With a low cost of living and no tax on Social Security income, Iowa has a lot to offer retirees. More than 525,000 seniors call the Hawkeye State home, and many enjoy high-quality health care from some of the top hospitals in the Midwest. Retirees with an interest in higher education can take senior-specific classes from the state’s two flagship universities, Iowa and Iowa State. Iowa’s Driftless area near Decorah offers over 100 miles of top mountain bike trails, while anglers can purchase a low-cost lifetime fishing pass to fish anywhere in the state. Seniors with an interest in city living will gravitate toward Des Moines, as the state capital features a walkable downtown, many restaurants and several senior discounts.
To help seniors discover the most senior-friendly cities around the country, Caring.com conducted a new study, “The Best Places for Seniors.” This survey analyzes and ranks 300 cities and 50 states on the quality of senior living in that area. The cities were graded using 70 metrics across six categories: senior housing, engagement, affordability, quality of life, health care and transportation.
Quick Facts in Iowa
Area
56,273 sq mi
GDP
$184 billion
Median Income
$30,865
College Educated
41%
Population
3,145,711
Age Diversity
85%
Top #5 for Housing cost burden
Top #3 for Opportunity for civic involvement
Top #5 for Voting rate
Top #2 for
Top #8 for Patient satisfaction
National Rankings in Iowa
In order to find the states that are most friendly to seniors and offer the highest quality of life, Caring.com’s 2019 Senior Living Report graded every state in the U.S. across six different categories, using 70 individual metrics. Below you can see how Iowa compared to the rest of the nation.
Overall
Health Care
Senior Living & Housing
Community Involvement
Transportation
Quality Of Life
Affordability
Overall
Health Care
Senior Living & Housing
Community Involvement
Transportation
Quality Of Life
Affordability
7th
/50
in Overall Rankings
Primary Care Physicians For Every 100,000 People
74
for every 100,000 people
U.S. Average: 77
Around the National Average
Patient satisfaction
76%
of patients are satisfied
U.S. Average: 72%
Around the National Average
Housing costs
$862
per month
U.S. Average: $1,089
Around the National Average
Crime rate
233.17
crimes per 10,000 people
U.S. Average: 281.85
Around the National Average
Drinking water quality
6%
of people are exposed to violations
U.S. Average: 7%
Around the National Average
Regional air quality
6.99
unhealthy air quality days per year
U.S. Average: 9.16
Around the National Average
Traffic congestion
4.2
hours per person per year
U.S. Average: 15.65
Around the National Average
Crash rate
9.55
fatal crashes per 100,000 people per year
U.S. Average: 11.59
Around the National Average
32nd
/50
in Health Care Rankings
Primary Care Physicians For Every 100,000 People
74
for every 100,000 people
U.S. Average: 77
Around the National Average
Dentists For Every 100,000 People
63
for every 100,000 people
U.S. Average: 63
Around the National Average
Mental Health Professionals For Every 100,000 People
122
for every 100,000 people
U.S. Average: 217
Around the National Average
Other Providers For Every 100,000 People
78
for every 100,000 people
U.S. Average: 82
Around the National Average
Health care professional shortage areas
3.01
index (from 0 to 25)
U.S. Average: 3.76
Around the National Average
Preventable hospitalization rate
47.11
preventable hospitalizations per 1,000 patients
U.S. Average: 48.2
Around the National Average
Patient satisfaction
76%
of patients are satisfied
U.S. Average: 72%
Around the National Average
State expansion of the Family and Medical Leave Act
11st
/50
in Senior Living & Housing Rankings
Age diversity
0.85
U.S. Average: 0.85
Around the National Average
Zero-step entrances
44%
of units
U.S. Average: 43%
Around the National Average
Availability of multi-family housing
22%
of units are multi-family
U.S. Average: 27%
Around the National Average
Housing costs
$862
per month
U.S. Average: $1,089
Around the National Average
Housing cost burden
15%
of income spent on housing
U.S. Average: 19%
Around the National Average
Availability of subsidized housing
142.44
units per 10,000 people
U.S. Average: 151.21
Around the National Average
State and local TOD programs
State utility disconnection policies
State energy efficiency scorecard
State manufactured housing protections
1st
/50
in Community Involvement Rankings
Opportunity for civic involvement
12.11
organizations per 10,000 people
U.S. Average: 8.42
Around the National Average
Voting rate
69%
of people voted
U.S. Average: 57%
Around the National Average
Social involvement index
1.01
index (from 0 to 2)
U.S. Average: 0.99
