Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
132
105 employees · 27 contractors · 42 on an average day Arbor Springs-West Des Moines
Nursing Home, Memory Care, Respite Care & Skilled Nursing · West Des Moines, IA
ALM Inspection Grade
D-
ALM's inspection grade is 60 / 100, a D- — 23 points below the Iowa average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 60 / 100, a D- — 23 points below the Iowa average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
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.
Arbor Springs-West Des Moines
Nursing Home, Memory Care, Respite Care & Skilled Nursing · West Des Moines, IA
ALM Inspection Grade
D-
ALM's inspection grade is 60 / 100, a D- — 23 points below the Iowa average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 60 / 100, a D- — 23 points below the Iowa average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
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.
Arbor Springs-West Des Moines accepts Medicare and private pay.
Arbor Springs West Des Moines in West Des Moines, IA, provides skilled nursing, long-term nursing home care, memory care, and respite stays. Nursing services deliver continuous clinical support, while specialized memory care focuses on individuals living with Alzheimer’s disease or other forms of dementia. Short-term respite stays allow temporary care when family caregivers require time away, enabling residents to access dedicated dementia support during brief visits.
Administrator Eric Klouse oversees the 56-bed community, where total nurse staffing averages 6 hours and 24 minutes per resident per day. Financial arrangements include Medicare coverage alongside private payment. On-site amenities include a beauty shop, rehabilitation services, Montessori-based programming, and family support resources.
Surrounding the property, a walk score of 30 indicates a car-dependent neighborhood where non-driving residents rely on personal or arranged transportation for off-site trips and local errands.
Prospective residents seeking specialized memory care or skilled nursing in Polk County can reach out to Arbor Springs West Des Moines to learn more about admissions or tour the campus.
Quality ratings
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Total nursing care per resident / day
This nursing home is ranked 2nd out of 229 nursing homes we track 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.
6h 24m
This nursing home is ranked 2nd out of 229 nursing homes we track 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.
6h 24mStandout metric: Certified nursing assistant is +99% above Iowa average
3 of 6 metrics below Iowa average
Daily care time per resident, by role
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. 18 total: 4 of the facility's own employees and 14 agency contractors.
18 staff · 6.8-hour shifts
28m
↓ 36% · IA 44mThis facility: 28m per resident per day, 36% below the Iowa average of 44m (among Iowa facilities reporting a recent figure).
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. 18 total: 4 of the facility's own employees and 14 agency contractors.
18 staff · 6.8-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 14 total: 10 of the facility's own employees and 4 agency contractors.
14 staff · 8.2-hour shifts
54m
↑ 58% · IA 34mThis facility: 54m per resident per day, 58% above the Iowa average of 34m (among Iowa facilities reporting a recent figure).
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. 14 total: 10 of the facility's own employees and 4 agency contractors.
14 staff · 8.2-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 81 are the facility's own employees; no agency contractors work in this role.
81 staff · 7.6-hour shifts
5h 2m
↑ 99% · IA 2h 32mThis facility: 5h 2m per resident per day, 99% above the Iowa average of 2h 32m (among Iowa facilities reporting a recent figure).
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. All 81 are the facility's own employees; no agency contractors work in this role.
81 staff · 7.6-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
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.
1m
↓ 36% · IA 2mThis facility: 1m per resident per day, 36% below the Iowa average of 2m (among Iowa facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
5h 40m
↑ 69% · IA 3h 21mThis facility: 5h 40m per resident per day, 69% above the Iowa average of 3h 21m (among Iowa facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
14m
↓ 54% · IA 30mThis facility: 14m per resident per day, 54% below the Iowa average of 30m (among Iowa facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
132
105 employees · 27 contractors · 42 on an average day
Average hours one staff member works on a day they are on shift, across every role.
