2/5
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.
2/5
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.
Harmony West Des Moines is a 113-bed skilled nursing facility at 5010 Grand Ridge Drive in West Des Moines, Iowa. Affiliated with Legacy Healthcare, the center provides specialized post-acute care, including orthopedic rehabilitation, stroke recovery, and advanced wound management. Centrally located in the Des Moines metro, the campus offers proximity to major health systems and accepts Medicaid, Medicare, and various state assistance programs.
The facility is regulated by the Iowa Department of Inspections, Appeals, and Licensing and is CMS-certified. As of May 2026, the community holds a 1-star overall rating, reflecting performance categorized as “Much Below Average”. While quality measures are rated at 3 stars, the health inspection component carries a 1-star rating based on 14 citations during the most recent standard survey cycle, which is more than double the Iowa average of 6.1. Recent reports include zero deficiencies for infection control inspections over the past three years.
Staffing levels present a mixed clinical picture. Registered Nurse (RN) hours are 38 minutes per resident day, which is 14% below the Iowa average of 44 minutes. Conversely, physical therapist hours are notably high at 6 minutes, 200% above the state average of 2 minutes. Clinical outcomes for short-stay residents are generally strong, with zero falls with major injury and a rehospitalization rate 15% better than the state average. The nursing staff turnover rate is 62.9%, which is higher than the state mean of 43.9%.
The campus offers a residential setting focused on recovery and short-term placement. Shared clinical and social amenities include:24-hour nursing support, physical, occupational, and speech therapy, and specialized memory care wings. The facility provides respite care for families needing temporary placement and offers social programming to support long-term residents. Located in a car-dependent suburban area, the community coordinates medical transportation for its residents.
Prospective residents and their families should evaluate the current bedside care standards and staffing stability during an on-site visit. It is advisable to ask the administrator for specific details on the corrective actions taken following the 2025 health inspection citations and to confirm that current RN staffing levels meet the individual clinical needs of the resident.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 192nd out of 249 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 20m per day | ▼ 54% State avg: 44m per day · National avg: 41m per day |
|
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.
| 18m per day | ▼ 48% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 2h 20m per day | ▼ 8% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 2h 43m per day | ▼ 19% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 56% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
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.
| 13m per day | ▼ 56% State avg: 30m per day · National avg: 28m per day |
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.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
79% more staff per resident than Iowa average
0% compared with Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
28 total: 5 full-time employees and 23 contractors.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.2 hoursAssists with medical care and medications.
14 total: 5 full-time employees and 9 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursHelps with daily care and mobility.
87 total: 21 full-time employees and 66 contractors.
87
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,223 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 21 | 66 | 87 | 6,678 | 92 | 100% | 7.6 |
| Medication Aide/Technician | 10 | 0 | 10 | 4,597 | 92 | 100% | 9.3 |
| Licensed Practical Nurse | 5 | 9 | 14 | 1,207 | 87 | 95% | 7.3 |
| Registered Nurse | 5 | 23 | 28 | 1,167 | 88 | 96% | 6.2 |
| Administrator | 1 | 0 | 1 | 507 | 64 | 70% | 7.9 |
| Dietitian | 1 | 0 | 1 | 490 | 65 | 71% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 452 | 70 | 76% | 6.5 |
| Physical Therapy Aide | 0 | 1 | 1 | 430 | 65 | 71% | 6.6 |
| Nurse Practitioner | 1 | 0 | 1 | 412 | 53 | 58% | 7.8 |
| Speech Language Pathologist | 0 | 1 | 1 | 282 | 62 | 67% | 4.6 |
| Other Dietary Services Staff | 2 | 0 | 2 | 264 | 60 | 65% | 4.3 |
| RN Director of Nursing | 2 | 0 | 2 | 228 | 30 | 33% | 7.6 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 72 | 25 | 27% | 2.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 65 | 9 | 10% | 7.2 |
| Physical Therapy Assistant | 0 | 4 | 4 | 50 | 29 | 32% | 1.7 |
| Qualified Social Worker | 0 | 1 | 1 | 38 | 22 | 24% | 1.7 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
83% lower than Iowa averageIowa average: $48K
41% fewer fines than Iowa averageIowa average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jul 13, 2023 · $8K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 13, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.7
In line with Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.2
11% better than Iowa averageIowa average: 21.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
17.3%
8% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
22.2%
13% worse than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.1%
31% better than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
5.7%
58% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
2.9%
33% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
5.3%
7% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
8.6%
122% worse than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
32.4%
70% worse than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
72.8%
23% worse than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.9%
5% worse than Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
2.00
35% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.31
58% worse than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
62.0%
27% worse than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
5.9%
219% worse than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
68.2%
7% worse than Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.5%
29% worse than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.6%
11% worse than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
36.8%
31% worse than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
68.0%
34% better than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
21% of new residents, usually for short-term rehab.
44% of new residents, often for short stays.
36% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
43Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Harmony West Des Moines from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #190 / 251Payroll — State benchmarkedThis home is ranked 190th out of 251 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #188 / 251Payroll % — State benchmarkedThis home is ranked 188th out of 251 homes in Iowa. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (44% of admissions), and a typical private pay stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.7 miles from city center
Estimated distance in miles from West Des Moines's city center to Harmony West Des Moines's address, calculated via Google Maps.
