Skip to main content
The Ultimate Senior Resource

Iowa Senior Living Options & Resources

Senior Living in Iowa: What You Need to Know

Iowa is home to 569,081 seniors aged 65 and older, representing 17.8% of the state's 3.2 million residents. With a median age of 38.6 and a steadily growing senior population, Iowa has developed a network of 464 senior living communities across 250 cities to meet diverse care needs. From independent living to memory care and skilled nursing, Iowa offers a full spectrum of senior housing options that emphasize quality care, community engagement, and affordability. The state's strong agricultural heritage and Midwestern values have fostered communities that prioritize neighborly support and accessible healthcare.

The geographic distribution of Iowa's senior living communities reflects population centers along major corridors. Cedar Rapids leads with 14 communities, followed by Ames, Cedar Falls, and Clinton with 5 communities each. The Des Moines metropolitan area, including Ankeny and Des Moines proper, offers multiple options for families seeking care near the state capital. The Quad Cities region (Davenport and Clinton) and river cities like Burlington and Council Bluffs provide additional choices for seniors preferring communities near Iowa's borders and waterways.

Cost is a significant advantage for Iowa seniors and their families. The state's lower cost of living extends beyond housing to everyday expenses, healthcare, and property taxes for those choosing to age in place.

Iowa's healthcare infrastructure supports senior care through major systems including UnityPoint Health, MercyOne, and the University of Iowa Hospitals and Clinics. These networks provide specialized geriatric care, rehabilitation services, and memory disorder clinics throughout the state. Iowa Medicaid offers several Home and Community-Based Services (HCBS) waivers that help eligible seniors access assisted living and home care services, reducing reliance on institutional care. The state's commitment to person-centered care and strong regulatory oversight ensures that senior living communities maintain high standards while remaining accessible to middle-income families.

Types of Senior Living Care in Iowa

Top Rated Communities in Iowa

Highest rated senior living communities based on reviews.

Rolling Meadows Senior Living - Senior Living in Iowa

Rolling Meadows Senior Living

Tutera Senior Living & Health Care

Carroll, IA

Bickford of Marshalltown - Senior Living in Iowa

Bickford of Marshalltown

Bickford Senior Living

Marshalltown, IA

Addington Place of Burlington - Senior Living in Iowa

Addington Place of Burlington

Discovery Management Group

Burlington, IA

View all communities

Cost of Senior Care in Iowa

The median cost of assisted living in Iowa was $5,184 a month in the 2024 survey, 12% below the national median of $5,900.

Median monthly cost by care type, Iowa and the United States
Care type Iowa U.S. median
Assisted living $5,184 12% below U.S. $5,900
Nursing home, semi-private room $8,927 4% below U.S. $9,277
Nursing home, private room $9,657 9% below U.S. $10,646
Home health aide $7,436 15% above U.S. $6,483
Adult day health care $1,452 33% below U.S. $2,167

Source: Genworth/CareScout Cost of Care Survey, 2024 (state median). Monthly figures are the annual median divided by 12. The survey does not cover independent living or memory care. Actual costs vary by community, location and level of care.

Frequently Asked Questions About Senior Living in Iowa

How much does senior living cost in Iowa?
The median cost of assisted living in Iowa was $5,184 a month in the 2024 survey, 12% below the national median of $5,900. Source: Genworth/CareScout Cost of Care Survey, 2024 (state median).
How many senior living communities are in Iowa?
Iowa has 464 senior living communities listed on Ultimate Senior Resource, across 250 cities. The most listings are in Des Moines (18), Cedar Rapids (14) and Ankeny (11).
Does Iowa Medicaid cover assisted living?
Yes, Iowa Medicaid covers assisted living through the HCBS Elderly Waiver and the HCBS Assisted Living Program. Eligible seniors must require nursing facility level of care and meet financial criteria based on income and assets. These waivers allow qualifying seniors to receive care in residential settings rather than nursing homes, with Medicaid covering room, board, and supportive services.
What are the best cities for senior living in Iowa?
Cedar Rapids leads with 14 communities and excellent healthcare through UnityPoint and Mercy systems. Ames offers 3 communities in a vibrant college town with cultural amenities and lifelong learning opportunities. Cedar Falls provides 3 communities with small-city charm and university access. Des Moines and Ankeny combine for 4 communities with state capital advantages and diverse entertainment. Clinton's 3 communities offer Mississippi River living at highly affordable prices, making it ideal for budget-conscious seniors.
What healthcare resources are available for Iowa seniors?
Iowa seniors benefit from comprehensive healthcare networks including UnityPoint Health, MercyOne, and the University of Iowa Hospitals and Clinics. These systems offer specialized geriatric care, memory disorder clinics, cardiac care, and rehabilitation services. Most senior living communities maintain partnerships with these providers for coordinated care. Additionally, Iowa's telehealth infrastructure has expanded significantly, improving access for rural seniors.
Is Iowa a good state to retire in?
Iowa offers compelling retirement advantages including affordable senior living costs (15% below national averages), low overall cost of living, strong healthcare infrastructure, and safe communities with Midwestern values. The state provides moderate four-season climate, no sales tax on groceries, and partial exemption of retirement income from state taxes. Iowa's college towns offer cultural enrichment, while rural areas provide peaceful living with tight-knit communities.

