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.
124
98 employees · 26 contractors · 39 on an average day Genesis Senior Living Center
Nursing Home · Des Moines, IA
ALM Inspection Grade
C
ALM's inspection grade is 73 / 100, a C — 10 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 73 / 100, a C — 10 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.
Genesis Senior Living Center
Nursing Home · Des Moines, IA
ALM Inspection Grade
C
ALM's inspection grade is 73 / 100, a C — 10 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 73 / 100, a C — 10 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.
Genesis Senior Living Center accepts Medicare, Medicaid, and private pay.
Genesis Senior Living Center is based in Des Moines, IA, with nursing home care, memory care, and respite care all available. The nursing home level is for somebody whose care has become a daily nursing job.
The 80 beds come as private or semi-private rooms. A private room belongs to one resident, while a semi-private room is shared.
For the skilled weeks after a hospital stay, there is Medicare. For a long stay savings cannot reach, Medicaid is the question. Private pay covers the rest, met by the family directly.
Staffing lands at 3 hours and 53 minutes of nursing per resident each day. Physical, occupational, and speech therapy are on the program list too. Respite care handles short stays, usually when a family caregiver has a trip or a recovery ahead.
Somebody needing daily nursing, rehabilitation, or a short respite stay is who this fits. Memory Care (Alzheimer’s, Dementia) is the named program for dementia here.
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).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 158th out of 225 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.
3h 53m
This nursing home is ranked 158th out of 225 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.
3h 53mStandout metric: Physical therapist is +240% 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. 13 total: 7 of the facility's own employees and 6 agency contractors.
13 staff · 9.2-hour shifts
24m
↓ 44% · IA 44mThis facility: 24m per resident per day, 44% 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. 13 total: 7 of the facility's own employees and 6 agency contractors.
13 staff · 9.2-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. 21 total: 15 of the facility's own employees and 6 agency contractors.
21 staff · 9.4-hour shifts
50m
↑ 48% · IA 34mThis facility: 50m per resident per day, 48% 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. 21 total: 15 of the facility's own employees and 6 agency contractors.
21 staff · 9.4-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. 52 total: 38 of the facility's own employees and 14 agency contractors.
52 staff · 7.9-hour shifts
2h 39m
↑ 4% · IA 2h 32mThis facility: 2h 39m per resident per day, 4% 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. 52 total: 38 of the facility's own employees and 14 agency contractors.
52 staff · 7.9-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.
7m
↑ 240% · IA 2mThis facility: 7m per resident per day, 240% above 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
3h 1m
↓ 10% · IA 3h 21mThis facility: 3h 1m per resident per day, 10% below 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
18m
↓ 41% · IA 30mThis facility: 18m per resident per day, 41% 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.
124
98 employees · 26 contractors · 39 on an average day
124 total staff / 74 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.68 : 1
↓ 18% · IA 2.04This facility: 1.68 staff per resident, 18% below the Iowa average of 2.04 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
124 staff ÷ 74 residents
See full Iowa ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.2 h
↑ 9% · IA 7.5 hThis facility: 8.2 h, 9% above 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.
28,931 staff hours this quarter
See full Iowa ranking →98.8% of staff hours were worked by the facility's own employees
Iowa average: 92.3% · Contractors this quarter: Certified Nursing Assistant (14), Registered Nurse (6), Licensed Practical Nurse (6)
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.
80
Rank #60 / 238Bed count — State benchmarked This nursing home is ranked 60th out of 238 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.
80
Rank #60 / 238Bed count — State benchmarked This nursing home is ranked 60th out of 238 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.
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #88 / 249Walk Score — State benchmarked This nursing home is ranked 88th 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.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #88 / 249Walk Score — State benchmarked This nursing home is ranked 88th 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.
60
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #62 / 225Occupancy rate — State benchmarked This nursing home is ranked 62nd out of 225 nursing homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 225. 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 between 85% and 95% suggests balanced demand.
Rank #62 / 225Occupancy rate — State benchmarked This nursing home is ranked 62nd out of 225 nursing homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 225. 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.
87.9%
This home usually has limited availability
Based on residents per day and 80 beds.
Higher than the Iowa average: 79%
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
70
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
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.
