All 5 Medicare-certified nursing homes in West Des Moines,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Edgewater runs on a nonprofit model with 40 certified beds in West Des Moines, and the staffing numbers are the story here: 4.70 nurse hours per resident day, roughly 22% above the national average. Weekend coverage dips about 15% below its own weekday level, so care thins out on Saturdays and Sundays even though the overall floor is high. Annual turnover sits at 44%, essentially matching the national rate. The current record shows 10 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection completed June 19, 2025. Quality measures score strongly; health inspections are the softer spot.
Cedar Ridge Village runs 40 beds in West Des Moines under corporate ownership, and its nurse staffing sits at 4.13 hours per resident day, roughly 7% above the national average, though weekends drop about 15% below what the home staffs on weekdays. That gap matters if your family tends to visit Saturday or Sunday. Annual turnover is 56.5%, well above the 45.8% national figure, so the people caring for your relative may not be the ones who were there a year ago. The current record shows 20 deficiencies, three tied to abuse, with none at the harm level; the last inspection was in August 2025.
Arbor Springs runs 5.38 nurse hours per resident each day, well above the national average, but that number hides a problem: nearly every aide and nurse is new, with turnover at 96.8% against a national 45.8%. Weekend coverage also drops about 11% below weekday levels, so care depends on who happens to be on shift. Inspectors found 17 deficiencies on the current record, including two at the harm level and one tied to abuse, with the last visit in May 2025. The for-profit LLC behind it has clear strengths and real gaps, and the staffing score reflects that split honestly.
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.
Pine Acres holds 140 certified beds in West Des Moines under for-profit LLC ownership, and the nurse staffing figure, 3.84 hours per resident day, sits roughly even with the national average, though weekends run about 7% thinner than weekdays. The record is where the trouble shows: 85 deficiencies, nine of them at harm or jeopardy level and three abuse-related, plus $353,109 in fines across three CMS actions. Staff turnover is 56.9% against a national 45.8%, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently poor performers. The last inspection was January 8, 2026.