Senior Living in Shelby County, Iowa
Assisted living, memory care & independent living in Shelby 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 |
|---|---|---|---|---|
| Elm Crest Retirement Community (Assisted Living) | Harlan | Assisted Living | 64 | — |
| Hansen House Harlan | Harlan | Assisted Living · Memory Care | 118 | — |
Also in Shelby County, from public records: 3 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.
Income-restricted senior apartments in Shelby County
3 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 |
|---|---|---|---|
| Regency Villa-Harla | Harlan | 24 | National Management |
| Shelby Comm Dev | Shelby | 12 | Knudson Management |
| Westridge Apartments | Harlan | 65 | Pacific Management |
Nursing homes in Shelby County
2 Medicare-certified nursing facilities with CMS ratings.
| Facility | City | CMS Rating | Beds | Ownership |
|---|---|---|---|---|
| Elm Crest Retirement Community (Independent Living and Skilled Nursing and Continuing Care) | Harlan | ★★★☆☆ | 50 | Non profit - Other |
| Salem Lutheran Home | Elk Horn | ★☆☆☆☆ | 64 | 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.