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Iowa Assisted Living Facilities

Search Iowa Assisted Living Communities by ZIP

Iowa assisted living facilities are listed by city below. We recommend you search by ZIP code to include nearby facilities. However, you may choose a city to view all assisted living options in that area.


Cost of Iowa Assisted Living Facilities

According to the 2015 Genworth Financial cost of care survey, the average cost of assisted living in Iowa is $3,500 per month.

The monthly base rate for Iowa assisted living is typically average when compared to neighboring states. Iowa is also less expensive compared to the national average.

This cost is the base cost for a one-bedroom assisted living unit in Iowa. Additional fees beyond the base rate may apply.

More info on Assisted Living Costs

Monthly Costs Compared to Neighboring States

South Dakota$3,023

Assisted Living Regulations

Iowa defines an assisted living facility as a residential facility that provides 24 hour staff services to three or more residents in a homelike environment. Those services may include IADL's (instrumental activities of daily living), health-related care and personal care. Additional values include family involvement, tenant self-direction and tenant participation in decisions that focus on choice, privacy and dignity.

Iowa Assisted Living Facilities Scope of Care

Staff in an assisted living facility may provide assistance with no more than four ADL's or IADLs and health related care by an LPN or RN cannot exceed 28 hours per week. A home health agency may be used, but the facility is required to meet minimum standards of care.

Iowa Assisted Living Admission Requirements

A resident cannot be admitted if he or she is under 18, requires two or more people to transfer them, is in an acute stage of mental illness, drug addiction, or alcoholism, and needs more than part-time or intermittent care. An exception may be made if the condition needing additional care is self-limiting within 21 days. An introductory assessment must be completed.

Iowa Assisted Living Care Plan Requirements

Individual service plans must be developed for each resident at specific intervals.

Iowa Assisted Living Medication Management Requirements

Tenants may either self-administer their medication, or staff may administer. Under the supervision of an RN, unlicensed staff may administer medication. Every three months, a nurse must evaluate the resident's medications for adverse affects and confirm the medications are being given in compliance with medication orders.

Iowa Assisted Living Facility Requirements

Single units (minimum of 240 square feet for newer units, 190 for old) may have one resident, and doubles (340 square feet minimum for new buildings, 290 for old) can have no more than two residents. Each unit must have a private bathroom.

Iowa Assisted Living Staffing Requirements

There must be adequate staff available at all times to meet the needs of residents. Assisted living facilities must be overseen by an RN. Administrators and delegating nurses must complete special training related to Iowa laws regarding assisted living facilities. All staff must complete two hours of continuing education a year.

Iowa Assisted Living Medicaid Policy

Direct care in an assisted living facility may be covered under the Medicaid home and community-based services (HCBS) for up to $1117 per month. The State Supplementary Assistance In-Home Health may provide additional funding as needed.

Iowa's Disclosure Requirements

Iowa law requires that a number of pieces of information be disclosed in writing in the occupancy agreement, including a description of all rates and fees, the procedure for non-payment of fees, appeals process and more.

Iowa Medicaid Coverage of Assisted Living and Related Services

The State of Iowa offers consumers to self-direct their personal attendant care. The personal care can be provided at home or in assisted living. It is called the HCBS Elderly Waiver program.

The Iowa HCBS Elderly Waiver gives services to help the elderly who are medically qualified for nursing home care. It is meant for individuals to remain living at home or in communities (assisted living) and receive care. It is preferred by families because it helps the elderly remain in an environment they are familiar and comfortable in.

The waiver includes the Consumer Direction Option allowing individuals, who are receiving care, to self-direct their providers. They can hire friends, neighbors and even some family members.

The HCBS Elderly Waiver prevents nursing home placement. This can include any of the following:

- Adult Day Care

- Assistive Devices

- Attendant Care (Consumer Directed)

- Case Management

- Chore Services

- Consumer Choices Option

- Day Habilitation

- Home and Vehicle Modifications

- Home Delivered Meals

- Home Health Aide

- Homemaker Services

- Interim Medical Monitoring & Treatment

- Nursing Care

- Nutritional Counseling

- Personal Emergency Response System

- Respite Care for Caregivers

- Senior Companions

- Supported Community Living Residential Based

- Supported Employment

- Transportation Assistance

The full list of Iowa Medicaid Waivers:

- HCBS Waiver for Persons With Physical Disabilities

- III and Handicapped

- Children's Mental Health

- HCBS Elderly

- HCBS Intellectual Disabilities


- BI

The HCBS Elderly Waiver is available throughout the state in all Iowa counties. To apply, contact the Iowa Department of Human Services county office. An online brochure is here.

There are also two other programs for Iowa residents that offer assistance to individuals who remain living at home - the Case Management Program for the Elderly and Iowa Able Foundation Loan Program.

How long is the waiting list? Your wait depends on which waiver you need.

How many people are on the waiting list? About 100 people in Iowa waiting for waiver services.

How many people are currently receiving services? There are about 15,000 people on Medicaid waiver services.

Department of Inspections and Appeals, Adult Services Bureau Phone (515) 281-6325

Contact: Ann Martin Phone (515) 281-5077


Web Site:

What is the best number to call to get started? IM Customer Service Center at 1-877-347-5678

Is there a website?

Iowa Contacts

Iowa Department of Inspections and Appeals, Adult Services Bureau

Phone: (515) 281-6325

Ann Martin
Phone: (515) 281-5077

Much of the information above was adapted from the National Center of Assisted Living 2010 Regulatory Review.

License information source: Iowa Health Facilities Division

Iowa Assisted Living Facilities by City