Friendly Horizons

    645 1st Ave SW, Sioux Center, IA 51250
    • Assisted Living
    • Memory Care

    Compassionate Person Centered Memory Care

    Moving my grandpa here was one of the best decisions I've made. The staff are kind, respectful and truly person-centered - they welcomed him, keep the community clean and safe, and communicate clearly with our family. Memory care is done right with therapy dog visits, music and reminiscence programs, engaging activities, thoughtful meals and hospice handled with dignity. Beautiful setting, friendly residents and a warm, positive vibe leave me very satisfied overall.

    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
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour supervision

    Meals and dining

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

    Room

    • Housekeeping and linen services

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    Reviews

    4.33·(6)

    Overall rating

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

      5.0
    • Staff

      5.0
    • Meals

      5.0
    • Amenities

      4.3
    • Value

      4.3

    Pros

    • Person-centered memory-care model
    • Engaged, compassionate staff
    • Clear family–staff communication
    • Clean, well-maintained living spaces
    • Safe environment with attention to resident dignity
    • Diverse engagement programming (music, reminiscence)
    • Therapy-animal visits
    • Coordinated end-of-life and hospice support
    • Welcoming social atmosphere
    • Integrated mealtime as part of care

    Cons

    • Limited non-memory-specialty clinical services
    • Variable meal-service consistency
    • Limited transparency of staffing levels and clinical coverage
    • Limited individualization in activity programming

    Summary of reviews

    Friendly Horizons presents as a facility with a clear emphasis on memory care and person-centered approaches. Reviews emphasize consistent attention to dignity, respectful staff–resident interactions, and positive care outcomes tied to a memory-care focus. The community appears to integrate clinical and social supports for residents, including coordination with hospice for end-of-life needs.

    Staffing and communication are recurring strengths. Families describe welcoming reception of new residents, strong interpersonal relationships between staff and residents, and direct, clear communication with families. The staff presence is characterized as attentive and compassionate, contributing to a warm, positive atmosphere among residents and visitors. Therapy-animal visits and visible staff involvement support daily engagement and family confidence in care delivery.

    Activity programming is broad and purposefully memory-focused: music therapy, reminiscence sessions, and life-engagement activities are consistently highlighted. These offerings align with a therapeutic memory-care model and appear effective in promoting socialization and meaningful engagement. That said, the programming is presented primarily as group-oriented; prospective residents with highly specific individual preferences or needs may want to ask how activities are tailored at the individual level.

    The physical environment is described as clean, well-maintained, and attractive, with common areas and rooms reflecting attention to safety and comfort. Mealtime is portrayed as an integrated element of care, though descriptions of food quality and consistency are limited; families or residents seeking detailed dining information should inquire directly about menu variety, accommodations, and service consistency.

    Management patterns suggest strengths in family communication and continuity of person-centered practices. Areas for further inquiry include the facility’s breadth of clinical services beyond memory care, explicit staffing ratios and clinical-coverage schedules, and the degree of individualized activity planning. Overall, Friendly Horizons appears to be a strong choice for families prioritizing specialized memory care, compassionate staff, and structured engagement; prospective residents and families should ask targeted questions about clinical coverage, meal-service consistency, and individual activity accommodations to ensure the fit meets their specific needs.

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    Location

    Map showing location of Friendly Horizons

    Friendly Horizons is located at 645 1st Ave SW, Sioux Center, IA, 51250.

    About Friendly Horizons

    Friendly Horizons sits at 645 1st Ave SW in Sioux Center, Iowa, as a retirement community designed with a home-like feel, and you'll notice right away that the place stays clean and safe, and residents get treated with respect and dignity as if they're family, which you can tell comes from it being family-owned and operated with staff who care about each person. You'll find the inside is easy to walk around, which helps residents feel comfortable, and there's a dining room with all-day dining options, so folks eat when they're hungry, and meals can be prepared for special diets, including allergies and diabetes, with housekeeping, laundry, and even dry cleaning handled for everyone living there. Friendly Horizons has emergency alert systems, 24-hour staff supervision, and medication management, so safety and care are always present, and they help people with daily activities like bathing, dressing, and moving from place to place - adjusting how much help each person needs because some residents want only a bit of support while others may need around-the-clock care or even hospice help.

    For those needing memory care, especially with Alzheimer's or dementia, there's a smaller memory care house built to feel homey and easy to navigate, with specialized staff dedicated to knowing each resident as a person first, which means residents get care that matches where they are in their memory care journey, and you'll notice activities meant to keep everyone engaged, like sharing stories about former jobs, interacting with therapy dogs, listening to music from the past, and tailored brain-stimulating programs, with secure outdoor spaces for walking and gardens to enjoy. People who live at Friendly Horizons take part in group activities, social times, and educational or entertaining events, so nobody feels left out or bored, and the staff stays involved, offering kindness, respect, and clear communication with residents and their families. There's a focus on providing support in a smaller group setting, which allows for more personal attention, and when memory care is needed, the staff is trained to help with special needs and keep everyone safe and comfortable.

    Living spaces at Friendly Horizons vary, some with private rooms or bedrooms, and some with kitchenettes, so people can still feel a sense of privacy or independence, while still having help when needed. They base every care plan on what each resident actually needs and wants, so it never feels like a one-size-fits-all home, and everyone from caregivers to kitchen staff tries to make daily life as normal as possible, with the idea that people should enjoy their days and families should worry less about care and more about spending time together. Friendly Horizons welcomes new residents into a caring community where the goal is always to provide the right amount of help, whether for those who are still quite independent or those who need a lot of support, especially with cognitive issues, chronic illness, or end-of-life care. Residents and families can also get expert help with long-term care planning and insurance questions, and there's a clear focus on making sure both physical and emotional needs are met in a setting that feels just like a comfortable family home.

    People often ask...

    Friendly Horizons offers competitive pricing, with rates starting at a cost of $4,785 per month.

    Friendly Horizons offers assisted living, memory care, and board and care.

    The full address for this community is 645 1st Ave SW, Sioux Center, IA 51250.

    No, Friendly Horizons 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 number3196
    StatusActive
    Facility typeAssisted Living Programs for People with Dementia
    Capacity16 residents
    EffectiveMarch 31st, 2026
    ExpiresMarch 30th, 2028
    View the official license record

    Inspection Reports

    3

    Reports

    3

    Citations

    1

    Complaints

    5

    Years

    26 Aug 2025Complaint
    Identified lack of operating alarm systems on exit doors in the dementia-specific program, leaving multiple doors without alarms.
    • 69.32(2)Operating alarm system on exit doors in a dementia-specific program
    20 May 2024Renewal
    Identified failure to complete criminal history and background checks before staff employment; two staff had checks completed after hire.
    • 481-67.19(3)Record checks and background checks prior to employment
    10 Mar 2021Initial
    Found that criminal, child, and dependent adult abuse background checks were not completed before employment for three staff.
    • 481-67.19(3)Record Checks

    Disclaimer

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

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