417
days
About This Community
State License TypesAdult Foster Care
Resident Council
Physical Therapy
Speech Therapy
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.
Admission CriteriaAssistance in incontinence management, nutrition supervision, medication routines, dementia, physical handicap, traumatic brain injuries
Linen ServiceYes
Garden
Room Types
Private Room
Semi-Private / Shared Room
CMS Health Inspection History
ALM Inspection Grade
73 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
10 points below the Iowa average for CMS-certified facilities (83/100)
Category breakdown
Citations
Concern
292 severity-weighted points (63 deficiencies) · 7× higher than the typical CMS-certified IA facility (median: 39)
Enforcement
Concern
$252,963 in fines · 6 enforcement actions
Persistence
Strong
15 days to fix issues · faster than the typical CMS-certified IA facility (median: 21)
Total health inspections
16
↑ 220% · IA 5This facility: 16, 220% 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
66
Rank #212 / 226Health citations — State benchmarked This nursing home is ranked 212th out of 226 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 226 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.↑ 219% · IA 20.7This facility: 66, 219% 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
4.12
Rank #136 / 226Citations per inspection — State benchmarked This nursing home is ranked 136th out of 226 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 226 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.↑ 8% · IA 3.83This facility: 4.12, 8% above 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
66 of 66 citations corrected
Critical
J–L
5
↑ 900% · IA 0.5This facility: 5, 900% above 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
58
↑ 205% · IA 19This facility: 58, 205% 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: Jul 22, 2026 · 3 citations, all corrected
Most cited category: Quality of Life & Care, 21 of 66 citations · 9 categories in total
Citations history
Most recent first
Jul 22, 2026
3 citations
Quality of Care serious citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
May 14, 2026
2 citations
Pharmacy critical citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Apr 09, 2026
5 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Oct 27, 2025
5 citations
Abuse/Neglect serious citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Sep 03, 2025
4 citations
Nursing Services moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Jun 10, 2025
13 citations
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Apr 24, 2025
1 citation
Quality of Care moderate citation
Corrected
Corrected
Mar 20, 2025
4 citations
Resident Rights moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Nov 13, 2024
2 citations
Quality of Care critical citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Oct 02, 2024
10 citations
Quality of Care serious citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Aug 29, 2024
1 citation
Quality of Care critical citation
Corrected
Corrected
Showing the 50 most recent of 66 citations.
Top deficiency categories
Share of 66 citations
Quality of Life & Care
21 deficiencies (32%)
Resident Assessment & Care Planning
14 deficiencies (21%)
Resident Rights
10 deficiencies (15%)
Abuse, Neglect & Exploitation
6 deficiencies (9%)
Pharmacy Services
5 deficiencies (8%)
Nutrition & Dietary
4 deficiencies (6%)
Nursing & Physician Services
3 deficiencies (5%)
Infection Control
2 deficiencies (3%)
Environmental
1 deficiency (2%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 66 citations resulted from standard inspections; 44 of 66 resulted from complaint investigations; and 7 of 66 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
6 penalties in the past 3 years
Latest: May 14, 2026 · $56,238 civil money penalty
May 14, 2026 · $56,238 civil money penalty
Oct 2, 2024 · $85,810 civil money penalty
Aug 29, 2024 · $25,454 civil money penalty
Jul 12, 2024 · $26,374 civil money penalty
Apr 19, 2024 · $28,805 civil money penalty
Apr 19, 2024 · 17-day payment denial
Total fines
$222,681
↑ 390% · IA $45KThis facility: $222,681, 390% 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 #224 / 230Federal fines — State benchmarked This nursing home is ranked 224th out of 230 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 230 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
5
↑ 257% · IA 1.4This facility: 5, 257% 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
17 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
May 14, 2026
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$56,238
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$56,238
Oct 2, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$85,810
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$85,810
Aug 29, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$25,454
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$25,454
Jul 12, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$26,374
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$26,374
Apr 19, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$28,805
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$28,805
Apr 19, 2024
Payment denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
17 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
17 daysFine amount comparison
This facility
$222,681
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.
4
/ 5
Above average
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.
2
/ 5
Below average
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.
