About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2026 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2026 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2026 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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10 Best Assisted Living Facilities in Old Town, IA

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Assisted living costs in Old Town average about $5,232 per month. To find the best assisted living options for your needs and budget, browse through 37 communities in Old Town. Our detailed directory has 38 reviews, photos, and lists of available services, amenities, and activities. You may also consider nearby communities such as Spirit Lake, Jackson and Spencer.

Assisted living is ideal for seniors who need help with activities of daily living, such as bathing and eating, and prefer a social setting to pursue their interests. These communities offer a variety of dining options, as well as housekeeping services to eliminate daily stresses. 

Old Town Assisted Living Facilities | 38 Reviews

Showing 37 communities
Last Updated: 9/16/26
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Photo of Addington Place of Spirit Lake
1515 Photos available
9.0
Review score
11 reviews
9.0
Review score
11 reviews
5 star
45%
4 star
46%
3 star
9%
2 star
0%
1 star
0%
See all reviews
They have a good staff. It is a clean and caring environment. I would recommend this facility to others who are searching for care for their loved one.
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Keelson Harbour is an Assisted Living Community located in Spirit Lake, Dickinson County, Iowa. Our beautiful property is located on a quiet hill with easy access to nearby lakes. Residents enjoy an on-site pond, complete with growing ducklings and their families. With many nearby attractions,...
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Photo of The Gardens at Cherokee
11 Photo available
9.0
Review score
6 reviews
9.0
Review score
6 reviews
5 star
83%
4 star
17%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Wonderful, caring, professional staff willing to go the extra mile to make their residents comfortable and safe. I would recommend to others.
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
At The Gardens at Cherokeee we encourage you to engage in all the life-enriching programs and activities that are offered. Our activity program is designed to meet your interests and hobbies. You can join in a card or domino game, bake pies in the Country Kitchen, enjoy coffee chats by the...
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Photo of Golden Horizons of Worthington
2525 Photos available
1.5
Review score
15 reviews
1.5
Review score
15 reviews
5 star
20%
4 star
13%
3 star
13%
2 star
0%
1 star
54%
See all reviews
My grandmother lives at Golden Horizons and she loves it! The administrator Cherry is an exceptional person. She truly cares about her residents and staff. Though like everybody else, they are short of help...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Add: Our beautiful and modern new Memory Care community opened in June of 2021. This spacious community provides a peaceful and warm environment to enjoy the comforts at home with proper safety and care measures. The architectural design suites residents who are more prone to wandering, anxiety...
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Photo of Vista Prairie at Goldfinch Estates
11 Photo available
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
We picked this community because, it's closer to family. It's been a really good experience. They offer activities such as; Bingo, painting on a canvas, different kinds of game shows and bus outings.
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Vista Prairie at Goldfinch Estates is located in the heart of southern, Fairmont, Martin County, Minnesota. Our scenic assisted living community is located down the road from a string of five beautiful lakes. Fairmont is a lovely place to call home and a great place for visiting family members...
Photo of Arlington Place of Pocahontas
44 Photos available
5 star
50%
4 star
50%
3 star
0%
2 star
0%
1 star
0%
See all reviews
I was trying to find a place for my wife that offered memory care and there really aren’t that many in the area. After looking at several different places, we thought this place would be the best fit. My...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Thank you for your interest in Arlington Place of Pocahontas, Assisted Living Community. You will find that Arlington Place is unlike the traditional assisted living settings you might encounter elsewhere. All of our apartments are fully equipped with stoves, refrigerators, dish - washers, and...
Photo of Milford Nursing Ctr
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Oak Haven Care Facility
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Wel-Life At Spirit Lake
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Riverview Terrace
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
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Provides: Assisted Living, Senior Apartments
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Senior Apartments: Senior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.
Photo of Hartley Senior Wellness Ctr
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Community Memorial Health Ctr
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Good Samaritan Jackson
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Willow Ridge Independent Snr
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Prairie View Retirement Home
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Kathleen's Residential Care
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Sutherland Care Ctr
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Heartwood Heights Senior Living
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of Country View Manor Inc
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Temperance Lake Ridge
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of Ecumen Meadows
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of Lakeview Assisted Living
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Vista Prairie at Fieldcrest
11 Photo available
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Vista Prairie at Fieldcrest is an assisted living community located in the city of Sheldon, Iowa in O'brien County. Sheldon is a serene and beautiful place that provides a great setting for this wonderful assisted living community. The country setting of the town provides the perfect backdrop for...

Cost of assisted living in Old Town, IA

The average cost of senior living in Old Town is $5,232 per month. Cheaper nearby regions include Rossie, IA with an average of $4,547 per month.

Assisted living costs in Old Town, IA, vs. state and national averages

Old Town, IA
$5,232/mo
$5,505/mo
U.S. national average
$5,830/mo

Assisted living costs in Old Town, IA, vs. other senior living options

Assisted Living
$5,232/mo
$6,553/mo

Assisted living costs in Old Town, IA, by floor plan type

1 Bedroom
$4,658/mo
2 Bedroom
$5,545/mo

Senior living costs in Old Town vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 3 rows of data across 4 columns.
Column communityType: Community type
Column destination: Old Town, IA
Column state: Iowa
Column national: U.S.
Community typeOld Town, IAIowaU.S.
Assisted Living$5,232/mo$5,505/mo$5,830/mo
Memory Care$6,553/mo$6,921/mo$6,999/mo
Independent Living$2,959/mo$2,925/mo$3,520/mo
Assisted Living
Old Town, IA:$5,232/mo
Iowa:$5,505/mo
U.S.:$5,830/mo
Memory Care
Old Town, IA:$6,553/mo
Iowa:$6,921/mo
U.S.:$6,999/mo
Independent Living
Old Town, IA:$2,959/mo
Iowa:$2,925/mo
U.S.:$3,520/mo
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Assisted living costs in Old Town, IA, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in Old Town and how those changes compare with state and national trends. The figures represent quarterly averages of what seniors actually paid after moving into A Place for Mom partner communities.

