Iowa Assisted Living

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Assisted living facilities play a crucial role in providing personalized care and support for seniors in Iowa. The state boasts a diverse range of options, collectively known as Iowa assisted living facilities, designed to enhance the well-being of older adults. Assisted senior living in Iowa is characterized by a commitment to maintaining the independence and dignity of residents while addressing their unique healthcare and daily living needs.

Iowa takes pride in offering a variety of assisted living communities tailored to meet the diverse preferences and requirements of its senior population. These facilities provide a secure and comfortable environment, ensuring that residents receive the assistance they need while enjoying a sense of autonomy. From urban centers to charming rural settings, assisted living communities in Iowa are strategically located to offer seniors a fulfilling lifestyle in familiar surroundings.

The landscape of assisted living in Iowa encompasses a spectrum of services, ranging from assistance with daily activities to specialized healthcare support. Trained and compassionate staff in Iowa assisted living facilities work diligently to create a nurturing atmosphere where residents can thrive. The focus is not only on addressing physical needs but also on fostering social connections and emotional well-being, recognizing the importance of a holistic approach to senior care.

Iowa's commitment to quality senior living is reflected in the array of amenities and activities provided within assisted living communities. Residents can engage in social events, recreational activities, and wellness programs, promoting an active and fulfilling lifestyle. Additionally, the state emphasizes the importance of maintaining strong ties with the local community, enhancing the overall sense of belonging for seniors in assisted living facilities.

As the demand for assisted living services continues to grow in Iowa, the state remains dedicated to upholding the highest standards of care. Families seeking suitable options for their loved ones can explore the rich tapestry of Iowa assisted living facilities, each contributing to the collective goal of ensuring seniors lead fulfilling lives in their golden years.

20 Assisted Living Facilities in Iowa

Riverview Terrace

Riverview Terrace is an assisted living community in Spencer, Iowa in the 51301 zip code area. Nestled at 1501 St. Luke Drive inside Clay county, Riverview Terrace provides retirement living to all elderly adults who live in Spencer and offers a family environment, as well as accommodating dietary menu, wandering prevention and help managing medications. It can accommodate a maximum of 114 senior citizens at a time.

Rose Of East Des Moines

Rose Of East Des Moines is an assisted living home in Polk county, Iowa. It is located at 1331 Idaho Street in Des Moines, Iowa and offers senior care and living to older adults who reside in the Polk county area. Rose Of East Des Moines can provide accommodation to no more than 128 seniors at a time. Some of the services offered by Rose Of East Des Moines include memory care for dementia and Alzheimer’s, physician services and escorting. Senior citizens who are looking for retirement facilities in Polk county, Iowa near the 50316 zip code area should feel wonderful about choosing Rose Of East Des Moines as their retirement residence.

Whispering Willow Assisted Living

Whispering Willow Assisted Living is a pet-friendly senior assisted living facility in Chickasaw county, Iowa that provides many amenities to its residents. It is located at 601 Dawn Avenue in Fredericksburg, Iowa, 50630 zip code area. A few of the amenities provided by Whispering Willow Assisted Living include a large dining area, medication reminders and weekly laundry services. Whispering Willow Assisted Living can offer retirement living to a maximum of 52 senior citizens.

Fountain View Assisted Living / Sunrise Retirement Community

Fountain View Assisted Living / Sunrise Retirement Community is an assisted living facility in Sioux City, Iowa that accepts Medicare and Medicaid to pay some of the cost for retirement living. Fountain View Assisted Living / Sunrise Retirement Community is situated at 5501 Gordon Drive East in Woodbury county and includes features like trails and paths, spacious apartments, many social activities and caregiving staff on-call throughout the night and day. It can provide 55 and over adults living in Woodbury county up to 92 senior assisted living units.

Golden Age Care Center

When looking for luxurious senior assisted living communities in Centerville, Iowa, you will come across Golden Age Care Center, located at 1915 South 18th Street, 52544 zip code area. Golden Age Care Center enables older adults living in Appanoose county in Iowa to experience retirement living at its best. With community features like numerous social activities, scheduled wellness check-ups and apartment and community maintenance, older adults should feel wonderful about picking Golden Age Care Center as their retirement community. It can accommodate older adults living in Appanoose county with a maximum of 70 assisted living units.

