The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited November 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Nursing home report
West Ridge Specialty Care
Knoxville, IA · Medicare-certified · 78 beds
In good standing
Non-profitChain member
4 of 5 overall
West Ridge Specialty Care in Knoxville, IA has an overall rating of 4 out of 5 stars. It has a 4-star health inspection rating, 3-star staffing and quality ratings, reported nurse staffing below the federal benchmark (3.00 vs. 4.1 hours per resident per day), no fines in the last 24 months, and recent inspection citations related to resident rights, abuse/neglect reporting, and notifying residents and families about significant changes.
Facility ratings
Health inspections
Staffing
2.9977 hrs/resident/day
Quality measures
Last inspection: November 4, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9977.
Staffing detail
- Registered nurses
- 0.73
- Licensed practical nurses
- 0.42
- Nurse aides
- 1.85
- Weekend nursing
- 2.53
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 42%
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).
Long-stay residents on antipsychotic medication
12.5%8.6%Improving
Residents with a fall causing major injury
3%3.3%No change
Residents with pressure ulcers (bedsores)
4.2%0%Improving
Residents with a urinary tract infection
1.5%6.8%Worsening
Residents who lost too much weight
9.3%4.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.7%8.5%Improving
Residents whose ability to walk got worse
—8.8%—
Long-stay residents on antianxiety or sleep medication
20%18.8%Improving
Short-stay residents newly given an antipsychotic
3.7%2.8%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
26%36.8%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.5%—
Long-stay residents given the pneumonia vaccine
100%98.3%Worsening
Short-stay residents given the seasonal flu vaccine
—90.7%—
Short-stay residents given the pneumonia vaccine
92.7%95.2%Improving
What the inspectors found
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited August 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited March 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: D
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited May 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — 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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of CARE INITIATIVES · 43 homes · 3.1 stars avg
- Occupancy
- 69.8 residents on an average day (89% of 78 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 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.