5.5
Score · lower is better
↓ 38% · IA 8.8This facility: 5.5, 38% below 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.
14.0
Score · lower is better
↓ 26% · IA 18.9This facility: 14.0, 26% below 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: 5 better, 7 worse, 1 near IA average
7 short-stay measures: 1 better, 3 worse, 1 near IA average, 2 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
7.6%
↓ 55% · IA 16.6This facility: 7.6, 55% below 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
7.6%
↓ 55% · IA 16.6This facility: 7.6, 55% below 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
6.8%
↓ 55% · IA 15.2This facility: 6.8, 55% below 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
6.8%
↓ 55% · IA 15.2This facility: 6.8, 55% below 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
27.8%
↑ 11% · IA 25.0This facility: 27.8, 11% 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
27.8%
↑ 11% · IA 25.0This facility: 27.8, 11% 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
0.8%
↓ 65% · IA 2.4This facility: 0.8, 65% below 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
0.8%
↓ 65% · IA 2.4This facility: 0.8, 65% below 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
0.4%
↓ 90% · IA 3.9This facility: 0.4, 90% below 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
0.4%
↓ 90% · IA 3.9This facility: 0.4, 90% below 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
5.9%
↑ 41% · IA 4.1This facility: 5.9, 41% above 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
5.9%
↑ 41% · IA 4.1This facility: 5.9, 41% above 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
6.9%
↑ 58% · IA 4.4This facility: 6.9, 58% 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
6.9%
↑ 58% · IA 4.4This facility: 6.9, 58% 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
4.2%
↑ 1% · IA 4.2This facility: 4.2, 1% above 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
4.2%
↑ 1% · IA 4.2This facility: 4.2, 1% above 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
21.4%
↑ 8% · IA 19.8This facility: 21.4, 8% 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
21.4%
↑ 8% · IA 19.8This facility: 21.4, 8% 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
50.4%
↓ 46% · IA 94.2This facility: 50.4, 46% 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
50.4%
↓ 46% · IA 94.2This facility: 50.4, 46% 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
67.6%
↓ 29% · IA 95.8This facility: 67.6, 29% below 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
67.6%
↓ 29% · IA 95.8This facility: 67.6, 29% below 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.
1.92
↑ 30% · IA 1.48This facility: 1.92, 30% above 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.
1.92
↑ 30% · IA 1.48This facility: 1.92, 30% above 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.
1.71
↓ 18% · IA 2.09This facility: 1.71, 18% 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.
1.71
↓ 18% · IA 2.09This facility: 1.71, 18% 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 · 7 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.
35.0%
↓ 35% · US 53.7This facility: 35.0, 35% 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.
35.0%
↓ 35% · US 53.7This facility: 35.0, 35% below the US average of 53.7 (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.
3.7%
↑ 381% · US 0.8This facility: 3.7, 381% above 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.
3.7%
↑ 381% · US 0.8This facility: 3.7, 381% above the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
↓ 67% · IA 2.1This facility: 0.7, 67% below the IA average of 2.1 (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 short-stay residents who newly received an antipsychotic medication
0.7%
↓ 67% · IA 2.1This facility: 0.7, 67% below the IA average of 2.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
31.9%
↓ 62% · IA 84.0This facility: 31.9, 62% 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
31.9%
↓ 62% · IA 84.0This facility: 31.9, 62% 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.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
17.2%
↓ 77% · IA 74.4This facility: 17.2, 77% below the IA average of 74.4 (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 short-stay residents assessed and appropriately given the seasonal influenza vaccine
17.2%
↓ 77% · IA 74.4This facility: 17.2, 77% below the IA average of 74.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.8%
↑ 44% · IA 21.4This facility: 30.8, 44% above 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.
30.8%
↑ 44% · IA 21.4This facility: 30.8, 44% above 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.
12.9%
↓ 2% · IA 13.1This facility: 12.9, 2% 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.
12.9%
↓ 2% · IA 13.1This facility: 12.9, 2% 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.
Genesis Senior Living Center’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 223 Iowa nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Fiscal 2024 adds up two reports filed back to back, usually after a change of operator.
Is it financially stable?
