Pricing ranges from
    $4,915 – 6,389/month

    Rose of Waterloo

    421 Oak Ave, Waterloo, IA 50703
    • Assisted Living

    Spotless friendly welcoming senior community

    I'm very pleased with this senior living community - it's spotless, home-like, and the staff are consistently friendly and attentive with a 24/7 on-site nurse. My father loves his roomy one-bed apartment with full kitchen, included lunch and dinner, on-site salon, active calendar (bingo, dominoes, religious), and the welcoming community. There are some extra service fees (pendant, whirlpool, hourly assistance), but overall I would 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
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.00·(12)

    Overall rating

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

      4.7
    • Staff

      3.6
    • Meals

      2.5
    • Amenities

      4.0
    • Value

      3.0

    Pros

    • 24/7 on-site nursing
    • lunch and dinner included
    • structured activity program
    • on-site salon services
    • community event space
    • optional whirlpool bath
    • fully equipped one-bedroom apartments
    • outdoor parking
    • emergency-call pendant option
    • flexible hourly assistance options
    • friendly, attentive staff
    • clean, well-maintained interiors
    • engaging family events
    • affordable pricing
    • home-like atmosphere

    Cons

    • pest-control concerns in some living areas
    • inconsistent meal quality and temperature
    • management communication and responsiveness gaps
    • limited staffing coverage at times
    • additional recurring fees for emergency monitoring and personal care
    • admissions and referral coordination challenges for distant families
    • less-convenient location for some families

    Summary of reviews

    Overall impression: Reviews present a mixed but actionable picture. Many families emphasize that clinical care is available around the clock and that staff are often described as friendly, attentive, and caring. The community's physical environment and apartments receive frequent praise for cleanliness, attractive presentation, and a home-like atmosphere. Pricing is viewed as affordable by multiple families, and units include full kitchens and standard appliances, making the apartments appealing for independent or semi-independent residents.

    Care and staff: The facility's 24/7 on-site nursing and flexible hourly assistance options are important strengths cited by families; several reviewers said their relatives adjusted well and receive attentive care. Staff–resident interactions are commonly described as positive, with families noting helpfulness and respectful engagement. However, there are recurring comments indicating variable staffing coverage and occasional difficulties when families raise concerns; these suggest uneven availability of assistance at certain times and inconsistent handling of family communications.

    Dining: The community covers lunch and dinner, and social meal settings and family events are noted positives. At the same time, meal experiences are inconsistent across accounts: some residents and families praise the meals, while others report problems with food quality or temperature. Additionally, breakfast is not routinely included and a number of residents supplement or skip meals, which may reflect personal preference or a mismatch between offered meals and resident routines.

    Activities and social life: The activity calendar—bingo, dominoes, religious programming, and family events—receives favorable comments. Shared spaces such as the community room and on-site salon support social engagement. These offerings are commonly cited as contributing to resident satisfaction and adjustment, particularly for those seeking a more active, socially connected setting.

    Facilities and fees: Apartments are described as attractive and well-equipped, with outdoor parking and optional amenities such as a whirlpool bath. Several reviewers noted additional recurring charges, including a monthly emergency-call/pendant fee and separate hourly charges for personal assistance; families should anticipate and understand these out-of-pocket costs during planning. There are also service- and location-related trade-offs: while some find the site well situated, others find the location less convenient.

    Management and notable risks: A number of reviews raise operational concerns that prospective families should weigh. These include pest-control concerns in certain living areas, inconsistent responsiveness from management when issues are raised, and occasional staff conflict when addressed by families. Those considering placement should verify pest-control practices, ask about staffing patterns for the shifts most relevant to their loved one, and request written explanations of all recurring fees and emergency-monitoring policies. For families coordinating admissions from a distance, confirm referral and intake procedures in advance to avoid coordination challenges.

    Bottom line: Rose of Waterloo presents clear strengths in around-the-clock clinical coverage, a warm community environment, well-equipped apartments, and an active social program. At the same time, reviewers point to operational weaknesses—most notably inconsistent meal experience, episodic pest-control concerns, management responsiveness gaps, and additional recurring fees—that warrant direct inquiry during a tour and contract review. Prospective residents and families should verify current staffing levels, meal plans (including breakfast provisions), fee schedules, and pest-management practices before committing.

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    Location

    Map showing location of Rose of Waterloo

    Rose of Waterloo is located at 421 Oak Ave, Waterloo, IA, 50703.

    About Rose of Waterloo

    Rose of Waterloo offers seniors a comfortable place to live with roomy one- and two-bedroom apartments that come with full kitchens-there's a dishwasher and disposal, big closets, bathroom vanities, and in-unit storage, and every apartment has controls for air conditioning and carpet in neutral colors, plus wide windows with mini-blinds and large showers with built-in seats, so folks can feel at home and move about easily whether they're on their own or need help. Meals get served daily in a pleasant atrium dining room with a private chef making sure there's variety and nice flavors, and there's all-day dining, so you can eat when you're hungry and special diets get attention too. Residents can join all sorts of activities-there's a big Activities Room and a Community Room with a kitchen, so gatherings, arts and crafts, and games fill the calendar, and the Activity Program keeps things lively with planned events and social groups all week.

