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 2025 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 2025 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 2025 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 Shelby County, IA

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Assisted living costs in Shelby County average about $4,326 per month. To find the best assisted living options for your needs and budget, browse through 73 communities in Shelby County. Our detailed directory has 582 reviews, photos, and lists of available services, amenities, and activities. 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.

As you explore assisted living near you, you may also want to consider assisted living options in areas like You may also consider nearby communities such as Harlan, Woodbine and Panama.

Shelby County Assisted Living Facilities | 582 Reviews

Showing 62 communities
Last Updated: 12/5/25
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Photo of Aksarben Village Senior Living Community
1717 Photos available
2323 Floor plans available
5 star
100%
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This center is the place that all families dream about for their loved one who needs the care they can no longer give. I visited my great aunt and was so pleased to see her so happy and well cared for by an...
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.
Photo of Bickford of Omaha Blondo
2020 Photos available
7.0
Review score
27 reviews
7.0
Review score
27 reviews
5 star
55%
4 star
30%
3 star
11%
2 star
0%
1 star
4%
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A month after we decided on Bickford, we moved my dad there, and it was a great fit. My dad enjoyed the last six months of his life there, and I was able to visit often. Bickford called me a few times when...
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.
At Bickford, there's always something exciting happening in our senior living community. Picture your loved one relishing freshly-cooked meals, always assured of a friendly caregiver's presence, and a schedule overflowing with lively activities. We pride ourselves on our dedicated team, committed...
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8.0
Review score
2 reviews
8.0
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2 reviews
5 star
50%
4 star
0%
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2 star
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The staff is amazing. They truly care. They also have so many activities for the residents. It keeps them involved and encourages socialism and that's very important. It's quite expensive but worth every...
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.
Photo of Elm Crest Retirement Community
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.
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.
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 Manning Regional Healthcare
11 Photo available
Provides: Assisted Living, Home 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.
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Photo of Manning Senior Living
1313 Photos 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.
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My Mom was diagnosed with Alzheimer's over 7 years ago. My Dad is 93, she is 90; they have been married for 69 years. Thanks to my amazing siblings, we were able to keep Mom at home until recently. While it...
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 Silveridge 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.
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Photo of Denison 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.
Provides: Assisted Living, 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.
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.
Photo of Griswold Assisted Living
77 Photos available
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.
Griswold is the premier assisted living community of Cass County. Our safe, residential environment is staffed by an expert team that provides support and assistance when you need it. Our goal is to promote your independence and the quality of life you desire. You will have many choices whether...
Photo of Garden View Assisted 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 Journey Senior Services
5 star
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First impression was great we think the staff team there does amazing work. When it comes to the value for cost we do think our loved one is in the best place he could be. We are still not able to come to...
Provides: Memory Care
Care types provided by this community
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.
Provides: Assisted Living, 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.
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.
Photo of Bethany Heights
Provides: Assisted Living, 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.
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.
“Great Friends, Great times and a Great Place to Call Home” More than a motto for Bethany Heights, this is our goal for every resident. If you are searching for a home for your loved one where they can live independently in a safe, friendly atmosphere, look no further! At Bethany Heights, we...
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 Good Shepherd Lutheran 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.
Starting at $X,XXX+ monthly
Photo of Crowell
55 Photos available
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.
See details
Photo of Assisted Living At Immanuel Village
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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The community is a very nice place, and the staff seems to really care. I would recommend this community to others.
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.
Fox Run Assisted Living Community is located on the 16th hole of Fox Run Golf Course in Council Bluffs, Iowa. Fox Run is where you can enjoy a life of beauty and independence.With 66 spacious apartments, Fox Run offers five convenient floor plans that range from 436 to 983 square feet at one low...
Photo of Black Hawk Life 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.
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.

Cost of assisted living in Shelby County, IA

The average cost of senior living in Shelby County is $4,326 per month. Cheaper nearby regions include Walnut, IA with an average of $3,372 per month.

Assisted living costs in Shelby County, IA, vs. nearby counties

Shelby County, IA
$4,326/mo
$3,809/mo
$4,823/mo

Assisted living costs in Shelby County, IA, vs. state and national averages

Shelby County, IA
$4,326/mo
$4,480/mo
U.S. national average
$4,698/mo

Assisted living costs in Shelby County, IA, vs. other senior living options

Assisted Living
$4,326/mo
$4,306/mo

Assisted living costs in Shelby County, IA, by floor plan type

Semi-Private
$4,921/mo
Studio
$4,743/mo
1 Bedroom
$4,864/mo
2 Bedroom
$5,506/mo

Senior living costs in Shelby County 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: Shelby County, IA
Column state: Iowa
Column national: U.S.
Community typeShelby County, IAIowaU.S.
Assisted Living$4,326/mo$4,480/mo$4,698/mo
Memory Care$4,306/mo$4,485/mo$4,946/mo
Independent Living$2,741/mo$3,268/mo$4,153/mo
Assisted Living
Shelby County, IA:$4,326/mo
Iowa:$4,480/mo
U.S.:$4,698/mo
Memory Care
Shelby County, IA:$4,306/mo
Iowa:$4,485/mo
U.S.:$4,946/mo
Independent Living
Shelby County, IA:$2,741/mo
Iowa:$3,268/mo
U.S.:$4,153/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 Shelby County, IA, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in Shelby County 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.

