Occupancy rate
91%
In line with Iowa averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Assisted Living in Des Moines
CMS overall rating
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.
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.
Wesley Acres
Assisted Living in Des Moines
CMS overall rating
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.
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.
Wesley Acres
Overview of Wesley Acres
A community that strives in exceedingly making its residents comfortable, the Wesley Acres offers the best balance of urban living and assistance with everyday living. A proud member of the Wesley Senior Living Group, Acres places integrity at the heart of its mission; ensuring that residents can feel inspired in creating a better life with the continuum of care being provided. Wesley Acres is an elegant senior living home that aims to enhance and enrich the lives of its residents.
Wesley offers independent living, assisted living, memory care, short-term rehabilitation, and long-term care. Their engaging activities and programs to name a few are the recreational activities, fitness activities, and entertainment programs available for residents to take part in at the library, media room, or outdoor social areas.
Damon Buskohl serves as the Executive Director at Wesley on Grand, formerly known as Wesley Acres. He leads the community by fostering a culture that values and appreciates team members, ensuring residents receive the very best in culinary, wellness, and lifestyle options. Damon is committed to maintaining a welcoming environment that reflects the core values of the WesleyLife Way.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
80
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
91.3%
Residents per day (avg)
75
Occupancy rate
91.3%
Residents per day (avg)
75
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
41% of new residents, usually for short-term rehab.
Typical stay
1 years
Private pay
58% of new residents, often for short stays.
Typical stay
11 - 12 months
Medicaid
1% of new residents, often for long-term daily care.
Typical stay
9 years
Finances and operations
Voluntary non-profit community
Home revenue
$44.7M
Operating deficit
-$1.7M
Voluntary non-profit community
Home revenue
$44.7M
Operating deficit
-$1.7M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$19.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$27.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$46.4M
80-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 72 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
About this community
Occupancy
In line with Iowa averageOccupied beds
73 / 80
Average residents
51 per day
StatusActive
IssuanceJanuary 1, 2026
ExpirationJanuary 1, 2027
CountyPolk
License Number770287
Year Opened07/07/1947
CMS Certification Number165487
Wesley Acres is administrated by Jack Brokaw.
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
Email
[email protected]
Fax5152716522
Aquatic Center
Fitness Center
Salon
Art Studio
Library
Walking Trails
Dining Venues
Performing Arts Auditorium
Massage Room
Tech Space
Recreation Room
Parking
Specific ProgramsIndependent Living, Assisted Living, Memory Support, Short-Term Rehabilitation, Long-Term Care, Adult Day Services
What does this home offer?
Minimum Age: 55
Types of Care at Wesley Acres
Independent Living
Assisted Living
Memory Care
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
21 visits/inspections
8 visits/inspections triggered by complaints
Breakdown by inspection type
- 9 renewal/recertification inspections
- 8 complaint investigations
- 3 incident investigations
- 1 follow-up inspection
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date
June 27, 2025
Inspection history
06/27/2025
Recertification Revisit
Yes
06/12/2025
Recertification
03/17/2025
Incident
01/22/2025
Complaint
09/13/2024
Complaint
07/11/2024
Recertification, Complaint
05/17/2024
Complaint, Incident
09/21/2023
Complaint, FIC
05/23/2023
Recertification Revisit
Yes
04/20/2023
Recertification
02/20/2023
Complaint Revisit
Yes
01/09/2023
Complaint
05/07/2022
Recertification Revisit, Complaint Revisit
Yes
04/07/2022
Complaint, Incident
02/21/2022
Recertification Revisit
Yes
12/13/2021
Recertification
09/08/2021
Complaint, Incident
11/03/2020
FIC
09/24/2020
Complaint, FIC
06/10/2020
FIC
01/19/2020
Recertification Revisit, Complaint Revisit, Incident Revisit
Yes
21 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
Inspection Report Summary for Wesley Acres
The most recent inspection on June 27, 2025 found the facility in compliance with health requirements and cited no new deficiencies. Prior inspections showed a mixed record, with the June 12, 2025 annual survey noting a deficiency related to food safety practices during meal service. Earlier reports identified issues mainly in resident care, infection control, and incident reporting, including substantiated complaints about nursing supervision and failure to report resident injuries. Complaint investigations were generally unsubstantiated or found the facility in substantial compliance, with no fines or enforcement actions listed in the available reports. The facility’s inspection history shows some improvement, with the latest survey clearing previous deficiencies.
Health Inspection History
Inspections
Total health inspections
3
Iowa average 4.9
Last Health inspection on Jun 2025
Total health citations
5
Iowa average 21.7
Citations per inspection
1.67
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 5 citations resulted from standard inspections; and 1 of 5 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
5 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 12, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 12, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 20, 2023
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 20, 2023
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 20, 2023
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 20, 2023
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 20, 2023
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 20, 2023
Corrected
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.
Compare Assisted Living around Adrian The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).
