Bickford Cottage WDM
State licensed5050 Hawthorne Dr, West Des Moines, IA 50265
Assisted LivingMemory Care
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Medicare-certifiedSkilled Nursing
Harmony West Des Moines
West Des Moines, IowaMedicare inspection record
About Harmony West Des Moines
Harmony West Des Moines provides skilled nursing and rehabilitation services designed around each resident's recovery goals. Our West Des Moines team combines medical expertise with personalized care planning, helping patients regain independence during their time with us in Iowa.
Community at a glance
Capacity
113 residents
Location
West Des Moines, IA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
5010 Grand Ridge Drive, West Des Moines, Iowa 50265
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on March 5, 2026, state inspectors cited 16 health deficiencies (the Iowa average is 6.5).
Nurses and nurse aides spend 3 hours 36 minutes with each resident a day, below the Iowa average of 3 hours 49 minutes.
Medicare has not fined Harmony West Des Moines in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 36 minutesBelow the Iowa average |
| Registered nurse time per resident, per day | 35 minutesBelow the Iowa average |
| Nursing staff who left in the past year | 59%Above the Iowa average |
1 administrator has left the home in the past year.
Inspections
43 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 20, 2026 · Complaint investigation · 2 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 19, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Apr 29, 2026
March 5, 2026 · Standard inspection · 14 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Apr 7, 2026Have a plan that describes the process for conducting QAPI and QAA activities.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Apr 7, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Apr 7, 2026Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 7, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Apr 7, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 7, 2026Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Apr 7, 2026Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 7, 2026Assess the resident when there is a significant change in condition
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 7, 2026Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 7, 2026Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Apr 7, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 7, 2026Provide 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 7, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 7, 2026
February 20, 2025 · Standard inspection · 13 citations+
Have a plan that describes the process for conducting QAPI and QAA activities.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Mar 21, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Mar 21, 2025Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Mar 21, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 21, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 21, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Mar 21, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 21, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 21, 2025Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 21, 2025Implement 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 21, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Mar 21, 2025Provide 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 21, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 21, 2025
November 20, 2024 · Complaint investigation · 4 citations+
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 16, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 16, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 16, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 16, 2024
July 29, 2024 · Complaint investigation · 3 citations+
Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 17, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Aug 17, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Aug 17, 2024
December 11, 2023 · Standard inspection · 7 citations+
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.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jan 9, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jan 9, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 9, 2024Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 9, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jan 9, 2024Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 9, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 9, 2024
Fines and payment denials
1 Medicare payment denial in the last three years.
- March 5, 2026Payment denial, 733 days
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Des Moines Skilled Nursing Facility LLC
- Medicare-certified beds
- 113
- Average residents per day
- 102
- Accepts
- Medicare and Medicaid
- First certified
- July 15, 2010
- Part of a chain
- Legacy Healthcare, 95 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 165601
Location
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5010 Grand Ridge DriveWest Des Moines, IA 50265
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Questions about Harmony West Des Moines
How did Harmony West Des Moines do on its last inspection?+
State inspectors visited on March 5, 2026 and cited 16 health deficiencies, 3 of them from complaint investigations. The Iowa average is 6.5.
How much nursing care does each resident get at Harmony West Des Moines?+
Nurses and aides spend 3 hours 36 minutes with each resident per day, including 35 minutes from registered nurses. 59% of nursing staff left over the past year.
Has Harmony West Des Moines been fined by Medicare?+
Medicare's records show no fines against Harmony West Des Moines in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.