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Assisted living in Des Moines and central Iowa

Iowa's assisted living is a certified program: an apartment, meals and help with daily life, under two-year state certification.

Quick answer

Assisted living around Des Moines is a DIAL-certified assisted living program that provides an apartment, meals and help with bathing, dressing, medications and other daily activities, plus part-time health care, to tenants who do not need nursing facility care.

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What is assisted living in Des Moines, Iowa?

Assisted living around Des Moines is a DIAL-certified assisted living program that provides an apartment, meals and help with bathing, dressing, medications and other daily activities, plus part-time health care, to tenants who do not need nursing facility care.

In Polk, Dallas, Warren, Jasper, Madison and Guthrie counties, DIAL's Entity Report lists 79 certified assisted living programs with 6,278 units of maximum occupancy: 40 general programs and 39 dementia-specific ones, 52 of them in Polk County and 13 in Dallas County. Programs range from small buildings in Guthrie Center and Panora to large campuses in West Des Moines, Ankeny and Johnston.

Who does well in Iowa assisted living?

Adults who need help with some daily activities or medications, who are unsafe or isolated alone, and whose health needs stay within Iowa's limits: no more than about 28 hours a week of nursing and therapy, no routine two-person transfers, and no maximal help with daily activities.

Medicare hospice can come into the program, so many tenants stay through the end of life.

What does assisted living cost around Des Moines?

CareScout's 2025 Iowa median is $61,200 a year, about $5,100 a month, for a private one-bedroom; no Des Moines figure is published.

The Elderly Waiver can pay for services, not rent, for eligible members in participating programs. VA Aid and Attendance and long-term care insurance help many other families.

How should a Des Moines family choose an assisted living program?

Start near the person who will visit most, check each candidate's DIAL certificate, last survey and fines in our directory, and tour at least three programs at different times of day, including a meal.

On each tour ask for the occupancy agreement, the latest DIAL monitoring report and plan of correction, the staffing schedule and what happens when needs grow or money runs short.

What happens in the first month after a move into Iowa assisted living?

The program completes its evaluation within 30 days of occupancy and updates the service plan, and for tenants receiving health-related care a nurse review follows at least every 90 days.

Ask to attend the 30-day review and bring a written list of what help is needed and when. Keep copies of the occupancy agreement, the service plan and the managed risk policy. If something is not working, raise it with the manager first, then the program nurse, and call the long-term care ombudsman at 1-866-236-1430 if problems persist.

Where is assisted living available across the Des Moines metro?

This is how DIAL's roster spreads assisted living across Polk, Dallas, Warren, Jasper, Madison and Guthrie counties.

CountyCertificates or licensesUnits or beds
Polk County594839
Dallas County13844
Warren County9584
Jasper County3120
Madison County00
Guthrie County2156

Side by side

Assisted living in Iowa isAssisted living in Iowa is not
OversightDIAL certification every two years, monitoring at least every 24 monthsRated by CMS
TenantsAdults needing personal care and part-time health carePeople needing more than 28 hours of nursing a week
PaymentPrivate funds, VA pension, LTC insurance, Elderly Waiver servicesPaid by Medicare

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