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.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: H
Nursing home report
Westwood Specialty Care
Sioux City, IA · Medicare-certified · 85 beds
Needs attention
Non-profitChain member
Data as of July 1, 2026
1 of 5 overall
Westwood Specialty Care (Sioux City, IA) has a 1 out of 5 overall rating, with a 1-star health inspection rating, a recent federal penalty, and $14,380 in fines over the last 24 months. Staffing is 3.20 hours per resident per day, below the federal benchmark of 4.1, while the staffing rating is 3 stars and quality measures are 2 stars.
Facility ratings
Health inspections
Staffing
3.2013 hrs/resident/day
Quality measures
Last inspection: April 29, 2026Penalties, last 24 months: $14,380recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2013.
Staffing detail
- Registered nurses
- 0.75
- Licensed practical nurses
- 0.47
- Nurse aides
- 1.98
- Weekend nursing
- 2.78
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 50%
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
17.8%34.7%Worsening
Residents with a fall causing major injury
2.9%4.7%Worsening
Residents with pressure ulcers (bedsores)
3.8%3.4%No change
Residents with a urinary tract infection
1.4%1.7%No change
Residents who lost too much weight
1.9%7.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16%15.5%No change
Residents whose ability to walk got worse
9.1%36.3%Worsening
Long-stay residents on antianxiety or sleep medication
30.2%13.6%Improving
Short-stay residents newly given an antipsychotic
2%2.9%Worsening
Residents with a long-term catheter
0%1.2%Worsening
Residents with new or worsening incontinence
28.7%29.5%Worsening
Residents with depressive symptoms
6.6%0%Improving
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
—94.9%—
Long-stay residents given the pneumonia vaccine
98.6%81.2%Worsening
Short-stay residents given the seasonal flu vaccine
—62.4%—
Short-stay residents given the pneumonia vaccine
82.8%27.7%Worsening
What the inspectors found
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 have a plan for how it would carry out quality improvement and oversight activities. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — 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
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
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 6 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 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $181,086 in total fines · 1 payment denial.
- $14,380
Federal fine
Apr 29, 2026
- 48 days
Medicare/Medicaid payment denial
Feb 28, 2024
- $166,706
Federal fine
Feb 28, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of CARE INITIATIVES · 43 homes · 3 stars avg
- Occupancy
- 77 residents on an average day (91% of 85 beds)
- Resident voice
- Resident & family councils
- 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.