Independent Living and Assisted Living and Memory Care and Continuing Care
Holy Spirit
1701 W 25th St, Sioux City, IA 51103 · Map
Licensed for 45 residents
Holy Spirit is a state-licensed independent living, assisted living, memory care, continuing care community in Sioux City, Iowa. It is licensed for 45 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
Care and services
From the community’s website
What Holy Spirit says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Has a separate memory care unit, wing or neighborhood.
Our person-centered Assisted Living Memory Care neighborhood provides nurturing surrounding where residents experience a high quality of life.
(page, checked Oct 12, 2026) - Nurse on site: 24 hours a day.
24-hour compassionate nursing care
(page, checked Oct 12, 2026) - 3 meals a day.
Three nutritious meals a day/ ice cream / snacks
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
We offer nursing home care at assisted living prices in small, neighborhood-style living with private and semi-private suites with numerous amenities.
(page, checked Oct 12, 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: Jul 9, 2025. See the record
License
Active, 45 residents
Assisted Living Program, dementia specific S0038, S0504.
Nearest emergency room
1.3 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 |
|---|---|---|---|---|---|
| Holy Spirit this community | 45 | Not published | Active | 23 state violations in 3 years | |
| Amera Senior Living | 1.3 mi | 170 | Not published | Active | No record |
| Prime Assisted Living | 1.7 mi | 120 | Not published | Active | 0 state violations in 3 years |
| Heritage at Northern Hills | 2.7 mi | 128 | $2,185/mo | Active | 4 state violations in 3 years |
| Bickford Cottage II Sioux City | 3.3 mi | 41 | Not published | Active | 8 state violations in 3 years |
State inspection record23 state violations in 3 years
- Last recertification or initial survey
- July 9, 2025
- Visits in three years
- 5
- Complaint visits in three years
- 5
- State violations (all visits)
- 23
- State fines in three years
- None
- Certification expires
- March 7, 2028
- Certified since 1999
Visits (newest first)
- April 21, 2026: Complaint, Incident, 2 state violations · report
- Medications :Each program shall follow its own written medication policy 481 IAC 67.5(2)e(3)
- Nurse delegation shall, at a minimum, include within 30 days of beginning employment, all program staff shall receive training by the program's registered nurse(s). 481 IAC 67.9(4)b
- July 9, 2025: Recertification, Complaint, 1 state violation · report
- The program records relating to a tenant shall be retained for a minimum of three years after the transfer or death of the tenant. 481 IAC 69.25(2)
- May 15, 2025: Complaint, no state violations listed · report
- January 15, 2025: Complaint, Complaint Revisit (revisit), 5 state violations · report
- In addition to the requirements of Iowa Code section 231C.5, the written occupancy agreement shall include, but not be limited to, the following information in the body of the agreement or in the supporting documents and attachments: a. The telephone number for filing a complaint with the department. b. The telephone number for the office of long-term care ombudsman. c. The telephone number for reporting dependent adult abuse. d. A copy of the program's statement on tenants' rights. e. A statement that the tenant landlord law applies to assisted living programs. f. A statement that the program will notify the tenant at least 90 days in advance of any planned program cessation, which includes voluntary decertification, except in cases of emergency. 481 IAC 69.21(2)
- A copy of the most current occupancy agreement shall be made available to the general public upon request. The basic marketing material shall include a statement that a copy of the occupancy agreement is available to all persons upon request. 481 IAC 69.21(5)
- 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)
- Documentation for each tenant shall be maintained by the program and shall include: When the tenant is unable to advocate on the tenant’s own behalf or the tenant has multiple service providers, including hospice care providers, accurate documentation of the completion of routine personal or health-related care is required on task sheets. If tasks are doctor-ordered, the tasks shall be part of the medication administration records (MARs) 481 IAC 69.25(1)q
- Prior to the tenant's signing the occupancy agreement and taking occupancy of a dwelling unit, a preliminary service plan shall be developed by a health care professional or human service professional in consultation with the tenant and, at the tenant's request, with other individuals identified by the tenant, and, if applicable, with the tenant's legal representative. All persons who develop the plan and the tenant or the tenant's legal representative shall sign the plan. 481 IAC 69.26(2)
- October 23, 2024: Complaint, 15 state violations · report
- In addition to the requirements of Iowa Code section 231C.5, the written occupancy agreement shall include, but not be limited to, the following information in the body of the agreement or in the supporting documents and attachments: a. The telephone number for filing a complaint with the department. b. The telephone number for the office of long-term care ombudsman. c. The telephone number for reporting dependent adult abuse. d. A copy of the program's statement on tenants' rights. e. A statement that the tenant landlord law applies to assisted living programs. f. A statement that the program will notify the tenant at least 90 days in advance of any planned program cessation, which includes voluntary decertification, except in cases of emergency. 481 IAC 69.21(2)
- The occupancy agreement shall be reviewed and updated as necessary to reflect any change in services or financial arrangements. 481 IAC 69.21(3)
- 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)
- The program shall notify the tenant or tenant's legal representative, in accordance with the occupancy agreement, of the need to transfer the tenant and of the reason for the transfer and shall include the contact information for the office of long-term care ombudsman. 481 IAC 69.24(1)a
- The program records relating to a tenant shall be retained for a minimum of three years after the transfer or death of the tenant. 481 IAC 69.25(2)
Show all 9
- 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)
- The service plan updated within 30 days of the tenant's occupancy shall be signed and dated by all parties. 481 IAC 69.26(3)d
- Service Plans. The service plan shall be reviewed, updated if necessary, and signed and dated by all parties at least annually. 481 IAC 69.26(3)e
- and 7 more
DIAL Health Facility Database record → (Holy Spirit Retirement Home)
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 45 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
- S0038, S0504
- License status
- Active
- Licensed capacity
- 45
- County
- Woodbury County
- Executive Director
- Jacque Kreber
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.
Executive Director name from public records we reviewed, as of Oct 12, 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 1.3 mi, nursing home 0.0 mi, pharmacy 0.7 mi
- Nearest hospital with an emergency room
- St Lukes Regional Medical Center, Sioux City. 1.3 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Holy Spirit Retirement Home, Sioux City. 0.0 miles away, straight line.
- Nearest home health agency office
- Unitypoint At Home, Sioux City. 0.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee 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 51103 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Midwest Dialysis, Sioux City, 3.3 miles away, straight line (CMS rating 3 of 5 stars)
Fresenius Kidney Care Dakota Dunes, Dakota Dunes, 3.6 miles away, straight line (CMS rating 2 of 5 stars)
Siouxland Dialysis, Sioux City, 4.5 miles away, straight line (has a shift starting after 5 pm; CMS rating 1 of 5 stars) - Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 51103.
Hospice Of Midwest, office in Sioux City, 0.7 miles away, straight line
Care Initiatives Hospice - Sioux City, office in Sioux City, 7.0 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Physicians Clinic Inc, Omaha. 89.1 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 moderate; 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 moderate. By hazard: inland flooding relatively moderate, 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 | See above |
Common questionsAnswers to 4 questions families ask
What type of care does Holy Spirit provide?
Holy Spirit is licensed by the state of Iowa for independent living, assisted living, memory care, continuing care in Sioux City, Iowa. Its licensed capacity is 45 residents.
Does Lilisity rate Holy Spirit?
No. We publish state licensing details for Holy Spirit 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 Holy Spirit 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. Holy Spirit does not publish its prices.
How do I contact Holy Spirit?
Use Holy Spirit's website, holyspiritretirementhome.com, or visit at 1701 W 25th St, Sioux City, IA 51103.
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