Losing money on care, but less than last year
−5.0% operating margin
+11.8 pts vs prior year
An operating loss in 8 of the last 8 reported years. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Payroll in line with Iowa homes
60.2% payroll share of revenue
IA average 60.9%Rank #100 / 223Payroll % of net patient revenue — State benchmarked This nursing home is ranked 100th out of 223 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 $0.7M while revenue rose $0.9M. 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
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 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 | +$0.9M | Trend 20172024 | IA median $6.3M | Rank in IA Rank #82 / 223Net patient revenue — State benchmarked This nursing home is ranked 82nd out of 223 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 64% of homes | Above IA median Higher net patient revenue than 64% 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. | $7.9M | +$0.2M | Trend 20172024 | IA median $6.4M | Rank in IA Rank #80 / 223Operating expenses — State benchmarked This nursing home is ranked 80th out of 223 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 64% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.4M | +$0.7M | Trend 20172024 | IA median −$0.0M | Rank in IA Rank #152 / 223Net patient income — State benchmarked This nursing home is ranked 152nd out of 223 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 32% of homes | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −5.0% | +11.8 pts | Trend 20172024 | IA median −0.3% | Rank in IA Rank #148 / 223Operating margin — State benchmarked This nursing home is ranked 148th out of 223 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 34% of homes | Loss A negative margin means resident care costs more than it earns. |
| Net income The bottom line after other income. | −$0.4M | +$0.6M | Trend — | IA median $0.0M | Rank in IA Rank #171 / 223Net income — State benchmarked This nursing home is ranked 171st out of 223 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 23% of homes | Loss The bottom line is below zero even after other income. |
Staffing spend
Staff spending in line with Iowa homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | IA median | Compared with IA homesRank in IA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $4.5M | +$0.7M | Trend 20172024 | IA median $3.8M | Rank in IA Rank #80 / 223Payroll costs — State benchmarked This nursing home is ranked 80th out of 223 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 64% of homes | Above IA median Higher payroll than 64% 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. | 60.2% | +2.3 pts | Trend 20172024 | IA median 59.0% | Rank in IA Rank #100 / 223Payroll % of net patient revenue — State benchmarked This nursing home is ranked 100th out of 223 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 55% of homes | Near IA average The IA average is 60.9% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 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
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
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $3.9M | $4.2M | $4.0M | $4.1M | $4.4M | $5.3M | $6.6M | $7.5M |
| Operating expenses | $4.6M | $4.5M | $4.4M | $4.7M | $5.5M | $6.8M | $7.7M | $7.9M |
| Net patient income | −$0.7M | −$0.3M | −$0.4M | −$0.5M | −$1.0M | −$1.5M | −$1.1M | −$0.4M |
| Operating margin | −16.5% | −7.8% | −9.6% | −12.9% | −23.0% | −28.9% | −16.9% | −5.0% |
| Net income | −$0.7M | $0.1M | −$0.4M | −$0.4M | −$0.2M | −$1.5M | −$1.1M | −$0.4M |
| Payroll costs | $2.4M | $2.3M | $2.1M | $2.1M | $1.9M | $3.0M | $3.8M | $4.5M |
| Payroll share of revenue | 61.8% | 55.4% | 51.5% | 51.6% | 43.7% | 56.2% | 57.9% | 60.2% |
| Beds | 80 | 80 | 80 | 80 | 80 | 80 | 80 | 80 |
| Gross revenue | $4.8M | $5.2M | $4.9M | $5.0M | $5.2M | $5.9M | $7.7M | $8.7M |
| Salaries | $2.1M | $2.0M | $1.8M | $1.9M | $1.7M | $2.7M | $3.4M | $4.0M |
| Wage-related costs | $0.3M | $0.3M | $0.2M | $0.2M | $0.2M | $0.3M | $0.4M | $0.5M |
| Contract labor | $0.2M | $0.2M | $0.3M | $0.4M | $1.2M | $1.2M | $0.7M | $0.2M |
| Other operating costs | $2.2M | $2.2M | $2.3M | $2.5M | $3.5M | $3.9M | $3.9M | $3.4M |
| Net patient revenue per day | $177 | $187 | $204 | $224 | $248 | $243 | $287 | $334 |
| Cost per day | $206 | $201 | $224 | $252 | $304 | $313 | $335 | $351 |
| Average length of stay | 222.9 days | 167.7 days | 66.5 days | 259.5 days | 160.3 days | 177.9 days | 140.8 days | 288.6 days |
Showing 2024–2022 · scroll sideways for 5 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
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
33 admissions · FY2024
Residents admitted during the year.
