West Liberty Nursing and Rehabilitation has a 3-out-of-5 overall rating, with weaker health inspection and staffing ratings at 2 out of 5, but a 5-out-of-5 quality measures rating. Reported nurse staffing is 3.10 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: August 26, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0969.
Staffing detail
Registered nurses
0.60
Licensed practical nurses
0.39
Nurse aides
2.11
Weekend nursing
2.93
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
0%3.2%Worsening
Residents with a fall causing major injury
0%2.2%Worsening
Residents with pressure ulcers (bedsores)
4.6%0%Improving
Residents with a urinary tract infection
2.5%2.2%No change
Residents who lost too much weight
10.8%9.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.7%7.1%No change
Residents whose ability to walk got worse
—10.8%—
Long-stay residents on antianxiety or sleep medication
10.8%23.3%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.9%18.9%Worsening
Residents with depressive symptoms
38.9%14%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—97.7%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—81.6%—
Short-stay residents given the pneumonia vaccine
78.9%100%Improving
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of DAVID MARX · 10 homes · 2.6 stars avg
Occupancy
45.5 residents on an average day (95% of 48 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.