Best Senior Living in Waterloo, Iowa
17 communities found
Waterloo lists 25 senior living options, made up of 17 residential communities and 8 home care or similar agencies. Of the 25, 21 communities carry a rating, and the average across them is 4 out of 5 based on 470 reviews read. Six communities report unit sizes, all classified as large, and among the six with published Medicare star ratings the average is 2.3, with one 5-star and two 1-star ratings.
- 25options listed
- 4average rating, 21 rated
- 470family reviews read
- 0small homes, 10 or fewer

Bridges Senior Living
Waterloo, Iowa
5(11)
Independent Living

Pillar Of Cedar Valley
Waterloo, Iowa
4.6(54)
Skilled Nursing / Long Term Care

Landmark Commons
Waterloo, Iowa
4.8(5)
Independent Living

Birdee Cottage Assisted Living & Memory Care
Waterloo, Iowa
4.5(17)
Assisted LivingMemory Care

South Hills Senior Living
Waterloo, Iowa
4.4(27)
Independent Living

Rose of Waterloo
Waterloo, Iowa
5(2)
Assisted Living

Village Place Independent Living at Friendship Village
Waterloo, Iowa
4.7(3)
Assisted LivingIndependent Living

Wellspring Living Health Center at Friendship Village
Waterloo, Iowa
4.2(5)
Skilled Nursing / Long Term Care

Friendship Village Sales & Marketing Center
Waterloo, Iowa
Independent Living

Harmony House Health Care Center
Waterloo, Iowa
4(31)
Skilled Nursing / Long Term Care

