Edgewater - West Des Moines

    9225 Cascade Ave, West Des Moines, IA 50266
    • Independent Living
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Caring staff and excellent amenities

    I'm a resident and very pleased with the caring, attentive staff and excellent clinical teams - nurses, aides and physical therapy - who make life easier and ease family stress. The food is restaurant-quality with a great new chef, and the campus offers two restaurants and a full bar, spa/salon, saltwater pool, movie theater and lively concerts, games and activities. Spacious, well-maintained apartments in a beautiful, secure riverside setting with continuum-of-care options make this a welcoming, social community I'd recommend.

    Current/former resident
    Jul 2026

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    Amenities

    Healthcare services

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

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Wifi

    Transportation

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

    Community services

    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.22·(92)

    Overall rating

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

      3.0
    • Staff

      3.7
    • Meals

      4.1
    • Amenities

      4.3
    • Value

      2.0

    Pros

    • Welcoming and professional front‑line staff
    • Responsive maintenance and housekeeping in many areas
    • Restaurant‑style dining with multiple venue options
    • Vegan and plant‑based menu selections
    • On‑site medical services and rehabilitation options
    • Comprehensive continuum of care (independent to hospice)
    • Extensive activity, cultural and educational programming
    • Indoor saltwater pool and staffed fitness center
    • On‑site amenities: theater, salon/spa, pub, woodworking shop
    • Secure memory‑care unit and locked neighborhoods
    • Spacious, customizable apartments and storage options
    • Heated parking garage and attractive outdoor walking paths
    • Social community atmosphere and resident engagement
    • Available hospice and vaccination services on site
    • Concierge‑style services (salon, marketplace, concerts)

    Cons

    • Inconsistent clinical care quality across care levels
    • Chronic understaffing and high staff turnover
    • Slow response times to call lights and care requests
    • Gaps in staff training and clinical supervision
    • Sanitation and cleanliness issues in some care areas
    • Unreliable temperature and HVAC management
    • Delayed maintenance and reliance on temporary fixes
    • Inconsistent accommodation of special dietary needs
    • Weak family communication and care documentation
    • Opaque billing and perceived poor cost‑to‑value balance
    • Safety and fall‑prevention process weaknesses
    • Inconsistent coordination with third‑party therapy providers
    • Inattentive caregiving behavior, including on‑shift sleeping
    • Appearance‑to‑care mismatch (upscale facility, variable care)

    Summary of reviews

    Edgewater presents a mixed profile: it offers an extensive, resort‑style campus with a broad continuum of services and many desirable amenities, yet several operational and clinical concerns recur across reviews. Independent living residents and families commonly highlight the facility’s physical environment, social programming, and multiple dining venues. Positive attributes include restaurant‑quality meals, plant‑based options, a staffed fitness center and indoor saltwater pool, an on‑site theater, salon/spa, woodworking shop, and a strong calendar of cultural and educational activities. The campus also supports a continuum of care with assisted living, memory care, long‑term care, on‑site medical and rehabilitation services, and hospice availability, which is attractive to families seeking an integrated option.

    Care quality and staffing are areas of notable variation. Many accounts describe attentive, knowledgeable nurses, aides, and therapy staff and note effective rehabilitation and proactive wellness programming. Conversely, other accounts describe understaffing, high turnover, and gaps in training that appear to correlate with slower response times to call lights, delayed medication or toileting assistance, and inconsistent follow‑through on clinical needs. Safety‑related concerns such as falls, delayed post‑fall attention, and weaknesses in fall‑prevention processes were raised; at least one reviewer referenced regulatory action. These descriptions suggest that clinical oversight and staffing reliability can be uneven, particularly in higher‑acuity care settings.

    Dining and dietary accommodation exhibit both strengths and weaknesses. The dining program is frequently praised for quality, variety, and multiple service venues (main dining, bistro, snack marketplace, full bar), and several reviewers singled out the chef and specific staff. However, some families reported difficulty obtaining individualized or medically required diets and expressed frustration with changes to meal policies and additional charges. Prospective residents with strict dietary needs should verify current accommodation procedures and fee structures.

