Wesley on Grand

    3520 Grand Ave, Des Moines, IA 50312
    • Independent Living
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Renovated community with excellent care

    I toured this beautifully renovated, well-run community and was impressed - Amy and the management team were informative and welcoming, staff were warm and responsive, and nurses/therapists provided excellent care. The campus is clean, bright and accessible with great amenities (pool, underwater treadmill, multiple dining venues, music nights, 24-hour snack area) and a homey, active atmosphere. Overall a very positive experience; I would recommend it for a loved one.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.05·(91)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.5
    • Staff

      3.9
    • Meals

      3.7
    • Amenities

      4.2
    • Value

      2.4

    Pros

    • Friendly, responsive staff
    • Compassionate nursing and therapy teams
    • Continuum of care with on-site and in-home therapy
    • Heated pool and aquatic/underwater treadmill therapy
    • Well-equipped fitness center and exercise equipment
    • Multiple dining venues (restaurants, pub, café) and snack access
    • Tasteful renovations and attractive Tudor-style grounds
    • Active, varied social and cultural programming
    • Comfortable, accessible apartment layouts
    • Convenient location near a hospital
    • 24/7 nursing availability
    • Strong family–staff communication pathways
    • On-site maintenance and supportive services
    • Organized outings and longer group trips
    • Theater, music, and live-entertainment offerings

    Cons

    • Inconsistent staffing levels, particularly overnight
    • Leadership and management turnover and instability
    • Inconsistent staff conduct and communication quality
    • Gaps in clinical-incident response and family communication
    • Variable cleanliness and pest-control maintenance
    • Variable dining quality and nutrition offerings
    • High base pricing with multiple additional fees
    • Memory-care environmental design concerns (lighting and access to natural light)
    • After-hours accessibility and building-navigation challenges
    • Outsourced caregiver coordination and availability issues

    Summary of reviews

    Wesley on Grand presents as a well-appointed continuing-care community with many features families find attractive: recent, tasteful renovations; Tudor-style architecture and well-kept gardens; multiple dining venues including a pub and fine-dining option; and robust wellness amenities such as a heated pool, underwater treadmill, fitness equipment, and on-site physical/occupational/speech therapy. The community offers a full continuum of care with options from independent living through long-term and memory care, plus on-site and in-home therapy services and 24/7 nursing availability, which many families cited as a decisive strength.

    Staff and clinical care are described in mixed terms. Numerous reviewers praised compassionate nurses, effective therapy teams, and helpful CNAs and aides who supported recovery and daily needs. Several families specifically highlighted excellent physical-therapy outcomes and clear family communication. At the same time, there are recurring operational concerns: inconsistent staffing levels (notably on overnight shifts), variability in caregiver conduct and responsiveness, and management instability including leadership turnover. There are also a small number of serious allegations concerning staff conduct and concerning outcomes; these stand apart from routine complaints and indicate a need for prospective families to ask targeted questions about incident response, safety protocols, and escalation procedures.

    Dining and activities are frequently noted as highlights: the campus runs a range of social programs (music nights, theater, lectures, sip-and-paint, travel opportunities) and many residents enjoy the variety of restaurants and café options. However, reviewers report variability in meal quality and nutrition — some praise specific dishes and flexible dining times, while others find certain offerings overly processed or inconsistent. Families should inquire about current menus, dietary accommodations, and how nutrition is managed for higher-acuity residents.

    Facility amenities generally score well for aesthetics and accessibility: bright common spaces, accessible bathrooms, ramps, and thoughtful public areas were praised. Conversely, several reviews point to localized sanitation and maintenance issues such as pest-control concerns, moisture-related wall issues, and intermittent elevator outages or construction impacts. Memory-care units drew distinct criticism from some families for environmental design choices (reduced natural light and a more enclosed feel) and for a perceived lack of tailored activities in that neighborhood.

    Management and financial transparency are other areas to investigate. While some reviewers compliment the management team and modernization efforts, others described poor after-hours accessibility, delayed responses to messages, outsourced caregiver coordination problems, and frustration about additional fees or charges not reflected in base pricing. Leadership turnover was cited as a reason for inconsistent experiences across time.

    Bottom line: Wesley on Grand offers a strong set of amenities, therapeutic services, and social programming that many families value, particularly when smooth staffing and active management are in place. Prospective residents and families should tour in person, observe the specific neighborhood they would occupy (including memory-care units if applicable), and ask direct questions about current staffing ratios, incident-response procedures, pest-control and sanitation practices, dining/nutrition management, and a clear explanation of all fees and contract terms before committing.

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    Medicare Ratings

    5·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Wesley on Grand

    Wesley on Grand is located at 3520 Grand Ave, Des Moines, IA, 50312.

    About Wesley on Grand

    Wesley on Grand is a senior living community that's part of WesleyLife, so folks can get a range of services right there, including independent living, assisted living, memory care, home care, and skilled nursing, plus short-term rehab and adult day services at the Dahl Adult Day Center. The place is known for being clean, well-stocked, and has nice touches like art on the walls-some made by residents-and there's a lot of sunlight and pretty spaces, with a pond and fountain out back, walking trails, and places where residents can gather together or just have some quiet time in their own apartment, whether it's a studio, single, or two-bedroom. The apartments usually include a kitchen or kitchenette, washers and dryers, and features for safety and accessibility, like sprinklers and handrails, and you get options like cable TV, wifi, and a salon called Grand Creations for hair and beauty.

