2026 National Senior Care Cost Index • Updated with U.S. Census ACS & CMS Medicare Data Covering 51 States & DC • 29,639 Cities • 14,676 CMS Facilities

2026 Senior Living & Nursing Home Costs in Iowa

Compare monthly care rates across 937 cities and 387 CMS-certified nursing facilities in Iowa.

2026 Medicaid Income Cap: $2,901/mo CMS Certified Facilities: 387 Avg. Home Value: $166,268
Assisted Living🏠
$4,740/mo
$56,880/year
-24% vs U.S. avg
Memory Care🧠
$5,780/mo
$69,360/year
-24% vs U.S. avg
Home Care (44h/wk)🤝
$5,100/mo
$26.76 per hour
-24% vs U.S. avg
Nursing Home (Semi)🏥
$7,330/mo
Private room: $8,260/mo
-23% vs U.S. avg

2026 Long-Term Care Financial & Runway Simulator

Models eldercare inflation, home equity liquidation fees (7%), income offsets & Medicaid spend-down rules.

1. Select Care Setting & Schedule
Assisted Living$4,740/mo
Memory Care$5,780/mo
Home Care$26.76/hr
Nursing Semi$7,330/mo
Nursing Priv$8,260/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/mo)
LTC Insurance / VA Benefit ($/mo)
VA Aid & Attendance up to $2,358/mo
3. Capital & Home Equity Reserves
Liquid Savings & IRA ($)
Home Value / Equity ($) Net: $155k
Auto-deducts 7% realtor & closing costs
Total Projected Care Cost
$0
Year 1 → Year 3
Net Out-of-Pocket Gap
$0
Initial monthly shortfall: $0/mo
Annual Care Cost vs. Remaining Capital End Balance: $0
Annual Care Cost (Inflation-Adjusted) Remaining Net Capital
2026 Cost Crossover Analysis

Home Care vs. Assisted Living Break-Even Point in Iowa

40.9 hrs/wk Break-even threshold

At Iowa's average caregiver rate of $26.76/hr, hiring in-home care equals the $4,740/mo cost of Assisted Living at exactly 40.9 hours per week (~5.8 hrs/day).

Part-Time Care (15 hrs/wk) Crossover: 40.9 hrs/wk 24/7 Shifts (168 hrs/wk)
Home Care Cheaper 20 hrs/wk at Home
$2,319/mo

Saves $2,421/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$5,102 vs. $4,740/mo

Full-time home care costs $362/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$9,276/mo

Assisted Living saves $4,536/mo; Memory Care averages $5,780/mo.

Major Cities in Iowa

Sorted by number of Medicare-certified care facilities and local market size.