Kingston Court

Finding the best assisted living center in Elkader, Iowa is not easy, but it’s possible if you look at Kingston Court. It is situated at 118 Reimer Street Sw and provides services such as customized meal plans, pet services and hygiene assistance. Kingston Court provides a total of 42 assisted living units to Clayton county retirees.

Shores At Pleasant Hill

Shores At Pleasant Hill is a senior assisted living community located in Pleasant Hill, Iowa at 1500 Edgewater Drive. It offers seniors in Pleasant Hill and nearby areas who are searching for retirement communities in Polk county amenities that include help managing medications, 24/7 front desk assistance, healthcare services and three delicious daily meals, a staff registered dietitian. Shores At Pleasant Hill offers 220 assisted living units.

Epic House

Those senior citizens who require aid with everyday tasks and want an assisted living center in Waterloo, Iowa should consider Epic House. It can accommodate a total of 12 retirees. Epic House aids with daily tasks such as taking a bath, getting dressed, getting in and out of bed and other nursing care as required. It offers amenities such as mobility help and 24-hour cafe.

Accura Healthcare Of Newton East

Accura Healthcare Of Newton East is an assisted living home in Jasper county that provides board and care services for elderly adults who reside in Newton, Iowa and nearby areas. It’s located in the 50208 zip code area at 1743 South Eighth Avenue East and includes amenities such as three delicious daily meals, meal assistance, cleaning and housekeeping service and newly renovated retirement residences. It includes a total of 54 retirement living units.

North Iowa Transition Center

North Iowa Transition Center is an assisted living center located in Mason City, Iowa in Cerro Gordo county. It is best suited for elderly adults who require personal care all under one roof. North Iowa Transition Center is situated at 408 First Street Nw in the 50401 zip code and offers amenities such as breakfast lunch and dinner meals, worship services and medication review. It has a capacity of 15 senior living units.

Pearl Valley Rehabilitation And Nursing At Primghar

Pearl Valley Rehabilitation And Nursing At Primghar is a senior assisted living facility in Primghar, Iowa in the 51245 zip code area. Nestled at 735 North Rerick Avenue inside O'brien county, Pearl Valley Rehabilitation And Nursing At Primghar provides retirement living to all seniors who live in Primghar and offers a welcoming environment, as well as three nutritious meals per day, health condition monitoring and personal hygiene help. It can house a maximum of 40 elderly adults at a time.

Cedar Vale

Cedar Vale is an assisted living home in Chickasaw county, Iowa. It is situated at 100 Poppe Lane in Nashua, Iowa and offers senior care and living to senior citizens who reside in the Chickasaw county area. Cedar Vale can provide accommodation to a maximum of 40 seniors at a time. Some of the features offered by Cedar Vale include dementia and Alzheimer’s care, physician services and visiting physician. 55 and older adults who are looking for retirement homes in Chickasaw county, Iowa near the 50658 zip code area will feel great about selecting Cedar Vale as their retirement residence.

Bethany Lutheran Home

Bethany Lutheran Home is a pet-friendly assisted living home in Pottawattamie county, Iowa that provides numerous amenities to its residents. It is situated at 7 Elliott Street in Council Bluffs, Iowa, 51503 zip code area. Some of the services provided by Bethany Lutheran Home include a large dining area, a library and personal laundry service. Bethany Lutheran Home can offer retirement living to up to 121 senior citizens.

Maggie's House Assisted Living

Maggie's House Assisted Living is an assisted living center in Dewitt, Iowa that accepts Medicaid and Medicare to pay part of the cost for retirement living. Maggie's House Assisted Living is located at 107 E 2nd in Clinton county and includes amenities such as tree-lined walking paths, oversized apartment suites, hygiene assistance and caregivers on-call all day and night. It can provide 55 and over adults living in Clinton county a maximum of 40 senior assisted living units.

Winslow House Care Center

When searching for luxurious senior living communities in Marion, Iowa, you will come across Winslow House Care Center, located at 3456 Indian Creek Road, 52302 zip code area. Winslow House Care Center enables elderly adults living in Linn county in Iowa to experience senior living at its best. With community amenities that include a library, scheduled wellness check-ups and 24/7 caregivers, elderly adults should feel great about selecting Winslow House Care Center as their retirement community. It can accommodate elderly adults living in Linn county with up to 50 senior assisted living units.