Around the National Average
Early, absentee, or mail-in state voting laws
Local human rights commissions
19th
/50
in Transportation Rankings
Frequency of local transit service
1.33
buses and trains per hour
U.S. Average: 10.24
Around the National Average
ADA-accessible stations and vehicles
83%
of stations and vehicles are accessible
U.S. Average: 86%
Around the National Average
Walk trips
0.75
trips per household per day
U.S. Average: 0.75
Around the National Average
Traffic congestion
4.2
hours per person per year
U.S. Average: 15.65
Around the National Average
Household transportation costs
$13,600
per year
U.S. Average: $13,263
Around the National Average
Speed limits
29.97
miles per hour
U.S. Average: 29.79
Around the National Average
Crash rate
9.55
fatal crashes per 100,000 people per year
U.S. Average: 11.59
Around the National Average
State and local Complete Streets policies
State human services transportation coordination
State volunteer driver policies
34th
/50
in Quality Of Life Rankings
Access to grocery stores and farmers’ markets
0.69
stores and markets within a half-mile
U.S. Average: 1.44
Around the National Average
Access to parks
0.44
parks within a half-mile
U.S. Average: 0.57
Around the National Average
Access to libraries
0.15
libraries within a half-mile
U.S. Average: 0.1
Around the National Average
Access to jobs by transit
0
jobs accessible within a 45-minute transit commute
U.S. Average: 3065.02
Around the National Average
Access to jobs by auto
16249
jobs accessible within a 45-minute automobile commute
U.S. Average: 38665.28
Around the National Average
Diversity of destinations
0.52
diversity of jobs within a mile (from 0 to 1)
U.S. Average: 0.52
Around the National Average
Activity density
2490.08
jobs and people per sq. mi.
U.S. Average: 4831.51
Around the National Average
Crime rate
233.17
crimes per 10,000 people
U.S. Average: 281.85
Around the National Average
Vacancy rate
8%
of units are vacant
U.S. Average: 11%
Around the National Average
Broadband cost and speed
21%
of residents have high-speed, low-cost service
U.S. Average: 30%
Around the National Average
Cultural, arts, and entertainment institutions
0.18
institutions per 10,000 people
U.S. Average: 0.18
Around the National Average
Smoking prevalence
21%
of people smoke regularly
U.S. Average: 21%
Around the National Average
Obesity prevalence
32%
of people are obese
U.S. Average: 29%
Around the National Average
Access to exercise opportunities
76%
of people have access
U.S. Average: 79%
Around the National Average
Drinking water quality
6%
of people are exposed to violations
U.S. Average: 7%
Around the National Average
Regional air quality
6.99
unhealthy air quality days per year
U.S. Average: 9.16
Around the National Average
Near-roadway pollution
2%
of people are exposed
U.S. Average: 6%
Around the National Average
Local industrial pollution
0.45
index from 0 to 311,000
U.S. Average: 0.32
Around the National Average
State and local plans to create age-friendly communities
State barriers to community broadband
Local LGBT anti-discrimination laws
State and Local Smoke-Free Laws
Local multi-hazard mitigation plans
Local government creditworthiness
State and local inclusive design laws
1st
/50
in Affordability Rankings
Income inequality
0.43
inequality (from 0 to 1)
U.S. Average: 0.45
Around the National Average
Jobs per worker
0.81
jobs per person
U.S. Average: 0.74
Around the National Average
State minimum wage increase
State and local housing trust funds
State foreclosure prevention and protection
Senior Living Options in Iowa
$0
Average Cost of Continuing Care Retirement Communities (36 communities)
$5,880 U.S. Average
Around the National Average
$0
Average Cost of Nursing Homes (464 communities)
$578,758 U.S. Average
Around the National Average
$3,380
Average Cost of Assisted Living (267 communities)
$4,000 U.S. Average
Around the National Average
$0
Average Cost of Adult Day Care (26 communities)
$3,732 U.S. Average
Around the National Average
$2,306
Average Cost of Independent Living (80 communities)
$2,709 U.S. Average
Around the National Average
$4,900
Average Cost of Memory Care (74 communities)
$4,999 U.S. Average
Around the National Average
Key Findings in Iowa
Overall
Health Care
Senior Living & Housing
Community Involvement
Transportation
Quality Of Life
Affordability
Overall
Caring.com’s team of researchers spent countless hours researching 70 different factors that are key indicators for older adults overall health, happiness, and quality of life. After completing our research, we put each metric on a scale and graded each state in the nation. Read more about the metrics we used to grade your state by clicking on each category.
