Pricing ranges from
    $4,979 – 5,974/month

    Promise House

    1320 Litchfield Dr, Hiawatha, IA 52233
    • Assisted Living
    • Memory Care

    Compassionate, knowledgeable, family-like memory care

    I placed my loved one here and am very satisfied - the staff are compassionate, knowledgeable about Alzheimer's, and truly treat residents like family. The clean, home-like facility offers individualized memory care, engaging activities, good family communication and comforting support; I highly recommend it.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.75·(8)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.0
    • Staff

      4.4
    • Meals

      3.0
    • Amenities

      3.5
    • Value

      3.8

    Pros

    • Compassionate, caring staff
    • Staff frequently go above and beyond
    • Low staff turnover / consistent caregivers
    • Staff knowledgeable about Alzheimer's and dementia
    • Family-like, individualized care
    • Homelike, comfortable rooms and environment
    • Clean and organized facility
    • Good communication with families
    • Engaging activities
    • Comforting support during difficult times
    • Memory care services offered

    Cons

    • Facility described as dated / older appearance
    • Meals described as only acceptable
    • At least one review issues a warning and says 'do not recommend'
    • One review indicates unclear operating status

    Summary of reviews

    Overall sentiment across the provided reviews is strongly positive, with a clear and repeated emphasis on the quality of staff and the culture of care. Multiple reviewers describe the staff as compassionate, caring, and willing to go above and beyond; several note that staff treat residents like family. Low turnover is explicitly mentioned, which supports the impression of continuity of care. Many summaries use words such as exceptional, comforting, and grateful to characterize the experience, and several recommend the community highly. The dominant theme is that Promise House provides warm, individualized care, especially for residents with memory needs.

    Care quality and clinical focus come across as strengths in these summaries. Reviewers call out staff knowledge about Alzheimer's and dementia, and mention individualized care and memory care services being offered. Descriptions such as comforting during difficult times and staff acting like family indicate both emotional support and hands-on care. Several reviews specifically praise staff for going above and beyond routine duties, implying attention to residents' personal needs and responsiveness to families.

    Staffing and communication are also highlighted positively. The combination of low turnover and good communication with families suggests stability and transparency that families value. Reviewers repeatedly commend the staff for being engaging and compassionate, and for keeping families informed. This pattern points to an environment where personal relationships between caregivers, residents, and families are emphasized and maintained over time.

    Facility, amenities, and programming are generally viewed favorably but with some caveats. The facility is described as clean, organized, and homelike, and rooms are characterized as home-like and acceptable. Activities are described as engaging, which complements the family-like atmosphere and individualized care. However, at least one reviewer describes the facility as dated; another notes that while the room was fine the overall facility felt older. Meals are repeatedly described only as acceptable rather than excellent, suggesting dining is adequate but not a standout feature.

    Notable concerns and caveats appear in a small minority of reviews and should be taken seriously even if they are outliers. One summary explicitly states 'do not recommend' and raises a 'warning,' and another mentions an unclear operating status. These comments introduce uncertainty about management or operational continuity for at least one reviewer. Given the overwhelmingly positive pattern in the other summaries, this appears to be an anomaly, but it is a material concern that prospective families should verify. It would be prudent to confirm current operating status, licensing, complaint history, and to conduct an in-person visit and reference checks during the decision process.

    In conclusion, the reviews portray Promise House as a caregiving-focused community with consistently praised staff, strong dementia expertise, a homelike environment, and good family communication. The most frequent negatives are the facility's dated appearance and only adequate dining, plus one serious but isolated warning about operating status. Prospective residents and families should weigh the strong, repeated praise for staff and individualized care against the facility condition and follow up on the single negative report by verifying operational and regulatory details before committing.

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    Location

    Map showing location of Promise House

    Promise House is located at 1320 Litchfield Dr, Hiawatha, IA, 52233.