Keystone Place At Forevergreen

Finding the best senior assisted living facility in North Liberty, Iowa is hard, but it’s possible when you consider Keystone Place At Forevergreen. It is situated at 1275 West Forevergreen Road and provides services that include a call pendant system, pet-friendly facilities and personal care services. Keystone Place At Forevergreen provides a total of 152 senior living units to Johnson county elderly adults.

Qhc Madison Square

Qhc Madison Square is an assisted living home located in Winterset, Iowa at 209 W Jefferson. It offers seniors in Winterset and nearby areas who are searching for retirement communities in Madison county amenities that include medication administration by licensed nurses, 24/7 front desk assistance, healthcare services and breakfast lunch and dinner meals, routine wellness checks. Qhc Madison Square includes 74 senior living units.

Grandview Healthcare Center

Those senior citizens who require assistance with daily activities and want an assisted living center in Oelwein, Iowa should consider Grandview Healthcare Center. It can accommodate a total of 93 residents. Grandview Healthcare Center aids with daily tasks that include shower, getting dressed, help moving around and other nursing care as needed. It offers amenities like personal hygiene help and expanded dietary menu.

Northbrook Manor Care Center

Northbrook Manor Care Center is an assisted living home in Linn county that includes board and care services for older adults who reside in Cedar Rapids, Iowa and nearby areas. It’s situated in the 52402 zip code area at 6420 Council Street Ne and offers amenities like dietary menu for diabetics, bingo and card games, scheduled picnics and newly updated retirement residences. It includes a total of 130 retirement living units.

Oak Estates

Oak Estates is an assisted living home located in Conrad, Iowa in Grundy county. It is best suited for retired adults who require caregiving and housing all in one location. Oak Estates is situated at 110 Alice Street in the 50621 zip code and includes amenities like three tasty daily meals, stimulating and engaging activities and rehabilitation services. It has a capacity of 32 assisted senior living units.

Call (888) 989-7961 to speak to Iowa memory care advisor. Get pricing, availability, payment options and help scheduling tours for nearby facilities.

Cost of Assisted Living in Iowa

Understanding the cost of assisted living in Iowa is essential when considering a senior living option for your loved one. The state offers a range of assisted living facilities, each with its own set of services and amenities, influencing the overall cost.

  1. Statewide Average Cost:

    • The average cost of assisted living in Iowa generally falls between $3,000 and $5,000 per month. This cost can vary based on factors such as location, the size of the living space, and the specific services provided by the facility.
  2. Location Impact:

    • The cost of assisted living can be influenced significantly by the location within Iowa. Facilities in urban areas or those close to major cities may have higher fees due to increased demand and the cost of living.
  3. Level of Care Needed:

    • The level of care required by an individual also plays a role in determining the cost. Seniors with higher care needs, such as assistance with activities of daily living (ADLs) or medication management, may incur additional charges.
  4. Additional Services:

    • Some assisted living facilities in Iowa offer additional services, such as transportation, special dietary options, or specific wellness programs. These services can contribute to an increase in overall monthly costs.
  5. Financial Assistance Programs:

    • Iowa provides financial assistance programs, including the Medicaid Home and Community-Based Services (HCBS) Elderly Waiver program, which may help cover some assisted living costs for eligible individuals.
  6. Insurance Coverage:

    • Long-term care insurance policies may cover assisted living costs. It's crucial to review the terms and conditions of the insurance policy to understand the extent of coverage and any limitations that may apply.

Amenities in Iowa Assisted Living Facilities

Iowa assisted living facilities pride themselves on providing a range of amenities aimed at enhancing the quality of life for their residents. These amenities contribute to a comfortable and engaging environment, fostering a sense of community and well-being among seniors.

One common feature in Iowa assisted living facilities is the provision of well-appointed accommodation. Residents typically have the option to choose between various living arrangements, including private apartments or shared suites, based on their preferences and budget. These living spaces often come equipped with essential amenities such as kitchenettes, accessible bathrooms, and emergency call systems to ensure residents' safety and convenience.

Nutritious and well-balanced meals are a cornerstone of assisted living amenities in Iowa. Facilities often have on-site dining areas where residents can enjoy communal meals. The menus are typically designed to accommodate dietary preferences and restrictions, ensuring that residents receive the nourishment they need for optimal health.

