Wesley on Grand — nursing home in Des Moines, IA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 80 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 77.1 CMS, MDS-derived
CMS Certification Number: 165487
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): May 1, 2003
Ownership type: Non profit - Corporation
Operator (legal business name): Wesley Retirement Services Inc
CMS chain: Wesleylife 10 facilities
Phone: (515) 271-6500
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Jul 23, 2026

Citations

18

5 health · 13 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D3	E8	F7
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 165487
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 80
First approved: May 1, 2003
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Iowa.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 23, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Jun 12, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jun 12, 2025	Health	Health Standard	1	Potential harm	—	Open →
Jul 11, 2024	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Jul 11, 2024	Health	Health Standard	0	No citations	—	Open →
Apr 20, 2023	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Apr 20, 2023	Health	Health Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D3	E8	F7
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 23, 2026	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 8, 2026	Complaint
Jun 12, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 19, 2025
Jun 12, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 19, 2025
Jun 12, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jun 27, 2025
Jul 11, 2024	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 1, 2024
Jul 11, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 29, 2024
Jul 11, 2024	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 29, 2024
Jul 11, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 1, 2024
Jul 11, 2024	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 1, 2024
Jul 11, 2024	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 1, 2024
Apr 20, 2023	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected May 3, 2023
Apr 20, 2023	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected May 17, 2023
Apr 20, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 4, 2023
Apr 20, 2023	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 23, 2023
Apr 20, 2023	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 4, 2023
Apr 20, 2023	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 19, 2023
Apr 20, 2023	F-0807	Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected May 19, 2023
Apr 20, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected May 19, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.8

Quality measuresstate 3.4

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.16

State avg 3.86US avg 3.90

Registered nurse (RN)0.78

State avg 0.74US avg 0.69

Licensed practical nurse0.67

State avg 0.56US avg 0.86

Nurse aide2.70

State avg 2.56US avg 2.35

Weekend total nurse3.87

State avg 3.38US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.48 (case-mix index 1.30).

Staff turnover

Total nursing staff turnover40.4%

State avg 44.1%US avg 45.3%

Registered nurse turnover61.9%

State avg 42.1%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jun 12, 2025
Cycle 1 health score: 12
Total weighted score: 9

Operating entity

Wesley Retirement Services Inc

CMS legal business name of the certified provider. Operates 5 facilities.

VerifiedLinked by exact legal name

CMS chain

Wesleylife

10 facilities in 1 states. CMS chain ID 561.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.6

Ownership disclosures

Disclosures

16

Organizations

2

Individuals

13

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Wesley Retirement Services Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jun 21, 1966

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Wesley Retirement Services Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jun 21, 1966
Wesley Retirement Services Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 21, 1966
Wesleylife	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 1996
Damon Buskohl	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 14, 2013
Janet Simpson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2016
Kermit Albertson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2018
Abbey Gilroy	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2016
Nicole Hoeksema	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2021
Roger Lagree	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2015
Chad Rasmussen	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2011
Robert Ruch	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2003
David Stout	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2011
Christina Taylor	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2018
Susan Watson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2014
Robert Kretzinger	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 11, 1996
Robert Kretzinger	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Nov 11, 1996

Other facilities operated by Wesley Retirement Services Inc

All 4 →

Facility	Beds	Last inspection	Citations (window)	Fines
The Village 1203 North E Street, Indianola, IA 50125 CCN 165167	54	Jan 15, 2026	221 harm	—
Halcyon House 1015 South Iowa Avenue, Washington, IA 52353 CCN 165483	54	Mar 19, 2026	131 IJ	$51k
Wesley Park Centre 500 First Street North, Newton, IA 50208 CCN 165543	66	Jan 28, 2026	181 IJ1 harm	$17k
Heritage House 1200 Brookridge Circle, Atlantic, IA 50022 CCN 165561	61	Sep 11, 2025	23	—

Same chain in Iowa

All 9 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
The Village 1203 North E Street, Indianola, IA 50125 CCN 165167	54	Jan 15, 2026	221 harm	—
Halcyon House 1015 South Iowa Avenue, Washington, IA 52353 CCN 165483	54	Mar 19, 2026	131 IJ	$51k
Wesley Park Centre 500 First Street North, Newton, IA 50208 CCN 165543	66	Jan 28, 2026	181 IJ1 harm	$17k
Heritage House 1200 Brookridge Circle, Atlantic, IA 50022 CCN 165561	61	Sep 11, 2025	23	—
Edgewater, a Wesleylife Community 9225 Cascade Avenue, West Des Moines, IA 50266 CCN 165597	40	Aug 3, 2026	301 harm	—
The Cottages 1742 Main Street, Pella, IA 50219 CCN 165607	100	Jun 4, 2026	351 IJ2 harm	$52k
Fieldstone of Dewitt 1301 Maynard Way, De Witt, IA 52742 CCN 165619	70	May 21, 2026	13	—
Brio of Johnston, LLC 6901 Peckham Street, Johnston, IA 50131 CCN 165624	36	Apr 9, 2026	30	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 3520 Grand Avenue, Des Moines, IA 50312
ZIP: 50312
County: Polk County FIPS 19153
State: Iowa
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Scottish Rite Park Inc 2909 Woodland Avenue, Des Moines, IA 50312 CCN 165593	0.7 km	51		Aug 13, 2026	153 harm1 open	$47k
Iowa Jewish Senior Life Center 900 Polk Boulevard, Des Moines, IA 50312 CCN 165006	1.8 km	46		Apr 2, 2026	39	—
Ramsey Village 1611 27th Street, Des Moines, IA 50310 CCN 165514	2.8 km	78		Apr 23, 2026	601 harm	—
Calvin Community 4210 Hickman Road, Des Moines, IA 50310 CCN 165479	3.5 km	59		Dec 18, 2025	33	—
University Park Nursing and Rehabilitation Center 233 University Avenue, Des Moines, IA 50314 CCN 165272	4.1 km	91		Mar 5, 2026	24	—
Pine Acres Rehabilitation and Care Center 1501 Office Park Road, West Des Moines, IA 50265 CCN 165350SFFAbuse icon	5 km	140	Not rated	Aug 12, 2026	1126 IJ5 harm	$517k
Rehabilitation Center of Des Moines 701 Riverview, Des Moines, IA 50316 CCN 165268	5 km	74		Aug 27, 2026	531 harm2 open	—
Accura Healthcare of South Des Moines 4911 SW 19th Street, Des Moines, IA 50315 CCN 165273	5.4 km	89		Sep 18, 2025	852 IJ2 harm	$53k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165487	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165487	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 165487

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction