Nursing home
Harmony West Des Moines
5010 Grand Ridge Drive, West Des Moines, IA 50265 · Map
For profit - Corporation · Part of Legacy Healthcare (90 facilities) · 113 certified beds
Harmony West Des Moines is a Medicare-certified nursing home in West Des Moines, Iowa. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.64 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Feb 20, 2025 cited 13 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Harmony West Des Moines compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.64 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.59 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.38 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 62.9% | 43.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 13.0 | 6.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Harmony West Des Moines
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 5, 2026 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Feb 20, 2025 · Full report (PDF) - Potential for harm
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies · Feb 20, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Feb 20, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 20, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 20, 2025 · Full report (PDF) - Potential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Feb 20, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Feb 20, 2025 · Full report (PDF) - Potential for harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Feb 20, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Feb 20, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Feb 20, 2025 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Feb 20, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 5010 Grand Ridge Drive
West Des Moines, IA 50265 - CMS certification #
- 165601
- Ownership
- For profit - Corporation
- Certified beds
- 113
- Avg residents/day
- 96.1
- Provider type
- Medicare and Medicaid
- First certified
- 2010-07-15
- Chain
- Legacy Healthcare (90 facilities)
- Setting
- Urban
Part of Legacy Healthcare
Legacy Healthcare operates 90 nursing facilities across the United States. View all Legacy Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Harmony West Des Moines using Google Maps.
Other public records
- Website says Respite stays, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Harmony West Des Moines says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Stays | Harmony West Des Moines
(page, checked Oct 15, 2026) - Provides transportation.
Our facility assists in arranging transportation for residents to see their doctors.
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
Each Private or Semi-Private Room or Suite Features:
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Unitypoint Health - Des Moines Iowa Methodist Medi, Des Moines. 7.7 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Cedar Ridge Village, West Des Moines. 3.3 miles away, straight line.
- Nearest home health agency office
- Faith Home Health Care, West Des Moines. 1.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 50265 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita West Des Moines Dialysis, West Des Moines, 3.9 miles away, straight line (CMS rating 4 of 5 stars)
Davita Windsor Heights Dialysis, Windsor Heights, 4.6 miles away, straight line (CMS rating 3 of 5 stars)
Fkc - West Des Moines, West Des Moines, 5.1 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 12 Medicare hospices tell CMS they serve ZIP code 50265.
Suncrest Hospice, LLC, office in West Des Moines, 1.8 miles away, straight line (CMS family survey rating 4 of 5 stars)
Care Initiatives Hospice - West Des Moines, office in West Des Moines, 3.8 miles away, straight line (CMS family survey rating 3 of 5 stars)
Unitypoint Hospice, office in Urbandale, 6.6 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Ch Specialty Services Ia PC, Osceola. 35.0 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively high, wildfire very low, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Harmony West Des Moines a good nursing home?
CMS gives Harmony West Des Moines an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Harmony West Des Moines staffed?
Harmony West Des Moines reports 3.64 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Harmony West Des Moines had inspection problems?
Its most recent CMS inspection cited 13 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Harmony West Des Moines have?
Harmony West Des Moines is certified for 113 beds.