    Facilities and maintenance receive largely positive comments for aesthetics, apartment customization, storage, and outdoor spaces, and many reviewers appreciated heated parking and secure memory‑care neighborhoods. At the same time, there are recurring reports of heating/temperature control problems, drafty rooms, and delayed repairs. Maintenance responsiveness was described as rapid in some instances and slow in others, suggesting variability between units or shifts.

    Management, communication, and family engagement present mixed impressions. Numerous reviewers praised welcoming, helpful staff and informative tours; others described bureaucratic obstacles, poor communication about incidents, difficulty obtaining timely documentation, and a social‑services experience that some families found unhelpful. Cost and perceived value were also areas of concern: a number of families described unexpected transitions to higher‑acuity, higher‑cost care and found the financial and care planning communication insufficient.

    In summary, Edgewater offers substantial campus amenities, active programming, and a clear continuum of services that many residents find attractive. At the same time, the facility demonstrates operational variability in clinical staffing, responsiveness, maintenance reliability, dietary accommodation, and family communication. Prospective residents and families should weigh the strong amenities and social environment against the potential for uneven clinical performance at higher levels of care; specific recommendations include touring relevant care neighborhoods, asking for up‑to‑date staffing and training information, reviewing incident‑reporting and communication protocols, and confirming dietary and billing policies in writing.

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    Medicare Ratings

    4·/ 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 Edgewater - West Des Moines

    Edgewater - West Des Moines is located at 9225 Cascade Ave, West Des Moines, IA, 50266.

    About Edgewater - West Des Moines

    Edgewater, a WesleyLife Community for Healthy Living, sits on 50 acres with natural ponds, lively water features, and well-kept gardens, with walking paths that offer plenty of room to enjoy the outdoors, so residents can stay active and enjoy nature whenever they like. The community has independent living, assisted living, memory support, and skilled nursing, along with short-term rehabilitation and long-term care, so there's help for different needs as people's lives change, and the staff can give help with daily activities if it's needed. Edgewater has a security focus and offers at-home services like home care, palliative care, and hospice, letting people stay comfortable if they want to stay in familiar surroundings. They're known for WellAhead: Well-Being at Home, which gives wellness help right at home, and Well at Wesley: A Wellness Center Membership, where people can work on their health and fitness. Nutrition programs, Meals on Wheels, and in-house nutritional counseling make sure everyone gets the food and advice they need, and meals are served every day in a style meant to be tasty and enjoyable. The community brings people of different ages together with intergenerational programming and has a busy calendar with music, lectures, and various activities both onsite and offsite to help keep minds sharp and spirits high. Edgewater lets residents bring pets, with rules in place, so animal lovers can keep companions close, and the buildings and gardens are set up with wheelchair accessible showers and mobility-friendly features, so people can move around with less worry. The facility has modern updates with Wi-Fi, high-speed internet, and renovated living spaces, plus there's a swimming pool or hot tub, indoor and outdoor common areas, and a performing arts center, so there's always something to do or somewhere to relax. Health services cover a lot, with nurses on staff, doctors and nurses on call, a podiatrist available, and therapy services like physical, speech, and occupational therapy right onsite. Specialty options like Brookside Assisted Living, Beacon Springs Memory Support, and The Cottages Skilled Nursing and Rehabilitation make sure people with Alzheimer's, dementia, or other needs get safe, compassionate care in the right setting for them. Edgewater keeps policies like no smoking inside, offers resident parking, has handicap accessible areas, provides transportation to appointments or trips, and has beauty and barber shops on campus for convenience. Devotional services are always available, reflecting the Christian heritage that's part of daily life here, and the community takes a hospitality approach, encouraging everyone to make choices about their own lives. With a dedicated concierge and focus on dignity, comfort, and respect, residents at Edgewater can expect honest support as they enjoy their days, with care that aims to support health of the mind, body, and spirit at every stage.

    People often ask...

    Edgewater - West Des Moines offers independent living, assisted living, memory care, continuing care retirement community, and skilled nursing.

    There are 19 photos of Edgewater - West Des Moines on Mirador.

    Yes, Edgewater - West Des Moines allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 9225 Cascade Ave, West Des Moines, IA 50266.

