Assisted Living and Memory Care
Bickford Cottage II Sioux City
4022 Indian Hills Dr, Sioux City, IA 51108 · Map
Licensed for 41 residents
Bickford Cottage II Sioux City is a state-licensed assisted living, memory care community in Sioux City, Iowa. It is licensed for 41 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
State inspections
Last recertification or initial survey: Aug 7, 2025. See the record
License
Active, 41 residents
Assisted Living Program, dementia specific S0063.
Nearest emergency room
2.2 miles
St Lukes Regional Medical Center, rated 2 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Bickford Cottage II Sioux City this community | 41 | Not published | Active | 8 state violations in 3 years | |
| Bickford Cottage I Sioux City | 0.0 mi | 44 | $4,560/mo | Active | 6 state violations in 3 years |
| Heritage at Northern Hills | 0.7 mi | 128 | $2,185/mo | Active | 4 state violations in 3 years |
| Holy Spirit | 3.3 mi | 45 | Not published | Active | 23 state violations in 3 years |
| Prime Assisted Living | 3.4 mi | 120 | Not published | Active | 0 state violations in 3 years |
State inspection record8 state violations in 3 years
- Last recertification or initial survey
- August 7, 2025
- Visits in three years
- 5
- Complaint visits in three years
- 5
- State violations (all visits)
- 8
- State fines in three years
- 1 ($3,575 after adjustment)
- Certification expires
- February 4, 2028
- Certified since 1999
Visits (newest first)
- April 28, 2026: Complaint, Incident, 2 state violations · report
- Medications :Each program shall follow its own written medication policy 481 IAC 67.5(2)e(3)
- Criteria for Admission/retention of tenants 69.23(1) Persons who may not be admitted or retained. A program shall not knowingly admit or retain a tenant who: c. Is dangerous to self or other tenants or staff, including but not limited to a tenant who: (1) Despite intervention chronically elopes, is sexually or physically aggressive or abusive, or displays unmanageable verbal abuse or aggression. 481 IAC 69.23(1)c(1)
- December 10, 2025: Complaint, Incident, 2 state violations · report
- The program shall follow the policies and procedures established by the program. 481 IAC 67.2(3)
- Number of staff. A sufficient number of trained staff shall be available at all times to fully meet tenants' identified needs. 481 IAC 67.9(1)
- August 7, 2025: Recertification, Complaint, Incident, no state violations listed · report
- February 25, 2025: Complaint, Incident, 1 state violation · report
- When a tenant needs personal care or health-related care, the service plan shall be updated within 30 days of the tenant's occupancy and as needed with significant change, but not less than annually. 481 IAC 69.26(3)
- November 1, 2023: Complaint, Incident, 3 state violations · report · citation
- The program shall follow the policies and procedures established by the program. 481 IAC 67.2(3)
- Tenant Rights. To receive from the manager and staff of the program a reasonable response to all requests. 481 IAC 67.3(5)
- Direct-contact personnel employed by or contracting with a dementia-specific program or employed by a contracting agency providing staff to a dementia-specific program shall receive a minimum of eight hours of dementia-specific continuing education annually. 481 IAC 69.30(3)b
State fines
- Visit November 1, 2023: fine issued December 19, 2023, $5,500, adjusted to $3,575; paid $3,575, owed $0 (enforcement no. 10135)
DIAL Health Facility Database record → (Bickford Cottage II Sioux City)
What these terms mean
DIAL's Health Facility Database lists each visit to the program, the number of state violations found, and any certification or licensure action and fine that followed. The scanned report for each visit is linked; it holds the inspectors' findings in full.
Recertification: DIAL's routine survey of the program for its certification. Complaint: a visit to look into a complaint. Incident: a visit to look into an incident the program reported. Initial: the survey of a new program. A revisit is a follow-up visit after an earlier one. A visit can be more than one type.
Iowa Code 231C.14 lets DIAL fine an assisted living program for “noncompliance with any regulatory requirements which presents an imminent danger or a substantial probability of resultant death or physical harm to a tenant,” for continued failure to comply after notice, or for interfering with an inspector. A fine is reduced by 35 percent when the program does not contest it and pays within 30 days; the Assessed Fines Report shows this as “State Adjusted”. “State Susp” is the part suspended.
A complaint visit with no violations listed does not say whether the complaint was substantiated; the linked report does. This program is certified for 41 residents or units; larger programs are visited and cited more often, so read counts with size in mind. Source: Iowa Department of Inspections, Appeals, and Licensing (DIAL), Health Facilities Division, data as of October 16, 2026. Always visit in person and ask the program about anything listed here.
License and ownershipActive license
- License type
- Assisted Living Program, dementia specific
- License number
- S0063
- License status
- Active
- Licensed capacity
- 41
- County
- Woodbury County
- Administrator
- Jill Colling
Source: Iowa state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from the Iowa licensing record, as of Sep 9, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in Iowa, and other programs
How Medicaid pays for care in Iowa
- Elderly (E) Waiver, Assisted Living Service. Iowa Medicaid's Elderly Waiver, for people 65 and older, lists "Assisted Living Service" among its services. Waiver slots can have waiting lists. (state page)
- Waitlist. Iowa HHS says there is currently no waitlist for the Elderly Waiver, and that this could change. (source)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 2.2 mi, nursing home 0.2 mi, pharmacy 0.2 mi
- Nearest hospital with an emergency room
- St Lukes Regional Medical Center, Sioux City. 2.2 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Accura Healthcare of Sioux City, LLC, Sioux City. 0.2 miles away, straight line.
- Nearest home health agency office
- Aveanna Healthcare, Sioux City. 0.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Leeds Pharmacy. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 51108 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Midwest Dialysis, Sioux City, 0.1 miles away, straight line (CMS rating 3 of 5 stars)
Siouxland Dialysis, Sioux City, 5.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 1 of 5 stars)
Fresenius Kidney Care Dakota Dunes, Dakota Dunes, 6.9 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 51108.
Hospice Of Midwest, office in Sioux City, 2.6 miles away, straight line
Care Initiatives Hospice - Sioux City, office in Sioux City, 6.1 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Physicians Clinic Inc, Omaha. 90.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively low; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Sioux City, IA, risk to homes is greater than 100% of communities in Iowa and 88% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively low. By hazard: inland flooding relatively low, wildfire relatively moderate, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in April 2026. What was it, and how was it fixed?
- What does the base rate include, and when did rates last go up?
- How many caregivers work in memory care during the day, the evening and overnight, and for how many residents?
- What dementia training does each caregiver get before working alone, and every year after?
- How do staff respond when a resident is agitated, frightened or tries to leave?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
What we checked12 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Iowa Department of Inspections, Appeals, and Licensing (DIAL), Health Facilities Division inspection records | Oct 16, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
Common questionsAnswers to 4 questions families ask
What type of care does Bickford Cottage II Sioux City provide?
Bickford Cottage II Sioux City is licensed by the state of Iowa for assisted living, memory care in Sioux City, Iowa. Its licensed capacity is 41 residents.
Does Lilisity rate Bickford Cottage II Sioux City?
No. We publish state licensing details for Bickford Cottage II Sioux City but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Bickford Cottage II Sioux City cost?
Assisted Living in Iowa typically starts at $1,450 to $4,650 a month. Based on 33 communities that publish prices. These are area figures, not this community's price. Bickford Cottage II Sioux City does not publish its prices.
How do I contact Bickford Cottage II Sioux City?
Use Bickford Cottage II Sioux City's website, bickfordseniorliving.com/siouxcity, or visit at 4022 Indian Hills Dr, Sioux City, IA 51108.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid