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.