7.4 h
↓ 1% · IA 7.5 hThis facility: 7.4 h, 1% below the Iowa average of 7.5 h (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
28,394 staff hours this quarter
See full Iowa ranking →93.8% of staff hours were worked by the facility's own employees
Iowa average: 92.3% · Contractors this quarter: Registered Nurse (14), Licensed Practical Nurse (4), Qualified Social Worker (2), Physical Therapy Assistant (2), Occupational Therapy Aide (1), Physical Therapy Aide (1), Respiratory Therapy Technician (1), Speech Language Pathologist (1), Occupational Therapy Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
56
Rank #136 / 240Bed count — State benchmarked This nursing home is ranked 136th out of 240 nursing homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
56
Rank #136 / 240Bed count — State benchmarked This nursing home is ranked 136th out of 240 nursing homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #66 / 118Years in operation — State benchmarked This nursing home is ranked 66th out of 118 nursing homes we track in Iowa for years in operation. Shows how long this facility has been in operation compared to other Iowa facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #66 / 118Years in operation — State benchmarked This nursing home is ranked 66th out of 118 nursing homes we track in Iowa for years in operation. Shows how long this facility has been in operation compared to other Iowa facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
22
years
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #188 / 249Walk Score — State benchmarked This nursing home is ranked 188th out of 249 nursing homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #188 / 249Walk Score — State benchmarked This nursing home is ranked 188th out of 249 nursing homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
30
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #118 / 227Occupancy rate — State benchmarked This nursing home is ranked 118th out of 227 nursing homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 227. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #118 / 227Occupancy rate — State benchmarked This nursing home is ranked 118th out of 227 nursing homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 227. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
82.1%
This home usually has availability
Based on 46 residents and 56 beds. Source: state inspection report (Jun 2026)
Similar to the Iowa average: 79.1%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
202
days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+
Not Accredited
How BBB ratings workAbout This Community
Facility TypeFree Standing SNF
IssuanceJune 1, 2004
CountyDallas
License Number250907
Year Opened06/01/2004
CMS Certification Number165548
Arbor Springs-West Des Moines is administered by Eric Klouse.
Short-Term Rehabilitation
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Family Education / Family Support
Fax5152231246
Pets not allowed
Beauty Salon
CMS Health Inspection History
ALM Inspection Grade
60 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
23 points below the Iowa average for CMS-certified facilities (83/100)
Category breakdown
Citations
Concern
109 severity-weighted points (25 deficiencies) · 3× higher than the typical CMS-certified IA facility (median: 42)
Enforcement
Concern
$66,046 in fines · 4 enforcement actions
Persistence
Concern
30 days to fix issues · slower than the typical CMS-certified IA facility (median: 21)
Total health inspections
7
↑ 40% · IA 5This facility: 7, 40% above the Iowa average of 5 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
25
Rank #169 / 231Health citations — State benchmarked This nursing home is ranked 169th out of 231 nursing homes we track in Iowa for health citations. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 231 IA facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 21% · IA 20.7This facility: 25, 21% above the Iowa average of 20.7 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
3.57
Rank #118 / 231Citations per inspection — State benchmarked This nursing home is ranked 118th out of 231 nursing homes we track in Iowa for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 231 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 7% · IA 3.83This facility: 3.57, 7% below the Iowa average of 3.83 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
25 of 25 citations corrected
Critical
J–L
0
↓ 100% · IA 0.5This facility: 0, 100% below the Iowa average of 0.5 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
3
↑ 233% · IA 0.9This facility: 3, 233% above the Iowa average of 0.9 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
22
