Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

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Harmony West Des Moines is a 113-bed skilled nursing facility at 5010 Grand Ridge Drive in West Des Moines, Iowa. Affiliated with Legacy Healthcare, the center provides specialized post-acute care, including orthopedic rehabilitation, stroke recovery, and advanced wound management. Centrally located in the Des Moines metro, the campus offers proximity to major health systems and accepts Medicaid, Medicare, and various state assistance programs.
The facility is regulated by the Iowa Department of Inspections, Appeals, and Licensing and is CMS-certified. As of May 2026, the community holds a 1-star overall rating, reflecting performance categorized as “Much Below Average”. While quality measures are rated at 3 stars, the health inspection component carries a 1-star rating based on 14 citations during the most recent standard survey cycle, which is more than double the Iowa average of 6.1. Recent reports include zero deficiencies for infection control inspections over the past three years.
Staffing levels present a mixed clinical picture. Registered Nurse (RN) hours are 38 minutes per resident day, which is 14% below the Iowa average of 44 minutes. Conversely, physical therapist hours are notably high at 6 minutes, 200% above the state average of 2 minutes. Clinical outcomes for short-stay residents are generally strong, with zero falls with major injury and a rehospitalization rate 15% better than the state average. The nursing staff turnover rate is 62.9%, which is higher than the state mean of 43.9%.
The campus offers a residential setting focused on recovery and short-term placement. Shared clinical and social amenities include:24-hour nursing support, physical, occupational, and speech therapy, and specialized memory care wings. The facility provides respite care for families needing temporary placement and offers social programming to support long-term residents. Located in a car-dependent suburban area, the community coordinates medical transportation for its residents.
Prospective residents and their families should evaluate the current bedside care standards and staffing stability during an on-site visit. It is advisable to ask the administrator for specific details on the corrective actions taken following the 2025 health inspection citations and to confirm that current RN staffing levels meet the individual clinical needs of the resident.
Occupancy lower than 85% suggests more openings may be available.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
This role is partially covered by contractors.
Assists with medical care and medications.
This role is partially covered by contractors.
Helps with daily care and mobility.
This role is partially covered by contractors.
Total hours from contractors
3,223 contractor hours this quarter
| Certified Nursing Assistant | 21 | 66 | 87 | 6,678 | 92 | 100% | 7.6 |
| Medication Aide/Technician | 10 | 0 | 10 | 4,597 | 92 | 100% | 9.3 |
| Licensed Practical Nurse | 5 | 9 | 14 | 1,207 | 87 | 95% | 7.3 |
| Registered Nurse | 5 | 23 | 28 | 1,167 | 88 | 96% | 6.2 |
| Administrator | 1 | 0 | 1 | 507 | 64 | 70% | 7.9 |
| Dietitian | 1 | 0 | 1 | 490 | 65 | 71% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 452 | 70 | 76% | 6.5 |
| Physical Therapy Aide | 0 | 1 | 1 | 430 | 65 | 71% | 6.6 |
| Nurse Practitioner | 1 | 0 | 1 | 412 | 53 | 58% | 7.8 |
| Speech Language Pathologist | 0 | 1 | 1 | 282 | 62 | 67% | 4.6 |
| Other Dietary Services Staff | 2 | 0 | 2 | 264 | 60 | 65% | 4.3 |
| RN Director of Nursing | 2 | 0 | 2 | 228 | 30 | 33% | 7.6 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 72 | 25 | 27% | 2.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 65 | 9 | 10% | 7.2 |
| Physical Therapy Assistant | 0 | 4 | 4 | 50 | 29 | 32% | 1.7 |
| Qualified Social Worker | 0 | 1 | 1 | 38 | 22 | 24% | 1.7 |
Includes penalties issued in 2023
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jul 13, 2023 · $8K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
21% of new residents, usually for short-term rehab.
44% of new residents, often for short stays.
36% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents 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.
Historical financial and operational data for Harmony West Des Moines based on CMS SNF Cost Reports.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
6.6 miles from city center
Estimated distance in miles from West Des Moines's city center to Harmony West Des Moines's address, calculated via Google Maps.
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Harmony West Des Moines is located in West 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.
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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).
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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.
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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. | West Des Moines (Heritage Bend) | 40 | 95.0% | +26% | 5.14 | +11% | +20% | $0 | 20 | 5.0 | - | 36 | A+ | 5 | Central Iowa Hospital Corporation | $8.5M | $4.3M | 50.6% | 165790 | ||||
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| Harmony West Des Moines |
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. | West Des Moines | 75 | 60.7% | -20% | 3.73 | +53% | -13% | $8.2k | 31 | 6.2 | 1 | 46 | - | 9 | - | $5.4M | $2.6M | 47.9% | 165450 | ||||
| Pine Acres Rehabilitation & Care 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. | West Des Moines (Office Park Road) | 140 | 60.7% | -20% | 3.34 | - | - | - | +9% | -22% | $347.3k | 100 | 8.3 | 11 | 85 | - | 25 | Leibel Gutman | $10.6M | $6.1M | 57.2% | 165350 |
Harmony West Des Moines has a walk score of 9. Car-dependent. Most errands require a car, with limited nearby walkable options.
Yes — there are 7 photos of Harmony West Des Moines in the photo gallery on this page.
Harmony West Des Moines is located at 5010 Grand Ridge Drive.
(515) 222-5991 will put you in contact with the team at Harmony West Des Moines.
Yes — Harmony West Des Moines is a CMS-certified provider of Medicare and Medicaid.
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