The home failed to ensure residents kept their ability to do everyday activities unless there was a medical reason. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 676 — 42 CFR §483.24 — S/S: E
Nursing home report
West Ridge Specialty Care
Knoxville, IA · Medicare-certified · 78 beds
In good standing
Non-profitChain member
Data as of September 1, 2026
4 of 5 overall
West Ridge Specialty Care in Knoxville, IA has an overall 4 of 5 stars, with 4-star health inspection and staffing ratings but a lower 2-star quality measures rating. It reported 3.10 nurse staffing hours per resident per day versus the 4.1 federal benchmark, with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.0992 hrs/resident/day
Quality measures
Last inspection: July 2, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0992.
Staffing detail
- Registered nurses
- 0.86
- Licensed practical nurses
- 0.37
- Nurse aides
- 1.87
- Weekend nursing
- 2.58
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 44%
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
13.5%10.5%Improving
Residents with a fall causing major injury
3.1%1.7%Improving
Residents with pressure ulcers (bedsores)
4.7%4.3%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
12.5%6.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.3%11.1%Worsening
Residents whose ability to walk got worse
—18.8%—
Long-stay residents on antianxiety or sleep medication
14.3%23.9%Worsening
Short-stay residents newly given an antipsychotic
3.4%2.7%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
28.4%28.6%No change
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%100%No change
Short-stay residents given the seasonal flu vaccine
—90.7%—
Short-stay residents given the pneumonia vaccine
94.2%95.1%Improving
What the inspectors found
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
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
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
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- 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 · 2.9 stars avg
- Occupancy
- 65 residents on an average day (83% 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.