↑ 16% · IA 19This facility: 22, 16% above the Iowa average of 19 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · IA 0.3This facility: 0, 100% below the Iowa average of 0.3 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Aug 17, 2026 · 4 citations, all corrected
Most cited category: Quality of Life & Care, 9 of 25 citations · 8 categories in total
Citations history
Most recent first
Aug 17, 2026
4 citations
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Jun 30, 2026
7 citations
Quality of Care serious citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Feb 09, 2026
2 citations
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
May 29, 2025
6 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Mar 12, 2025
1 citation
Quality of Care serious citation
Corrected
Corrected
Nov 25, 2024
1 citation
Care Planning moderate citation
Corrected
Corrected
Jun 06, 2024
4 citations
Nursing Services moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Top deficiency categories
Share of 25 citations
Quality of Life & Care
9 deficiencies (36%)
Resident Assessment & Care Planning
7 deficiencies (28%)
Nutrition & Dietary
3 deficiencies (12%)
Nursing & Physician Services
2 deficiencies (8%)
Infection Control
1 deficiency (4%)
Resident Rights
1 deficiency (4%)
Abuse, Neglect & Exploitation
1 deficiency (4%)
Pharmacy Services
1 deficiency (4%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 25 citations resulted from standard inspections; 8 of 25 resulted from complaint investigations; and 3 of 25 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
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 Oct 2026
4 penalties in the past 3 years
Latest: Jun 30, 2026 · $13,065 civil money penalty
Jun 30, 2026 · $13,065 civil money penalty
Jun 30, 2026 · $17,665 civil money penalty
Jun 30, 2026 · $35,316 civil money penalty
Jun 30, 2026 · 45-day payment denial
Total fines
$66,046
↑ 45% · IA $45KThis facility: $66,046, 45% above the Iowa average of $45,482. Average among the 160 Iowa facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #209 / 234Federal fines — State benchmarked This nursing home is ranked 209th out of 234 nursing homes we track in Iowa for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Iowa average among facilities with fines, and where it ranks among 234 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
3
↑ 114% · IA 1.4This facility: 3, 114% above the Iowa average of 1.4. Average among the 160 Iowa facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45 days
↑ 125% · IA 0.44This facility: 1, 125% above the Iowa average of 0.44. Average among the 160 Iowa facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Jun 30, 2026
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$13,065
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$13,065
Jun 30, 2026
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$17,665
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$17,665
Jun 30, 2026
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$35,316
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$35,316
Jun 30, 2026
Payment denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
45 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
45 daysFine amount comparison
This facility
$66,046
Iowa average
$45,482
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Iowa and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Iowa average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↓ 8% · IA 3.3This facility: 3.0, 8% below the IA average of 3.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↑ 17% · IA 2.6This facility: 3.0, 17% above the IA average of 2.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
16.2
Score · lower is better
↑ 84% · IA 8.8This facility: 16.2, 84% above the IA average of 8.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
31.9
Score · lower is better
↑ 69% · IA 18.9This facility: 31.9, 69% above the IA average of 18.9 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 4 better, 7 worse, 2 near IA average
6 short-stay measures: 2 better, 1 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
39.4%
↑ 137% · IA 16.6This facility: 39.4, 137% above the IA average of 16.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
39.4%
↑ 137% · IA 16.6This facility: 39.4, 137% above the IA average of 16.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
28.4%
↑ 87% · IA 15.2This facility: 28.4, 87% above the IA average of 15.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
28.4%
↑ 87% · IA 15.2This facility: 28.4, 87% above the IA average of 15.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.0%
↑ 12% · IA 25.0This facility: 28.0, 12% above the IA average of 25.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.0%
↑ 12% · IA 25.0This facility: 28.0, 12% above the IA average of 25.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.7%