City County Assisted Living Memory Care Nursing Home (Semi) Median Home Value CMS Facilities
Des Moines $4,740/mo $5,780/mo $7,330/mo $199,852 12
Cedar Rapids Linn $4,770/mo $5,820/mo $7,370/mo $204,400 10
Dubuque Dubuque $4,830/mo $5,890/mo $7,470/mo $226,100 8
Davenport Scott $4,890/mo $5,970/mo $7,550/mo $212,500 7
Sioux City Woodbury $4,670/mo $5,700/mo $7,210/mo $172,000 6
Waterloo Black Hawk $4,540/mo $5,540/mo $7,020/mo $182,400 6
Cedar Falls Black Hawk $4,540/mo $5,540/mo $7,020/mo $182,400 5
Council Bluffs Pottawattamie $4,770/mo $5,820/mo $7,370/mo $183,600 5
Marion Linn $4,770/mo $5,820/mo $7,370/mo $204,400 5
Newton Jasper $4,340/mo $5,290/mo $6,710/mo $176,800 5
West Des Moines Polk $5,460/mo $6,660/mo $8,440/mo $248,400 5
Ankeny Polk $5,460/mo $6,660/mo $8,440/mo $248,400 4
Marshalltown Marshall $4,510/mo $5,500/mo $6,970/mo $134,100 4
Ames Story $4,830/mo $5,890/mo $7,460/mo $243,600 3
Bettendorf Scott $4,890/mo $5,970/mo $7,550/mo $212,500 3
Carroll Carroll $4,340/mo $5,290/mo $6,710/mo $175,700 3
Cherokee Cherokee $4,340/mo $5,290/mo $6,710/mo $145,100 3
Emmetsburg Palo Alto $4,340/mo $5,290/mo $6,710/mo $119,300 3
Fort Dodge Webster $4,340/mo $5,290/mo $6,710/mo $138,500 3
Indianola Warren $5,430/mo $6,620/mo $8,400/mo $252,800 3
Iowa City Johnson $5,230/mo $6,380/mo $8,080/mo $293,100 3
Johnston Polk $5,460/mo $6,660/mo $8,440/mo $248,400 3
Keokuk Lee $4,340/mo $5,290/mo $6,710/mo $123,600 3
Mason City Cerro Gordo $4,340/mo $5,290/mo $6,710/mo $154,100 3
Mount Pleasant Henry $4,340/mo $5,290/mo $6,710/mo $148,600 3
Oskaloosa Mahaska $4,340/mo $5,290/mo $6,710/mo $140,900 3
Ottumwa Wapello $4,370/mo $5,330/mo $6,750/mo $112,900 3
Urbandale Polk $5,460/mo $6,660/mo $8,440/mo $248,400 3
Algona Kossuth $4,340/mo $5,290/mo $6,710/mo $135,100 2
Altoona Polk $5,460/mo $6,660/mo $8,440/mo $248,400 2
Atlantic Cass $4,340/mo $5,290/mo $6,710/mo $133,300 2
Boone Boone $4,630/mo $5,650/mo $7,160/mo $191,200 2
Centerville Appanoose $4,340/mo $5,290/mo $6,710/mo $119,800 2
Charles City Floyd $4,340/mo $5,290/mo $6,710/mo $133,300 2
Clinton Clinton $4,340/mo $5,290/mo $6,710/mo $153,800 2
Coralville Johnson $5,230/mo $6,380/mo $8,080/mo $293,100 2
Creston Union $4,340/mo $5,290/mo $6,710/mo $117,800 2
Decorah Winneshiek $4,440/mo $5,420/mo $6,860/mo $239,000 2
Denison Crawford $4,340/mo $5,290/mo $6,710/mo $136,300 2
Estherville Emmet $4,340/mo $5,290/mo $6,710/mo $106,200 2
Fairfield Jefferson $4,340/mo $5,290/mo $6,710/mo $161,200 2
Grinnell Poweshiek $4,340/mo $5,290/mo $6,710/mo $184,200 2
Grundy Center Grundy $4,620/mo $5,640/mo $7,130/mo $180,500 2
Hampton Franklin $4,340/mo $5,290/mo $6,710/mo $118,500 2
Independence Buchanan $4,530/mo $5,530/mo $7,000/mo $171,400 2
Knoxville Marion $4,730/mo $5,770/mo $7,300/mo $211,100 2
Le Mars Plymouth $4,790/mo $5,840/mo $7,410/mo $218,600 2
Maquoketa Jackson $4,340/mo $5,290/mo $6,710/mo $170,000 2
Mount Ayr Ringgold $4,340/mo $5,290/mo $6,710/mo $150,300 2
Muscatine Muscatine $4,700/mo $5,730/mo $7,260/mo $172,400 2
Nevada Story $4,830/mo $5,890/mo $7,460/mo $243,600 2
New Hampton Chickasaw $4,340/mo $5,290/mo $6,710/mo $164,400 2
Norwalk Warren $5,430/mo $6,620/mo $8,400/mo $252,800 2
Oelwein Fayette $4,340/mo $5,290/mo $6,710/mo $130,800 2
Osage Mitchell $4,340/mo $5,290/mo $6,710/mo $164,100 2
Perry Dallas $6,430/mo $7,840/mo $9,930/mo $333,400 2
Red Oak Montgomery $4,340/mo $5,290/mo $6,710/mo $109,900 2
Sergeant Bluff Woodbury $4,670/mo $5,700/mo $7,210/mo $172,000 2
Shenandoah Page $4,340/mo $5,290/mo $6,710/mo $120,000 2
Sibley Osceola $4,340/mo $5,290/mo $6,710/mo $123,800 2
Sigourney Keokuk $4,340/mo $5,290/mo $6,710/mo $112,200 2
Spencer Clay $4,340/mo $5,290/mo $6,710/mo $171,500 2
Vinton Benton $4,750/mo $5,800/mo $7,340/mo $198,400 2
Washington Washington $4,470/mo $5,450/mo $6,920/mo $199,600 2
Waukon Allamakee $4,340/mo $5,290/mo $6,710/mo $171,900 2
Webster City Hamilton $4,460/mo $5,440/mo $6,900/mo $132,300 2
Ackley Hardin $4,340/mo $5,290/mo $6,710/mo $113,000 1
Adel Dallas $6,430/mo $7,840/mo $9,930/mo $333,400 1
Akron Plymouth $4,790/mo $5,840/mo $7,410/mo $218,600 1
Albia Monroe $4,340/mo $5,290/mo $6,710/mo $135,900 1
Allison Butler $4,340/mo $5,290/mo $6,710/mo $156,500 1
Amana Iowa $4,340/mo $5,290/mo $6,710/mo $189,800 1
Anamosa Jones $4,340/mo $5,290/mo $6,710/mo $183,400 1
Anita Cass $4,340/mo $5,290/mo $6,710/mo $133,300 1
Aplington Butler $4,340/mo $5,290/mo $6,710/mo $156,500 1
Armstrong Emmet $4,340/mo $5,290/mo $6,710/mo $106,200 1
Audubon Audubon $4,340/mo $5,290/mo $6,710/mo $110,400 1
Aurelia Cherokee $4,340/mo $5,290/mo $6,710/mo $145,100 1
Avoca Pottawattamie $4,770/mo $5,820/mo $7,370/mo $183,600 1
Bancroft Kossuth $4,340/mo $5,290/mo $6,710/mo $135,100 1

Iowa Senior Care FAQ (2026)

The statewide average for assisted living in Iowa is $4,740 per month ($56,880 per year), compared to the U.S. national median of $6,200 per month.
In Iowa, a semi-private room in a CMS-certified nursing home averages $7,330 per month, while a private room averages $8,260 per month.
For 2026, the standard individual monthly income limit for long-term care Medicaid in Iowa is $2,901 per month.