Every one of the 8 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
2 of these hold the top CMS rating of five. 2 sit at one. Registered nurse cover averages 0.71 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| Spurgeon Manor | Dallas Center | 5 | 4 | 5 | 0.97 | 55 | $0 |
| Walnut Ridge | Clive | 5 | 4 | 5 | 0.96 | 60 | $0 |
| Cedar Ridge Village | West Des Moines | 3 | 3 | 4 | 1.31 | 40 | $0 |
| Granger Nursing & Rehabilitation Center | Granger | 3 | 3 | 2 | 0.51 | 67 | $0 |
| Perry Lutheran Homes Eden Acres Campus ⚑ | Perry | 2 | 2 | 4 | 0.52 | 57 | $9,110 |
| Arbor Springs of West Des Moines L L C | West Des Moines | 2 | 3 | 1 | 0.32 | 56 | $0 |
| Perry Lutheran Home | Perry | 1 | 1 | 4 | 0.68 | 70 | $16,351 |
| Adel Acres | Adel | 1 | 1 | 1 | 0.42 | 50 | $16,544 |
⚑ marks a facility CMS cited for abuse.
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| For profit - Limited Liability company | 4 |
| Non profit - Corporation | 2 |
| For profit - Individual | 1 |
| For profit - Corporation | 1 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.