↑ 12% · IA 2.4This facility: 2.7, 12% above the IA average of 2.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.7%
↑ 12% · IA 2.4This facility: 2.7, 12% above the IA average of 2.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
↑ 7% · IA 3.9This facility: 4.2, 7% above the IA average of 3.9 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
↑ 7% · IA 3.9This facility: 4.2, 7% above the IA average of 3.9 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
3.5%
↓ 16% · IA 4.1This facility: 3.5, 16% below the IA average of 4.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
3.5%
↓ 16% · IA 4.1This facility: 3.5, 16% below the IA average of 4.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
5.6%
↑ 29% · IA 4.4This facility: 5.6, 29% above the IA average of 4.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
5.6%
↑ 29% · IA 4.4This facility: 5.6, 29% above the IA average of 4.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.7%
↓ 84% · IA 4.2This facility: 0.7, 84% below the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.7%
↓ 84% · IA 4.2This facility: 0.7, 84% below the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
50.0%
↑ 153% · IA 19.8This facility: 50.0, 153% above the IA average of 19.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
50.0%
↑ 153% · IA 19.8This facility: 50.0, 153% above the IA average of 19.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.6%
↓ 4% · IA 94.2This facility: 90.6, 4% below the IA average of 94.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.6%
↓ 4% · IA 94.2This facility: 90.6, 4% below the IA average of 94.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
↑ 1% · IA 95.8This facility: 96.3, 1% above the IA average of 95.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
↑ 1% · IA 95.8This facility: 96.3, 1% above the IA average of 95.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.61
↓ 59% · IA 1.48This facility: 0.61, 59% below the IA average of 1.48 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
0.61
↓ 59% · IA 1.48This facility: 0.61, 59% below the IA average of 1.48 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.22
↓ 89% · IA 2.09This facility: 0.22, 89% below the IA average of 2.09 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.22
↓ 89% · IA 2.09This facility: 0.22, 89% below the IA average of 2.09 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 6 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
46.7%
↓ 13% · US 53.7This facility: 46.7, 13% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
46.7%
↓ 13% · US 53.7This facility: 46.7, 13% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
28.6%
↓ 43% · US 50.6This facility: 28.6, 43% below the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
28.6%
↓ 43% · US 50.6This facility: 28.6, 43% below the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
48.1%
↓ 43% · IA 84.0This facility: 48.1, 43% below the IA average of 84.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
48.1%
↓ 43% · IA 84.0This facility: 48.1, 43% below the IA average of 84.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.9%
↓ 16% · IA 21.4This facility: 17.9, 16% below the IA average of 21.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.9%
↓ 16% · IA 21.4This facility: 17.9, 16% below the IA average of 21.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
0.0%
↓ 100% · IA 13.1This facility: 0.0, 100% below the IA average of 13.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
0.0%
↓ 100% · IA 13.1This facility: 0.0, 100% below the IA average of 13.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Arbor Springs-West Des Moines’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 227 Iowa nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Breaking even on care
1.2% operating margin
+11.0 pts vs prior year
Positive margin in 2 of the last 8 reported years. Net income $0.1M after other income.
Does it invest in staff?
Payroll in line with Iowa homes
63.1% payroll share of revenue
IA average 61.0%Rank #69 / 227Payroll % of net patient revenue — State benchmarked This nursing home is ranked 69th out of 227 nursing homes we track in Iowa for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.2M while revenue rose $0.5M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Iowa homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | IA median | Compared with IA homesRank in IA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $7.5M | +$0.5M | Trend 20162024 | IA median $6.1M | Rank in IA Rank #86 / 227Net patient revenue — State benchmarked This nursing home is ranked 86th out of 227 nursing homes we track in Iowa for net patient revenue. Shows this facility's net patient revenue compared to the Iowa average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 62% of homes | Above IA median Higher net patient revenue