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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
A community that strives in exceedingly making its residents comfortable, the Wesley Acres offers the best balance of urban living and assistance with everyday living. A proud member of the Wesley Senior Living Group, Acres places integrity at the heart of its mission; ensuring that residents can feel inspired in creating a better life with the continuum of care being provided. Wesley Acres is an elegant senior living home that aims to enhance and enrich the lives of its residents.
Wesley offers independent living, assisted living, memory care, short-term rehabilitation, and long-term care. Their engaging activities and programs to name a few are the recreational activities, fitness activities, and entertainment programs available for residents to take part in at the library, media room, or outdoor social areas.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 120th out of 241 homes in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 39m per day | ▼ 12% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 43m per day | ▲ 29% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 42m per day | ▲ 8% State avg: 2h 30m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 47m per day | ▲ 12% State avg: 3h 23m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▲ 183% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 28m per day | ▼ 6% State avg: 30m per day · National avg: 29m per day |
Higher than the Iowa average: 75.4%Wesley Acres is administrated by Jack Brokaw.
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 21 | 27 | This facility has 22% fewer total deficiencies than a typical Iowa nursing home (21 vs. IA avg 27).↓ 22% better |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 3.5 | 4.5 | This facility has 22% fewer deficiencies per year than a typical Iowa nursing home (3.5 vs. IA avg 4.5).↓ 22% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1 | 1.8 | This facility has 44% fewer deficiencies per inspection than a typical Iowa nursing home (1 vs. IA avg 1.8).↓ 44% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 21 | 15 | This facility has 40% more total inspections than a typical Iowa nursing home (21 vs. IA avg 15).↑ 40% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Iowa average 4.9
Last Health inspection on Jun 2025
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 5 citations resulted from standard inspections; and 1 of 5 resulted from complaint investigations.
100% better than Iowa averageIowa average: 0.6
100% better than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
11% more staff per resident than Iowa average
5% better than Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
28 total: 14 full-time employees and 14 contractors.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursAssists with medical care and medications.
22 total: 11 full-time employees and 11 contractors.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursHelps with daily care and mobility.
All 77 CNA Staff are full-time employees. No contractors work on this role.
77
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,995 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 77 | 0 | 77 | 15,294 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 11 | 11 | 22 | 4,236 | 92 | 100% | 9.9 |
| Registered Nurse | 14 | 14 | 28 | 3,666 | 92 | 100% | 9.7 |
| Medication Aide/Technician | 13 | 0 | 13 | 3,563 | 92 | 100% | 7.9 |
| RN Director of Nursing | 2 | 0 | 2 | 926 | 64 | 70% | 8 |
| Dietitian | 3 | 0 | 3 | 859 | 66 | 72% | 7.1 |
| Physical Therapy Assistant | 0 | 2 | 2 | 763 | 72 | 78% | 6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 744 | 68 | 74% | 5.9 |
| Speech Language Pathologist | 0 | 4 | 4 | 630 | 66 | 72% | 5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 490 | 63 | 68% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 489 | 62 | 67% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Administrator | 1 | 0 | 1 | 413 | 52 | 57% | 7.9 |
| Physical Therapy Aide | 0 | 1 | 1 | 399 | 62 | 67% | 6.4 |
| Nurse Aide in Training | 2 | 0 | 2 | 365 | 37 | 40% | 8.5 |
| Qualified Social Worker | 0 | 1 | 1 | 287 | 43 | 47% | 6.7 |
| Medical Director | 0 | 1 | 1 | 140 | 14 | 15% | 10 |
| Occupational Therapy Aide | 0 | 3 | 3 | 137 | 21 | 23% | 6.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 50 | 13 | 14% | 3.8 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.2
9% worse than Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.7
19% worse than Iowa averageIowa average: 21.6
Percent of long-stay residents whose need for help with daily activities has increased
17.5%
7% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
19.9%
In line with Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
39.7%
51% worse than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
45% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
8.4%
92% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
2.0%
19% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
8.2%
63% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
1.6%
60% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
20.8%
9% worse than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
In line with Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
In line with Iowa averageIowa average: 95.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
14% better than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
3.2%
75% worse than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.4%
21% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
41% of new residents, usually for short-term rehab.
58% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
74Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Wesley Acres based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #1 / 242Payroll — State benchmarkedThis home is ranked 1st out of 242 homes in Iowa for payroll. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Minimum Age: 55
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Damon Buskohl serves as the Executive Director at Wesley on Grand, formerly known as Wesley Acres. He leads the community by fostering a culture that values and appreciates team members, ensuring residents receive the very best in culinary, wellness, and lifestyle options. Damon is committed to maintaining a welcoming environment that reflects the core values of the WesleyLife Way.
2.2 miles from city center
Estimated distance in miles from Des Moines's city center to Wesley Acres's address, calculated via Google Maps.
— 1.56 miles to nearest hospital (Iowa Radiology - Downtown Des Moines)
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Wesley Acres is located in Des Moines, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Wesley Acres is in the Greenwood neighborhood of Des Moines.
Wesley Acres has a walk score of 72. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IA state health department records, Wesley Acres's license number is 770287.
According to IA state health department records, Wesley Acres's license expires on January 1, 2027.
Wesley Acres's occupancy is 91%.
The team at Wesley Acres can be reached at [email protected].
Jack Brokaw is the administrator of Wesley Acres.
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