Medicare
7 · 21%
Medicaid
12 · 36%
Private pay & other
14 · 42%
Resident snapshot
74 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
8 · 11%
Medicaid
57 · 77%
Private pay & other
9 · 12%
Leaving
23 discharges · FY2024
Residents discharged during the year.
Medicare
5 · 22%
Medicaid
3 · 13%
Private pay & other
15 · 65%
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Places of interest near Genesis Senior Living Center
3.9 miles from city center
Estimated distance in miles from Des Moines's city center to Genesis Senior Living Center's address, calculated via Google Maps.
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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.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
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.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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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: 60.9% 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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Wesley Acres | NH ADC AL CCRC IL MC SNF | Des Moines (Greenwood) | 80
Facility
80
IA AVG
70
Rank
#60 / 238 | ? |
73.8%
Facility
73.8%
IA AVG
79%
Rank
#167 / 225 | -7% | 4.48
Facility
4.48
IA AVG
4.45
Rank
#95 / 225 | +28% | +1% | $0
Facility
$0
IA AVG
$52.4k
Rank
#1 / 230 | 5
Facility
5
IA AVG
20.7
Rank
#18 / 226 | 1.7
Facility
1.7
IA AVG
3.8
Rank
#30 / 226 | - | 59 | - |
72
Facility
72
IA AVG
50
Rank
#58 / 249 | Damon Buskohl | $31.9MFiscal year ending 12/2024
Facility
$31.9MFiscal year ending 12/2024
IA AVG
$7.4M
Rank
#1 / 223 | $22.1MFiscal year ending 12/2024
Facility
$22.1MFiscal year ending 12/2024
IA AVG
$4.5M
Rank
#1 / 223 | 69.2%Fiscal year ending 12/2024
Facility
69.2%Fiscal year ending 12/2024
IA AVG
60.9%
Rank
#34 / 223 | 165487 | ||||
| Scottish Rite Park Health Care Center | NH AL HC IL MC RESC SNF | Des Moines (East Village) | 51
Facility
51
IA AVG
70
Rank
#148 / 238 | ? |
56.9%
Facility
56.9%
IA AVG
79%
Rank
#203 / 225 | -28% | 6.24
Facility
6.24
IA AVG
4.45
Rank
#5 / 225 | +12% | +40% | $46.9k
Facility
$46.9k
IA AVG
$52.4k
Rank
#200 / 230 | 9
Facility
9
IA AVG
20.7
Rank
#52 / 226 | 1.8
Facility
1.8
IA AVG
3.8
Rank
#21 / 226 | 3 | 29 | - |
91
Facility
91
IA AVG
50
Rank
#2 / 249 | Mark Allen | $11.0MFiscal year ending 10/2024
Facility
$11.0MFiscal year ending 10/2024
IA AVG
$7.4M
Rank
#27 / 223 | $6.0MFiscal year ending 10/2024
Facility
$6.0MFiscal year ending 10/2024
IA AVG
$4.5M
Rank
#38 / 223 | 54.7%Fiscal year ending 10/2024
Facility
54.7%Fiscal year ending 10/2024
IA AVG
60.9%
Rank
#164 / 223 | 165593 | ||||
| University Park Nursing and Rehabilitation Center | NH AL RC SNF | Des Moines (East Village) | 108
Facility
108
IA AVG
70
Rank
#28 / 238 | B+ |
68.5%
Facility
68.5%
IA AVG
79%
Rank
#186 / 225 | -13% | 3.60
Facility
3.60
IA AVG
4.45
Rank
#200 / 225 | -28% | -19% | $0
Facility
$0
IA AVG
$52.4k
Rank
#1 / 230 | 22
Facility
22
IA AVG
20.7
Rank
#147 / 226 | 4.4
Facility
4.4
IA AVG
3.8
Rank
#149 / 226 | - | 74 | - |
91
Facility
91
IA AVG
50
Rank
#2 / 249 | Scott Berger | $9.1MFiscal year ending 12/2024
