Assisted Living and Memory Care
Homestead of Estherville
2015 3rd Avenue North, Estherville, IA 51334 · Map
Licensed for 72 residents
Homestead of Estherville is a state-licensed assisted living, memory care community in Estherville, Iowa. It is licensed for 72 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: Jun 10, 2024. See the record
License
Active, 72 residents
Assisted Living Program, dementia specific S0352.
Nearest emergency room
1.0 miles
Avera Holy Family Hospital, 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 |
|---|---|---|---|---|---|
| Homestead of Estherville this community | 72 | Not published | Active | 13 state violations in 3 years | |
| WEL-Life at Spirit Lake | 15.1 mi | 53 | Not published | Active | 0 state violations in 3 years |
| Addington Place of Spirit Lake | 15.5 mi | 174 | Not published | Active | 4 state violations in 3 years |
| Spring Creek Independent and Assisted Living | 16.5 mi | 24 | Not published | Active | 0 state violations in 3 years |
| Good Samaritan Society- the Pi | 17.9 mi | 38 | $1,456/mo | Active | No record |
State inspection record13 state violations in 3 years
- Last recertification or initial survey
- June 10, 2024
- Visits in three years
- 4
- Complaint visits in three years
- 4
- State violations (all visits)
- 13
- State fines in three years
- 2 ($7,150 after adjustment)
- Certification expires
- June 5, 2027
- Certified since 2015
Visits (newest first)
- August 28, 2025: Complaint, Incident, 4 state violations; Fining & Citation · report · citation
- The program shall follow the policies and procedures established by the program. 481 IAC 67.2(3)
- 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 shall immediately provide to the office of long-term care ombudsman, by certified mail, a copy of the notification and notify the tenant's treating physician, if any. 481 IAC 69.24(1)b
- An operating alarm system shall be connected to each exit door in a dementia-specific program. 481 IAC 69.32(2)
- March 13, 2025: Complaint (revisit), 1 state violation · report
- The program shall obtain approval from the state fire marshal division of the department of public safety before the installation of any delayed egress specialized locking systems. 481 IAC 69.32(3)
- June 10, 2024: Recertification, Complaint, Incident, 5 state violations; Fining & Citation · report · citation
- The program shall follow the policies and procedures established by the program. 481 IAC 67.2(3)
- 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)
- An operating alarm system shall be connected to each exit door in a dementia-specific program. 481 IAC 69.32(2)
- A program serving a person(s) with cognitive disorder or dementia shall have: a. written procedures regarding alarm systems, if an alarm system is in place. 481 IAC 69.32(4)a
- May 29, 2024: Complaint, 3 state violations · report
- Tenant Rights. To receive care, treatment and services which are adequate and appropriate. 481 IAC 67.3(2)
- 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)
- If a tenant receives personal or health-related care, the program shall provide for a registered nurse: to assess and document the health status of each tenant, to make recommendations and referrals as appropriate, and to monitor progress relating to previous recommendations at least every 90 days and whenever there are changes in the tenant's health status; and 481 IAC 69.27(1)c
State fines
- Visit August 28, 2025: fine issued December 1, 2025, $5,000, adjusted to $3,250; paid $3,250, owed $0 (enforcement no. 10979)
- Visit June 10, 2024: fine issued July 10, 2024, $6,000, adjusted to $3,900; paid $3,900, owed $0 (enforcement no. 10464)
DIAL Health Facility Database record → (Homestead of Estherville)
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 72 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
- S0352
- License status
- Active
- Licensed capacity
- 72
- County
- Emmet County
- Administrator
- Patty Youll
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 1.0 mi, nursing home 0.1 mi, pharmacy 0.7 mi
- Nearest hospital with an emergency room
- Avera Holy Family Hospital, Estherville. 1.0 mile away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Estherville Community Care Center, Estherville. 0.1 miles away, straight line.
- Nearest home health agency office
- Avera @ Home, Estherville. 1.0 mile 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 51334 as small town (small town core).
- Dialysis within 15 miles
- Warner Dialysis Center, Spirit Lake, 13.7 miles away, straight line (CMS rating 2 of 5 stars)
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 51334.
Avera At Home, office in Estherville, 1.0 mile away, straight line
Gentiva, office in Spirit Lake, 13.7 miles away, straight line (CMS family survey rating 3 of 5 stars)
St Croix Hospice, office in Spirit Lake, 14.4 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Mayo Clinic Health System-Southeast Minnesota Region, Austin. 93.9 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 high; 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)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively moderate, wildfire very low, tornado relatively high, heat wave relatively low, 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 August 2025. 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 | Not shown: FEMA rates wildfire risk here very low |
| 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 Homestead of Estherville provide?
Homestead of Estherville is licensed by the state of Iowa for assisted living, memory care in Estherville, Iowa. Its licensed capacity is 72 residents.
Does Lilisity rate Homestead of Estherville?
No. We publish state licensing details for Homestead of Estherville 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 Homestead of Estherville 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. Homestead of Estherville does not publish its prices.
How do I contact Homestead of Estherville?
Use Homestead of Estherville's website, windsor-manor.com/home/find-a-community/estherville, or visit at 2015 3rd Avenue North, Estherville, IA 51334.
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