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CCRC OF WEST DES MOINES, LLC
NPI 1093286395
Skilled Nursing Facility in West Des Moines, IA

Active since December 12, 2018CLIA Certified · 2 labs
3/5
Overall Rating
8950 COACHLIGHT DRIVE, WEST DES MOINES, IA 50266(515) 369-2100(913) 956-6564 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ccrc Of West Des Moines, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CCRC OF WEST DES MOINES, LLC (NPI 1093286395), doing business as Cedar Ridge Village, is a healthcare organization registered as a skilled nursing facility in West Des Moines, Iowa and active in the NPI registry since December 2018. The organization holds 2 active CLIA laboratory certificates and lists Scott Gulledge, Manager By Contract, as its authorized official.

NPPES Registry Identity

NPI1093286395
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCCRC OF WEST DES MOINES, LLC
Location Address8950 COACHLIGHT DRIVEWest Des Moines, IA 50266
Mailing Address11827 W 112th St Ste 103Overland Park, KS 66210-2718 · (913) 890-4780 · Fax (913) 956-6564
Phone(515) 369-2100
Fax(913) 956-6564
Organization SubpartNo
Authorized OfficialScott GulledgeManager By Contract · (913) 890-4780
Enumeration DateDecember 12, 2018
✔ NPI 1093286395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
8950 COACHLIGHT DRIVE, West Des Moines, IA 50266
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Other Names 1

Doing Business AsCedar Ridge Village

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2206038

Ccrc Of West Des Moines, LLC Dba Cedar Ridge Village · West Des Moines, IA
Active · expires Dec 16, 2026
CLIA Number16D2206038
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorKathy Dehaven
Laboratory Phone(515) 369-2100
Laboratory LocationCcrc Of West Des Moines, LLC Dba Cedar Ridge Village8950 Coachlight Drive, West Des Moines, IA 50266
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 16D2206590

Ccrc Of West Des Moines, LLC Dba Cedar Ridge Village · West Des Moines, IA
Active · expires Dec 20, 2026
CLIA Number16D2206590
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorKathy Dehaven
Laboratory Phone(515) 369-2100
Laboratory LocationCcrc Of West Des Moines, LLC Dba Cedar Ridge Village950 Coachlight Drive, West Des Moines, IA 50266
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Cedar Ridge Village (CMS certification number 165790), from CMS Care Compare.

Cedar Ridge Village

Nursing home · West Des Moines, IA
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number165790
Certified Beds40 beds36 residents per day on average
Medicare & Medicaid Participant SinceAugust 30, 2021
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
25.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.72 · LPN 0.45 · RN 1.25
4.42 hrs per resident per day
Weekend Nurse Staffing
3.86 hrs per resident per day
Physical Therapist Staffing
0.09 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
56.5%
Registered Nurse Turnover
45.5%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
1
Infection-Control Citations
1
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ccrc Of West Des Moines, LLC's NPI number?

The NPI number for Ccrc Of West Des Moines, LLC is 1093286395. It was assigned to this organization in the NPPES registry on December 12, 2018. The provider is doing business as Cedar Ridge Village.

Where is Ccrc Of West Des Moines, LLC located?

Ccrc Of West Des Moines, LLC is located at 8950 Coachlight Drive, West Des Moines, IA 50266. The listed phone number is (515) 369-2100.

What is Ccrc Of West Des Moines, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Ccrc Of West Des Moines, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Ccrc Of West Des Moines, LLC a Medicare-certified nursing home?

Yes. Cedar Ridge Village is a Medicare-certified nursing home with 40 certified beds.

What quality rating does Ccrc Of West Des Moines, LLC have?

CMS rates Cedar Ridge Village 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Ccrc Of West Des Moines, LLC was last updated on December 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.