5010 Grand Ridge Drive, West Des Moines, IA 50265 · Polk County · (515) 222-5991
113 certified beds, about 102 residents a day · For profit - Corporation · Medicare and Medicaid since 2010
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165601 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 5, 2026, inspectors cited 14 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 46 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.59 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.
58.9% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Legacy Healthcare, an affiliated group of 95 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 46 health citations on file.
Inspectors wroteBased on clinical record review, staff, resident and provider interview and facility policy review, the facility failed to report an allegation of abuse within the required two hour time frame for one of three residents reviewed (Res #4). The facility reported a census of 98 residents.
Inspectors wroteBased on observation, clinical record review, staff interview, and policy review, the facility failed to attach foot pedals on the wheelchair while transporting a resident for 2 of 3 residents (#2, #7) observed for transfers. The facility reported a census of 98 residents.
Inspectors wroteBased on observations, resident and staff interviews and record review, and policy review, the facility failed to provide adequate supervision, failed to follow policy and failed to utilize adequate assistive devices to prevent accidents or further injuries for 3 out of 4 residents reviewed (Res #2, #89 & #116). The facility reported a census of 101 residents.
Inspectors wroteBased on review of Certification and Survey Provider Enhanced Report (CASPER) from the Centers for Medicare & Medicaid Services (CMS), the CMS-2567's, staff interview and policy review, the facility failed to have an effective QAPI (Quality Assurance Performance Improvement) process to address previously identified quality deficiencies to assist in the provision of quality care for residents and attain substantial compliance with Federal regulations and State rules. The facility had several repeat deficiencies identified on the facility's current recertification and complaints survey. The facility identified a census of 101 residents.
Inspectors wroteBased on electronic health record review (EHR), staff interview, and guidance from the Resident Assessment Instrument (RAI) User Manual Version 1.20.1 October 2025, the facility failed to accurately complete Minimum Data Set (MDS) Assessment for 4 of 21 residents reviewed (Resident #3, #7, #8, and #61). The facility reported a census of 101.
Inspectors wroteBased on observations, resident records, staff interviews and policy review, the facility failed to follow infection control policies, procedures and guidelines for contact precautions, enhanced barrier precautions, and standards of care. The facility reported a census of 101 residents.
Inspectors wroteBased on clinical record review and staff interview the facility failed to obtain informed consent for psychotropic medications that have black box warnings (the most serious safety warning the Food and Drug Administration (FDA) uses and requires the healthcare provider to have a comprehensive discussion with the resident/representative about the risks, benefits and alternatives for use) for 2 of 5 resident reviewed for psychotropic medications (Residents #4 & #110). The facility reported a census of 101 residents.
Inspectors wroteBased on record review, resident and staff interviews, employee timecard review and policy review the facility failed to take appropriate steps to protect residents from potential abuse by not separating staff from residents when an allegation of suspected abuse was reported for 2 of 3 residents reviewed for abuse (Residents #89 & #116). The facility reported a census of 101 residents.
Inspectors wroteBased on clinical record review, observation, resident and staff interviews and policy review the facility failed to report an injury of unknown origin, and an allegation of abuse to the Iowa Department of Inspections, Appeals and Licensing (DIAL) within the required timeframe (within 2 hours) for one of three residents reviewed for possible abuse (Resident #89). The facility reported a census of 101 residents.
Inspectors wroteBased on resident record review, staff interview, and Resident Assessment Instrument (RAI) manual review, the facility failed to submit a significant change in status for 1 of 2 residents reviewed for a significant change of condition. The facility reported a census of 102 residents. The Quarterly Minimum Data Set (MDS) dated [DATE] for Resident #2 revealed the diagnoses of weakness, unsteadiness on feet, required the assistance of one staff for supervision with ambulation and maximal assistance for hygiene and toileting. Resident #2 had a Brief Interview for Mental Status (BIMS) score of 15 suggesting an intact cognition. The Quarterly MDS dated [DATE] for Resident #2 was totally dependent on staff for transfers and toileting with no ambulation. The Progress note dated 9/18/25, the Nurse Practitioner (NP) documented a visit for Resident #2 following the fall on 9/11/15. [...]