Many Iowa assisted living facilities prioritize the social and recreational aspects of senior living. Common communal spaces, such as lounges, libraries, and outdoor gardens, provide opportunities for residents to socialize and engage in various activities. Planned events, outings, and group activities further contribute to a vibrant community, fostering connections among residents.

Health and wellness are integral components of the amenities offered in Iowa assisted living facilities. Trained staff members are often available to assist residents with activities of daily living and medication management. Additionally, facilities may offer fitness programs, therapy services, and wellness checks to support the overall health and vitality of residents.

Transportation services are another valuable amenity, ensuring that residents have access to medical appointments, shopping, and community outings. This feature is particularly crucial for seniors who may no longer drive or have limited mobility.

Technology is increasingly becoming a part of assisted living amenities in Iowa. Wi-Fi accessibility, digital communication tools, and smart home features may be integrated into the living spaces, enhancing residents' connectivity with loved ones and the broader community.

Iowa assisted living facilities prioritize a comprehensive array of amenities encompassing living spaces, dining options, social and recreational activities, health and wellness services, transportation, and technological enhancements. These amenities collectively contribute to creating a supportive and enriching environment for seniors to thrive in their later years.

How to Choose an Assisted Living Facility For Your Loved One in Iowa

Choosing the right assisted living facility in Iowa is a significant decision that involves careful consideration of various factors. This process requires thorough research, visits to potential facilities, and open communication with both the staff and residents. Here are key steps and considerations to guide families in selecting the most suitable assisted living facility for their loved ones in Iowa.

  1. Assessment of Needs: Begin by assessing the specific needs of your loved one. Consider their healthcare requirements, assistance with daily activities, and preferences for amenities and social activities. Understanding these needs will help narrow down the options based on the level of care and services provided by each facility.

  2. Location: Evaluate the location of the assisted living facility. Some families may prefer facilities close to their own homes, while others may choose a location that holds sentimental value for the senior. Additionally, consider the proximity of medical facilities, shopping centers, and recreational areas.

  3. Cost and Financial Considerations: Clearly understand the costs associated with each assisted living facility. Inquire about the pricing structure, what is included in the base cost, and any additional fees for specialized services. Discuss financial arrangements with the facility, exploring options such as private pay, long-term care insurance, or Medicaid.

  4. Accreditation and Licensing: Verify that the assisted living facility is accredited and licensed in accordance with Iowa state regulations. Accreditation from reputable organizations ensures that the facility adheres to industry standards and provides quality care. Accessing state licensing records can offer insights into any past compliance issues.

  5. Staff Qualifications and Training: Inquire about the qualifications and training of the facility's staff. Trained and compassionate caregivers are essential for providing quality care to residents. Check if the staff members undergo regular training to stay updated on best practices in senior care.

  6. Facility Reputation: Research the reputation of the assisted living facility by reading reviews, testimonials, and feedback from current or past residents and their families. A positive reputation is often indicative of a well-managed facility with satisfied residents.

  7. Visit the Facility: Schedule visits to potential assisted living facilities in Iowa. During visits, observe the cleanliness, safety measures, and overall atmosphere of the facility. Interact with staff and residents to gain firsthand insights into daily life within the community.

  8. Ask About Activities and Programs: Inquire about the social and recreational activities offered by the facility. Engaging programs and events contribute to a vibrant community and can significantly impact the overall well-being of residents.

  9. Communication and Transparency: Choose a facility that prioritizes open communication with residents and their families. Transparent policies and clear communication channels ensure that families are kept informed about their loved one's well-being and any changes in the facility's operations.

  10. Future Planning: Consider the long-term aspect of the chosen facility. Evaluate its ability to adapt to changing healthcare needs and accommodate increasing levels of care if necessary. A facility that can provide a continuum of care ensures a smoother transition as residents age.

  11. Get Legal Advice: Seek legal advice when reviewing and signing contracts with assisted living facilities. An attorney specializing in elder law can provide valuable insights and ensure that the contractual terms align with the best interests of your loved one.

Touring Assisted Living Facilities in Iowa

Touring assisted living facilities in Iowa is a crucial step in the decision-making process for families considering senior living options. It provides an opportunity to assess the environment, interact with staff, and get a firsthand feel for the facilities. Here's a comprehensive guide on what to look for and consider during a tour of assisted living facilities in Iowa.

