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1/5
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.
1/5
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.
Genesis Senior Living Center in Des Moines serves as a long-term skilled nursing facility, predominantly accommodating Medicaid residents (84.4% of the 77-person census) with stays averaging 141 days. Dirk Timm operates the 80-bed facility, which offers memory care for dementia and Alzheimer’s, physical and occupational therapy, speech therapy, and catheter management. Respite care and rehabilitation services round out the program. An 18-year partnership with Aegis Therapies supports clinical therapy delivery.
Performance data is concerning across multiple dimensions. The facility holds a 1-star CMS overall rating, with 1-star designations for health inspections and staffing. Five federal penalties in three years, totaling $378K, have resulted in two payment denials that blocked Medicare and Medicaid admissions. This enforcement history ranks Genesis last among Iowa’s 246 nursing homes for cumulative penalties, at 687% above the state average.
Total nursing care measures 3h 13m per resident daily, a 25% shortfall versus the Iowa average and ranking the facility 236th of 241 state facilities. Staff-to-resident ratio stands at 1.26:1, 38% worse than the state average of 2.05:1.
The staffing profile coincides with alarming quality metrics: short-stay residents experience falls with major injury at 3.7%, more than three times the 0.8% state rate. Pressure ulcers in high-risk long-stay residents reach 7.7% versus a 4.4% state average. Re-hospitalization of short-stay residents runs 30.8% against a 21.4% state average. Vaccination compliance trails: pneumococcal at 71.0% and influenza at 87.1% both fall materially below state standards.
Financial strain is evident: 2023 operating loss of $1.1M on $7.8M revenue continues a pattern of historical unprofitability. The facility received Best of Assisted Living (2016) and Best Senior Living (2021) designations prior to recent performance deterioration.
Genesis Senior Living’s regulatory enforcement record, staffing constraints, and outcome data indicate a facility under substantial operational stress.
Long-term Medicaid residents should carefully weigh the documented compliance and quality pattern before placement.
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 236th 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.
| 15m per day | ▼ 67% 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 | ▲ 28% 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 22m per day | ▼ 6% State avg: 2h 32m per day · National avg: 2h 21m 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.
| 2h 43m per day | ▼ 19% State avg: 3h 21m per day · National avg: 3h 26m 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 | ▲ 216% 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.
| 12m per day | ▼ 60% State avg: 30m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
38% fewer staff per resident than Iowa average
9% 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.
All 6 RN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursAssists with medical care and medications.
12 total: 11 full-time employees and 1 contractor.
12
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 44 CNA Staff are full-time employees. No contractors work on this role.
44
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
25 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 44 | 0 | 44 | 12,559 | 92 | 100% | 8 |
| Licensed Practical Nurse | 11 | 1 | 12 | 3,274 | 92 | 100% | 9.9 |
| Medication Aide/Technician | 11 | 0 | 11 | 3,187 | 92 | 100% | 10.3 |
| RN Director of Nursing | 3 | 0 | 3 | 1,535 | 87 | 95% | 8.1 |
| Registered Nurse | 6 | 0 | 6 | 925 | 67 | 73% | 9.9 |
| Qualified Social Worker | 3 | 0 | 3 | 906 | 72 | 78% | 7 |
| Physical Therapy Assistant | 3 | 0 | 3 | 777 | 66 | 72% | 6.7 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 699 | 66 | 72% | 6 |
| Speech Language Pathologist | 2 | 0 | 2 | 654 | 64 | 70% | 5.6 |
| Nurse Practitioner | 1 | 0 | 1 | 558 | 62 | 67% | 9 |
| Dietitian | 1 | 0 | 1 | 516 | 60 | 65% | 8.6 |
| Dental Services Staff | 2 | 0 | 2 | 489 | 60 | 65% | 8 |
| Administrator | 1 | 0 | 1 | 376 | 47 | 51% | 8 |
| Physical Therapy Aide | 2 | 0 | 2 | 350 | 55 | 60% | 6.2 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 132 | 16 | 17% | 7.3 |
Includes penalties issued in 2024
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 (Data as of Jan 2026)
687% higher than Iowa averageIowa average: $48K
253% more fines than Iowa averageIowa average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
276% more payment denials than Iowa averageIowa average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
5 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 2, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 29, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 12, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 19, 2024Last updated: Jan 2026
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.
12.2
19% worse than Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.6
In line with Iowa averageIowa average: 21.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
25.5%
36% worse than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
18.2%
8% better than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.0%
9% better than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
7% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
7.7%
76% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.4%
83% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
6.4%
28% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
3.2%
19% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
19.1%
In line with Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
71.0%
25% worse than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
87.1%
9% worse than Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.92
30% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.71
18% better than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
67.5%
21% worse than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
87% worse than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.5%
In line with Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.8%
44% worse than Iowa averageIowa average: 21.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.9%
In line with Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
3.7%
381% worse than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
35.0%
35% worse than Iowa averageIowa average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
17% of new residents, usually for short-term rehab.
36% of new residents, often for short stays.
46% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
77Residents meet regularly to discuss policies, care quality, and activities
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 Genesis Senior Living Center from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #92 / 242Payroll — State benchmarkedThis home is ranked 92nd out of 242 homes in Iowa. 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.