    No, Edgewater - West Des Moines 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 number2747
    StatusActive
    Facility typeAssisted Living Programs for People with Dementia
    Capacity32 residents
    EffectiveSeptember 2nd, 2025
    ExpiresSeptember 2nd, 2027
    View the official license record

    Inspection Reports

    20

    Reports

    4

    Type A Citations

    2

    Type B Citations

    8

    Complaints

    16

    Years

    22 Dec 2025Complaint
    Identified no deficiencies related to the complaint.
    21 May 2025Renewal
    Found no deficiencies. Census information was documented at the time of the visit.
    21 May 2025Renewal
    Found no deficiencies. The recertification showed compliance with applicable rules.
    23 May 2024Complaint
    Investigated a complaint found that wound care was provided without a proper order and not properly overseen, and service plans were not updated to reflect skin integrity changes.
    • 481-67.3(2)Tenant rights
    • 481-69.26(1)Service Plans
    31 May 2023Incident
    Found no deficiencies.
    31 May 2023Incident
    Found no deficiencies during the investigation.
    15 Sept 2022Complaint
    Identified failures to complete nurse delegations within 30 days and to provide eight hours of dementia-specific training within 30 days for staff.
    • Type B481-67.9(4)bNurse delegation procedures
    • 481-69.30(1)Dementia-specific education for personnel
    15 Sept 2022Complaint
    Identified deficiencies in medication administration training and nurse delegation. A staff member lacked required training, and nurse delegation was not completed within the required timeframe for some staff.
    • 481-67.5(2)f(1)Medications
    • Type B481-67.9(4)bNurse delegation procedures
    12 Jul 2021Complaint
    Identified that one resident's service plan was not individualized to reflect identified needs and preferences for assistance.
    • Type A481-69.26(4)aService Plans
    26 Nov 2019Incident
    Investigated deficiencies found that staff lacked dementia-specific training and there were life-safety issues following a resident incident.
    • 481-69.30(1) Dementia-Specific Education for PersonnelDementia-Specific Education for Personnel
    • 481-69.32(2) Life SafetyLife Safety
    26 Nov 2019Initial
    Concluded that no deficiencies were cited during the recertification. The census details showed all tenants and no cognitive disorder cases reported.
    17 Jul 2019Complaint
    Found no deficiencies cited after investigating two reported incidents.
    08 Nov 2017Renewal
    Identified deficiencies in care planning and monitoring, including missing task sheets and service plans for tenants unable to advocate for themselves and inadequate staff guidance for memory care residents.
    • Initial Comments
    • 481-69.25(1)q; 481-69.25(231C); 69.25(4)Tenant Documents / Service Plans
    • 481-69.29(4) Staffing; 481-69.29(231C)Staffing and Service Plans
    04 Aug 2016Incident
    Investigated elopement procedures and found improper adherence to policies and incomplete incident records.
    • Type A481-67.2; 481-67.29231B,231C231DProgram policies and procedures
    04 Nov 2015Renewal
    Found no regulatory insufficiencies cited during recertification of the program.
    12 Nov 2014Incident
    Found deficiencies in creating and updating individualized service plans and activity plans for residents; a corrective plan was issued to address these issues.
    • Type A481-69.26(231C)Initial plan of care/service plan individualized
    • Type A481-69.26(231C)Ongoing updates to service plans
    22 May 2013Complaint
    Investigated regulatory insufficiencies in menu planning, medication administration, and licensing for food service.
    • IAC r. 481-69.28(3)(c)Dietary Requirements and Menu Planning
    • IAC r. 481-67.5(6)(a)Medication Administration by Qualified Personnel
    • Iowa Code Chapter 137FFood Service Licensing/Health Standards
    16 Aug 2011Renewal
    Investigated a monitoring visit and reviewed tenant files and service plans; observations described cognitive diagnoses and care needs from the on-site evaluation.
    30 Mar 2011Complaint
    Investigated a complaint about a rate increase and surrounding program practices; found no regulatory insufficiencies.
    26 Aug 2010Initial
    Investigated the monitoring evaluation and found no regulatory insufficiencies during this certification period.

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

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