Inspectors wroteBased on electronic health record review (EHR), observations, resident interview and staff interview, the facility failed to offer and apply a hand splint for 1 of 2 residents reviewed for positioning (Resident #7). The facility reported a census of 101.
Inspectors wroteBased on observations, clinical record review, resident and staff interviews the facility failed to have an action plan in place to ensure new agency staff receive a timely orientation and were able to demonstrate competency in skills and equipment use before the expectation to work independently. The facility reported a census of 101 residents.
Inspectors wroteBased on observation, clinical record review, staff interview, and facility policy review, the facility failed to assure a medication error rate of less than 5%. Medication administration was observed for a total of five residents, with three errors being observed for 2 of 5 residents (Resident #6 and #106). A total of 42 ordered medications were reviewed with three errors, an error rate of 7.14%. The facility reported a census of 102 residents.
Inspectors wroteBased on observation, record review, staff interviews, and policy review, the facility failed to administer insulin and provide Velphoro (a phosphate binder that controls high serum phosphorus in patients with chronic kidney disease) per Physician's order for 1 of 5 residents (Resident #106) reviewed for medications, resulting in a significant medication error. The facility reported a census of 101 residents.
Inspectors wroteBased on electronic health record review (EHR), observations, and staff interview, the facility offered inappropriate candy to residents on altered textured diets for 2 of 2 residents observed (Resident #14 & #58). The facility reported a census of 101.
Inspectors wroteBased on observations, staff interview, and policy review, the facility failed to apply appropriate food handling practices when assisting residents to eat for 2 of 4 residents during breakfast. The facilty reported a census of 101.
Inspectors wroteBased on review of Certification and Survey Provider Enhanced Report (CASPER) from the Centers for Medicare & Medicaid Services (CMS), staff interview, and review of the facility Quality Assurance Performance Improvement (QAPI) plan, the facility failed to ensure an effective process to address previously identified quality deficiencies. This resulted in the facility receiving an Infection Prevention & Control deficiency for the fifth consecutive recertification survey. The facility reported a census of 95 residents. Findings Include: The CASPER Report for the facility identified the facility had received a deficiency for Infection Prevention & Control in August of 2019, December of 2021, March of 2023 and December of 2023 recertification surveys. [...]
Inspectors wroteBased on clinical record review, staff interview, guidance from the 2024 Resident Assessment Instrument (RAI) Manual and facility policy review, the facility failed to fully develop, personalize and implement Comprehensive Person Centered Care Plans for 5 residents (Res #22, #86, #7, #25, #87) The facility reported a census of 95.
Inspectors wroteBased on observations, staff interview, and policy review, the facility failed to provide appropriate side dish serving sizes for 5 of 5 puree diets and failed to obtain final cooking temperatures for resident meal items. The facility reported a census of 95.
Inspectors wroteBased on resident interview, staff interviews and record review the facility failed to ensure resident participation option in quarterly interdisciplinary team meetings for care planning for 1 of 3 residents reviewed regarding care plan meetings (R# 9) The facility reported a census of 95.
Inspectors wroteBased on clinical record review, staff interview, and guidance from the 2024 Resident Assessment Instrument (RAI) Manual, the facility failed to accurately reflect the status of 3 of 22 residents in the Minimum Data Set (MDS) Assessments (Resident # 83, #86, #95). The facility reported a census of 95 residents.
Inspectors wroteBased on clinical record review, resident and staff interview and facility policy review, the facility failed to implement a Baseline Care Plan in entirety within 48 hours of admission and additionally failed to provide a copy of the baseline care plan to the resident for 1 of 4 residents reviewed for Baseline Care Plans (Resident #95). The facility reported a census of 95 residents.
Inspectors wroteBased on observation, clinical record review, staff interviews, and policy review, the facility failed to provide eating assistance for 1 of 1 resident (Resident#32) who was not able to feed himself. The facility reported a census of 95 residents.
