Wesley On Grand is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2003-05-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (515) 271-6500 or your local Medicaid office to verify current eligibility.

Wesley On Grand holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (5★), Staffing (4★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 72.4/100, placing it #7162 of 14703 facilities nationally and #180 of 390 in Iowa. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Wesley On Grand receives a reported average of 4 hours 3 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 42 minutes; Licensed Practical Nurse (LPN) — 40 minutes; Nurse Aide — 2 hours 41 minutes. On weekends, total nurse staffing is 3 hours 44 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 45.0%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 2 fine(s) over the 5-year period, totaling $52,065. 20 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 6.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Wesley On Grand ranks 7162nd out of 14,703 facilities (composite score: 72.4/100), placing it in the above average nationwide. Within IA, it ranks 180th out of 390 nursing homes. In Des Moines, it ranks 5th out of 12 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 3. For 2026 staffing: total nurse hours rank #4,499 nationally and RN hours rank #4,983 nationally (#168 in IA). Our composite quality score of 72.4/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Des Moines, visit: https://nursinghomesnearme.org/iowa/des-moines/