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Assisted Living and Memory Care

Homestead of Shenandoah

601 Harrison Street, Shenandoah, IA 51601 · Map
Licensed for 70 residents

State license active
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Homestead of Shenandoah is a state-licensed assisted living, memory care community in Shenandoah, Iowa. It is licensed for 70 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.

Assisted LivingAlso memory care
70 residentsLicensed capacity
State licensedAssisted living program, dementia specific
$1,450 to $4,650/moTypical assisted living start in Iowa, from 33 communities that publish prices

Prices

This community does not publish its prices.

Area costs

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.

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

3Complaint visits
1State violations

Last recertification or initial survey: Jan 30, 2025. See the record

License

Active, 70 residents

Assisted Living Program, dementia specific S0328.

Nearest emergency room

0.7 miles

Shenandoah Medical Center.

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.

CommunityDistanceLicensed capacityPublished starting priceLicenseInspection citations
Homestead of Shenandoah this community70Not publishedActive1 state violation in 3 years
Eiler Place16.3 mi71Not publishedActive1 state violation in 3 years
Arlington Place of Red Oak19.9 mi64Not publishedActive0 state violations in 3 years
Morton Senior Living26.9 mi37Not publishedActiveNo record
Linnwood Estates28.3 mi50$4,130/moActive0 state violations in 3 years
State inspection record1 state violation in 3 years
Last recertification or initial survey
January 30, 2025
Visits in three years
3
Complaint visits in three years
3
State violations (all visits)
1
State fines in three years
None
Certification expires
May 22, 2028
  • No violations cited at the last 2 visits (September 2025 to April 2026)
  • Certified since 2012

Visits (newest first)

  • April 1, 2026: Complaint, Incident, no state violations listed · report
  • September 30, 2025: Complaint, no state violations listed · report
  • January 30, 2025: Recertification, Complaint, Incident, 1 state violation · report
    • Medications. Each program shall follow its own written medication policy, which shall include narcotics protocol, including destruction and reconciliation, shall be determined by the program's registered nurse. 481 IAC 67.5(2)g

DIAL Health Facility Database record → (Homestead of Shenandoah)

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 70 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
S0328
License status
Active
Licensed capacity
70
Administrator
Mitch Fall

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 OSHA inspection, no violations cited

Federal records about how the employer here treats its staff.

OSHA workplace safety inspections

OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.

  • Apr 7, 2025: complaint inspection, partial (safety). Case closed Sep 9, 2025. No violations cited. OSHA record. OSHA recorded the employer as Homestead Assisted Living & Memory Care of Shenandoah. Matched by street address; the name OSHA recorded differs from the community's.

Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.

Location and nearby careNearest hospital 0.7 mi, nursing home 0.9 mi, pharmacy 1.5 mi
Nearest hospital with an emergency room
Shenandoah Medical Center, Shenandoah. 0.7 miles away, straight line.
Nearest Medicare nursing home
Accura Healthcare of Shenandoah, Shenandoah. 0.9 miles away, straight line.
Nearest home health agency office
Pure Health Services, LLC, Clarinda. 17.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Hy-Vee Pharmacy. 1.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 51601 as small town (small town core).
Dialysis within 15 miles
Davita Shenandoah Dialysis, Shenandoah, 0.7 miles away, straight line (CMS rating 2 of 5 stars)
Hospice
3 Medicare hospices tell CMS they serve ZIP code 51601.
Nearest geriatric medicine practice
Advanced Mobile Medicine LLC, Bellevue. 39.2 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)
FEMA National Risk Index
Overall: relatively moderate. By hazard: inland flooding relatively low, wildfire relatively low, tornado relatively high, heat wave relatively high, 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.

  1. The state recorded a finding in January 2025. What was it, and how was it fixed?
  2. What does the base rate include, and when did rates last go up?
  3. How many caregivers work in memory care during the day, the evening and overnight, and for how many residents?
  4. What dementia training does each caregiver get before working alone, and every year after?
  5. How do staff respond when a resident is agitated, frightened or tries to leave?
  6. How many caregivers are on duty during the day and at night?
  7. What happens if care needs increase? When would someone need to move?
  8. What fees are charged at move-in?
  9. How do you tell families about falls, illness or changes?
  10. 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.

SourceData as ofWhat we found
Iowa Department of Inspections, Appeals, and Licensing (DIAL), Health Facilities Division inspection recordsOct 16, 2026See above
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026See above
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here relatively low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteCould not read the site
Common questionsAnswers to 4 questions families ask
What type of care does Homestead of Shenandoah provide?

Homestead of Shenandoah is licensed by the state of Iowa for assisted living, memory care in Shenandoah, Iowa. Its licensed capacity is 70 residents.

Does Lilisity rate Homestead of Shenandoah?

No. We publish state licensing details for Homestead of Shenandoah 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 Shenandoah 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 Shenandoah does not publish its prices.

How do I contact Homestead of Shenandoah?

Use Homestead of Shenandoah's website, windsor-manor.com/Shenandoah-about.htm, or visit at 601 Harrison Street, Shenandoah, IA 51601.

Choosing assisted livingOur care guide: what to look for, what it costs, how families pay, and more questions to ask (PDF)

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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

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