Edgewater - West Des Moines

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

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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

    4.26·(97)

    Overall rating

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

      3.2
    • Staff

      3.8
    • Meals

      4.1
    • Amenities

      4.3
    • Value

      2.0

    Pros

    • Caring and professional direct-care staff
    • Responsive maintenance service
    • High-quality, restaurant-style dining with dietary options
    • Broad range of on-site medical and therapy services
    • Extensive social, cultural, and educational activities
    • Well-equipped wellness center with saltwater pool and fitness classes
    • Continuum of care across independent, assisted, memory, and long-term care
    • Spa, salon, and other upscale amenities
    • Spacious, customizable apartments with ample storage
    • Secure memory-care unit with locked access
    • Heated parking garage and landscaped grounds
    • Active, socially engaged resident community

    Cons

    • Inconsistent quality across levels of care
    • Staffing instability and low staffing ratios at times
    • Inadequate staff training and supervision
    • Long response times to call lights and assistance requests
    • Delays in post-fall assistance and incident documentation
    • Sanitation and cleanliness concerns in some care areas
    • Delayed or temporary maintenance solutions for heating and equipment
    • Gaps in weekend clinical coverage and therapy continuity
    • Communication and care-coordination weaknesses with families
    • Significant price escalation when transitioning to higher care levels
    • Bureaucratic decision-making affecting resident placement and resolution
    • Inconsistent medication and clinical oversight processes

    Summary of reviews

    Edgewater - West Des Moines presents a mixed picture in these reviews. Many accounts emphasize strengths typical of a high-end continuing care community: a wide continuum of services (independent living through memory and long-term care), substantial amenities (saltwater pool, spa and salon, heated parking, landscaped grounds), spacious customizable apartments, and an active calendar of cultural, educational and recreational activities. Dining is often described as restaurant-quality with flexibility for dietary preferences and healthy options; maintenance responsiveness, an on-site wellness center and visible therapy resources are also commonly praised.

    At the same time, a recurring pattern of operational concerns appears, particularly as residents move from independent living into higher-acuity levels of care. Reviewers indicate variability in clinical quality and oversight between community levels: while assisted living and memory-care services receive positive notes in some accounts, long-term care is described as less consistent. Operational issues include staffing instability and low ratios on certain shifts, gaps in staff training and supervision, long waits for assistance or medication, and delays in post-fall response and documentation. There are also references to sanitation and cleanliness issues in specific care areas and a documented regulatory citation that contributed to family safety concerns.

    Maintenance and facilities-management problems are another theme: reports of inadequate heating in rooms, delayed repairs, and reliance on temporary fixes suggest weaknesses in long-term facility upkeep. Reviewers also raise concerns about weekend clinical coverage and therapy continuity, and describe occasions when communication with families and care-coordination processes were ineffective. Financially, families note a steep increase in cost when transitioning to higher levels of care and occasional changes to dining policies that affect perceived value.

    For prospective residents and families, the salient pattern is one of strong communal amenities, robust programming, and many examples of attentive, long-tenured staff, balanced against operational risks in higher-acuity care areas tied to staffing, clinical oversight, maintenance, and communication. Visitors should plan thorough tours and ask targeted questions about current staffing ratios, fall-response protocols, incident reporting, weekend clinical coverage, maintenance response standards, and how pricing changes when a resident transitions between levels of care. Documented regulatory history and specific examples from families should be reviewed directly with facility leadership during the decision process.

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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

    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 39 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

    21

    Reports

    4

    Type A Citations

    2

    Type B Citations

    9

    Complaints

    16

    Years

    06 Jul 2026Complaint
    Investigated a complaint and found no deficiencies.
    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 during the investigation.
    31 May 2023Incident
    Found no deficiencies.
    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
    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
    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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