The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Westbrook Acres
Gladbrook, IA · Medicare-certified · 54 beds
Needs attention
For-profit
Data as of September 1, 2026
2 of 5 overall
Westbrook Acres in Gladbrook, IA has a 2-star overall rating. It scores well on staffing at 4 stars but has a 1-star quality measures rating, 3-star health inspection rating, reported nurse staffing below the federal benchmark (3.51 vs. 4.1 hours per resident per day), and $14,380 in fines with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.5093 hrs/resident/day
Quality measures
Last inspection: June 3, 2026Penalties, last 24 months: $14,380recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5093.
Staffing detail
- Registered nurses
- 0.53
- Licensed practical nurses
- 0.76
- Nurse aides
- 2.21
- Weekend nursing
- 3.00
Hours per resident per day.
Total staff turnover: 32%
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
30.8%30.8%No change
Residents with a fall causing major injury
7.5%8.8%Worsening
Residents with pressure ulcers (bedsores)
6.6%5.3%Improving
Residents with a urinary tract infection
10%18.2%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.5%16.7%Worsening
Residents whose ability to walk got worse
20.2%4%Improving
Long-stay residents on antianxiety or sleep medication
30%24%Improving
Short-stay residents newly given an antipsychotic
—4.7%—
Residents with a long-term catheter
3.7%6.6%Worsening
Residents with new or worsening incontinence
20.2%14.6%Improving
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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—59.1%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make sure residents fully understood their health status, care, and treatments. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 552 — 42 CFR §483.10 — S/S: D
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: D
Recent history
- PENALTY
A federal fine of $14,380 was recorded.
- 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
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $14,380 in total fines.
- $14,380
Federal fine
Jun 3, 2026
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 38.6 residents on an average day (71% of 54 beds)
- Medicare history
- Certified for 24 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.