Major Cities with Senior Living Options in Iowa

Cities ranked by number of communities.

Des Moines

Population 213,164
Seniors (65+) 12.4 %
Communities 18
Explore Des Moines Senior Living

Cedar Rapids

Population 136,929
Seniors (65+) 16.2 %
Communities 14
Explore Cedar Rapids Senior Living

Ankeny

Population 68,392
Seniors (65+) 11.3 %
Communities 11
Explore Ankeny Senior Living

Davenport

Population 101,448
Seniors (65+) 16.2 %
Communities 9
Explore Davenport Senior Living

Cedar Falls

Population 40,686
Seniors (65+) 15.5 %
Communities 9
Explore Cedar Falls Senior Living

Dubuque

Population 59,315
Seniors (65+) 20.0 %
Communities 8
Explore Dubuque Senior Living

West Des Moines

Population 68,744
Seniors (65+) 14.3 %
Communities 8
Explore West Des Moines Senior Living
View all 250 cities

Cities in Iowa

Ackley
1 community
Adel
2 communities
Akron
1 community
Albia
1 community
Algona
2 communities
Allison
1 community
Altoona
3 communities
Amana
1 community
Ames
5 communities
Anamosa
2 communities
Anita
1 community
Ankeny
11 communities
Aplington
1 community
Armstrong
1 community
Asbury
3 communities
Atlantic
3 communities
Audubon
1 community
Aurelia
1 community
Avoca
1 community
Bancroft
1 community
Battle Creek
1 community
Bedford
1 community
Belle Plaine
1 community
Bellevue
1 community
Belmond
1 community
Bettendorf
5 communities
Bloomfield
1 community
Boone
2 communities
Britt
1 community
Brooklyn
1 community
Buffalo Center
1 community
Burlington
3 communities
Carlisle
1 community
Carroll
5 communities
Cascade
1 community
Cedar Falls
9 communities
Cedar Rapids
14 communities
Centerville
3 communities
Chariton
1 community
Charles City
2 communities
Cherokee
3 communities
Clarence
1 community
Clarinda
2 communities
Clarion
1 community
Clarksville
1 community
Clear Lake
1 community
Clinton
5 communities
Clive
1 community
Columbus Junction
1 community
Conrad
1 community
Coon Rapids
1 community
Coralville
3 communities
Corning
1 community
Correctionville
1 community
Corydon
1 community
Council Bluffs
7 communities
Cresco
2 communities
Creston
2 communities
Dallas Center
1 community
Davenport
9 communities
Dayton
1 community
De Witt
1 community
Decorah
2 communities
Denison
2 communities
Denver
1 community
Des Moines
18 communities
Dubuque
8 communities
Dunlap
1 community
Dyersville
1 community
Eagle Grove
1 community
Edgewood
1 community
Eldora
1 community
Eldridge
1 community
Elk Horn
1 community
Elkader
1 community
Elma
1 community
Emmetsburg
3 communities
Estherville
2 communities
Exira
1 community
Fairfield
3 communities
Fayette
1 community
Fonda
1 community
Forest City
1 community
Fort Dodge
4 communities
Fort Madison
2 communities
Garner
1 community
George
1 community
Gladbrook
1 community
Glenwood
1 community
Granger
1 community
Greene
1 community
Greenfield
1 community
Grimes
1 community
Grinnell
2 communities
Grundy Center
2 communities
Guthrie Center
1 community
Guttenberg
1 community
Hampton
2 communities
Harlan
1 community
Hartley
1 community
Hawarden
1 community
Hiawatha
1 community
Holstein
1 community
Hubbard
1 community
Hull
1 community
Humboldt
1 community
Independence
3 communities
Indianola
3 communities
Inwood
1 community
Iowa City
5 communities
Iowa Falls
1 community
Jefferson
