ElderGrade
D

53/100

Below average

Harmony West Des Moines

5010 Grand Ridge Drive, West Des Moines, IA 50265

CMS 1/5 stars #21 of 30 in Polk County (515) 222-5991
Certified beds
113
Occupancy
90%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

16/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -10 for 46 total citations against a national median of 17

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.56 total nurse hours per resident per day (national median 3.77)
  • 0.58 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 59% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.59 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.58 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.23 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 58.90%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 46 citations

Last standard health inspection: March 5, 2026 (5 months ago).

D May 20, 2026 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

D May 20, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

G Mar 5, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm to a resident

F Mar 5, 2026 F0865

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

No actual harm, potential for more than minimal harm

E Mar 5, 2026 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

E Mar 5, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Mar 5, 2026 F0552

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

No actual harm, potential for more than minimal harm

D Mar 5, 2026 F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of LEGACY HEALTHCARE, which operates 89 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
SMITH, SAMMARRA Individual W-2 MANAGING EMPLOYEE
SHABAT, MENACHEM Individual CORPORATE OFFICER
LEGACY HEALTHCARE FINANCIAL SERVICES LLC Organization OPERATIONAL/MANAGERIAL CONTROL
GPN FAMILY TRUST U/A/D 4/28/08 Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST
DOROS GENERATION TRUST U/A/D 1/3/12 Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST
OAKWAY OPERATIONS LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Harmony West Des Moines

What is the ElderGrade for Harmony West Des Moines? +

Harmony West Des Moines holds an ElderGrade of D (53 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Harmony West Des Moines? +

Residents receive an average of 3.59 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Harmony West Des Moines been cited for harming residents? +

Yes. 1 of the 46 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Harmony West Des Moines accept Medicaid? +

Yes, Harmony West Des Moines is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.