Inspectors wroteBased on observations, clinical record review, resident interview and staff interview, the facility failed to implement and maintain a Restorative Program for 3 of 4 residents reviewed who required assistance to complete their Activities of Daily Living (ADL) (Resident #22, #74, #86, ). The facility reported a census of 95 residents. Findings Include: 1. The Quarterly MDS of Resident #22 dated 1/7/25, identified a Brief Interview for Mental Status (BIMS) score of 14 which indicated cognition intact. The MDS revealed the resident required supervision/touching assistance for toileting hygiene, dressing, bed mobility, transfers and walking. The MDS revealed the resident received no Restorative Nursing services. The Care Plan of Resident #22, review date 1/2/25, documented the resident to be at risk of pain due to limited mobility and to be at risk for falls. [...]
Inspectors wroteBased on observation, staff interviews, record review and policy review the facility failed to follow professional standards of medication administration for 1 of 1 resident reviewed that required medications via gastric tube (Resident #47) no table barrier for filled medication cups and other supplies, did not follow Enhanced Barrier Precautions (EBP) and did not check placement or residual per the physician orders. The facility reported a census of 95.
Inspectors wroteBased on observations, clinical record review, staff interviews, resident interview and facility policy the facility failed to follow physician orders, to manage oxygen use for 1 of 1 resident sampled for respiratory care (Resident #63). The facility reported a census of 95 residents.
Inspectors wroteBased on clinical record review, staff interview, and interview with pharmacy, the facility failed to attempt a Gradual Dose Reduction of psychotropic medications for 1 of 5 residents (Res #86) reviewed for Unnecessary Medications. The facility reported a census of 95 residents.
Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to ensure proper food handling practices were followed while assisting Resident #1 to eat. The facility reported a census of 95.
Inspectors wroteBased on observation, resident and staff interview, record review, and policy review, the facility failed to implement infection control practices to prevent urinary tract infection (UTI) for 1 of 1 resident (#16). The facility reported a census of 95.
Inspectors wroteBased on observations, staff interview, and policy review, the facility failed to provide a barrier on top of the bed's blankets or change blankets when debris was present during completion of peri-cares for 1 of 3 residents reviewed for dignity (Resident #8). The facility reported a census of 94 residents.
Inspectors wroteBased on facility record review, hospital clinical record review, staff interviews, and facility policy review, the facility failed to notify the physician of a needed change in treatment for 1 of 3 residents reviewed for assessment and intervention (Resident #12). The facility reported a census of 94 residents.
Inspectors wroteBased on observations, staff interview, and policy review, the facility failed to ensure wound care treatments were completed as ordered for 1 of 3 residents reviewed for wound cares (Resident #8). The facility reported a census of 94 residents.
Inspectors wroteBased on observations, staff interviews, and policy review, the facility failed to follow infection control practices during urinary catheter cares for 2 of 3 residents reviewed for catheter care (Resident #5 and Resident #8). The facility reported a census of 94 residents.
Inspectors wroteBased on observation, clinical record review and review of the facilities Resident Rights revealed the facility failed to provide privacy while providing perineal cares for 1 of 4 residents reviewed. (Resident #10) The facility identified a census of 90 residents.
Inspectors wroteBased on observation, clinical record review and facility policy review, the facility failed to properly provide perineal cares for 1 of 4 residents reviewed (Resident #9) The facility identified a census of 90 residents.
Inspectors wroteBased on observation, staff interview and facility policy review, the facility staff failed to remove soiled gloves during personal cares for 2 of 4 residents reviewed. (Resident #9 and Resident #10) The facility identified a census of 90 residents.
Inspectors wroteBased on record review, document review, and staff interview the facility failed to follow the menu and prepare food to meet the nutritional needs of the resident for 6 of 83 residents reviewed. The facility reported a census of 83 residents.
Inspectors wroteBased on observation, staff interview, and policy review the facility failed to store and prepare food in accordance with professional standards. The facility reported a census of 83 residents.
Inspectors wroteBased on employee phone logs, document review, resident interviews, and staff interviews the facility failed to provide reasonable accommodations of needs and preferences by not providing return transportation to the facility from a clinic appointment in a timely manner to 1 of 3 residents reviewed (Resident #29). The facility reported a census of 83 residents.
