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

Brown Deer Place

Brown Deer Place is an assisted living center in Coralville, Iowa in the 52241 zip code area. Nestled at 1500 1st Ave N inside Johnson county, Brown Deer Place provides retirement living to all elderly adults who live in Coralville and provides a welcoming environment, as well as expanded dietary menu, medication review and medication coordination. It can accommodate a maximum of 44 retirees at a time.

Mill Valley Care Center

Mill Valley Care Center is a senior assisted living community in Jackson county, Iowa. It is located at 1201 Park Street in Bellevue, Iowa and offers senior care and living to senior citizens who reside in the Jackson county area. Mill Valley Care Center can provide care and housing to a maximum of 68 seniors at once. Some of the amenities provided by Mill Valley Care Center include dementia and Alzheimer’s care, help with various daily living activities and rehabilitation services. Older adults who are looking for retirement homes in Jackson county, Iowa near the 52031 zip code area should feel great about selecting Mill Valley Care Center as their retirement residence.

Elms

Elms is a pet-friendly senior assisted living facility in Grundy county, Iowa that offers many amenities to its residents. It is located at 1007 3rd Street in Reinbeck, Iowa, 50669 zip code area. Some of the services offered by Elms include wide entries and doorways, personal hygiene help and assistance with laundry. Elms can offer retirement living to up to 24 55 and older adults.

Cresco Assisted Living

Cresco Assisted Living is an assisted living home in Cresco, Iowa that accepts Medicaid and Medicare to pay part of the cost for retirement living. Cresco Assisted Living is located at 1004 North Elm Street in Howard county and offers features like trails and paths, large retirement apartments, special dining menu for birthdays and caregiving staff on-call throughout the night and day. It can provide 55 and older adults living in Howard county up to 54 assisted living units.

Lincolnwood Assisted Living

When searching for luxury senior living communities in Edgewood, Iowa, you will come across Lincolnwood Assisted Living, located at 302 W Lincoln, Po Box 189, 52042 zip code area. Lincolnwood Assisted Living enables retirees living in Delaware county in Iowa to experience senior living at its best. With community features that include numerous social activities, dining assistance and an emergency alert system, retirees should feel great about picking Lincolnwood Assisted Living as their retirement community. It can accommodate retirees living in Delaware county with a maximum of 54 senior living units.

Mayflower Retirement Community

Finding the best assisted living home in Grinnell, Iowa is hard, however it’s possible when you look at Mayflower Retirement Community. It is situated at 616 Broad Street and provides services that include special dietary accommodations, pet-friendly facilities and rehabilitation services. Mayflower Retirement Community provides a total of 23 senior living units to Poweshiek county retirees.

Lone Tree Health Care Center

Lone Tree Health Care Center is a senior assisted living facility located in Lone Tree, Iowa at 501 East Pioneer Road. It offers retired adults in Lone Tree and nearby areas who are searching for retirement residences in Johnson county amenities that include a library, concierge services, healthcare services and three tasty daily meals, health condition monitoring. Lone Tree Health Care Center includes 44 assisted living units.

Colonial Manor Of Elma

Those senior citizens who need assistance with daily activities and want a senior assisted living facility in Elma, Iowa should consider Colonial Manor Of Elma. It can accommodate a total of 57 retirees. Colonial Manor Of Elma assists with daily tasks that include bathing, dressing, transferring and other nursing care as needed. It offers amenities such as community spaces and 24-hour dining.

Scottish Rite Park - Residential Care Facility

Scottish Rite Park - Residential Care Facility is an assisted living facility in Polk county that provides board and care services for older adults who reside in Des Moines, Iowa and nearby areas. It’s situated in the 50312 zip code area at 2909 Woodland Avenue and includes amenities such as three tasty daily meals, visiting physician services, scheduled off-site activities and newly renovated retirement apartments. It contains a total of 25 retirement living units.

Lakeside Lutheran Home

Lakeside Lutheran Home is a senior assisted living facility located in Emmetsburg, Iowa in Palo Alto county. It is best suited for retired adults who need personal care all in one location. Lakeside Lutheran Home is located at 301 North Lawler Street in the 50536 zip code and provides amenities such as three nutritious meals per day, brain-stimulating daily activities and a library. It has a capacity of 60 senior living units.

Ridgecrest Village

Ridgecrest Village is a senior assisted living community in Davenport, Iowa in the 52806 zip code area. Nestled at 4130 Northwest Boulevard inside Scott county, Ridgecrest Village provides retirement living to all 55 and older adults who live in Davenport and provides a family-friendly environment, as well as accommodating dietary menu, routine wellness checks and a fitness room. It can house a maximum of 137 55 and older adults at a time.

Prairie Hills At Cedar Rapids

Prairie Hills At Cedar Rapids is an assisted living facility in Linn county, Iowa. It is located at 2903 F Avenue Nw in Cedar Rapids, Iowa and offers senior care and living to seniors who reside in the Linn county area. Prairie Hills At Cedar Rapids can provide accommodation to a maximum of 86 seniors at once. Some of the amenities provided by Prairie Hills At Cedar Rapids include Alzheimer’s and dementia care, daily living assistance and incontinence and dressing help. Senior citizens who are looking for retirement facilities in Linn county, Iowa near the 52405 zip code area will feel great about selecting Prairie Hills At Cedar Rapids as their retirement residence.

Bethany Home

Bethany Home is a pet-friendly senior assisted living community in Dubuque county, Iowa that offers numerous amenities to its residents. It is situated at 1005 Lincoln Avenue in Dubuque, Iowa, 52001 zip code area. Some of the amenities provided by Bethany Home include a large dining area, visiting physician and assistance with laundry. Bethany Home can offer retirement living to up to 66 retired adults.

Accura Healthcare Of Carroll

Accura Healthcare Of Carroll is an assisted living center in Carroll, Iowa that accepts Medicare and Medicaid to pay part of the cost for retirement living. Accura Healthcare Of Carroll is located at 2241 North West Street in Carroll county and offers amenities like trails and paths, oversized apartment suites, hygiene assistance and caregiving staff on-call throughout the night and day. It can provide older adults living in Carroll county up to 110 senior assisted living units.

Scenic Manor

When trying to find luxury senior living communities in Iowa Falls, Iowa, you will come across Scenic Manor, located at 1409 N. Fremont, 50126 zip code area. Scenic Manor enables senior citizens living in Hardin county in Iowa to experience senior living at its best. With community features like visiting physician, meal assistance and included maintenance of apartment units, senior citizens should feel wonderful about picking Scenic Manor as their retirement community. It can accommodate senior citizens living in Hardin county with up to 82 senior living units.

Accura Healthcare Of Newton East

Finding the best assisted living home in Newton, Iowa is hard, but it’s possible if you look at Accura Healthcare Of Newton East. It is situated at 1743 South Eighth Avenue East and provides services that include linen and housekeeping service, pet friendly services and personal care services. Accura Healthcare Of Newton East provides a total of 54 assisted senior living units to Jasper county older adults.

Clarksville Skilled Nursing And Rehabilitation Center

Clarksville Skilled Nursing And Rehabilitation Center is an assisted living community located in Clarksville, Iowa at 115 North Hilton Street. It offers seniors in Clarksville and nearby areas who are trying to find retirement homes in Butler county amenities that include escorting, 24/7 front desk assistance, healthcare center and expanded dietary menu, medication review. Clarksville Skilled Nursing And Rehabilitation Center contains 42 assisted living units.

Bickford Cottage I Sioux City

Those older adults who require aid with everyday tasks and want a senior assisted living facility in Sioux City, Iowa should consider Bickford Cottage I Sioux City. It can accommodate a total of 44 residents. Bickford Cottage I Sioux City assists with daily tasks that include shower, getting dressed, transferring and other nursing care as required. It includes amenities such as scheduled transportation to appointments and church and chaplain services.

Clearview Home Mt Ayr

Clearview Home Mt Ayr is a senior assisted living community in Ringgold county that provides board and care services for senior citizens who reside in Mount Ayr, Iowa and nearby areas. It’s located in the 50854 zip code area at 406 West Washington and includes amenities such as three delicious daily meals, health condition monitoring, scheduled outings and newly updated retirement residences. It contains a total of 82 retirement living units.

Northern Mahaska Specialty Care

Northern Mahaska Specialty Care is an assisted living community located in Oskaloosa, Iowa in Mahaska county. It is perfect elderly adults who need personal care all in one location. Northern Mahaska Specialty Care is situated at 2401 Crestview Drive in the 52577 zip code and includes amenities like three nutritious meals per day, brain-stimulating daily activities and medication management. It has a capacity of 63 assisted 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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