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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Edgewater, a WesleyLife Community for Healthy Living | NH ADC AL IL MC SNF | West Des Moines | 40
Facility
40
IA AVG
71
Rank
#325 / 407 |
97.5%
Facility
97.5%
IA AVG
75.4%
Rank
#16 / 407 | +29% | 4.89
Facility
4.89
IA AVG
4.30
Rank
#52 / 249 | +14% | +14% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 255 | 7
Facility
7
IA AVG
21.7
Rank
#38 / 250 | 1.8
Facility
1.8
IA AVG
4.1
Rank
#20 / 250 | - | 39 | - |
7
Facility
7
IA AVG
45
Rank
#482 / 528 | Edgewater, A Wesley Active Life Community, LLC | $6.6MFiscal year ending 12/2023
Facility
$6.6MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#5 / 251 | $8.4MFiscal year ending 12/2023
Facility
$8.4MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#14 / 251 | 127.5%Fiscal year ending 12/2023
Facility
127.5%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#246 / 251 | 165597 | ||||
| Cedar Ridge Village | NH AL IL SNF | West Des Moines (Heritage Bend) | 40
Facility
40
IA AVG
71
Rank
#325 / 407 |
95.0%
Facility
95.0%
IA AVG
75.4%
Rank
#24 / 407 | +26% | 5.14
Facility
5.14
IA AVG
4.30
Rank
#40 / 249 | +11% | +20% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 255 | 20
Facility
20
IA AVG
21.7
Rank
#149 / 250 | 5.0
Facility
5.0
IA AVG
4.1
Rank
#174 / 250 | - | 39 | A+ |
5
Facility
5
IA AVG
45
Rank
#488 / 528 | Central Iowa Hospital Corporation | $7.4MFiscal year ending 12/2023
Facility
$7.4MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#89 / 251 | $3.9MFiscal year ending 12/2023
Facility
$3.9MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#102 / 251 | 53%Fiscal year ending 12/2023
Facility
53%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#164 / 251 | 165790 | ||||
| Arbor Springs-West Des Moines | NH MC RC SNF | West Des Moines | 56
Facility
56
IA AVG
71
Rank
#234 / 407 |
94.6%
Facility
94.6%
IA AVG
75.4%
Rank
#29 / 407 | +25% | 7.26
Facility
7.26
IA AVG
4.30
Rank
#1 / 249 | -19% | +69% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 255 | 15
Facility
15
IA AVG
21.7
Rank
#113 / 250 | 3.0
Facility
3.0
IA AVG
4.1
Rank
#81 / 250 | 2 | 51 | A+ |
30
Facility
30
IA AVG
45
Rank
#368 / 528 | Integro Healthcare Holdings LLC | $7.0MFiscal year ending 12/2023
Facility
$7.0MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#111 / 251 | $4.6MFiscal year ending 12/2023
Facility
$4.6MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#91 / 251 | 65%Fiscal year ending 12/2023
Facility
65%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#69 / 251 | 165548 | ||||
| Harmony West Des Moines | NH AL HOS PC RESC RC SNF | West Des Moines | 55
Facility
55
IA AVG
71
Rank
#240 / 407 |
60.7%
Facility
60.7%
IA AVG
75.4%
Rank
#234 / 407 | -20% | 3.73
Facility
3.73
IA AVG
4.30
Rank
#192 / 249 | +53% | -13% | $8.2k
Facility
$8.2k
IA AVG
$53.4k
Rank
#161 / 255 | 31
Facility
31
IA AVG
21.7
Rank
#190 / 250 | 6.2
Facility
6.2
IA AVG
4.1
Rank
#213 / 250 | 1 | 53 | - |
9
Facility
9
IA AVG
45
Rank
#470 / 528 | - | $4.4MFiscal year ending 12/2023
Facility
$4.4MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#170 / 251 | $2.5MFiscal year ending 12/2023
Facility
$2.5MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#190 / 251 | 56%Fiscal year ending 12/2023
Facility
56%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#188 / 251 | 165450 | ||||
| Pine Acres Rehabilitation & Care Center | - | NH SNF | West Des Moines (Office Park Road) | 140
Facility
140
IA AVG
71
Rank
#23 / 407 |
57.9%
Facility
57.9%
IA AVG
75.4%
Rank
#243 / 407 | -23% | 3.34
Facility
3.34
IA AVG
4.30
Rank
#234 / 249 | - | - | - | +9% | -22% | $353.1k
Facility
$353.1k
IA AVG
$53.4k
Rank
#255 / 255 | 100
Facility
100
IA AVG
21.7
Rank
#250 / 250 | 8.3
Facility
8.3
IA AVG
4.1
Rank
#236 / 250 | 11 | 85 | - |
25
Facility
25
IA AVG
45
Rank
#398 / 528 | Leibel Gutman | $9.5MFiscal year ending 12/2023
Facility
$9.5MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#56 / 251 | $6.1MFiscal year ending 12/2023
Facility
$6.1MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#40 / 251 | 63.6%Fiscal year ending 12/2023
Facility
63.6%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#106 / 251 | 165350 |
Harmony West Des Moines is located in West Des Moines, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Harmony West Des Moines has a walk score of 9. Car-dependent. Most errands require a car, with limited nearby walkable options.
Harmony West Des Moines's occupancy is 60.7%.
Harmony West Des Moines is registered as a for-profit.
Yes — there are 7 photos of Harmony West Des Moines in the photo gallery on this page.
Harmony West Des Moines is located at 5010 Grand Ridge Drive, West Des Moines, IA 50265.
(515) 222-5991 will put you in contact with the team at Harmony West Des Moines.
Yes — Harmony West Des Moines is a CMS-certified provider of Medicare and Medicaid.
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