65/100
Average
Harmony West Des Moines
5010 Grand Ridge Drive, West Des Moines, IA 50265
- Certified beds
- 113
- Occupancy
- 90%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
Our read on Harmony West Des Moines
Harmony West Des Moines runs 113 beds under corporate ownership, and the numbers explain the record. Nurse staffing sits at 3.59 hours per resident day against a national average of 3.86, and weekends dip roughly 10% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Staff turnover is 58.9%, well above the 45.8% national figure, which makes consistent care hard to sustain. The inspection history is the heavier problem: 46 deficiencies on the current record, including one at the harm level and five tied to abuse. The health inspection rating is 1 out of 5, with the most recent inspection dated March 5, 2026. Quality measures score better at 3 out of 5, but that sits alongside a 2 out of 5 for staffing.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
13/30Nursing 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
5/15How 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
9/15The 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
8/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →No federal fines on record
- →-2 for 1 denial(s) of Medicare payment for new admissions
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: March 5, 2026 (8 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of LEGACY HEALTHCARE, which operates 95 homes. Staffing budgets are usually set at chain level, not in the building.
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 C (65 out of 100), which we describe as "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? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
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.
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