  1. Scheduling a Visit: Start by scheduling a visit to the assisted living facilities you are interested in. Many facilities in Iowa encourage and welcome prospective residents and their families to tour their premises. Call ahead to ensure availability and schedule a convenient time for your visit.

  2. Observe Cleanliness and Maintenance: Pay attention to the cleanliness and maintenance of the facility. Clean, well-maintained surroundings indicate a commitment to providing a comfortable and safe living environment for residents. Take note of communal areas, living spaces, and outdoor spaces.

  3. Interaction with Staff: During your tour, engage with the staff members. Take note of their friendliness, attentiveness, and willingness to address your questions. Staff interactions can offer insights into the overall atmosphere and the level of care residents can expect.

  4. Evaluate Safety Measures: Assess the safety measures in place within the facility. Check for handrails, emergency call systems, and other safety features that are essential for seniors. Understanding the safety protocols in case of emergencies is crucial for peace of mind.

  5. Explore Living Spaces: Explore different types of living spaces available within the facility. This includes private rooms, shared suites, and common areas. Consider whether the living spaces align with the preferences and needs of your loved one.

  6. Meal Quality and Options: Inquire about the dining services and sample the quality of meals if possible. Assess the variety of menu options, accommodation of dietary restrictions, and the overall dining experience. Nutrition is a vital aspect of senior well-being.

  7. Participate in Activities: Join in or observe any ongoing activities during your visit. The social and recreational aspects of assisted living play a significant role in the well-being of residents. Assess the variety and frequency of activities provided.

  8. Transportation Services: Inquire about transportation services offered by the facility. Accessibility to medical appointments, shopping centers, and community outings is crucial for maintaining an active and engaged lifestyle for residents.

  9. Ask About Staff-to-Resident Ratio: Gain insights into the staff-to-resident ratio. Adequate staffing ensures that residents receive personalized care and attention. Understanding the level of support available can influence the decision-making process.

  10. Discuss Healthcare Services: Discuss the healthcare services available within the facility. Inquire about assistance with daily activities, medication management, and the availability of trained healthcare professionals on-site. A comprehensive healthcare approach is essential for senior residents.

  11. Community Engagement: Evaluate the sense of community engagement during your visit. Assess whether residents are interacting with each other and participating in activities. A vibrant and socially active community contributes to a positive living experience.

  12. Review Facility Policies: Request information on facility policies, including admission criteria, contract terms, and any specific rules or regulations. Understanding the policies in place helps ensure a transparent and mutually beneficial arrangement.

  13. Inquire About Family Involvement: Ask about opportunities for family involvement in the assisted living community. Understanding how families can stay engaged and informed about their loved one's well-being fosters a collaborative relationship between the facility and residents' families.

  14. Check for Flexibility in Care Plans: Inquire about the flexibility of care plans. Understanding how the facility can adapt to changing healthcare needs ensures that your loved one can age in place comfortably without the need for frequent relocations.

  15. Follow-Up Questions: Prepare a list of follow-up questions based on your observations and discussions during the tour. These questions can provide additional clarity and help in making an informed decision.

By thoroughly considering these factors during the assisted living facility tour in Iowa, families can gather valuable information to make a well-informed decision that aligns with the needs and preferences of their loved ones.

When is it Time for Assisted Living in Iowa?

Recognizing the right time for assisted living in Iowa involves assessing the unique needs and circumstances of the senior in question. While each individual case may vary, there are common signs and considerations that can help families determine when assisted living may be a suitable and beneficial option for their loved ones in Iowa.

  1. Decline in Physical Health: One of the key indicators that it might be time for assisted living is a decline in physical health. If a senior is finding it challenging to perform daily activities such as bathing, dressing, or preparing meals, it may be an indication that additional support is needed.

  2. Cognitive Decline: Cognitive decline, including memory loss and confusion, can be a significant factor in considering assisted living. If a senior is experiencing challenges in managing medications, remembering appointments, or facing safety concerns due to cognitive issues, assisted living can provide the necessary support.

  3. Social Isolation: Seniors who are increasingly isolated or lonely may benefit from the social engagement offered by assisted living communities. If a loved one is experiencing a lack of social interactions, participating in activities, or connecting with others, assisted living can provide a vibrant community environment.