than 62% of IA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $7.4M | −$0.3M | Trend 20162024 | IA median $6.3M | Rank in IA Rank #93 / 227Operating expenses — State benchmarked This nursing home is ranked 93rd out of 227 nursing homes we track in Iowa for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Iowa homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 59% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.1M | +$0.8M | Trend 20162024 | IA median −$0.0M | Rank in IA Rank #87 / 227Net patient income — State benchmarked This nursing home is ranked 87th out of 227 nursing homes we track in Iowa for net patient income. Shows net patient revenue minus operating expenses, compared with other Iowa homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 62% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 1.2% | +11.0 pts | Trend 20162024 | IA median −0.5% | Rank in IA Rank #92 / 227Operating margin — State benchmarked This nursing home is ranked 92nd out of 227 nursing homes we track in Iowa for operating margin. Shows net patient income as a share of net patient revenue, compared with other Iowa homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 60% of homes | Thin margin A margin from 0% to 5% of revenue leaves little room for unexpected costs. |
| Other income Money not from resident care: investments, grants, services. | −$0.0M | — | Trend — | IA median $0.0M | Rank in IA Rank #197 / 207Other income — State benchmarked This nursing home is ranked 197th out of 207 nursing homes we track in Iowa for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Iowa homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 5% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.1M | +$0.8M | Trend — | IA median $0.0M | Rank in IA Rank #103 / 227Net income — State benchmarked This nursing home is ranked 103rd out of 227 nursing homes we track in Iowa for net income. Shows the bottom line after other income, compared with other Iowa homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 55% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Staff spending in line with Iowa homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | IA median | Compared with IA homesRank in IA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $4.7M | +$0.2M | Trend 20162024 | IA median $3.7M | Rank in IA Rank #75 / 227Payroll costs — State benchmarked This nursing home is ranked 75th out of 227 nursing homes we track in Iowa for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Iowa average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 67% of homes | Above IA median Higher payroll than 67% of IA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 63.1% | −1.9 pts | Trend 20162024 | IA median 59.1% | Rank in IA Rank #69 / 227Payroll % of net patient revenue — State benchmarked This nursing home is ranked 69th out of 227 nursing homes we track in Iowa for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 70% of homes | Near IA average The IA average is 61.0% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · IA benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Iowa payroll average.
% of net patient revenue
Payroll share Operating margin IA payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018 | 2019no report | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $5.8M | $5.7M | $5.9M | $5.9M | $6.1M | $6.7M | $7.0M | $7.5M | |
| Operating expenses | $5.5M | $5.8M | $6.0M | $6.0M | $6.5M | $7.2M | $7.7M | $7.4M | |
| Net patient income | $0.4M | −$0.0M | −$0.1M | −$0.1M | −$0.4M | −$0.5M | −$0.7M | $0.1M | |
| Operating margin | 6.2% | −0.6% | −1.2% | −1.8% | −6.1% | −7.8% | −9.8% | 1.2% | |
| Net income | $0.4M | −$0.1M | −$0.0M | −$0.1M | −$0.4M | −$0.5M | −$0.7M | $0.1M | |
| Payroll costs | $2.9M | $3.1M | $3.3M | $3.6M | $3.7M | $4.3M | $4.6M | $4.7M | |
| Payroll share of revenue | 49.4% | 53.8% | 55.3% | 60.8% | 61.2% | 63.5% | 65.0% | 63.1% | |
| Beds | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | |
| Gross revenue | $5.9M | $6.0M | $6.3M | $6.2M | $6.4M | $7.2M | $7.5M | $7.5M | |
| Salaries | $2.5M | $2.6M | $2.9M | $3.2M | $3.3M | $3.8M | $4.0M | $4.2M | |
| Wage-related costs | $0.4M | $0.4M | $0.4M | $0.4M | $0.4M | $0.5M | $0.5M | $0.5M | |
| Contract labor | — | — | — | $0.0M | $0.4M | $0.4M | $0.1M | $0.4M | |
| Other operating costs | $2.6M | $2.7M | $2.7M | $2.4M | $2.7M | $3.0M | $3.1M | $2.7M | |
| Net patient revenue per day | $322 | $298 | $312 | $318 | $323 | $336 | $355 | $398 | |
| Cost per day | $302 | $300 | $316 | $323 | $342 | $362 | $390 | $393 | |
| Average length of stay | 183.1 days | 309.2 days | 204.8 days | 240.8 days | 343.4 days | 258.6 days | 249.7 days | 201.8 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Arriving
82 admissions · FY2024
Residents admitted during the year.
