Nursing HomeMedicaid Top Rated

Wesley on Grand

Strong Medicare quality ratings; families often praise professional and informative tour staff. Still worth an in-person visit.

3520 Grand Avenue, Greenwood · Des Moines, IA 50312|80 beds|Licensed & Active

5/5

Medicare

Inspection

Quality

Staffing

Google rating

4.1/5

based on 83 Google reviews

(515) 271-6500 Directions Website

Street View

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What this means for your family

While the facility's physical environment and therapy services are highly regarded, the recurring reports of hygiene issues and medical mismanagement are critical red flags. Before committing, families should conduct unannounced visits to the health center and memory care units, specifically asking for documentation on how they manage diabetic care and maintain sanitation standards.

Google Reviews

83 reviews on Google

“Wesley on Grand receives highly polarized feedback, with prospective residents praising the facility's aesthetic, amenities, and the helpfulness of the sales team during tours. Conversely, families of current and former residents report serious concerns regarding inconsistent nursing care, poor hygiene, and inadequate management of chronic conditions like diabetes. While the physical campus is often described as beautiful and well-appointed, the quality of daily care and staffing stability are frequent points of contention.”

Quality Themes

Tap a score for details

Strengths

Professional and informative tour staff
Beautiful, well-maintained campus and amenities
Effective physical and occupational therapy services
Warm and welcoming atmosphere for prospective residents

Concerns

Poor hygiene and lack of basic resident care (mentioned by 4 reviewers)
Inadequate management of medical conditions and medications (mentioned by 3 reviewers)
Pest issues (cockroaches) (mentioned by 2 reviewers)
High staff turnover and unprofessional behavior (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 88 analyzed

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed your team is very active in responding to feedback online; how do you use that resident and family input to improve daily operations?
2Given that your campus is quite beautiful, what specific protocols do you have in place to ensure high standards of cleanliness and pest control throughout the facility?
3How does your nursing team coordinate with families to ensure consistent medication management and oversight for residents with complex health needs?
4With high staff turnover being a challenge in the industry, what steps are you taking to ensure that residents receive consistent, high-quality care from familiar faces?
5Could you walk me through the daily activity schedule and how you tailor those programs to keep residents engaged and socially connected?
6What is your process for communicating with families when there is a change in a resident's health status or a medical concern arises?

Personalized based on this facility's data

Key Review Excerpts

“My mother is memory care at Johns Harbor and there's been multiple occasions where she comes home to visit and she's soaked. They didn't put a depend on her and she looked like she hadn't showered in a week.”

Memory care family member · 2026★☆☆☆☆

“On her first day, she ended up back in the hospital she had just left hours before after the staff fed her enough sugar to cause a blood sugar spike.”

Long-term resident's family · 2024★☆☆☆☆

“I had trouble with the heat in my room and one of your aids by the name of Shelley I believe took it upon herself to make sure I got a room with heat in it. I was always happy to see her when I hit my call button she truly cares about the Residence at the facility”

Rehab patient · 2024★★★★★

Source: 83 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.65hrs

87%

Registered nurses for medical care

Total Nursing

4.08hrs

99%

All nurses + aides combined

Staff Turnover

48%

Lower is better (< 30% = good)

RN Turnover

52%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

3/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility39.4%

Worse than Avg

Here

39.4%

19.4%

25.9%

Polk

19.6%

😔

Residents with depression symptoms

↓ Lower is better

This Facility1.0%

Better than Avg

Here

1.0%

12.1%

4.1%

Polk

3.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility21.0%

Worse than Avg

Here

21.0%

15.4%

19.4%

Polk

11.1%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility24.0%

Worse than Avg

Here

24.0%

15.3%

17.5%

Polk

16.4%

🩹

Residents with pressure sores (bedsores)

↓ Lower is better

This Facility8.6%

Worse than Avg

Here

8.6%

4.9%

4.3%

Polk

4.7%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility97.6%

Better than Avg

Here

97.6%

93.4%

93.9%

Polk

96.7%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility97.0%

Better than Avg

Here

97.0%

81.8%

84.0%

Polk

90.6%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility88.4%

Better than Avg

Here

88.4%

79.7%

73.3%

Polk

83.1%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.9%

Mixed vs Avgs

Here

1.9%

1.6%

2.0%

Polk

1.5%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies

Well below state avg (6.2)

Wesley on Grand has consistent fire safety and building maintenance issues that persist across all three surveys, including problems with smoke barriers, electrical systems, and fire safety equipment. The facility also had deficiencies in food safety and resident care planning. While all violations were corrected with completion dates provided, the recurring pattern of fire safety issues suggests ongoing challenges with facility maintenance and safety systems.

Jun 12, 2025Routine3 findings

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Jul 11, 2024Routine6 findings

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0222Potential for harm · PatternCorrected

Egress Deficiencies

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.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Apr 20, 2023Routine8 findings

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0807Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total

1deficiencies

Apr 23, 2026OtherNo deficiencies

Clean