Care Initiatives
Nursing Home, Assisted Living, Hospice Care, Independent Living & Skilled Nursing · West Des Moines, IA

Care Initiatives

Nursing Home, Assisted Living, Hospice Care, Independent Living & Skilled Nursing · West Des Moines, IA

Overview of Care Initiatives

Care Initiatives, located in West Des Moines, Iowa, is a care facility offering a spectrum of services that offer skilled nursing, long-term care, rehabilitation, and hospice care. Their unwavering commitment to enhancing the lives of those they serve is evident in their approach. Every interaction with residents is valued, and they prioritize personal growth for each individual. Care Initiatives boasts a team of dedicated professionals, including registered nurses, licensed practical nurses, and certified nursing assistants, who provide various services, spanning dietary support, social services, and engaging activities.
In terms of skilled nursing services, Care Initiatives excels in providing specialized care such as tube feedings, wound care management, and access to beauty and barbershop services. They also offer bariatric accommodations and cater to the unique needs of veterans. Additionally, their rehabilitation services are top-notch, featuring accelerated care, state-of-the-art therapy equipment, and expert care in occupational, physical, and speech therapy. Care Initiatives is renowned for its expertise, making it a trusted community where seniors can be assured of safe and high-quality care.

By The Numbers

Community insights.

Walk Score Info Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation. Rank #201 / 260Walk Score — State benchmarkedThis home is ranked 201st out of 260 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 cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
28 / 100

About this community

Therapy & Rehabilitation

1 service
Rehabilitation Services

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Address 2.5 miles from city center Info Estimated distance in miles from West Des Moines's city center to Care Initiatives's address, calculated via Google Maps.

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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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: 60.3% 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.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Edgewater, a WesleyLife Community for Healthy Living
NH
ADC
AL
IL
MC
SNF
West Des Moines
40
Facility 40
IA AVG 67
Rank #197 / 241
97.5%
Facility 97.5%
IA AVG 77.9%
Rank #8 / 229
+25%
4.94
Facility 4.94
IA AVG 4.30
Rank #49 / 231
+14%+15%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
10
Facility 10
IA AVG 21.7
Rank #33 / 232
2.0
Facility 2.0
IA AVG 4.1
Rank #17 / 232
-39-
7
Facility 7
IA AVG 49
Rank #247 / 260
Edgewater, A Wesley Active Life Community, LLC
$6.6MFiscal year ending 12/2023
Facility $6.6MFiscal year ending 12/2023
IA AVG $6.9M
Rank #99 / 224
$8.4MFiscal year ending 12/2023
Facility $8.4MFiscal year ending 12/2023
IA AVG $4.2M
Rank #15 / 224
127.5%Fiscal year ending 12/2023
Facility 127.5%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #2 / 224
165597
Cedar Ridge Village
NH
AL
IL
SNF
West Des Moines (Heritage Bend)
40
Facility 40
IA AVG 67
Rank #197 / 241
95.0%
Facility 95.0%
IA AVG 77.9%
Rank #16 / 229
+22%
4.97
Facility 4.97
IA AVG 4.30
Rank #42 / 231
+11%+16%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
20
Facility 20
IA AVG 21.7
Rank #136 / 232
5.0
Facility 5.0
IA AVG 4.1
Rank #157 / 232
-38A+
5
Facility 5
IA AVG 49
Rank #252 / 260
Central Iowa Hospital Corporation
$7.4MFiscal year ending 12/2023
Facility $7.4MFiscal year ending 12/2023
IA AVG $6.9M
Rank #78 / 224
$3.9MFiscal year ending 12/2023
Facility $3.9MFiscal year ending 12/2023
IA AVG $4.2M
Rank #89 / 224
53%Fiscal year ending 12/2023
Facility 53%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #166 / 224
165790
Arbor Springs-West Des Moines
NH
MC
RC
SNF
West Des Moines
56
Facility 56
IA AVG 67
Rank #131 / 241
94.6%
Facility 94.6%
IA AVG 77.9%
Rank #21 / 229
+21%
6.00
Facility 6.00
IA AVG 4.30
Rank #4 / 231
-19%+40%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
17
Facility 17
IA AVG 21.7
Rank #102 / 232
2.8
Facility 2.8
IA AVG 4.1
Rank #73 / 232
253A+
30
Facility 30
IA AVG 49
Rank #195 / 260
Integro Healthcare Holdings LLC
$7.0MFiscal year ending 12/2023
Facility $7.0MFiscal year ending 12/2023
IA AVG $6.9M
Rank #86 / 224
$4.6MFiscal year ending 12/2023
Facility $4.6MFiscal year ending 12/2023
IA AVG $4.2M
Rank #70 / 224
65%Fiscal year ending 12/2023
Facility 65%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #57 / 224
165548
Harmony West Des Moines
NH
AL
HOS
PC
RESC
RC
SNF
West Des Moines
55
Facility 55
IA AVG 67
Rank #135 / 241
97.6%
Facility 97.6%
IA AVG 77.9%
Rank #7 / 229
+25%
3.55
Facility 3.55
IA AVG 4.30
Rank #197 / 231
+53%-17%
$0
Facility $0
IA AVG $53.4k
Rank #152 / 239
18
Facility 18
IA AVG 21.7
Rank #175 / 232
3.0
Facility 3.0
IA AVG 4.1
Rank #196 / 232
154-
9
Facility 9
IA AVG 49
Rank #241 / 260
-
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
IA AVG $6.9M
Rank #161 / 224
$2.5MFiscal year ending 12/2023
Facility $2.5MFiscal year ending 12/2023
IA AVG $4.2M
Rank #165 / 224
56%Fiscal year ending 12/2023
Facility 56%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #133 / 224
165450

