About Harmony West Des MoinesHarmony West Des Moines is located at 5010 Grand Ridge Drive, West Des Moines, IA, reachable at (515) 222-5991. This For profit – Corporation facility operates 113.0 certified beds and serves an average of 96 residents per day. It is part of the Legacy Healthcare network (90 facilities nationwide). Medicare and Medicaid services have been provided since 2010-07-15. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Harmony West Des Moines may be considered for families with limited options in West Des Moines, IA, but its lower CMS ratings suggest careful due diligence is warranted. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★1 / 5
Health Inspection
★★★★★1 / 5
Staffing Rating
★★★★★2 / 5
Quality Measures (QM)
★★★★★3 / 5
Long-Stay QM Rating
★★★★★3 / 5
Short-Stay QM Rating
★★★★★2 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightHarmony West Des Moines currently provides 3 hours 39 minutes of total nurse staffing per resident per day, including 35 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 62.9%, which can affect care continuity.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours 39 minutes
Nurse Aide Hours2 hours 23 minutes
Licensed Practical Nurse (LPN) Hours40 minutes
Registered Nurse (RN) Hours35 minutes
Physical Therapist Hours3 minutes
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours3 hours 22 minutes
Weekend Registered Nurse (RN) Hours27 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryThe facility has received 14 fine(s) over the 5-year period, totaling $315,743. 460 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Nationally, Harmony West Des Moines ranks 14177th out of 14,703 facilities (composite score: 48.2/100), placing it in the bottom 25% nationwide. Within IA, it ranks 378th out of 390 nursing homes. In West Des Moines, it ranks 4th out of 5 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #7,689 nationally and RN hours rank #6,884 nationally (#233 in IA).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
IA State Rank
Note
2022
3.18
#10,489 / 14,703
#261 / 390
Below average
2023
3.14
#10,921 / 14,703
#282 / 390
Below average
2024
3.72
#6,258 / 14,703
#147 / 390
Above average
2025
3.89
#5,324 / 14,703
#132 / 390
Above average
2026
3.64
#7,689 / 14,703
#201 / 390
Below average
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
IA State Rank
Note
2022
0.69
#5,323 / 14,703
#181 / 390
Above average
2023
0.79
#3,452 / 14,703
#128 / 390
Top 25%
2024
0.60
#6,075 / 14,703
#228 / 390
Above average
2025
0.58
#6,708 / 14,703
#244 / 390
Above average
2026
0.59
#6,884 / 14,703
#233 / 390
Above average
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Harmony West Des Moines is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2010-07-15. 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) 222-5991 or your local Medicaid office to verify current eligibility.
Harmony West Des Moines holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (2★), 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 48.2/100, placing it #14177 of 14703 facilities nationally and #378 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 Harmony West Des Moines receives a reported average of 3 hours 39 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 35 minutes; Licensed Practical Nurse (LPN) — 40 minutes; Nurse Aide — 2 hours 23 minutes. On weekends, total nurse staffing is 3 hours 22 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 62.9%. Families are encouraged to ask about current staffing schedules during their facility visit.
The facility has received 14 fine(s) over the 5-year period, totaling $315,743. 460 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 297.75 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Harmony West Des Moines ranks 14177th out of 14,703 facilities (composite score: 48.2/100), placing it in the bottom 25% nationwide. Within IA, it ranks 378th out of 390 nursing homes. In West Des Moines, it ranks 4th out of 5 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #7,689 nationally and RN hours rank #6,884 nationally (#233 in IA). Our composite quality score of 48.2/100 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 West Des Moines, visit: https://nursinghomesnearme.org/iowa/west-des-moines/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.