Shelby County, IAIA stateNational

Assisted living cost trends in Shelby County, IA

The table below shows how monthly assisted living costs in Shelby County 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 median 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
Shelby County, IA$2,253/mo$4,366/mo-48.4%
Iowa$5,126/mo$4,835/mo+6.0%
National$5,264/mo$4,973/mo+5.9%
Shelby County, IA
2024 average cost:$2,253/mo
2023 average cost:$4,366/mo
Percent change:-48.4%
Iowa
2024 average cost:$5,126/mo
2023 average cost:$4,835/mo
Percent change:+6.0%
National
2024 average cost:$5,264/mo
2023 average cost:$4,973/mo
Percent change:+5.9%
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 Shelby County, 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 Shelby County.

What families are saying about assisted living in Shelby County

Recent reviews for assisted living in Shelby County

Amelia Senior Living in Council Bluffs, IA

4.4
Was very thankful to Amelia House for taking Mom on. I think she was a difficult case with her issues, but she could walk to dining room and back so that helped her stay. The place and Mom's room was always clean. At First the staff was great!!!! Then ownership changed and the really good ...
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Chapters Living of Council Bluffs

4.8
We have no problem with the community, they people there are very nice. Our only issues would be the communication regarding our loved one. Sometimes it is hard to get information and updates but we think that could be because of covid. We would definitely recommend this community to others. ...
Read more

Via Christe Assisted Living and Memory Care in Omaha, NE

5.0
Our mother has only been at Via Christe for a week and a half but it has been a wonderful experience so far! {name removed} worked with us and moms doctor to sort out medications. Mom loves her room and has started to participate in the daily activities. Everyone has been friendly and welcoming. ...
Read more

Shelby County review score based on 163 family reviews

8.1
Review score62 facilities163 reviewsWrite a review
This proprietary review score is based on 163 reviews of 62 Shelby County assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Shelby County review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

Shelby County review score compared against nearby cities

8.1
Shelby County, IA62 facilities
8.5
Harlan, IA13 facilities
8.9
Kirkman, IA8 facilities

Review subcategories for Shelby County assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 163 reviews of 62 Shelby County assisted living communities. This chart helps you compare Shelby County resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.
Shelby County, IA averageNational average
Cleanliness
4.1
4.1
Friendliness
4.1
4.2
Care services
3.8
3.8
Staff
4.0
4.0
Meals & dining
3.8
3.7
Activities
3.9
3.7
Value for cost*
3.7
3.7
0.01.02.03.04.05.0
*Learn more about cost details

Shelby County assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Shelby County assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Shelby County, 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 Shelby County 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 Shelby County that offer these care services compared to the percentage of partners that offer them nationally.
Shelby County, IANational
Full medication management
Full medication management
50%
52.5%
Doctor on call
Doctor on call
17.7%
33.8%
24-Hour awake staff
24-Hour awake staff
91.9%
96.1%
Diabetic care
Diabetic care
100%
97.6%
*Visiting health care professionals
*Visiting health care professionals
54.8%
56.7%
Home care agency on-site
Home care agency on-site
22.6%
30%
Non-ambulatory care
Non-ambulatory care
95.2%
96.7%
Respite or short term stays
Respite or short term stays
46.8%
47.6%
Hospice available on-site
Hospice available on-site
51.6%
52.4%
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 Shelby County 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 Shelby County Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Shelby County, IANational
Dementia behaviors care
Dementia behaviors care
51.6%
51.3%
Specialized memory care training for staff
Specialized memory care training for staff
30.6%
32.5%
Secured community and/or wander guard
Secured community and/or wander guard
50%
41.1%
Memory care only community
Memory care only community
16.1%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Shelby County 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 Shelby County partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Shelby County, IANational
Nutritionist / dietician
Nutritionist / dietician
14.5%
27.2%
Low / no sodium
Low / no sodium
21%
40.9%
No sugar
No sugar
16.1%
37.5%
Vegetarian
Vegetarian
29%
36.2%
Pureed meals
Pureed meals
3.2%
17.3%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Shelby County 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 Shelby County communities that offer dining options to their discerning residents compared to our partners nationally.
Shelby County, IANational
Professional chef
Professional chef
22.6%
31.5%
Restaurant style dining
Restaurant style dining
37.1%
42.3%
Room service
Room service
32.3%
36.7%
Anytime dining
Anytime dining
17.7%
18%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Shelby County 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 Shelby County offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Shelby County, IANational
Activity director
Activity director
43.5%
46.4%
Pet-focused programs
Pet-focused programs
30.6%
31%
Community service programs
Community service programs
21%
30.4%
Devotional activities on-site
Devotional activities on-site
53.2%
49.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
43.5%
49.3%
Outings / off-site activities
Outings / off-site activities
53.2%
52.3%
Piano or organ
Piano or organ
38.7%
41.3%
Arts and crafts center
Arts and crafts center
24.2%
35.4%
Educational speakers / life long learning
Educational speakers / life long learning
29%
38.1%
Clubs / games / karaoke
Clubs / games / karaoke
35.5%
46.8%
Live performances
Live performances
43.5%
46.9%
Dances
Dances
25.8%
30.5%
Fitness center
Fitness center
22.6%
24.6%
Fitness classes
Fitness classes
41.9%
46%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Shelby County

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 Shelby County protect seniors.
Learn about Iowa assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports
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