Facility
$9.1MFiscal year ending 12/2024
IA AVG
$7.4M
Rank
#56 / 223 | $5.5MFiscal year ending 12/2024
Facility
$5.5MFiscal year ending 12/2024
IA AVG
$4.5M
Rank
#47 / 223 | 60.4%Fiscal year ending 12/2024
Facility
60.4%Fiscal year ending 12/2024
IA AVG
60.9%
Rank
#98 / 223 | 165272 | ||||
| Valley View Village | NH AL HOS IL MC RC SNF | Des Moines (Fairmont Park) | 79
Facility
79
IA AVG
70
Rank
#66 / 238 | ? |
96.2%
Facility
96.2%
IA AVG
79%
Rank
#11 / 225 | +22% | 5.02
Facility
5.02
IA AVG
4.45
Rank
#46 / 225 | +19% | +13% | $9.1k
Facility
$9.1k
IA AVG
$52.4k
Rank
#151 / 230 | 22
Facility
22
IA AVG
20.7
Rank
#154 / 226 | 3.7
Facility
3.7
IA AVG
3.8
Rank
#102 / 226 | 3 | 76 | - |
38
Facility
38
IA AVG
50
Rank
#164 / 249 | Elim Care Inc | $9.7MFiscal year ending 12/2024
Facility
$9.7MFiscal year ending 12/2024
IA AVG
$7.4M
Rank
#48 / 223 | $7.0MFiscal year ending 12/2024
Facility
$7.0MFiscal year ending 12/2024
IA AVG
$4.5M
Rank
#31 / 223 | 71.8%Fiscal year ending 12/2024
Facility
71.8%Fiscal year ending 12/2024
IA AVG
60.9%
Rank
#27 / 223 | 165507 | ||||
| Genesis Senior Living Center | NH | Des Moines | 80
Facility
80
IA AVG
70
Rank
#60 / 238 | C |
87.9%
Facility
87.9%
IA AVG
79%
Rank
#62 / 225 | +11% | 3.89
Facility
3.89
IA AVG
4.45
Rank
#158 / 225 | -12% | -13% | $222.7k
Facility
$222.7k
IA AVG
$52.4k
Rank
#224 / 230 | 66
Facility
66
IA AVG
20.7
Rank
#212 / 226 | 4.1
Facility
4.1
IA AVG
3.8
Rank
#136 / 226 | 8 | 70 | - |
60
Facility
60
IA AVG
50
Rank
#88 / 249 | Dirk Timm | $7.5MFiscal year ending 12/2024
Facility
$7.5MFiscal year ending 12/2024
IA AVG
$7.4M
Rank
#82 / 223 | $4.5MFiscal year ending 12/2024
Facility
$4.5MFiscal year ending 12/2024
IA AVG
$4.5M
Rank
#80 / 223 | 60.2%Fiscal year ending 12/2024
Facility
60.2%Fiscal year ending 12/2024
IA AVG
60.9%
Rank
#100 / 223 | 165175 |
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 for
Nursing Home in Iowa
Genesis Senior Living Center is located in Des Moines, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Know before you visit
Frequently Asked Questions about Genesis Senior Living Center
Quick answers from public records and the community's own listing.01 Is Genesis Senior Living Center in a walkable area?
Genesis Senior Living Center has a walk score of 60. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
02 What is the occupancy rate at Genesis Senior Living Center?
Genesis Senior Living Center's occupancy is 87.9%.
03 Are pets allowed at Genesis Senior Living Center?
No, Genesis Senior Living Center has a no-pet policy.
04 What is the best email address for Genesis Senior Living Center?
The team at Genesis Senior Living Center can be reached at info@genesisseniorliving.com.
05 Does Genesis Senior Living Center operate as a for-profit or non-profit?
Genesis Senior Living Center is registered as a for-profit.
06 What is the overall rating for Genesis Senior Living Center?
Genesis Senior Living Center received a 1-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
07 How many beds does Genesis Senior Living Center have?
Genesis Senior Living Center has 80 beds.
Updated on