Rank badges are statewide: each nursing home is ranked against every IA nursing home we track that reports that metric, not just the 4 on this page. See how we rank facilities

Financial Assistance for
Nursing Home in Iowa

Care Initiatives is located in West Des Moines, Iowa.
Here are the financial assistance programs available to residents in Iowa.

Get Financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+
General Iowa resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Rural focus; waitlists possible.

Benefits
In-home care (5-7 hours/day) Meals ($6/meal) Respite (240 hours/year) Adult day care ($60/day)

Iowa Family Caregiver Support

IA NFCSP

Age Caregiver of someone 60+
General Iowa resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
IA

Limited slots; rural emphasis.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled
General Iowa resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
IA

Three tiers; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+
General Iowa resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR, Medicaid-eligible
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy Respite

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Iowa resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
IA

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Able Up Iowa

Able Up Iowa

Age 65+ or disabled
General Iowa resident, ability to repay loan, need for assistive tech or mods.
Income Limits (2025) No strict limit; must demonstrate repayment capacity.
Asset Limits Not specified; credit-based.
IA

Loans up to $25,000; statewide via Easterseals partnership.

Benefits
Loans for wheelchairs Ramps Walk-in tubs (~$500-$10,000 avg.) Reducing reliance on paid care

Frequently Asked Questions about Care Initiatives

Is Care Initiatives in a walkable area?

Care Initiatives has a walk score of 28. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.

Are pets allowed at Care Initiatives?

No, Care Initiatives has a no-pet policy.

Are there photos of Care Initiatives?

Yes — there are 3 photos of Care Initiatives in the photo gallery on this page.

What levels of care does Care Initiatives provide?

Care Initiatives offers Skilled Nursing, Assisted Living, Independent Living, and Hospice Care.

What is the address of Care Initiatives?

Care Initiatives is located at 1611 W Lakes Pkwy, West Des Moines, IA 50266.

What is the phone number of Care Initiatives?

(515) 223-2805 will put you in contact with the team at Care Initiatives.

Is Care Initiatives Medicare or Medicaid certified?

Care Initiatives is not currently listed as a CMS-certified provider of Medicare or Medicaid.

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