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3801 Grand is a 106-bed senior living facility at 3801 Grand Avenue in Des Moines, Iowa. Administered by Angie Wadle, the community serves Polk County under license S0003, which is active through May 31, 2026. The facility reports a current occupancy rate of 41%, with 43 of 106 beds filled, falling below the Iowa state average of 75.4%. Located in the East Village neighborhood, the site holds a Walk Score of 91, making it a walker’s paradise where daily errands can be completed on foot.
Data from the Iowa Department of Inspections, Appeals, and Licensing highlights a record of consistent regulatory strength and notable improvement. Since 2004, the facility has accumulated 22 deficiencies over 18 inspections, yielding an annual average of one violation, a figure 17% lower than the state benchmark. The most recent evaluation in October 2025 resulted in a citations-per-inspection rate of zero. This performance is part of a sustained period of compliance, with four consecutive clean inspections recorded between 2022 and 2025.
Daily clinical operations at this 28-year-old campus cover a continuum of care, including independent living, assisted living, and memory care. While current reviews indicate high quality, a 2016 investigation led to a $3,000 civil penalty after a resident exited through an unalarmed courtyard gate. More recent minor findings from 2018 and 2021 involved inconsistent insulin administration protocols and incomplete employee background checks. Professional care is currently provided without add-on fees, featuring chef-prepared dining and specialized nutrition support.
The campus environment focuses on integrated wellness programming and social engagement across various levels of care. Shared amenities include Wi-Fi access and communal spaces specifically designed to accommodate memory care residents. Although early 2000s records noted gaps in service plan documentation and wound care delegation, the community has since earned a Best Assisted Living designation from U.S. News & World Report. According to state records, the administration has comprehensively addressed previous life safety and medication oversight concerns.
Interested individuals should consider the community’s long-term history of operational excellence and its low deficiency rate. It is recommended to verify the current functionality of all security systems and to discuss staffing stability during a personal tour. Families may contact the Des Moines office to inquire about care transitions and to ensure the facility’s clinical protocols align with their specific 2026 wellness goals.
Lower than the Iowa average: 75.4%3801 Grand is administrated by Angie Wadle.
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.
| 22 | 27 | This facility has 19% fewer total deficiencies than a typical Iowa assisted living residence (22 vs. IA avg 27).↓ 19% better |
|
Deficiencies per year
Average deficiencies per year since 2004.
| 1 | 1.2 | This facility has 17% fewer deficiencies per year than a typical Iowa assisted living residence (1 vs. IA avg 1.2).↓ 17% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.2 | 1.8 | This facility has 33% fewer deficiencies per inspection than a typical Iowa assisted living residence (1.2 vs. IA avg 1.8).↓ 33% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 18 | 15 | This facility has 20% more total inspections than a typical Iowa assisted living residence (18 vs. IA avg 15).↑ 20% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on October 9, 2025, found no deficiencies during the recertification visit. Earlier inspections showed a mix of findings, with some deficiencies related to medication administration, staff training, record checks, and safety measures such as exit door alarms in dementia-specific areas. Complaint investigations were mostly unsubstantiated, with one substantiated complaint in 2016 involving medication errors and incomplete documentation. Enforcement actions such as fines or license suspensions were not listed in the available reports. The overall trend indicates improvement, with recent inspections showing compliance after earlier issues were addressed.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection Reports
0.0 miles from city center
Estimated distance in miles from Des Moines's city center to 3801 Grand's address, calculated via Google Maps.
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3801 Grand 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.
| Edencrest at Pleasant Hill |
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.
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. | Pleasant Hill | 140 | Yes | 2 | Studio / 1 Bed / 2 Bed | 2 | 21.4% | 2 | 1 | - |
| Holland Farms |
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. | Norwalk | 116 | Yes | 38 | - | 5 | 38.8% | 7 | 3 | - |
| 3801 Grand |
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) | 106 | No | 91 | - | 28 | 40.6% | 18 | 9 | - |
| Ramsey Village Continuing Care |
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. | Des Moines (Drake) | 78 | Yes | 38 | - | 1 | 85.8% | 23 | 8 | 2 |
| Grand Living At Tower Place |
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. | West Des Moines (South 51St Street) | 76 | Yes | 63 | Studio / 1 bed / 2 bed | 5 | 47.4% | 7 | 3 | 1 |
3801 Grand is in the East Village neighborhood of Des Moines.
The legal owner and operator of 3801 Grand is No Related Entities Found.
3801 Grand has a walk score of 91. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
According to IA state health department records, 3801 Grand's license number is S0003.
According to IA state health department records, 3801 Grand's license expires on May 31, 2026.
3801 Grand's occupancy is 41%.
The team at 3801 Grand can be reached at [email protected].
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