GoodStanding

Nursing home report

Harmony West Des Moines

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.

Facility ratings

Health inspections

Staffing

3.7156 hrs/resident/day

Quality measures

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).

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).

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 13 health deficiencies.

    See what inspectors found
  4. 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.