Old Town, IAIA stateNational

Assisted living cost trends in Old Town, IA

The table below shows how monthly assisted living costs in Old Town have changed in the last two years and how those changes compare with state and national trends. The figures represent averages of actual costs paid by seniors who moved into A Place for Mom partner communities in 2023 and 2024.

Cost comparison table showing 2023 and 2024 average costs by location. This table contains 3 rows of data across 4 columns.
Column location: Location
Column cost2024: 2024 average cost
Column cost2023: 2023 average cost
Column percentChange: Percent change
Location2024 average cost2023 average costPercent change
Old Town, IA$5,100/mo$5,028/mo+1.4%
Iowa$4,482/mo$4,611/mo-2.8%
National$4,578/mo$4,616/mo-0.8%
Old Town, IA
2024 average cost:$5,100/mo
2023 average cost:$5,028/mo
Percent change:+1.4%
Iowa
2024 average cost:$4,482/mo
2023 average cost:$4,611/mo
Percent change:-2.8%
National
2024 average cost:$4,578/mo
2023 average cost:$4,616/mo
Percent change:-0.8%
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Ways to pay for Assisted Living in Old Town, IA

Paying for assisted living may seem daunting, but knowing all your options can be empowering. Read about the many private and public payment options that families use to pay for assisted living in Old Town.

What families are saying about assisted living in Old Town

Recent reviews for assisted living in Old Town

Otsego Place in Storm Lake, IA

5.0
Both my Mother and now my Mother in law have been residents of Otsego Place. It has given my husband and I a great feeling of comfort knowing these two ladies had the best of care. The staff are like family, the food is excellent, and there are lots of activies for them to participate in. ...
Read more

Golden Horizons of Worthington

4.8
At Golden Horizons Worthington my parents reside. The RN Administration Sherry has been a nurse for years and truly cares for the people. She has been there almost 10 years! Staff is always friendly. Activities are fun and creative. Always a clean environment.

Addington Place of Spirit Lake

4.8
They communicate well. Facility is clean. Could have pets. I would recommend to others.

Old Town assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Old Town assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Old Town, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in Old Town assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in Old Town that offer these care services compared to the percentage of partners that offer them nationally.
Old Town, IANational
Full medication management
Full medication management
18.9%
53.4%
Doctor on call
Doctor on call
8.1%
34.6%
24-Hour awake staff
24-Hour awake staff
97.3%
96.1%
Diabetic care
Diabetic care
97.3%
97.7%
*Visiting health care professionals
*Visiting health care professionals
18.9%
57.6%
Home care agency on-site
Home care agency on-site
8.1%
30.6%
Non-ambulatory care
Non-ambulatory care
97.3%
96.8%
Respite or short term stays
Respite or short term stays
10.8%
47.9%
Hospice available on-site
Hospice available on-site
10.8%
53%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in Old Town assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Old Town Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Old Town, IANational
Dementia behaviors care
Dementia behaviors care
18.9%
52%
Specialized memory care training for staff
Specialized memory care training for staff
16.2%
33.4%
Secured community and/or wander guard
Secured community and/or wander guard
18.9%
41.6%
Memory care only community
Memory care only community
8.1%
13.9%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Old Town assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Old Town partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Old Town, IANational
Nutritionist / dietician
Nutritionist / dietician
5.4%
28.1%
Low / no sodium
Low / no sodium
8.1%
42.1%
No sugar
No sugar
5.4%
38.5%
Vegetarian
Vegetarian
5.4%
37.4%
Pureed meals
Pureed meals
5.4%
19.4%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Old Town assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Old Town communities that offer dining options to their discerning residents compared to our partners nationally.
Old Town, IANational
Restaurant style dining
Restaurant style dining
10.8%
43.5%
Room service
Room service
10.8%
37.9%
Anytime dining
Anytime dining
2.7%
18.5%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Old Town assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in Old Town offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Old Town, IANational
Activity director
Activity director
18.9%
47.5%
Pet-focused programs
Pet-focused programs
8.1%
31.8%
Community service programs
Community service programs
10.8%
31.3%
Devotional activities on-site
Devotional activities on-site
13.5%
50.3%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
18.9%
50.5%
Outings / off-site activities
Outings / off-site activities
16.2%
53.2%
Piano or organ
Piano or organ
13.5%
42.6%
Arts and crafts center
Arts and crafts center
10.8%
36.7%
Educational speakers / life long learning
Educational speakers / life long learning
18.9%
39.2%
Clubs / games / karaoke
Clubs / games / karaoke
16.2%
47.9%
Live performances
Live performances
18.9%
48%
Dances
Dances
8.1%
31.6%
Fitness center
Fitness center
16.2%
25.3%
Fitness classes
Fitness classes
18.9%
47.1%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Old Town

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to help ensure seniors reside in a safe environment and receive quality care. Learning about Iowa assisted living regulations will help you understand how assisted living communities in Old Town protect seniors.
Learn about Iowa assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

Addington Place of Spirit Lake, The Gardens at Cherokee and Golden Horizons of Worthington are the top-rated assisted living facilities near Old Town, Iowa. See full list of communities.
There are 37 assisted living facilities near Old Town, Iowa. See the full list.
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The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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