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.
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.
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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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 9 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 12 health deficiencies.
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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.