  4. Caregiver Burnout: If family caregivers are experiencing burnout or finding it increasingly difficult to meet the evolving needs of their loved ones, it may be time to consider assisted living. Assisted living facilities in Iowa offer professional care and support, relieving family members of the caregiving burden.

  5. Safety Concerns at Home: Safety is a paramount consideration. If a senior's home environment poses safety risks due to factors such as mobility challenges, inadequate home modifications, or the absence of emergency response systems, assisted living with its safety features can be a more suitable option.

  6. Difficulty Managing Finances: Seniors facing challenges in managing finances, paying bills, or making sound financial decisions may benefit from the assistance provided in an assisted living setting. This can help prevent financial exploitation and ensure responsible management of resources.

  7. Decline in Personal Hygiene: A noticeable decline in personal hygiene can be indicative of difficulties in self-care. Assisted living facilities in Iowa provide assistance with grooming and personal care, addressing hygiene concerns and promoting overall well-being.

  8. Healthcare Needs Increase: As healthcare needs increase, the level of support provided by assisted living becomes increasingly valuable. Facilities in Iowa often have trained staff to assist with medication management, regular health monitoring, and coordination of medical appointments.

  9. Unintentional Weight Loss: Unintentional weight loss can be a sign of underlying health issues or difficulty maintaining a balanced diet. Assisted living facilities typically offer nutritious meals and ensure that residents receive the dietary support they need.

  10. Wandering or Safety Issues: For seniors with conditions such as Alzheimer's or dementia, wandering or safety issues can become a significant concern. Assisted living communities in Iowa are equipped to handle the specific needs of residents with memory-related conditions, providing a secure and supportive environment.

  11. Lack of Transportation: If a senior is facing challenges with transportation, leading to increased isolation or difficulty accessing essential services, assisted living facilities often provide transportation services to address these needs.

FAQs About Assisted Living in Iowa

What types of assisted living facilities are available in Iowa?

In Iowa, assisted living facilities come in various forms, including apartment-style living, shared suites, and specialized care communities. Each type caters to different preferences and needs, ensuring a diverse range of options for seniors.

Is financial assistance available for assisted living in Iowa?

Yes, financial assistance options are available for seniors in Iowa. The state offers programs like Medicaid, which may cover certain assisted living costs for eligible individuals. Families should explore these resources and understand the eligibility criteria.

How much does assisted living cost in Iowa?

The cost of assisted living in Iowa varies based on factors like location, amenities, and the level of care required. On average, it aligns with national averages, but families should inquire about specific pricing structures and any additional fees for specialized services.

Are there specific regulations for assisted living facilities in Iowa?

Yes, Iowa has regulations in place to ensure the safety and well-being of residents in assisted living facilities. Prospective residents and their families should inquire about the facility's compliance with state regulations and licensing requirements.

What amenities do assisted living facilities in Iowa typically offer?

Assisted living facilities in Iowa provide a range of amenities, including communal spaces, dining services, social activities, and wellness programs. The specifics may vary, so families should inquire about the amenities offered at each facility under consideration.

Can residents personalize their living spaces in Iowa assisted living facilities?

Yes, residents in Iowa assisted living facilities can often personalize their living spaces to create a homely and comfortable environment. Families should inquire about the flexibility in decorating and personalizing living quarters.

How is healthcare managed in Iowa assisted living facilities?

Assisted living facilities in Iowa typically have trained staff to assist with healthcare needs. This includes medication management, regular health check-ups, and coordination with external healthcare providers to ensure residents receive the necessary medical attention.

Are there age restrictions for assisted living in Iowa?

While there may not be strict age restrictions, assisted living facilities in Iowa are generally designed for seniors who need assistance with daily activities. Prospective residents should meet the facility's criteria related to care needs and overall well-being.

What role does community engagement play in Iowa assisted living facilities?

Community engagement is significant in Iowa assisted living facilities. Social activities, outings, and events are organized to foster a sense of community among residents. Families should inquire about the facility's approach to promoting social interactions and overall community engagement.

How can families stay involved in the care of their loved ones in Iowa assisted living?

Assisted living facilities in Iowa often encourage family involvement. Regular communication, scheduled family visits, and participation in facility events are ways families can stay engaged. Families should discuss with the facility how they can be actively involved in the care and well-being of their loved ones.

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674 Assisted Living Facilities in Iowa

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