West Des Moines, IA · Medicare-certified · 113 beds
Needs attention
Special Focus candidateFor-profitChain member
★★★★★1 of 5 overall
Overall rating: 1 out of 5 stars. Harmony West Des Moines is a Special Focus Facility candidate with a 1-star health inspection rating, staffing at 3.72 hours per resident day below the federal benchmark of 4.1, and no fines in the last 24 months.
Last inspection: March 5, 2026Penalties, last 24 months: $0special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7156.
Staffing detail
Registered nurses
0.63
Licensed practical nurses
0.67
Nurse aides
2.41
Weekend nursing
3.41
Hours per resident per day.
Total staff turnover: 66%
Registered nurse turnover: 77%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
16.1%10.5%Improving
Residents with a fall causing major injury
1.2%2.3%Worsening
Residents with pressure ulcers (bedsores)
8.5%6%Improving
Residents with a urinary tract infection
1.2%1.1%No change
Residents who lost too much weight
11%2.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.8%4.2%Improving
Residents whose ability to walk got worse
13.6%4.3%Improving
Long-stay residents on antianxiety or sleep medication
17.6%28%Worsening
Short-stay residents newly given an antipsychotic
3%3.6%Worsening
Residents with a long-term catheter
0.7%0%Improving
Residents with new or worsening incontinence
23.8%28%Worsening
Residents with depressive symptoms
11%13.6%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—97.7%—
Long-stay residents given the pneumonia vaccine
100%98.9%Worsening
Short-stay residents given the seasonal flu vaccine
—81.4%—
Short-stay residents given the pneumonia vaccine
92.8%90.1%Worsening
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited June 2023 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: L
The home failed to run its operations effectively and efficiently using its available resources. Cited June 2023 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 835 — 42 CFR §483.70 — S/S: L
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: K
The home failed to arrange hospice services or help the resident transfer to a place that would provide hospice care. Cited June 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 849 — 42 CFR §483.70 — S/S: K
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited March 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: J
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
Occupancy
98.6 residents on an average day (87% of 113 beds)
Resident voice
Resident council
Medicare history
Certified for 15 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.