Wesley on Grand
3520 Grand Avenue, Des Moines, IA 50312 · Polk County · (515) 271-6500
80 certified beds, about 78 residents a day · Non profit - Corporation · Medicare and Medicaid since 2003
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165487 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 12, 2025, inspectors cited 1 health deficiency (the Iowa average is 6.5, the national average 9.2).
None of its 5 health citations since April 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.94 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.67 of those hours.
44.7% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Wesleylife, an affiliated group of 10 nursing homes.
Health inspections
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.
Where its citations fall on CMS's grid
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 5 health citations on file.
July 23, 2026Complaint inspection · 1 citation
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on clinical record review, observations, staff interview, policy review and manufacturer's instructions, the facility failed to prime an insulin flexpen properly prior to administering insulin to a resident. The facility staff also removed the needle from the insertion site before the recommended amount of time in order to ensure the proper amount of insulin was administered for two of two residents observed who received insulin during medication pass (Resident #75 and #89). The facility reported a census of 59 residents.
June 12, 2025Standard inspection · 1 citation
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interview, and policy review the facility failed to serve food under sanitary conditions to prevent foodborne illness during one of one meal observed. Facility staff also failed to conceal hair completely in a hairnet to prevent foodborne illness. The facility reported a census of 73 residents.
July 11, 2024Standard inspection · 0 citations
April 20, 2023Standard inspection · 3 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on clinical record review, observation, facility policy review, Center for Disease Control and Prevention (CDC) guidance, and staff interview the facility staff failed to remove gloves and perform hand hygiene after handling soiled linens resulting in potential cross contamination; failed to apply and remove personal protective equipment (PPE) before and after entering a COVID positive room to prevent the spread of COVID-19 for 1 of 1 residents reviewed for COVID 19 care (Resident # 59); failed to correctly wear face masks as required for community transmission rate of COVID 19; failed to appropriately sanitize blood sugar meters for 1 of 2 residents (Resident #71) observed and failed to utilize clean barriers during dressing changes of 1 of 3 resident reviewed for wound care to prevent potential cross contamination of infection (Resident #70). [...]
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, clinical record review, policy review, and staff interview the facility failed to follow physician orders for a gastrostomy tube (g-tube)(a g-tube is an opening into the stomach from the abdominal wall, made surgically for a tube for the introduction of food via a feeding tube) flush for 1 of 1 residents reviewed for care of a g-tube (Resident #71). The Facility identified a census of 75 residents.
- D Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Inspectors wroteBased on Clinical record review, observation, resident and staff interview, the facility failed to provide fresh water to meet resident needs and preferences for 1 of 1 residents reviewed for hydration (Resident #19). The facility reported a census of 75 residents.
Fire safety inspections
13 fire safety citations on file: 2 on June 12, 2025, 6 on July 11, 2024, 5 on April 20, 2023.
Every fire safety citation13 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Ensure proper usage of power strips and extension cords.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Conduct testing and exercise requirements.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Have proper medical gas storage and administration areas.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
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) | 3.94 | 3.82 | 3.86 |
| Registered nurses | 0.67 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.75 | 3.37 | 3.42 |
| Nurse aides | 2.56 | ||
| Licensed practical nurses | 0.71 | ||
| Nursing staff turnover (share who left in a year) | 44.7% | 44.0% | 45.8% |
| Registered nurse turnover | 55.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.63 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 4.02 on weekdays and 3.75 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.15 in April to June 2025 to 3.94 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 | 3.94 | 0.67 | 4.02 | 3.75 | 2.1% | 0 of 90 | 78 |
| Oct to Dec 2025 | 4.08 | 0.65 | 4.19 | 3.78 | 2.9% | 0 of 92 | 77 |
| Jul to Sep 2025 | 4.05 | 0.70 | 4.17 | 3.74 | 3.0% | 0 of 92 | 76 |
| Apr to Jun 2025 | 4.15 | 0.93 | 4.30 | 3.77 | 6.8% | 0 of 91 | 75 |
| 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.
Quality measures
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 | 13.6 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.8 | 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 | 4.7 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.6 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.9 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.4 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.3 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 2.1 | 1.8 |
Owners and operators
Legal business name: WESLEY RETIREMENT SERVICES INC. CMS links this home to Wesleylife, a group of 10 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Wesley Retirement Services Inc | 5% or greater direct ownership interest | Organization | 100% | 06/21/1966 |
| Kretzinger, Robert | W-2 managing employee | Individual | 11/11/1996 | |
| Albertson, Kermit | Corporate director | Individual | 01/01/2018 | |
| Gilroy, Abbey | Corporate director | Individual | 01/01/2016 | |
| Hoeksema, Nicole | Corporate director | Individual | 03/01/2021 | |
| Lagree, Roger | Corporate director | Individual | 01/01/2015 | |
| Rasmussen, Chad | Corporate director | Individual | 01/01/2011 | |
| Ruch, Robert | Corporate director | Individual | 01/01/2003 | |
| Stout, David | Corporate director | Individual | 01/01/2011 | |
| Taylor, Christina | Corporate director | Individual | 01/01/2018 | |
| Watson, Susan | Corporate director | Individual | 01/01/2014 | |
| Kretzinger, Robert | Corporate officer | Individual | 11/11/1996 | |
| Wesley Retirement Services Inc | Operational/managerial control | Organization | 06/21/1966 | |
| Wesleylife | Operational/managerial control | Organization | 01/01/1996 | |
| Buskohl, Damon | Operational/managerial control | Individual | 10/14/2013 | |
| Simpson, Janet | Operational/managerial control | Individual | 01/01/2016 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on June 12, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on July 23, 2026: "Ensure that residents are free from significant medication errors."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on April 20, 2023: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on April 20, 2023: "Ensure services provided by the nursing facility meet professional standards of quality."
Other nursing homes nearby
- Scottish Rite Park Inc Des Moines, 0.4 mi · 5 of 5 stars · 9 citations
- Iowa Jewish Senior Life Center Des Moines, 1.1 mi · 3 of 5 stars · 13 citations
- Ramsey Village Des Moines, 1.8 mi · 2 of 5 stars · 31 citations
- Calvin Community Des Moines, 2.2 mi · 4 of 5 stars · 12 citations
- University Park Nursing and Rehabilitation Center Des Moines, 2.5 mi · 4 of 5 stars · 22 citations
- Pine Acres Rehabilitation and Care Center West Des Moines, 3.1 mi · not rated · 89 citations
- Rehabilitation Center of Des Moines Des Moines, 3.1 mi · 3 of 5 stars · 36 citations
- Accura Healthcare of South Des Moines Des Moines, 3.3 mi · 1 of 5 stars · 67 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Wesley on Grand's Medicare star rating?
- CMS rates Wesley on Grand 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Wesley on Grand get at its last inspection?
- 1 health deficiency at the standard inspection on June 12, 2025. The Iowa average is 6.5.
- Has Wesley on Grand been fined?
- CMS lists no fines in the last three years.
- Does Wesley on Grand accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Wesley on Grand?
- CMS lists 16 owners and managers, and links the home to Wesleylife. Legal business name: WESLEY RETIREMENT SERVICES INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.