    About Promise House

    Promise House Assisted Living sits at 1320 Litchfield Drive in Hiawatha, Iowa, and people living there get different levels of care, including assisted living and memory care for those with Alzheimer's or other forms of dementia, so you've got staff trained specially to help with memory problems, and they've got secure doors with exit alerts and enclosed outdoor areas so folks can have some safe time outside without wandering off. The community holds room for up to 20 people, and each person can have a private living space with their own bathroom and a kitchen or kitchenette if they want some independence, and there's always medical help and personal care available day and night, with nurses and aides to help with things like bathing, dressing, taking medicine, and moving around, including help for people who can't walk on their own.

    Different services like diabetic care, incontinence care, non-ambulatory care, and hospice waivers are available, and if you need more support for daily life as you age or if your mind isn't what it used to be, their staff will try to help you keep your dignity and comfort while staying as independent as you're safely able to be. There's laundry and dry cleaning, transportation and parking, and they've got meal services that include a dining room with special diets handled by chefs and planners, so you don't need to worry if you eat something different from the rest. You can join others in the shared living room or at community activities, with things like movie nights, arts and crafts, devotional gatherings, and even events outside the building, and the place keeps up walking paths and garden areas where residents can enjoy the outdoors if they like, as well as a barber and beauty salon, so you don't have to leave the building to get your hair done.

    Promise House uses a 24-hour emergency call system and has supervision across the day and night so families can rest easier knowing someone's watching out for their loved ones, and there's one-on-one support tailored to each person if someone needs extra attention, and they'll help manage medicine and coordinate with outside doctors too. Families can take part in outreach and education programs if they wish, and there's guest services for visitors. The community atmosphere is designed to help folks feel comfortable and foster friendships, and rooms come furnished if need be, plus there's move-in help to make getting settled a bit easier, and for those living with dementia, promise house runs a separate memory care area that's supervised, secured, and adapted for their special needs. The place is certified by the state, affiliated with the Iowa Health Care Association, and is part of the IHCA Premier Partners network, which connects residents and families to broader resources and long-term care guidance if they need it. The facility has an average rating and reviews are mixed, but the staff puts their focus on keeping residents safe, engaged, and comfortable as they age, which is honestly what matters most for a lot of families trying to find a good spot for their loved ones.

    People often ask...

    Promise House offers competitive pricing, with rates starting at a cost of $4,979 per month.

    Promise House offers assisted living, memory care, and board and care.

    The full address for this community is 1320 Litchfield Dr, Hiawatha, IA 52233.

    No, Promise House does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Iowa, the Department of Inspections, Appeals & Licensing licenses assisted living and long-term care programs, conducting recertification visits and complaint investigations.

    License number1831
    StatusActive
    Facility typeAssisted Living Programs for People with Dementia
    Capacity20 residents
    EffectiveJuly 18th, 2024
    ExpiresJuly 18th, 2026
    View the official license record

