Iowa › Polk County › West Des Moines
Harmony West Des Moines
5010 Grand Ridge Drive, West Des Moines, IA 50265
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Harmony West Des Moines is a For-profit, corporation nursing home in West Des Moines, Iowa, certified for 113 beds and caring for about 102 residents a day.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 2 and quality measures 3.
Inspectors recorded 46 health deficiencies across the three most recent survey cycles (16, 17, 13 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 40.7 per 100 beds, more than the state median of 27.5.
CMS lists 1 penalty in the period covered: no fines and 1 payment denial.
Reported nurse staffing is 3.6 hours per resident per day (0.6 RN), close to the Iowa median of 3.7; nursing staff turnover is 58.9%.
Compared with county, state and nation
| Measure | This facility | Polk Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 46 | 22 | 16 | 28.7 |
| Citations per 100 beds | 40.7 | 31.4 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.9 | 3.7 | 3.9 |
| RN hours per resident day | 0.6 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 58.9% | 47.1% | 41.9% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (30 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Mar 2026, 20 Feb 2025.
Severity mix: G ×1 D ×37 E ×6 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 29 Apr 2026 |
| 20 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 19 Jun 2026 |
| 5 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 7 Apr 2026 |
| 5 Mar 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 7 Apr 2026 |
| 5 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 7 Apr 2026 |
| 5 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 7 Apr 2026 |
| 5 Mar 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 7 Apr 2026 |
| 5 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 7 Apr 2026 |
| 5 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 7 Apr 2026 |
| 5 Mar 2026 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 7 Apr 2026 |
| 5 Mar 2026 | F0688 | 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. | D | Standard survey | 7 Apr 2026 |
| 5 Mar 2026 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 7 Apr 2026 |
| 5 Mar 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 7 Apr 2026 |
| 5 Mar 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 7 Apr 2026 |
| 5 Mar 2026 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 7 Apr 2026 |
| 5 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 7 Apr 2026 |
| 20 Feb 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 21 Mar 2025 |
| 20 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 21 Mar 2025 |
| 20 Feb 2025 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Standard survey | 21 Mar 2025 |
| 20 Feb 2025 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 21 Mar 2025 |
| 20 Feb 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 21 Mar 2025 |
| 20 Feb 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 21 Mar 2025 |
| 20 Feb 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 21 Mar 2025 |
| 20 Feb 2025 | F0688 | 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. | D | Standard survey | 21 Mar 2025 |
| 20 Feb 2025 | F0693 | 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. | D | Standard survey | 21 Mar 2025 |
| 20 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 21 Mar 2025 |
| 20 Feb 2025 | F0758 | 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. | D | Standard survey | 21 Mar 2025 |
| 20 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 21 Mar 2025 |
| 20 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 21 Mar 2025 |
| 20 Nov 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 16 Dec 2024 |
| 20 Nov 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 16 Dec 2024 |
| 20 Nov 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 16 Dec 2024 |
| 20 Nov 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 16 Dec 2024 |
| 29 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 17 Aug 2024 |
| 29 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 17 Aug 2024 |
| 29 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 17 Aug 2024 |
| 11 Dec 2023 | F0803 | 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. | E | Standard survey | 9 Jan 2024 |
| 11 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 Jan 2024 |
| 11 Dec 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 9 Jan 2024 |
| 11 Dec 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 9 Jan 2024 |
| 11 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 9 Jan 2024 |
| 11 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 9 Jan 2024 |
| 11 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 9 Jan 2024 |
| 4 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 23 Oct 2023 |
| 3 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 23 Oct 2023 |
| 3 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 23 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 Mar 2026 | Payment denial | — | 733 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 58.9%, RNs 64.7%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.3% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.4% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.1% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.3% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.1% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.6% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.4% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Des Moines Skilled Nursing Facility Llc. Chain: Legacy Healthcare (89 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Oakway Operations LLC | 5% or greater direct ownership interest | 15% | 04/01/2023 |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Polk County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Childserve Habilitation Center | Johnston | 74 | 5 | 3 | 5 | 11 | 14.9 | — | 6 Apr 2026 |
| Deerfield Health Care Center | Urbandale | 30 | 5 | 5 | 5 | 4 | 13.3 | — | 2 Jul 2026 |
| Karen Acres Care Center | Urbandale | 35 | 5 | 4 | 4 | 11 | 31.4 | — | 22 Jun 2026 |
| Mill-Pond | Ankeny | 60 | 5 | 4 | 5 | 10 | 16.7 | — | 19 Mar 2026 |
| On With Life Long Term Care | Polk City | 40 | 5 | 5 | — | 7 | 17.5 | — | 5 Aug 2025 |
| Prairie Vista Village | Altoona | 46 | 5 | 4 | 5 | 4 | 8.7 | — | 22 May 2025 |
| Scottish Rite Park Inc | Des Moines | 51 | 5 | 3 | 5 | 9 | 17.6 | $56K | 6 May 2026 |
| Wesley On Grand | Des Moines | 80 | 5 | 5 | 4 | 4 | 5.0 | — | 12 Jun 2025 |
All 30 facilities in Polk County
Questions and answers
How many deficiencies has Harmony West Des Moines been cited for?
46 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Harmony West Des Moines been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Harmony West Des Moines compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Harmony West Des Moines?
It is part of the Legacy Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Oakway Operations LLC and Legacy Healthcare Financial Services LLC. Individual owners and managers are not listed on this site.
When was Harmony West Des Moines last inspected?
The most recent survey or investigation in the CMS record is dated 20 May 2026; the most recent standard health survey was 5 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.