Independent Living and Assisted Living and Memory Care
Heritage at Northern Hills
4002 Teton Trace, Sioux City, IA 51104 · Map
Licensed for 128 residents
Heritage at Northern Hills is a state-licensed independent living, assisted living, memory care community in Sioux City, Iowa. It is licensed for 128 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
Starting prices the community publishes, with the date we checked each one and a link to where it is published. Care charges are usually added after an assessment.
| Care | Starting at | Checked |
|---|---|---|
| Independent Living | $2,185 /mo | Oct 12, 2026 |
Area costs
Care and services
From the community’s website
What Heritage at Northern Hills says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 12, 2026) - Offers diabetes care.
Blood sugar checks and insulin injections
(page, checked Oct 15, 2026) - Provides transportation.
Mobility, Accessibility, and Transportation
(page, checked Oct 15, 2026) - 3 meals a day.
Your monthly rate includes your own apartment home, three meals each day in our dining room, daily activities and clubs, and scheduled rides to local events.
(page, checked Oct 12, 2026) - Pets allowed.
Our pet-friendly senior living community boasts a lively social calendar, tailored care services, engaging activities, and a dedicated team, with
(page, checked Oct 12, 2026) - Has a secured outdoor area.
Grand, beautifully landscaped, secure outdoor courtyard
(page, checked Oct 15, 2026)
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: Nov 20, 2024. See the record
License
Active, 128 residents
Assisted Living Program, dementia specific S0058.
Nearest emergency room
1.6 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 |
|---|---|---|---|---|---|
| Heritage at Northern Hills this community | 128 | $2,185/mo | Active | 4 state violations in 3 years | |
| Bickford Cottage II Sioux City | 0.7 mi | 41 | Not published | Active | 8 state violations in 3 years |
| Bickford Cottage I Sioux City | 0.7 mi | 44 | $4,560/mo | Active | 6 state violations in 3 years |
| Holy Spirit | 2.7 mi | 45 | Not published | Active | 23 state violations in 3 years |
| Prime Assisted Living | 3.0 mi | 120 | Not published | Active | 0 state violations in 3 years |
State inspection record4 state violations in 3 years
- Last recertification or initial survey
- November 20, 2024
- Visits in three years
- 3
- Complaint visits in three years
- 2
- State violations (all visits)
- 4
- State fines in three years
- None
- Certification expires
- December 12, 2027
- No violations cited at the last visit (March 2026)
- Certified since 1999
Visits (newest first)
- March 25, 2026: Complaint, no state violations listed · report
- November 20, 2024: Recertification, 3 state violations · report
- Evaluation of tenant prior to occupancy. A program shall evaluate each prospective tenant's functional, cognitive and health status prior to the tenant's signing the occupancy agreement and taking occupancy of a dwelling unit in order to determine the tenant's eligibility for the program, including whether the services needed are available. The cognitive evaluation shall utilize a scored, objective tool. When the score from the cognitive evaluation indicates moderate cognitive decline and risk, the Global Deterioration Scale shall be used at all subsequent intervals, if applicable. If the tenant subsequently returns to the tenant's mildly cognitively impaired state, the program may discontinue the GDS and revert to a scored cognitive screening tool. The evaluation shall be conducted by a health care professional, human service professional, or a licensed practical nurse via nurse delegation. 481 IAC 69.22(1)
- Evaluation of tenant. Evaluation annually and with significant change. A program shall evaluate each tenant's functional, cognitive and health status as needed with significant change, but not less than annually, to determine the tenant's continued eligibility for the program and to determine any changes to services needed,. The evaluation shall be conducted by a health care professional, a human service professional, or a licensed practical nurse via nurse delegation when the tenant has not exhibited a significant change. A licensed practical nurse shall not complete the evaluation when the tenant has exhibited a significant change. 481 IAC 69.22(3)
- Service plan. A service plan shall be developed for each tenant based on the evaluations conducted in accordance with subrules 69.22(1) and 69.22(2) and shall be designed to meet the specific service needs of the individual tenant. The service plan shall subsequently be updated at least annually and whenever changes are needed. 481 IAC 69.26(1)
- November 9, 2023: Complaint, 1 state violation · report
- Evaluation of tenant. Evaluation annually and with significant change. A program shall evaluate each tenant's functional, cognitive and health status as needed with significant change, but not less than annually, to determine the tenant's continued eligibility for the program and to determine any changes to services needed,. The evaluation shall be conducted by a health care professional, a human service professional, or a licensed practical nurse via nurse delegation when the tenant has not exhibited a significant change. A licensed practical nurse shall not complete the evaluation when the tenant has exhibited a significant change. 481 IAC 69.22(3)
DIAL Health Facility Database record → (Heritage at Northern Hills)
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 128 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
- S0058
- License status
- Active
- Licensed capacity
- 128
- County
- Woodbury County
- Administrator
- Christy Nikkel
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.
Staff pay and workplace safety1 federal wage case with violations found
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Mar 31, 2009 to Mar 31, 2011. Violations found: Overtime. Back wages: $889 owed to 1 employee. DOL marked the employer as a repeat violator. Employer as DOL recorded it: Northern Hills Independent Living (HERITAGE MANAGEMENT SERVICES, INC.). Case 1601680.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby careNearest hospital 1.6 mi, nursing home 0.7 mi, pharmacy 0.7 mi
- Nearest hospital with an emergency room
- St Lukes Regional Medical Center, Sioux City. 1.6 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Accura Healthcare of Sioux City, LLC, Sioux City. 0.7 miles away, straight line.
- Nearest home health agency office
- Aveanna Healthcare, Sioux City. 0.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Leeds Pharmacy. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 51104 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Midwest Dialysis, Sioux City, 0.7 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, 6.2 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 51104.
Hospice Of Midwest, office in Sioux City, 2.0 miles away, straight line
Care Initiatives Hospice - Sioux City, office in Sioux City, 6.4 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 November 2024. What was it, and how was it fixed?
- Your published starting price is a base rate. What would the total monthly cost be for my parent's needs?
- How much have prices gone up in each of the last three years?
- 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?
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 | See above |
| 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 | See above |
Common questionsAnswers to 4 questions families ask
What type of care does Heritage at Northern Hills provide?
Heritage at Northern Hills is licensed by the state of Iowa for independent living, assisted living, memory care in Sioux City, Iowa. Its licensed capacity is 128 residents.
Does Lilisity rate Heritage at Northern Hills?
No. We publish state licensing details for Heritage at Northern Hills 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 Heritage at Northern Hills 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. The starting prices it publishes are in the Prices section on this page.
How do I contact Heritage at Northern Hills?
Use Heritage at Northern Hills's website, heritage-communities.com/senior-living/ia/sioux-city/heritage-at-northern-hills, or visit at 4002 Teton Trace, Sioux City, IA 51104.
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