    Inspection Reports

    20

    Reports

    1

    Type A Citations

    0

    Type B Citations

    13

    Complaints

    22

    Years

    04 Dec 2025Renewal
    Found deficiencies in annual evaluations and updates to service plans, with two tenants not having required evaluations or plan updates completed as changes occurred.
    • 481-69.22(3)Evaluation of Tenant
    • 481-69.26(1)Service Plans
    17 Aug 2023Complaint
    Investigated a complaint and found deficiencies in meal support and service plan updates that did not address tenant needs and behaviors.
    • 481-67.3(2)Tenant Rights
    • 481-69.26(1)Service Plans
    23 Sept 2021Complaint
    Investigators found multiple deficiencies related to incident reporting, care planning, medications, staffing training, and dementia-specific education during a recertification review.
    • 481-67.2(1)dProgram Policies and Procedures
    • 481-67.2(1)eProgram Policies and Procedures
    • 481-67.3(2)Tenant Rights
    • 481-67.5(2)gMedications
    • 481-69.26(1)Service Plans
    • 481-69.26(2)Service Plans
    • 481-69.28(5)Food Service
    • 481-69.30(1)Dementia Specific Education for Personnel
    • 481-69.30(5)Dementia Specific Education for Personnel
    10 Sept 2020Complaint
    Investigated a care-setting and found significant safety and sanitation concerns including water damage, sewage issues, strong odors, and inadequate lighting, with evidence of ongoing maintenance and notification problems.
    • Continued From page 2
    • Continued From page 3
    16 Jan 2020Complaint
    The investigation identified deficiencies related to tenants’ rights, admission/retention criteria, and inadequate care and safety planning, including insufficient service plans and repeated safety concerns.
    • 481-67.3(2)Tenant Rights
    • 481-69.23(231C)Criteria for admission/retention of tenants
    • 481-69.23(231C)Criteria for admission/retention of tenants
    • 481-69.26(231C)Service plans
    • Population data and general observations
    11 Jul 2019Complaint
    Found no regulatory insufficiencies cited after review of census data. The census recorded 7 tenants without cognitive disorder and 11 with cognitive disorder.
    08 Jan 2019Complaint
    Found deficiencies in service plans that did not reflect residents' identified needs or provide specific redirection for aggression.
    • 481-69.26(4)a; 481-69.26(231C)Service Plans
    27 Aug 2018Renewal
    Identified deficiencies include failure to complete incident reporting per policy and insufficient dementia-specific training for staff, with related documentation issues.
    • Incident reporting not completed per policy
    • 481-69.30(1)Dementia Specific Education for Personnel
    • 481-69.30(231C)Dementia-specific education for program personnel
    20 Dec 2017Complaint
    Found no deficiencies.
    30 Aug 2016Renewal
    Identified a deficiency where a resident's service plan wasn't updated to reflect a dairy restriction.
    • 481-69.26(4)aService Plans
    31 Mar 2016Complaint
    Investigated a complaint about care and safety practices; identified deficiencies in reporting, staffing policies, and nurse delegation procedures.
    • 481-67.2Program policies and procedures
    • 481-67.9(4)Nurse delegation procedures
    • 481-69.23(1) bAdmission/Retention of Tenants
    30 Dec 2014Incident
    Investigated allegations of abuse and neglect and found deficiencies related to admitting and retaining tenants and ensuring resident safety; documented several aggressive incidents and concerns about mental status.
    • 481-69.23(1)(c)(1)Criteria for Admission/Retention of Tenants
    • 481-69.23(23C)Criteria for admission and retention of tenants
    • 69.23(1)Persons who may not be admitted or retained
    16 Jul 2014Renewal
    Determined there were no regulatory insufficiencies found during the on-site recertification monitoring evaluation.
    04 Jun 2012Renewal
    Determined no regulatory deficiencies were identified during the on-site monitoring.
    27 Mar 2012Incident
    Investigated a complaint alleging a tenant fell and bed alarm issues; found no violations cited.
    08 Feb 2011Complaint
    Investigated an incident and monitoring findings identified a deficiency in the service plan not meeting individualized needs and preferences. Noted regulatory insufficiency in the plan content.
    • IAC 481-69.26(4)(a)Regulatory Insufficiency
    30 Dec 2010Complaint
    Investigated a complaint and found multiple regulatory insufficiencies in tenant evaluations, service planning, reporting incidents, and facility conditions.
    • 321 IAC r. 25.23(2)Regulatory Insufficiency
    • 321 IAC r. 26.10(2)Regulatory Insufficiency
    • 321 IAC r. 25.28(1)Regulatory Insufficiency
    • 321 IAC r. 25.40(1)(b)Regulatory Insufficiency
    • 321 IAC r. 25.28(3)Regulatory Insufficiency
    25 Aug 2009Complaint
    Found no regulatory deficiencies after reviewing a complaint about tenant rights and care. Observations supported that tenants were treated with respect and rights upheld.
    27 May 2008Complaint
    Observed deficiencies in evaluating tenants’ needs, updating individualized service plans, and ensuring sufficient trained staff at all times.
    • 25.23(1) and/or (2)Evaluation of Tenant
    • 25.28(3)Service Plans for Personal Care/Health-Related Care
    • Type A25.28(4)aIndividualized Service Plans
    • 25.33(1)Staffing – Availability of Trained Staff
    12 Jul 2004Complaint
    Investigated a complaint alleging the program retained tenants requiring a higher level of care and found no deficiencies.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Promise House. The information above has not been verified or approved by the owner or operator. For exact information, please contact Promise House directly. There is no cost for this service. We are compensated by the community you select.

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