Medicare
47 · 57%
Medicaid
0 · 0%
Private pay & other
35 · 43%
Leaving
93 discharges · FY2024
Residents discharged during the year.
Medicare
22 · 24%
Medicaid
0 · 0%
Private pay & other
71 · 76%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Arbor Springs-West Des Moines
3.1 miles from city center
Estimated distance in miles from West Des Moines's city center to Arbor Springs-West Des Moines's address, calculated via Google Maps.
— 1.82 miles to nearest hospital (UnityPoint Health - Methodist West Hospital)
Calculate Travel Distance to Arbor Springs-West Des Moines
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Compare Nursing Homes around West Des Moines
Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
RESC (Residential Care):
Personal care and daily-living support in a smaller, more intimate residential setting.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Iowa average is: 61.0% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Edgewater, a WesleyLife Community for Healthy Living | NH ADC AL IL MC SNF | West Des Moines | 40
Facility
40
IA AVG
70
Rank
#201 / 240 | ? |
93.0%
Facility
93.0%
IA AVG
79.1%
Rank
#34 / 227 | +18% | 4.88
Facility
4.88
IA AVG
4.45
Rank
#58 / 229 | +20% | +10% | $0
Facility
$0
IA AVG
$52.4k
Rank
#1 / 234 | 14
Facility
14
IA AVG
20.7
Rank
#98 / 231 | 2.3
Facility
2.3
IA AVG
3.8
Rank
#47 / 231 | 1 | 37 | - |
7
Facility
7
IA AVG
50
Rank
#238 / 249 | Edgewater, A Wesley Active Life Community, LLC | $6.7MFiscal year ending 12/2024
Facility
$6.7MFiscal year ending 12/2024
IA AVG
$7.3M
Rank
#104 / 227 | $8.7MFiscal year ending 12/2024
Facility
$8.7MFiscal year ending 12/2024
IA AVG
$4.4M
Rank
#18 / 227 | 130.1%Fiscal year ending 12/2024
Facility
130.1%Fiscal year ending 12/2024
IA AVG
61%
Rank
#1 / 227 | 165597 | ||||
| Harmony West Des Moines | NH AL HOS PC RESC RC SNF | West Des Moines | 55
Facility
55
IA AVG
70
Rank
#140 / 240 | A- |
97.3%
Facility
97.3%
IA AVG
79.1%
Rank
#10 / 227 | +23% | 3.91
Facility
3.91
IA AVG
4.45
Rank
#161 / 229 | -22% | -12% | $0
Facility
$0
IA AVG
$52.4k
Rank
#1 / 234 | 16
Facility
16
IA AVG
20.7
Rank
#110 / 231 | 3.2
Facility
3.2
IA AVG
3.8
Rank
#96 / 231 | - | 54 | - |
9
Facility
9
IA AVG
50
Rank
#233 / 249 | - | $4.5MFiscal year ending 12/2024
Facility
$4.5MFiscal year ending 12/2024
IA AVG
$7.3M
Rank
#165 / 227 | $2.9MFiscal year ending 12/2024
Facility
$2.9MFiscal year ending 12/2024
IA AVG
$4.4M
Rank
#153 / 227 | 63.9%Fiscal year ending 12/2024
Facility
63.9%Fiscal year ending 12/2024
IA AVG
61%
Rank
#61 / 227 | 165450 | ||||
| Cedar Ridge Village | NH AL IL SNF | West Des Moines (Heritage Bend) | 40
Facility
40
IA AVG
70
Rank
#201 / 240 | A- |
93.8%
Facility
93.8%
IA AVG
79.1%
Rank
#28 / 227 | +19% | 4.98
Facility
4.98
IA AVG
4.45
Rank
#47 / 229 | +51% | +12% | $0
Facility
$0
IA AVG
$52.4k
Rank
#1 / 234 | 18
Facility
18
IA AVG
20.7
Rank
#122 / 231 | 6.0
Facility
6.0
