for seniors and individuals with disabilities. CMS metrics for similar regional care models show that these multi-level services support resident transitions as medical needs evolve.
The residential environment features private and companion suites with roll-in showers and upscale furnishings. Shared social features include free Wi-Fi, communal dining areas, and organized activities designed for a home-like feel. The facility also offers respite care options for families requiring temporary support. Because the community is located just 0.4 miles from Crawford County Memorial Hospital, residents have quick access to emergency and specialized clinical consultations.
This environment suits seniors seeking small-scale assisted living with integrated medical and rehabilitation services. Families evaluating Homestead of Denison should ask directly about the specific results of the 2025 zero-deficiency survey and confirm current nurse-to-resident ratios for the memory care wing before making a placement decision.
Lower than the Iowa average: 75.4%Homestead of Denison is administrated by Ashlee Killian.
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 9 | 27 | This facility has 67% fewer total deficiencies than a typical Iowa assisted living residence (9 vs. IA avg 27).↓ 67% better |
|
Deficiencies per year
Average deficiencies per year since 2010.
| 0.6 | 1.7 | This facility has 65% fewer deficiencies per year than a typical Iowa assisted living residence (0.6 vs. IA avg 1.7).↓ 65% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 0.7 | 1.8 | This facility has 61% fewer deficiencies per inspection than a typical Iowa assisted living residence (0.7 vs. IA avg 1.8).↓ 61% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 13 | 15 | This facility has 13% fewer total inspections than a typical Iowa assisted living residence (13 vs. IA avg 15).↓ 13% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
0.0 miles from city center
Estimated distance in miles from Denison's city center to Homestead of Denison's address, calculated via Google Maps.
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Homestead of Denison is located in Denison, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| MorningStar Assisted Living & Memory Care at Jordan Creek |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
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. | West Des Moines | 93
Facility
93
IA AVG
73
Rank
#84 / 407 | No |
58
Facility
58
IA AVG
45
Rank
#168 / 528 | Studio / 1 bed / 2 bed | 7
Facility
7
IA AVG
19
Rank
#211 / 282 |
58.1%
Facility
58.1%
IA AVG
66.2%
Rank
#228 / 379 | 9 | 6
Facility
6
IA AVG
6.6
Rank
#187 / 348 | 0
Facility
0
IA AVG
0.8
Rank
#1 / 348 |
| Prairie Hills at Cedar Rapids |
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 | 86
Facility
86
IA AVG
73
Rank
#102 / 407 | Yes |
47
Facility
47
IA AVG
45
Rank
#246 / 528 | - | 17
Facility
17
IA AVG
19
Rank
#151 / 282 |
50.0%
Facility
50.0%
IA AVG
66.2%
Rank
#263 / 379 | 18 | 6
Facility
6
IA AVG
6.6
Rank
#187 / 348 | 3
Facility
3
IA AVG
0.8
Rank
#298 / 348 |
| Valley View Village |
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. | Des Moines (Fairmont Park) | 79
Facility
79
IA AVG
73
Rank
#126 / 407 | Yes |
38
Facility
38
IA AVG
45
Rank
#305 / 528 | - | 54
Facility
54
IA AVG
19
Rank
#2 / 282 |
100.0%
Facility
100.0%
IA AVG
66.2%
Rank
#1 / 379 | 24 | 7
Facility
7
IA AVG
6.6
Rank
#205 / 348 | 2
Facility
2
IA AVG
0.8
Rank
#281 / 348 |
| Grand Living At Tower 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | West Des Moines (South 51St Street) | 76
Facility
76
IA AVG
73
Rank
#134 / 407 | Yes |
63
Facility
63
IA AVG
45
Rank
#134 / 528 | Studio / 1 bed / 2 bed | 5
Facility
5
IA AVG
19
Rank
#232 / 282 |
47.4%
Facility
47.4%
IA AVG
66.2%
Rank
#292 / 379 | 7 | 3
Facility
3
IA AVG
6.6
Rank
#93 / 348 | 1
Facility
1
IA AVG
0.8
Rank
#250 / 348 |
| Homestead of Denison |
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. | Denison | 43
Facility
43
IA AVG
73
Rank
#316 / 407 | No |
33
Facility
33
IA AVG
45
Rank
#344 / 528 | - | 28
Facility
28
IA AVG
19
Rank
#55 / 282 |
58.1%
Facility
58.1%
IA AVG
66.2%
Rank
#228 / 379 | 13 | 7
Facility
7
IA AVG
6.6
Rank
#205 / 348 | 0
Facility
0
IA AVG
0.8
Rank
#1 / 348 |
The legal owner and operator of Homestead of Denison is No Related Entities Found.
Homestead of Denison has a walk score of 33. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to IA state health department records, Homestead of Denison's license number is S0013.
According to IA state health department records, Homestead of Denison's license expires on May 25, 2028.
Homestead of Denison's occupancy is 58%.
The team at Homestead of Denison can be reached at [email protected].
Ashlee Killian is the administrator of Homestead of Denison.
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