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (46% of admissions), and a typical Medicaid stay runs around 4 - 5 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
Genesis Senior Living Center is located in Des Moines, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Wesley Acres |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
ADC Adult Day Care Structured weekday daytime programming for seniors who live at home but need supervision, health monitoring, or social engagement. More affordable than full residential care and a key resource for working family caregivers.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Des Moines (Greenwood) | 80
Facility
80
IA AVG
71
Rank
#105 / 407 |
91.3%
Facility
91.3%
IA AVG
75.4%
Rank
#53 / 401 | +21% | 4.24
Facility
4.24
IA AVG
4.30
Rank
#120 / 241 | +43% | -1% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 5
Facility
5
IA AVG
21.7
Rank
#20 / 241 | 1.7
Facility
1.7
IA AVG
4.1
Rank
#18 / 241 | - | 77 | - |
72
Facility
72
IA AVG
45
Rank
#89 / 528 | Damon Buskohl | $44.7M
Facility
$44.7M
IA AVG
$7.0M
Rank
#1 / 242 | $22.6M
Facility
$22.6M
IA AVG
$3.1M
Rank
#1 / 242 | 50.6%
Facility
50.6%
IA AVG
46.3%
Rank
#160 / 242 | 165487 | ||||
| Independence Village of Waukee |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Waukee | 34
Facility
34
IA AVG
71
Rank
#373 / 407 |
41.2%
Facility
41.2%
IA AVG
75.4%
Rank
#340 / 401 | -45% | 5.35
Facility
5.35
IA AVG
4.30
Rank
#24 / 241 | +58% | +25% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 18
Facility
18
IA AVG
21.7
Rank
#137 / 241 | 4.5
Facility
4.5
IA AVG
4.1
Rank
#159 / 241 | - | 14 | - |
38
Facility
38
IA AVG
45
Rank
#305 / 528 | Well Sp Tenant LLC | $12.7M
Facility
$12.7M
IA AVG
$7.0M
Rank
#39 / 242 | $5.9M
Facility
$5.9M
IA AVG
$3.1M
Rank
#42 / 242 | 46.3%
Facility
46.3%
IA AVG
46.3%
Rank
#191 / 242 | 165583 | ||||
| Valley View Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Des Moines (Fairmont Park) | 79
Facility
79
IA AVG
71
Rank
#117 / 407 |
100.0%
Facility
100.0%
IA AVG
75.4%
Rank
#1 / 401 | +33% | 5.52
Facility
5.52
IA AVG
4.30
Rank
#22 / 241 | +29% | +29% | $9.1k
Facility
$9.1k
IA AVG
$53.4k
Rank
#170 / 246 | 19
Facility
19
IA AVG
21.7
Rank
#139 / 241 | 3.2
Facility
3.2
IA AVG
4.1
Rank
#94 / 241 | 2 | 75 | - |
38
Facility
38
IA AVG
45
Rank
#305 / 528 | Elim Care Inc | $9.7M
Facility
$9.7M
IA AVG
$7.0M
Rank
#70 / 242 | $7.0M
Facility
$7.0M
IA AVG
$3.1M
Rank
#32 / 242 | 71.8%
Facility
71.8%
IA AVG
46.3%
Rank
#13 / 242 | 165507 | ||||
| University Park Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Des Moines (East Village) | 108
Facility
108
IA AVG
71
Rank
#57 / 407 |
66.7%
Facility
66.7%
IA AVG
75.4%
Rank
#205 / 401 | -12% | 3.61
Facility
3.61
IA AVG
4.30
Rank
#205 / 241 | -3% | -16% | $0
Facility
$0
IA AVG
$53.4k
Rank
#154 / 246 | 26
Facility
26
IA AVG
21.7
Rank
#175 / 241 | 5.2
Facility
5.2
IA AVG
4.1
Rank
#181 / 241 | - | 77 | - |
91
Facility
91
IA AVG
45
Rank
#2 / 528 | Scott Berger | $14.1M
Facility
$14.1M
IA AVG
$7.0M
Rank
#29 / 242 | $7.9M
Facility
$7.9M
IA AVG
$3.1M
Rank
#24 / 242 | 56.4%
Facility
56.4%
IA AVG
46.3%
Rank
#109 / 242 | 165272 | ||||
| Genesis Senior Living Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Des Moines | 80
Facility
80
IA AVG
71
Rank
#105 / 407 |
79.1%
Facility
79.1%
IA AVG
75.4%
Rank
#130 / 401 | +5% | 3.21
Facility
3.21
IA AVG
4.30
Rank
#236 / 241 | -47% | -25% | $166.4k
Facility
$166.4k
IA AVG
$53.4k
Rank
#246 / 246 | 81
Facility
81
IA AVG
21.7
Rank
#239 / 241 | 5.1
Facility
5.1
IA AVG
4.1
Rank
#179 / 241 | 10 | 72 | - |
60
Facility
60
IA AVG
45
Rank
#152 / 528 | Dirk Timm | $7.8M
Facility
$7.8M
IA AVG
$7.0M
Rank
#100 / 242 | $4.5M
Facility
$4.5M
IA AVG
$3.1M
Rank
#92 / 242 | 57.7%
Facility
57.7%
IA AVG
46.3%
Rank
#97 / 242 | 165175 |
Genesis Senior Living Center has a walk score of 60. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Genesis Senior Living Center's occupancy is 79.1%.
Yes — there are 57 photos of Genesis Senior Living Center in the photo gallery on this page.
(515) 285-3070 will put you in contact with the team at Genesis Senior Living Center.
Yes — Genesis Senior Living Center is a CMS-certified provider of Medicare and Medicaid.
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