Inspectors wroteBased on clinical record review and staff interviews, the facility failed to refer three residents (Resident #3, #14 & #33) with a Level I Pre-admission Screen & Resident Review (PASRR) with a previously unknown serious mental disorder for evaluation of a Level II PASRR at the time the diagnosis was known to the facility. The facility reported a census of 83 residents.
Inspectors wroteBased on clinical record review, staff interviews, direction from the Iowa PASRR Provider Manual and policy review, the facility failed to update a Comprehensive Care Plan to include a focus area and interventions for a resident who was designated as qualifying for a Level II Pre admission Screening & Resident Review (PASRR). The facility reported a census of 83 residents.
Inspectors wroteBased on record review, staff interview, resident interview, and policy review the facility failed to provide needed services in accordance with professional standards by not completing treatments requested by a resident for 2 residents reviewed (Resident #23 and #29). The facility reported a census of 83 residents.
Inspectors wroteBased on clinical document review, observation, staff interview, and policy review the facility failed to provide appropriate infection prevention practices when providing catheter cares for 1 of 2 residents (Resident #13). The facility reported a census of 83 residents.
Inspectors wroteBased on clinical record review, staff and resident interviews, the facility failed to report an allegation of abuse within 24 hours of the event (Resident #1). The facility reported census was 72 residents.
Inspectors wroteBased on clinical record review, resident and staff interviews, the facility failed to ensure each resident was treated with respect and dignity while providing cares for 1 of 4 residents reviewed (Residents #1). The facility reported census was 72 residents.
Inspectors wroteBased on clinical record review, staff and resident interviews, the facility failed to report an allegation of abuse within 24 hours of the event (Resident #1). The facility reported census was 72 residents.
13 fire safety citations on file: 5 on March 5, 2026, 4 on February 20, 2025, 4 on December 11, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| March 5, 2026 | Payment Denial | 733 days from April 8, 2026 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.59 | 3.82 | 3.86 |
| Registered nurses | 0.58 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.23 | 3.37 | 3.42 |
| Nurse aides | 2.28 | ||
| Licensed practical nurses | 0.73 | ||
| Nursing staff turnover (share who left in a year) | 58.9% | 44.0% | 45.8% |
| Registered nurse turnover | 64.7% | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.87 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.74 on weekdays and 3.23 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 14.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.69 in April to June 2025 to 3.59 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.59 | 0.58 | 3.74 | 3.23 | 14.1% | 0 of 90 | 102 |
| Oct to Dec 2025 | 3.72 | 0.63 | 3.84 | 3.41 | 10.3% | 0 of 92 | 99 |
| Jul to Sep 2025 | 3.64 | 0.59 | 3.75 | 3.36 | 12.5% | 0 of 92 | 96 |
| Apr to Jun 2025 | 3.69 | 0.59 | 3.79 | 3.44 | 12.7% | 0 of 91 | 94 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 15.3 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.1 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.3 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.1 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.6 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.4 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.6 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.1 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 5.1 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Harmony West Des Moines's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (68.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
68.0% this home
Better than the national rate
US median of homes 51.5% · Iowa: 28 better, 21 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 106 eligible stays.
8.2% this home
No different from the national rate
US median of homes 10.7% · Iowa: 1 better, 1 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 120 eligible stays.
5.9% this home
No different from the national rate
US median of homes 7.1% · Iowa: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 46 eligible stays.
48.7% this home
Median of homes: Iowa56.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 39 residents counted.
1.6% this home
Median of homes: Iowa0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 61 residents counted.
0.0% this home
Median of homes: Iowa1.8% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 61 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Iowa100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 10 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: DES MOINES SKILLED NURSING FACILITY LLC. CMS links this home to Legacy Healthcare, a group of 95 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Doros Generation Trust U/a/D 1/3/12 | 5% or greater direct ownership interest | Organization | 26% | 04/01/2023 |
| Gpn Family Trust U/a/D 4/28/08 | 5% or greater direct ownership interest | Organization | 60% | 04/01/2023 |
| Oakway Operations LLC | 5% or greater direct ownership interest | Organization | 15% | 04/01/2023 |
| Smith, Sammarra | W-2 managing employee | Individual | 04/01/2023 | |
| Shabat, Menachem | Corporate officer | Individual | 04/01/2023 | |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | Organization | 04/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.