Harmony West Des Moines
5010 Grand Ridge Drive · West Des Moines, IA · 50265 · 5152225991
113 certified beds For profit - Corporation Chain: Legacy Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 4 citations involved actual harm to residents.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
6 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.72 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 3.41 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (65 in the current record)
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Actual harm · G March 5, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has plan of correction · Quality of Life and Care
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Potential for harm · D February 20, 2025
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 20, 2025
Ensure each resident receives an accurate assessment.
Corrected March 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 20, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 20, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 20, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · D February 20, 2025
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.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · D February 20, 2025
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.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · D February 20, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · D February 20, 2025
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.
Corrected March 21, 2025 · Pharmacy Service
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Potential for harm · E February 20, 2025
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected March 21, 2025 · Nutrition and Dietary
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Potential for harm · D February 20, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 21, 2025 · Nutrition and Dietary
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Potential for harm · F February 20, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected March 21, 2025 · Administration
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Potential for harm · D February 20, 2025
Provide and implement an infection prevention and control program.
Corrected March 21, 2025 · Infection Control
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Potential for harm · D November 20, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 16, 2024 · Resident Rights
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Potential for harm · D November 20, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 16, 2024 · Resident Rights
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Potential for harm · D November 20, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 20, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 16, 2024 · Quality of Life and Care
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Potential for harm · D July 29, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 17, 2024 · Resident Rights
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Potential for harm · D July 29, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 17, 2024 · Quality of Life and Care
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Potential for harm · D July 29, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 17, 2024 · Infection Control
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Potential for harm · D December 11, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected January 9, 2024 · Resident Rights
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Potential for harm · D December 11, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 11, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 11, 2023
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected January 9, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165601 · certified since July 15, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.