Roosevelt Senior Housing
Waterloo, Iowa
3.9(11)
Independent Living

Friendship Village Retirement Community
Waterloo, Iowa
4(68)
Independent LivingSkilled Nursing / Long Term Care
Best-rated senior living in Waterloo
Ranked by family rating, weighted by how many families have reviewed each one. No community pays to appear here.
- 1
5 (11 reviews)· Independent Living
Bridges Senior Living holds a 5-star Google rating from 11 reviewers and supports independent seniors through on-site dining and transportation.
- 2
4.6 (54 reviews)· Skilled Nursing / Long Term Care· 114 units
Families describe Pillar Of Cedar Valley's nursing and CNA teams as compassionate and responsive, citing improvements in residents' health and mobility.
- 3
4.8 (5 reviews)· Independent Living
Landmark Commons offers a 55+ lakeside campus with spacious apartments and cottages, though no written reviews describe day-to-day resident life.
- 4
Birdee Cottage Assisted Living & Memory Care
4.5 (17 reviews)· Assisted Living, Memory Care
Birdee Cottage is a small, home-like memory care community where staff form close bonds with residents and meals are well liked.
- 5
4.4 (27 reviews)· Independent Living
South Hills Senior Living holds a 4.4 rating from 27 reviews, with families noting its attractive setting, good food and caring atmosphere.
- 6
Wellspring Living Health Center at Friendship Village
4.2 (5 reviews)· Skilled Nursing / Long Term Care
- 7
Harmony House Health Care Center
4 (31 reviews)· Skilled Nursing / Long Term Care· 65 units
Harmony House is described as a clean, well-run skilled nursing facility with caring CNAs and nurses, though one review cites recent staffing changes after a management transition.
- 8
3.9 (11 reviews)· Independent Living
Roosevelt Senior Housing is described as a clean, welcoming independent living community, with residents praising bright, high-ceilinged apartments and accessible design.
- 9
Friendship Village Retirement Community
4 (68 reviews)· Independent Living, Skilled Nursing / Long Term Care· 72 units
Friendship Village residents describe caring staff, though some reviewers note short-staffing and raise concerns about contract terms and pricing changes.
- 10
3.9 (87 reviews)· Skilled Nursing / Long Term Care· 88 units
Harmony Waterloo is described as a warm, well-run skilled nursing facility where staff communicate closely with families and therapy teams are praised.
What families say about senior living in Waterloo
Counted across the review summaries of 24 Waterloo communities: the share whose families mention each theme.
Across the communities reviewed, 71% of 24 mention caring, attentive staff, 42% mention activities and social life, and 42% mention the condition of buildings and grounds, while 33% mention food and dining and 29% mention cleanliness. At the same time, 63% raise concerns about communication with families, 54% mention cost and billing, 25% mention staff attitude, and 17% mention management.
Praised most
- Caring, attentive staff 71%
- Activities and social life 42%
- Building and grounds 42%
- Food and dining 33%
- Cleanliness 29%
Concerns raised
- Communication with families 63%
- Cost and billing 54%
- Staff attitude 25%
- Management 17%
“Birdee is such a wonderful place. My mom lived there for a while and she was well taken care of. What makes it special is the staff. They are the best of the best!”
“Incredible gathering place to visit our Granny. We love to swim, use the community kitchen for baking and crafting, have popcorn and play games at the activity tables, and join in with tickets for a meal! Staff has always been phenomenal and so kind and helpful.”
Senior Living in Waterloo: the figures
- •Of the 6 with a known size, 0 have ten residents or fewer, 0 have 11 to 60, and 6 have more than 60.
- •6 nursing homes carry a Medicare star rating, averaging 1.8 out of 5: 1 rated four stars or better, 4 rated one star.
- •Most common amenities: 24-hour staff (17), emergency call system (16), wheelchair accessible (14), gathering / activity spaces (14), housekeeping (14), social activities (14).
How families pay for senior living in Iowa
Most families in Iowa start by paying privately, drawing on savings, retirement income and often the proceeds from selling a home. For those who planned ahead, long-term care insurance can also help cover assisted living, memory care or independent living costs, though the amount and timing of benefits depend on the policy. Veterans and surviving spouses may qualify for VA Aid and Attendance, a benefit that can be applied toward the cost of care, and it is worth asking a veterans service officer whether this applies to your situation.
The full picture for the state: Senior Living in Iowa. Prices by city and the programs that help: what senior living costs in Iowa.
About these figures
Computed on October 21, 2026 from the 25 communities listed in Waterloo, 470 public family reviews on Google, Yelp and MyLivingChoice, state licensing records and, for nursing homes, CMS Care Compare. The best-rated list ranks communities by average family rating weighted by how many families have reviewed each one, so a 4.9 from three reviews does not outrank a 4.7 from two hundred. No community pays to appear in the best-rated list or in these figures; sponsored and partner listings in the directory results are marked as such. Figures refresh as listings and reviews change; the written summary was last revised September 25, 2026.
Reading on this
Guides from MyLivingChoice that families in Waterloo ask about.
- Home Care in Iowa: Agencies, Medicare Home Health Ratings, and What It Costs
- Nursing Home vs. Assisted Living: Which Level of Care Does Your Loved One Actually Need?
- Signs It Is Time to Move From Home Care to Assisted Living
Not in Waterloo? Senior living near me finds communities around wherever you are.
Senior Living in Waterloo: Common Questions
How many senior living communities are in Waterloo, Iowa?
MyLivingChoice lists 25 senior living communities in Waterloo, Iowa, each with photos, care details, and reviews from families.
Which senior living communities in Waterloo are rated highest?
Based on combined ratings across Google, Yelp, and MyLivingChoice reviews, top-rated options include Right at Home (5★, 18 ratings), Bridges Senior Living (5★, 11 ratings), Landmark Commons (4.8★, 5 ratings).
What types of senior care are available in Waterloo?
Beyond senior living, Waterloo has skilled nursing / long term care (8 communities), independent living (7 communities), home health (5 communities), assisted living (4 communities), at-home care (4 communities). Every option is listed with photos, reviews, and contact details.
How do families rate senior living in Waterloo?
Families rate Waterloo senior living communities 4 out of 5 on average, across 470 public Google reviews of local communities.
What do families praise, and complain about, in Waterloo senior living communities?
Across the review summaries of 24 Waterloo communities, the most common praise is caring, attentive staff (mentioned for 71%), activities and social life (mentioned for 42%), building and grounds (mentioned for 42%). The most common concerns are communication with families (63%), cost and billing (54%), staff attitude (25%).
Are there small senior living homes in Waterloo?
Of the 6 Waterloo communities with a known size, 0 have ten residents or fewer, 0 have 11 to 60, and 6 have more than 60. Small licensed homes are listed here alongside large communities, which most directories skip.
How do Waterloo nursing homes score on Medicare's star ratings?
6 Medicare-certified nursing homes in Waterloo carry an overall star rating, averaging 1.8 out of 5. 1 is rated four stars or better and 4 are rated one star. Each listing shows its rating and three years of inspection history from CMS Care Compare.
Prefer to stay home?
Home care agencies serving Waterloo bring help to the house: daily living, companionship, and respite for family caregivers.