1 community
Johnston
5 communities
Kalona
1 community
Kanawha
1 community
Keokuk
3 communities
Keosauqua
1 community
Keota
1 community
Keystone
1 community
Kingsley
1 community
Knoxville
2 communities
La Porte City
1 community
Lake City
1 community
Lake Mills
1 community
Lamoni
1 community
Lansing
1 community
Laurens
1 community
Le Mars
2 communities
Lenox
1 community
Leon
1 community
Lisbon
1 community
Lone Tree
1 community
Madrid
1 community
Manchester
1 community
Manly
1 community
Manson
1 community
Mapleton
1 community
Maquoketa
2 communities
Marcus
1 community
Marengo
1 community
Marion
7 communities
Marshalltown
5 communities
Mason City
3 communities
Mc Gregor
1 community
Mechanicsville
1 community
Mediapolis
1 community
Milford
1 community
Missouri Valley
1 community
Montezuma
1 community
Monticello
1 community
Montrose
1 community
Mount Ayr
2 communities
Mount Pleasant
4 communities
Mount Vernon
1 community
Muscatine
4 communities
Nevada
2 communities
New Hampton
2 communities
New London
1 community
Newton
5 communities
Nora Springs
1 community
North English
1 community
Northwood
1 community
Norwalk
4 communities
Oakland
1 community
Odebolt
1 community
Oelwein
2 communities
Ogden
1 community
Onawa
1 community
Orange City
1 community
Osage
2 communities
Osceola
1 community
Oskaloosa
3 communities
Ossian
1 community
Ottumwa
3 communities
Panora
1 community
Pella
2 communities
Perry
3 communities
Pleasant Hill
2 communities
Pleasant Valley
1 community
Pleasantville
1 community
Polk City
1 community
Pomeroy
1 community
Red Oak
2 communities
Reinbeck
1 community
Remsen
1 community
Riceville
1 community
Rock Rapids
1 community
Rock Valley
1 community
Rockwell
1 community
Ruthven
1 community
Sac City
1 community
Saint Ansgar
1 community
Sanborn
1 community
Sergeant Bluff
3 communities
Sheffield
1 community
Sheldon
1 community
Shell Rock
1 community
Shenandoah
2 communities
Sibley
2 communities
Sidney
1 community
Sigourney
2 communities
Sioux Center
1 community
Sioux City
7 communities
Solon
1 community
Spencer
2 communities
Spirit Lake
1 community
Stacyville
1 community
Stanton
1 community
State Center
1 community
Storm Lake
1 community
Story City
1 community
Stratford
1 community
Strawberry Point
1 community
Stuart
1 community
Sumner
1 community
Tabor
1 community
Tama
1 community
Tipton
2 communities
Titonka
1 community
Toledo
1 community
Traer
1 community
Tripoli
1 community
Urbandale
7 communities
Villisca
1 community
Vinton
2 communities
Wall Lake
1 community
Wapello
1 community
Washington
2 communities
Waterloo
6 communities
Waukee
3 communities
Waukon
2 communities
Waverly
1 community
Wayland
1 community
Webster City
2 communities
Wellman
1 community
West Bend
1 community
West Branch
1 community
West Burlington
1 community
West Des Moines
8 communities
West Liberty
1 community
West Point
1 community
West Union
1 community
Wheatland
1 community
Whiting
1 community
Williamsburg
1 community
Wilton
1 community
Winfield
1 community
Winterset
1 community
Woodbine
1 community
Zearing
1 community

All Communities in Iowa

Showing 1-10 of 464 communities

Search Communities Near You in Iowa

Find Senior Living in Iowa

Need help choosing the right community? Contact us for personalized guidance.

Get Help Today