IA AVG
3.8
Rank
#201 / 231 | - | 38 | A+ |
5
Facility
5
IA AVG
50
Rank
#242 / 249 | Central Iowa Hospital Corporation | $9.2MFiscal year ending 12/2024
Facility
$9.2MFiscal year ending 12/2024
IA AVG
$7.3M
Rank
#54 / 227 | $4.3MFiscal year ending 12/2024
Facility
$4.3MFiscal year ending 12/2024
IA AVG
$4.4M
Rank
#89 / 227 | 46.7%Fiscal year ending 12/2024
Facility
46.7%Fiscal year ending 12/2024
IA AVG
61%
Rank
#215 / 227 | 165790 | ||||
| Arbor Springs-West Des Moines | NH MC RC SNF | West Des Moines | 56
Facility
56
IA AVG
70
Rank
#136 / 240 | D- |
82.1%
Facility
82.1%
IA AVG
79.1%
Rank
#118 / 227 | +4% | 6.40
Facility
6.40
IA AVG
4.45
Rank
#2 / 229 | +14% | +44% | $66.0k
Facility
$66.0k
IA AVG
$52.4k
Rank
#209 / 234 | 25
Facility
25
IA AVG
20.7
Rank
#169 / 231 | 3.6
Facility
3.6
IA AVG
3.8
Rank
#118 / 231 | 3 | 46 | A+ |
30
Facility
30
IA AVG
50
Rank
#188 / 249 | Integro Healthcare Holdings LLC | $7.5MFiscal year ending 12/2024
Facility
$7.5MFiscal year ending 12/2024
IA AVG
$7.3M
Rank
#86 / 227 | $4.7MFiscal year ending 12/2024
Facility
$4.7MFiscal year ending 12/2024
IA AVG
$4.4M
Rank
#75 / 227 | 63.1%Fiscal year ending 12/2024
Facility
63.1%Fiscal year ending 12/2024
IA AVG
61%
Rank
#69 / 227 | 165548 | ||||
| Pine Acres Rehabilitation & Care Center | - | NH SNF | West Des Moines | 140
Facility
140
IA AVG
70
Rank
#9 / 240 | F |
57.9%
Facility
57.9%
IA AVG
79.1%
Rank
#202 / 227 | -27% | 3.98
Facility
3.98
IA AVG
4.45
Rank
#147 / 229 | - | - | - | +40% | -10% | $517.4k
Facility
$517.4k
IA AVG
$52.4k
Rank
#234 / 234 | 90
Facility
90
IA AVG
20.7
Rank
#230 / 231 | 6.9
Facility
6.9
IA AVG
3.8
Rank
#213 / 231 | 11 | 81 | - |
25
Facility
25
IA AVG
50
Rank
#200 / 249 | Leibel Gutman | $7.9MFiscal year ending 12/2024
Facility
$7.9MFiscal year ending 12/2024
IA AVG
$7.3M
Rank
#77 / 227 | $5.0MFiscal year ending 12/2024
Facility
$5.0MFiscal year ending 12/2024
IA AVG
$4.4M
Rank
#68 / 227 | 62.3%Fiscal year ending 12/2024
Facility
62.3%Fiscal year ending 12/2024
IA AVG
61%
Rank
#83 / 227 | 165350 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other IA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial assistance
Get financial aid guidance Programs that may help with care and living costs in Iowa
Arbor Springs-West Des Moines is in West Des Moines, Iowa. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
VA Aid and Attendance (A&A) and Housebound Benefits
VA Pension Aid and Attendance and Housebound Benefits (Federal)
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- No single monthly income cutoff. VA compares countable annual income, after permitted deductions, with the applicable Maximum Annual Pension Rate for the household and benefit category.
- Asset limit
- Net-worth limit is $163,699 from December 1, 2025 through November 30, 2026. Net worth includes countable assets plus annual income; exclusions and transfer rules apply.
Eligibility
- General
- Veterans or eligible survivors who qualify for VA Pension or Survivors Pension and meet the additional Aid and Attendance or Housebound criteria. Service, discharge, family status and pension eligibility rules also apply.
- IA specifics
- A federal VA pension benefit; Aid and Attendance and Housebound enhancements cannot be received together.
What it provides
- A higher pension ceiling for eligible Aid and Attendance or Housebound recipients. Actual pension equals the applicable annual maximum minus countable income; the two enhancements cannot be paid together.
State Supplementary Assistance (SSA)
Iowa State Supplementary Assistance (SSA)
- Income limit
- Below the income limit for the relevant SSA group.
- Asset limit
- Resources at or below $2,000 for a single person or $3,000 for a married couple living together.
Eligibility
- General
- Iowa residents who are aged, blind or disabled under Social Security standards, receive SSI or would receive it except for excess income, and meet the relevant assistance-category limits.
What it provides
- State-funded supplements for qualifying special needs; including family life homes; in-home health-related care and residential care facilities.
Elderly Waiver
Iowa Medicaid Elderly Waiver
Eligibility
- General
- Iowa residents age 65 or older who meet Medicaid and nursing-facility-level-of-care requirements.
What it provides
- Authorized waiver services can include case management; adult day care; homemaker; respite; home health; meals; assistive devices; modifications and transportation.
Family Caregiver Support Program
Family Caregiver Support Program (Iowa)
- Who it is for
- Family or informal caregivers of an adult 60+ or of someone of any age with dementia
Eligibility
- General
- Adult family or informal caregivers of adults age 60 or older or people of any age with Alzheimer's disease or a related disorder. The federal program also supports specified older-relative caregiver categories.
What it provides
- Caregiver information and access assistance; counseling and training; support groups; respite and limited supplemental services under the federal caregiver-support framework.
Money Follows the Person (Intellectual Disability or Brain Injury)
Iowa Money Follows the Person (Intellectual Disability or Brain Injury)
Eligibility
- General
- People in Iowa with an intellectual-disability or brain-injury diagnosis who have lived in a qualifying facility at least 60 consecutive days and want to move into the community. Iowa Medicaid must complete eligibility determination before discharge.
What it provides
- Transition services and enhanced supports for the first year after an approved move into the community.
Medicare Savings Program (MSP)
Iowa Medicare Savings Program
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
Eligibility
- General
- Medicare beneficiaries meeting the applicable state Medicare Savings Program eligibility rules.
- IA specifics
- Applications are administered by the state Medicaid program.
What it provides
- Assistance with Medicare premiums and; for qualified QMB beneficiaries; Medicare-covered deductibles and coinsurance. The qualifying category determines which costs are paid.
Know before you visit
Frequently Asked Questions about Arbor Springs-West Des Moines
Quick answers from public records and the community's own listing.01 Is Arbor Springs-West Des Moines in a walkable area?
Arbor Springs-West Des Moines has a walk score of 30. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
02 What is the license number of Arbor Springs-West Des Moines?
According to IA state health department records, Arbor Springs-West Des Moines's license number is 250907.
03 What is the occupancy rate at Arbor Springs-West Des Moines?
Arbor Springs-West Des Moines's occupancy is 82.1%.
04 How long has Arbor Springs-West Des Moines been in business?
Arbor Springs-West Des Moines has been operating for approximately 22 years, based on available licensing and registration records.
05 Are pets allowed at Arbor Springs-West Des Moines?
No, Arbor Springs-West Des Moines has a no-pet policy.
06 What is the best email address for Arbor Springs-West Des Moines?
The team at Arbor Springs-West Des Moines can be reached at e.klouse@arborsprings.org.
07 Who is the administrator of Arbor Springs-West Des Moines?
Eric Klouse is the administrator of Arbor Springs-West Des Moines.
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