Senior Living in Clay County, Iowa
Assisted living, memory care & independent living in Clay County
2 communities licensed by the state of Iowa. Listed alphabetically; Lilisity publishes no score or ranking for communities that have not earned an award.
| Community | City | Care types | Licensed capacity | Operator |
|---|---|---|---|---|
| Cobble Creek AL of Spencer | Spencer | Assisted Living | 12 | — |
| Riverview Terrace | Spencer | Assisted Living · Memory Care | 114 | — |
Also in Clay County, from public records: 1 independent living, life plan and 55+ · 4 income-restricted senior apartments
Costs: assisted living in Iowa costs a median of $5,381 a month (CareScout 2025). Nursing home costs in Iowa: CareScout medians and the private-pay rates nursing homes publish.
Independent living, life plan and 55+ communities in Clay County
1 community from public records. Independent living is not licensed by the state, so these have no state license or inspection record.
| Community | City | Type | Apartments | Managed by |
|---|---|---|---|---|
| The Highlands | Spencer | Life plan community | — | St. Luke Homes and Services |
Income-restricted senior apartments in Clay County
4 buildings from public records. Rent is set by income, there are age and income limits, and there is often a wait list. Apply through the property manager.
| Building | City | Apartments | Managed by |
|---|---|---|---|
| Spencer Manor Apartments | Spencer | 52 | Community Housing Initiatives |
| Sunrise Spencer | Spencer | 24 | Murphy Enterprises |
| Sunset Retirement Home East | Spencer | 12 | Community Housing Initiatives |
| Sunset Retirement Home South | Spencer | 28 | Community Housing Initiatives |
Nursing homes in Clay County
2 Medicare-certified nursing facilities with CMS ratings.
| Facility | City | CMS Rating | Beds | Ownership |
|---|---|---|---|---|
| St Luke Lutheran Nursing Home | Spencer | ★★☆☆☆ | 79 | Non profit - Corporation |
| Spencer Post Acute Rehabilitation Center | Spencer | ★☆☆☆☆ | 82 | For profit - Corporation |
What will senior living cost, and how will we pay?
Our free guide shows the starting prices communities post for each kind of care, walks you through a monthly budget, and explains how insurance, VA benefits, Medicaid and Medicare can help.
Free guide · 16 pages
Paying for Senior Living
Costs by type of care, a monthly budget, and how insurance, the VA, Medicaid and Medicare help.