    The Chapel doubles as a Theater for movie nights and spiritual gatherings, and in the Computer Den and Library you'll see book clubs, chances to learn new things, and a cozy fireplace for reading, and folks can hop on the internet if they wish. Outdoors, the building's surrounded by landscaped pathways for gentle exercise, plus back patio gardens with raised beds, a front porch, and quiet spots to enjoy the sun or visit with friends, and pets are welcome too, so it feels like a regular neighborhood. On-site, there's a barber and beauty salon, a whirlpool bath for assisted bathing, and a fitness room, along with therapy services and a wellness spa, while laundry rooms sit on each floor and off-street parking is ready for residents and guests.

    Professional care's available around the clock, with 24-hour emergency response, nursing on staff 12-16 hours a day, and medication help, so folks who need assistance-whether for bathing, dressing, transferring, or memory care-get support right away, and Open Arms Home Health Care operates on-site. The staff provides both assisted living and skilled nursing, and there's memory care for those living with dementia, plus the Lifecare program unique to Cedar Valley that gives a continuum of care, covering personal needs as they change-including skilled palliative care, short-term stays, and SureCare Services for those wanting some support at home. Help with laundry, meals in the room, housekeeping, and move-in coordination's available, and residents can invite family to stay over in the guest suite.

    Rose of Waterloo encourages people to stay active and social, offering fitness programs, daily activities, and resident-run clubs, and there's a focus on independent living options for healthy seniors too. There are safety features like a 24-hour call system, wheelchair-accessible showers, and strict no smoking inside. Residents can get cable TV, Wi-Fi, furnished or bring their own furniture to decorate their suites, and transportation's offered free for shopping or appointments. The community lets home care agencies customize support if needed, so everyone can find the right level of care for them. Everything's set up to let seniors stay as independent as possible, while enjoying a range of activities, social time, spiritual care, and dependable support from staff if or when it's needed.

    People often ask...

    Rose of Waterloo offers competitive pricing, with rates starting at a cost of $4,915 per month.

    Rose of Waterloo offers assisted living.

    There are 3 photos of Rose of Waterloo on Mirador.

    The full address for this community is 421 Oak Ave, Waterloo, IA 50703.

    No, Rose of Waterloo 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 number2676
    StatusActive
    Facility typeAssisted Living Programs
    Capacity128 residents
    EffectiveJanuary 2nd, 2026
    ExpiresJanuary 2nd, 2028
    View the official license record

    Inspection Reports

    19

    Reports

    3

    Type A Citations

    0

    Type B Citations

    11

    Complaints

    18

    Years

    10 Mar 2026Complaint
    Found no deficiencies.
    23 Oct 2024Complaint
    Found no deficiencies.
    15 Mar 2022Incident
    Identified that a preliminary service plan was not developed contemporaneously with initial health assessments and occupancy agreements for two tenants.
    • 481 IAC 69.26(2)Service Plans
    01 Oct 2020Complaint
    Found no deficiencies during the investigations and the infection control survey.
    13 Feb 2020Renewal
    Identified deficiencies related to nurse delegation training and service plan updates; training was not documented and service plans were not updated to reflect needs.
    • Type A481-67.9(4)dStaffing
    • Type A481-69.26(4)aService Plans
    22 Jan 2018Renewal
    Found no deficiencies during the recertification visit.
    14 Mar 2017Incident
    Found no deficiencies during the investigation of incident 66034-I.
    14 Mar 2017Incident
    Investigated an incident and found no regulatory insufficiencies were cited.
    28 Dec 2016Complaint
    Investigated complaint; found no regulatory insufficiencies.
    25 Jan 2016Complaint
    Investigated a complaint regarding medication management and found regulatory insufficiencies in several areas, with a civil penalty assessed.
    • Type A481-67.3(2)Tenant Rights
    • 481-69.26(1)Service Plans
    • 481-69.26(4)Staffing
    • 481-69.22(2)Evaluation of Tenant
    • 231C.14(1)(a), (b); 481 IAC 67.17(1)(a), (b)Civil Penalty
    20 Oct 2015Complaint
    Identified deficiencies in tenant evaluations and service plans; one tenant’s plan did not reflect identified needs and preferences, and a civil penalty was assessed for service plan insufficiencies.
    • 481-69.22(2)Evaluation of Tenant
    • 481-69.26(4)Service Plans
    08 Jul 2015Complaint
    Investigated a complaint investigation and found regulatory insufficiencies related to nurse reviews and service plans not reflecting tenants' health status and care needs.
    • 481-69.26(1)Nurse Review
    • 481-69.26(1) and 481-69.26(231C) and 69.27(3)Service Plans
    04 Aug 2014Complaint
    Investigated a complaint alleging neglect and safety concerns in a senior housing setting, including denied meals, restricted visits, and hazardous conditions.
    • Complaint/Incident Allegation
    • Complaint/Incident Allegation
    • Complaint/Incident Allegation
    • Complaint/Incident Allegation
    07 Nov 2013Complaint
    Investigated a complaint and incident regarding a senior living program and found no regulatory insufficiencies noted.
    24 Sept 2013Complaint
    Investigated the complaint and identified regulatory insufficiencies related to updating service plans and evaluating tenants' health status within required timeframes.
    • IAC 481-69.26(3)Regulatory Insufficiency / Service Plan Update
    04 Oct 2011Renewal
    Conducted an on-site monitoring evaluation. Found no regulatory insufficiencies.
    12 Jan 2010Renewal
    Investigated the recertification of a senior living program. Found no regulatory insufficiencies during the period.
    25 Nov 2008Complaint
    Investigated the complaint and found no regulatory insufficiencies.
    27 May 2008Renewal
    Found no deficiencies. Tenants reported satisfaction with care and safety, and staff were attentive.

    Disclaimer

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

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