Filter by care type
Edencrest at Pleasant Hill
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Pleasant Hill
140
Yes
2
Studio / 1 Bed / 2 Bed
2
21.4%
2
1
0
Hampton Manor of Adrian
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Adrian
120
Yes
33
Studio / 1 Bed / 2 Bed
1
-
9
6
0
Wesley Acres
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Des Moines (Greenwood)
80
No
72
-
-
91.3%
21
8
3
Edencrest at Riverwoods
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Des Moines
80
Yes
35
Studio / 1 Bed / 2 Bed
11
40.0%
19
9
4
Edencrest at The Tuscany
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Altoona
40
Yes
14
Studio / 1 Bed / 2 Bed
4
92.5%
7
4
0
Places of interest near Wesley Acres
2.2 miles from city center — 1.56 miles to nearest hospital (Iowa Radiology - Downtown Des Moines)
Calculate Travel Distance to Wesley Acres
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
158
Employees
111
Contractors
47
Staff to resident ratio
2.14:1
7% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
47
Average shift
7.9 hours
7% better than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
33,677
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
34
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
60
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
15.8%
5,328 contractor hours this quarter
Registered Nurse: 20
Licensed Practical Nurse: 8
Occupational Therapy Aide: 5
Physical Therapy Assistant: 4
Respiratory Therapy Technician: 3
Speech Language Pathologist: 2
Qualified Social Worker: 2
Clinical Nurse Specialist: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 60 | 0 | 60 | 14,301 | 91 | 100% | 7.8 |
| Registered Nurse | 14 | 20 | 34 | 4,987 | 91 | 100% | 9.5 |
| Medication Aide/Technician | 13 | 0 | 13 | 3,711 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 9 | 8 | 17 | 2,931 | 89 | 98% | 10 |
| Physical Therapy Assistant | 0 | 4 | 4 | 1,201 | 72 | 79% | 7.1 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 947 | 67 | 74% | 5.5 |
| Clinical Nurse Specialist | 3 | 1 | 4 | 864 | 64 | 70% | 8 |
| Dietitian | 2 | 0 | 2 | 814 | 64 | 70% | 6.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 607 | 64 | 70% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 530 | 64 | 70% | 5 |
| RN Director of Nursing | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Administrator | 1 | 0 | 1 | 491 | 63 | 69% | 7.8 |
| Nurse Practitioner | 2 | 0 | 2 | 480 | 60 | 66% | 8 |
| Nurse Aide in Training | 3 | 0 | 3 | 462 | 50 | 55% | 7.8 |
| Qualified Social Worker | 0 | 2 | 2 | 392 | 56 | 62% | 7 |
| Occupational Therapy Aide | 0 | 5 | 5 | 168 | 29 | 32% | 5.3 |
| Dental Services Staff | 1 | 0 | 1 | 129 | 16 | 18% | 8.1 |
| Medical Director | 0 | 1 | 1 | 124 | 13 | 14% | 9.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 45 | 13 | 14% | 3.4 |
60 Certified Nursing Assistant
% of Days
100%
34 Registered Nurse
% of Days
100%
13 Medication Aide/Technician
% of Days
100%
17 Licensed Practical Nurse
% of Days
98%
4 Physical Therapy Assistant
% of Days
79%
3 Respiratory Therapy Technician
% of Days
74%
4 Clinical Nurse Specialist
% of Days
70%
2 Dietitian
% of Days
70%
2 Mental Health Service Worker
% of Days
70%
2 Speech Language Pathologist
% of Days
70%
1 RN Director of Nursing
% of Days
68%
1 Administrator
% of Days
69%
2 Nurse Practitioner
% of Days
66%
3 Nurse Aide in Training
% of Days
55%
2 Qualified Social Worker
% of Days
62%
5 Occupational Therapy Aide
% of Days
32%
1 Dental Services Staff
% of Days
18%
1 Medical Director
% of Days
14%
1 Occupational Therapy Assistant
% of Days
14%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
74 residents
Residents by payment source
Medicare
21 residents (28.4%)
Medicaid
30 residents (40.5%)
Private pay or other
23 residents (31.1%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.2
9% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.7
19% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
17.5%
Percent of long-stay residents whose need for help with daily activities has increased
17.5%
7% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.9%
Percent of long-stay residents whose ability to move independently worsened
19.9%
In line with Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
39.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
39.7%
51% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
45% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.4%
Percent of long-stay high risk residents with pressure ulcers
8.4%
92% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.0%
Percent of long-stay residents with a urinary tract infection
2.0%
19% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.2%
Percent of long-stay residents who lose too much weight
8.2%
63% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.6%
Percent of long-stay residents who have depressive symptoms
1.6%
60% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
20.8%
Percent of long-stay residents who received an antipsychotic medication
20.8%
9% worse than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
14% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.2%
Percent of short-stay residents who newly received an antipsychotic medication
3.2%
75% worse than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.4%
21% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Wesley Acres based on CMS SNF Cost Reports.
Occupancy Rate
384.1%
↑ 12.4pp vs 2022
Net Income
-$1.7M
↑ ~$4.0M vs 2022
Total Payroll
$22.6M
↑ ~$1.4M vs 2022
Profit Margin
-5.2%
↑ 13.6pp vs 2022
Loading trend charts...
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Iowa Seniors
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