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Assisted Living in Iowa

Iowa has 434 licensed assisted living communities listed on ElderCareCosts across 500 cities. The median estimated cost statewide is $5,381/mo. Pick a city below for local pricing and provider listings, or request a personalized shortlist.

434 licensed assisted living communities listed · 13 with CMS star ratings.

Cost of assisted living in Iowa

Median monthly price, Iowa

$5,381/mo

Modeled range $5,137 – $5,848 how this range is derived

Iowa $5,381 National median $6,230

Modeled median costs for assisted living versus Iowa and a multi-state national aggregate. Figures are estimates, not quotes.

Assisted Living cost comparison (2025)
Assisted LivingIowaNational
25th percentile$5,137/mo$5,488/mo
Median$5,381/mo$6,230/mo
75th percentile$5,848/mo$7,083/mo

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Why is this number different on other websites? Most sites average "starting at" prices. Base rent, before care fees. We estimate the full monthly cost families actually pay. Budget from the all-in number. Our methodology →

Ways families typically pay

  • Private pay (savings, income, home equity)
  • Long-term care insurance
  • VA Aid & Attendance for eligible veterans and surviving spouses
  • Medicaid home- and community-based services (HCBS) waivers, where eligible. Rules vary by state

Medicare generally does not cover long-term custodial care. State-specific Medicaid waiver guides are coming soon.

CMS rating distribution in Iowa

CMS overall star ratings for 13 assisted living communities in Iowa. We do not re-rank these scores.

CMS star ratings in Iowa
CMS starsProviders
5 stars4
4 stars2
3 stars5
2 stars1
1 star1

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Iowa licensing & regulation

Iowa Department of Inspections, Appeals, and Licensing (DIAL) — Health Facilities Division licenses and inspects assisted living communities in Iowa. Before you sign anything, look up the community's license status and past complaints on the state's own site, not a marketing page.

Source: State licensing agency.GOV

Medicaid & local resources in Iowa

Long-Term Care Ombudsman

Iowa Long-Term Care Ombudsman Program helps residents of nursing homes, assisted living, and similar settings in Iowa resolve concerns about care and rights.

Official Ombudsman locator / program page

Source: State LTC Ombudsman.GOV

Medicaid HCBS / LTSS programs

Named programs below are from official state Medicaid agency pages. We do not list eligibility dollar amounts or wait lists unless a primary source is cited in a later pass.

Source: State Medicaid program.GOV

Free national starting points. Official sites only; we do not scrape these directories.

Cities in Iowa

Showing 500 of 1026 tracked cities.

Counties in Iowa

County pages carry the local Area Agency on Aging, the state Medicaid waiver contacts and, for nursing homes, what federal inspectors recorded. Ordered by how many assisted living providers each county holds.

All 47 Iowa counties

Assisted Living providers in Iowa

Sample of licensed assisted living communities listed for Iowa. City pages show fuller local inventories.

Sponsored placements, when they appear, are always labeled. How we make money →

Compare communities you choose
Check Compare on cards above, then continue. Selection before consent.

Your number goes only to communities you choose. No call blitz. Ever.

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How we rank these

Frequently asked questions

How many assisted living communities are listed in Iowa?

We currently list 434 licensed assisted living communities across Iowa.

Which cities in Iowa have assisted living listings?

We track 500 Iowa cities for assisted living. See the city list on this page for options near you.

Past 60 days in Iowa: 435 added · 902 updated · 1 delisted. Most recent change Sep 2. Counts come from our ingestion diffs, not confirmed licensing actions.

How to cite this page

Cite this: According to ElderCareCosts' 2026 index, assisted living in Iowa costs $5,381/month (median).

APA: ElderCareCosts Research. (2026). Assisted Living in Iowa. ElderCareCosts. Retrieved September 16, 2026, from https://www.eldercarecosts.com/assisted-living/iowa/

Chicago: ElderCareCosts Research. "Assisted Living in Iowa." ElderCareCosts. Last modified August 10, 2026. Accessed September 16, 2026. https://www.eldercarecosts.com/assisted-living/iowa/.

These figures may be quoted and reproduced with attribution and a link back to this page. No permission needed. Methodology · Data sources · Who produces this · Corrections

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Assisted Living in Iowa. Cost & Providers · ElderCareCosts