    The Wesley on Grand staff is trained to support everyone's needs, whether someone's mostly independent or needs help with daily tasks, memory loss, or more serious health care. They handle personal care, transportation, housekeeping, laundry, and there's information and support for long-term care insurance too. Meals come with plenty of choices, and social life is active, with programs for wellness, fitness, education, arts and crafts, games, and other activities that help neighbors connect. Special safety and wayfinding tools help with privacy and let people move around with ease. The big idea is to support both mind and body health with wellness programs and spiritual support, which fits WesleyLife's approach, focusing on healthy living and seeing possibilities for every person.

    There are other connected communities too-like Park Centre, Edgewater, Wesley The Village, Brio of Johnston, Fair Haven East, Pella Manor, and Halcyon House-sharing in the same WesleyLife tradition. Wesley on Grand lets you have peace of mind knowing there's priority access to different care levels as needs change. People can stay in their homes and still use at-home services for home care, palliative, hospice or Meals on Wheels. The Well at Wesley Wellness Center runs regular fitness and health programs, and the community reaches out, offering programs like Community Nutrition and intergenerational activities that tie everyone together. Folks can also use transportation, enjoy dining rooms with varied menus, and gather in fitness and activity rooms.

    Wesley on Grand rates an 8 out of 10 from residents and their families, which shows people think pretty well of the place. The community emphasizes supporting both independent and assisted living, offers specialized memory and nursing care, and puts a big focus on holistic wellness. Staff approach care with Christian values and compassion, aiming for brighter, healthier, and fuller lives for older adults, but of course, what feels right will depend on each person's needs and wants.

    People often ask...

    Wesley on Grand offers competitive pricing, with rates starting at a cost of $5,859 per month.

    Wesley on Grand offers independent living, assisted living, memory care, continuing care retirement community, and skilled nursing.

    There are 9 photos of Wesley on Grand on Mirador.

    Yes, Wesley on Grand allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 3520 Grand Ave, Des Moines, IA 50312.

    No, Wesley on Grand does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Iowa, the Department of Inspections, Appeals & Licensing licenses assisted living and long-term care programs, conducting recertification visits and complaint investigations.

    License number1873
    StatusActive
    Facility typeAssisted Living Programs
    Capacity126 residents
    EffectiveApril 4th, 2026
    ExpiresApril 3rd, 2028
    View the official license record

    Inspection Reports

    16

    Reports

    17

    Citations

    9

    Complaints

    20

    Years

    02 Jul 2025Renewal
    Found no regulatory deficiencies during the recertification visit. Census counted 66 residents (61 without cognitive impairment, 5 with cognitive impairment).
    21 Mar 2024Complaint
    Found no deficiencies.
    07 Dec 2022Complaint
    Identified a lapse in medication administration for one resident who did not receive prescribed diazepam as ordered from 12/14/21 to 12/29/21, with missing controlled drug records noted.
    • 481-67.5(2)f(4)Medications
    27 Apr 2021Complaint
    Investigated a complaint and found no deficiencies.
    12 Jan 2021Complaint
    Investigated a complaint and found deficiencies in developing and updating tenants' service plans, including missing assessments and outdated plans.
    • 481-69.26(1); 481-69.26(231C)Service Plans
    14 Dec 2020Complaint
    Determined substantial compliance with certification requirements after a recertification visit and onsite infection control survey. No regulatory insufficiencies were cited.
    15 Aug 2018Complaint
    Verified no deficiencies were identified.
    06 Jul 2016Renewal
    Found no deficiencies during recertification monitoring evaluation.
    20 Aug 2014Renewal
    Identified regulatory insufficiencies in tenant evaluations and program management. Noted gaps in staff training and ongoing evaluation processes.
    • IAC 481-69.22(1)Regulatory Insufficiency
    • IAC 481-69.22(2)Regulatory Insufficiency
    • IAC 481-69.29(5)Regulatory Insufficiency
    24 Jan 2012Renewal
    Concluded that no deficiencies were found during the final recertification monitoring. The evaluation showed no regulatory insufficiencies.
    05 Apr 2011Incident
    Investigated a complaint about medication administration and nurse oversight; found regulatory insufficiency and documentation gaps in how medications were handled and recorded.
    • IAC r. 481-69.28(1)Regulatory Insufficiency
    03 Feb 2011Complaint
    Investigated the complaint against the program and found no deficiencies cited.
    04 Mar 2010Renewal
    Found no regulatory insufficiencies during monitoring.
    01 Dec 2008Complaint
    Investigated the complaint and identified regulatory insufficiencies in occupancy notices, cognitive evaluations, exclusion criteria, service plans, and medication administration; findings were accepted and no further action was required.
    • 321 IAC 2522Occupancy Agreement notice
    • 321 IAC 2523Evaluation of Tenant
    • 321 IAC 2524Exclusion Criteria / Discharge
    • 321 IAC 2528Service Plan Development
    • 321 IAC 2528Service Plan Signatures
    • 655 IAC 625 and 655 IAC 631Medication administration by licensed clinician
    10 Mar 2008Renewal
    Identified multiple regulatory insufficiencies in tenant evaluations, service plans, medication management, nurse reviews, and staff training.
    • 321 IAC 25.23(2)Functional, cognitive and health evaluations
    • 321 IAC 25.28Individualized service plans—activities for those unable to plan
    • 321 IAC 25.29(2)a; 655-6.2(5)e(152)Medication administration by licensed staff
    • 321 IAC 25.30Nurse review and health status monitoring
    • 321 IAC 25.33(5)Staff training
    10 Feb 2006Complaint
    Found no regulatory insufficiencies during the on-site monitoring evaluation. Tenants reported satisfaction and autonomy, with ample activities available.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Wesley on Grand. The information above has not been verified or approved by the owner or operator. For exact information, please contact Wesley on Grand directly. There is no cost for this service. We are compensated by the community you select.

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