State plate · IA
Assisted living in Iowa
Iowa licenses assisted living through DIAL, Health & Safety Div., under the license types Assisted Living Program (certified); Dementia-Specific Assisted Living Program. Iowa does not publish a downloadable list with capacity. CDC's 2020 survey estimated 230 residential care communities with 12,500 beds. HUD's active-loan file shows 23 FHA-insured assisted living loans in Iowa with $143.7 million outstanding as of September 30, 2026.
Licensing
- Licensing agency
- DIAL, Health & Safety Div.
- License types
- Assisted Living Program (certified); Dementia-Specific Assisted Living Program
- Official program page
- dial.iowa.gov
- Facility list
- CSV (API lastUpdated 2025-08-11 (possibly stale))
Licensing details checked against each agency's site on 2026-10-24. HUD requires a Section 232 assisted living project to be licensed or regulated by the state and have at least 20 beds.
CDC survey profile (2020)
The National Post-acute and Long-term Care Study, run by CDC's National Center for Health Statistics, estimates residential care communities with four or more beds. 2020 is its latest wave with state figures, so these numbers differ from the state's own list.
| Measure | Iowa | US |
|---|---|---|
| Communities | 230 | 30,600 |
| Beds | 12,500 | 1,197,600 |
| Average beds per community | 54 | 39 |
| For-profit | n/a% | 81.9% |
| Chain affiliated | 64.1% | 61.4% |
| Medicaid certified | 67.7% | 43.6% |
| Dementia-only communities | n/a | 10.5% |
| Dementia-only or with a dementia unit | 38.9% | 20.5% |
| Residents 85 and older | 59.4% | 49.9% |
| Residents with Alzheimer disease or other dementias | 35.2% | 42.1% |
Source: CDC/NCHS, Biennial Overview of Post-acute and Long-term Care (data.cdc.gov). Percentages are of communities, except the resident rows.
HUD Section 232 assisted living loans
- Active FHA loans
- 23
- Outstanding
- $143.7 million
- Median note rate
- 3.05%
- Endorsed since FY2001
- 52
Since fiscal 2001 HUD has endorsed 52 FHA-insured assisted living loans in Iowa for $338.3 million of original principal, 15 of them for new construction or substantial rehabilitation, and 9 since fiscal 2021. 1 of today's active loans carry a note rate of 5% or more. The active file also lists 1 board and care loans in the state.
| Property (HUD name) | City | Units | Endorsed | Rate | Balance | Matures |
|---|---|---|---|---|---|---|
| The Views at MarionFHA 07443095 | Marion | 104 | May 2022 | 2.99% | $20,958,479 | Jun 2062 |
| Country Meadow PlaceFHA 07422089 | Mason City | 56 | Jan 2024 | 5.66% | $11,306,134 | Feb 2059 |
| Sunset Park PlaceFHA 07422075 | Dubuque | 138 | Nov 2020 | 2.32% | $10,844,772 | Dec 2055 |
| The Willows of MarshalltownFHA 07443094 | Marshalltown | 58 | Oct 2021 | 2.78% | $9,550,313 | Nov 2061 |
| The ViewsFHA 07422045 | Cedar Rapids | 100 | May 2015 | 3.04% | $8,202,625 | Jun 2050 |
| Bickford of MarionFHA 07422074 | Marion | 114 | Feb 2021 | 2.15% | $7,815,430 | Mar 2056 |
| Brickford of DavenportFHA 07422073 | Davenport | 84 | Feb 2021 | 2.15% | $7,318,084 | Mar 2056 |
| Summit Pointe Senior Living CommunityFHA 07443087 | Marion | 101 | Mar 2012 | 3.20% | $6,665,066 | Mar 2047 |
| Courtyard Estates at Hawthorne CrossingFHA 07422076 | Bondurant | 127 | Jan 2021 | 2.29% | $6,471,614 | Feb 2056 |
| Woodlands CreekFHA 07422053 | Clive | 70 | Aug 2014 | 3.37% | $5,780,640 | Sep 2049 |
| Legacy PointeFHA 07422055 | Iowa City | 86 | May 2015 | 3.10% | $5,673,183 | Jun 2050 |
| Fountains Assisted LivingFHA 07422020 | Bettendorf | 68 | Feb 2012 | 3.05% | $5,369,414 | Mar 2047 |
| Bickford of Sioux City IIFHA 07422081 | Sioux City | 35 | Nov 2021 | 2.42% | $5,233,250 | Dec 2056 |
| Fox RunFHA 07422048 | Council Bluffs | 66 | Dec 2014 | 2.73% | $5,202,665 | Jan 2050 |
| Ganer FarmsFHA 07422054 | Davenport | 72 | Nov 2014 | 3.37% | $4,558,820 | Dec 2049 |
| Northern Hills Assisted LivingFHA 07422038 | Sioux City | 64 | Nov 2012 | 2.77% | $3,901,555 | Apr 2042 |
| Bickford of Sioux City IFHA 07422080 | Sioux City | 36 | Dec 2021 | 2.53% | $3,793,777 | Jan 2057 |
| Golden Horizons Assisted Living Ida GroveFHA 07422072 | Ida Grove | 54 | Mar 2020 | 3.10% | $2,933,355 | Apr 2055 |
| Wel-life Assisted Living at Spirit LakeFHA 07422044 | Spirit Lake | 44 | Apr 2014 | 4.10% | $2,829,098 | May 2049 |
| Urbandale Assisted Lvng FacltyFHA 07443090 | Urbandale | 72 | Jan 2015 | 3.45% | $2,752,266 | Sep 2048 |
| The Gardens Assisted Living at CherokeeFHA 07422047 | Cherokee | 42 | Jun 2014 | 3.70% | $2,601,301 | Jul 2049 |
| Jerset Ridge PlaceFHA 07422041 | Davenport | 62 | Jul 2013 | 3.28% | $2,531,086 | Aug 2048 |
| Wel-life at AltaFHA 07422022 | Alta | 40 | Jan 2012 | 3.79% | $1,455,784 | Feb 2047 |
Active loans: HUD FHA insured mortgages, active, as of September 30, 2026. Endorsements: HUD Office of Healthcare Programs database, data run July 8, 2026. Facility type comes from HUD's endorsement records.
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