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Nursing home report

Westwood Specialty Care

Sioux City, IA · Medicare-certified · 85 beds

Needs attention
Non-profitChain member
1 of 5 overall

Westwood Specialty Care in Sioux City, IA has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating and an attention flag for the lowest overall rating. Staffing is rated 3 stars, and reported nurse staffing is 3.16 hours per resident per day, below the federal benchmark of 4.1; there were $0 in fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.1644 hrs/resident/day

Quality measures

Last inspection: December 31, 2025Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1644.

Staffing detail

Registered nurses
0.70
Licensed practical nurses
0.47
Nurse aides
2.00
Weekend nursing
2.69

Hours per resident per day.

Total staff turnover: 48%
Registered nurse turnover: 57%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

24.1%Worsening

Residents with a fall causing major injury

2.2%Improving

Residents with pressure ulcers (bedsores)

2.9%Worsening

Residents with a urinary tract infection

2.3%Steady

Residents who lost too much weight

6.5%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

18.4%Worsening

Residents whose ability to walk got worse

26.1%Worsening
Show all measures

Long-stay residents on antianxiety or sleep medication

26%Improving

Short-stay residents newly given an antipsychotic

2.6%Steady

Residents with a long-term catheter

0.6%Worsening

Residents with new or worsening incontinence

29.5%Improving

Residents with depressive symptoms

3%Worsening

Long-stay residents given the seasonal flu vaccine

94.9%Steady

Long-stay residents given the pneumonia vaccine

94%Worsening

Short-stay residents given the seasonal flu vaccine

62.4%Steady

Short-stay residents given the pneumonia vaccine

66.2%Worsening

What the inspectors found

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: K

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2024 — limited pattern, actual harm.

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F-Tag 689 — 42 CFR §483.25(d) — S/S: H

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2023 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

The home failed to submit complete and accurate staffing information based on verifiable records. Cited March 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 851 — 42 CFR §483.70 — S/S: F

The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited February 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 725 — 42 CFR §483.35 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 12 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $166,706 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Feb 28, 2024

    48 days
  • Federal fine

    Feb 28, 2024

    $166,706

Operator & ownership

Ownership
Non profit - Corporation
Chain
Part of CARE INITIATIVES · 43 homes · 3.1 stars avg
Occupancy
78.3 residents on an average day (92% of 85 beds)
Resident voice
Resident council
Medicare history
Certified for 30 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.