Health Care
For the Health Care category, our team of researchers looked at seven main metrics. These metrics cover a variety of data points related to health care, such as how many primary care physicians, dentists, mental health professionals and other physicians there are in the state per 100,000 people. Other metrics we looked at include the rate of patient satisfaction and preventable hospitalization.
Senior Living & Housing
To get an accurate picture of how affordable and available suitable housing is for seniors in every state, our team of researchers considered six key metrics. To get an accurate picture of housing prices for seniors, the comparative cost of housing in the state was adjusted to take into account the average income in the state. Additionally, we factored in the availability of subsidized housing, multi-family homes and homes with no-step entrances.
Community Involvement
The Community Involvement category was used to gauge the level of opportunity seniors have for engagement and involvement in their communities. There were three main metrics we used in this category that covered how involved seniors are in their government (voting), how often they volunteer and the programs/clubs that facilitate social opportunities.
Transportation
Our Transportation category is used to examine how senior-friendly the transportation system in each state is. We researched a variety of metrics to make this determination, including data points such as crash rates, household transportation costs and the frequency and availability of local transit services.
Quality Of Life
With 18 individual metrics, our Quality of Life category is the broadest topic we covered. In it, we measure how much access seniors have to activities and services that enrich their lives, such as libraries, parks, grocery stores and farmers markets. Other wellness indicators are also examined, including obesity prevalence, water quality, air quality and amount of pollution.
Affordability
The final group of metrics we researched focuses on the income opportunities and earning potential for older adults in the state. Overall, we looked at three metrics that covered topics such as the rate of income inequality in the area, and how many jobs per worker are available.
To learn more about our process, read about why each facet of our methodology is important, and what role it plays in determining the overall opportunity that seniors have to enjoy a healthy and happy lifestyle. While we did include the obvious factors, such as affordability and health care available, we expanded the usefulness of our report by taking a deep dive into more nuanced indicators, such as the availability of museums and parks, the quality of the transportation system, and the amount of air and water pollution.
Select a category on the right to learn more.
Health Care
Senior Living & Housing
Community Involvement
Transportation
Quality Of Life
Affordability
Health Care
The quality and availability of health care are of primary importance to many demographics, but it’s especially vital for older adults. When it comes to the overall quality of living in an area, health care places a huge role in determining how happy and healthy seniors are. This is the first and most important category we researched for each state.
One of the major barriers seniors face to enjoying their retirement is budget concerns, namely insufficient savings and monthly income. Affordable and accessible housing is one of the biggest budget concerns for seniors, so states and areas that have an abundance of well-priced, senior-friendly homes provide a greater opportunity for a higher quality of life.
It’s important for seniors well-being and health to remain active and involved in their community, but they can’t do so without quality government and non-profit programs that are well run and targeted to the population of seniors with less opportunities. Overall, we created this group of metrics to gauge older adults’ opportunities for social and civic engagement.
Since many seniors are unable to drive – either due to the cost of vehicles or because of disabilities/medical concerns. Since many are not able to afford private transportation (such as taxi’s or ridesharing services), the availability of public transportation to get to and from activities, employment, errands and doctor visits is a key indicator in overall quality of life.
As our broadest category, Quality of Life measures numerous factors that contribute to the access and opportunity seniors have for an active, vibrant life. Not only is it important for older adults to have access to enriching activities such as museums and libraries, it’s also vital for them to live in an environment free from an overabundance of things like air and water pollution.
While some older adults have the luxury of being completely retired and not having to earn any more money after they reach the age of 65, many other seniors turn to part-time jobs to make ends meet. Therefore, it was important for us to factor in the earning potential for seniors in the state.