ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes
B

76/100

Above average

Westhaven Community

112 West Fourth Street, Boone, IA 50036

CMS 3/5 stars #4 of 4 in Boone County (515) 432-1393
Certified beds
100
Occupancy
59%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • Nursing staff turnover of 96%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

Our read on Westhaven Community

Westhaven Community runs 4.10 nurse hours per resident day, about 6% above the national average, which helps explain its decent staffing marks, but weekends drop roughly 11% below its own weekday coverage, so care thins out exactly when families tend to visit. The bigger concern is turnover: 96.1% of staff leave each year, more than double the national rate of 45.8%, meaning the people delivering care are constantly new. Add 13 deficiencies on record, including one at the harm level, and an April 2025 inspection that's already aging, and you've got a home with real strengths sitting alongside real instability. It's nonprofit-owned, so nobody's paying dividends, but that doesn't make the churn any easier on residents.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing24/30Stability0/15Outcomes12/15Enforcement10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

24/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →5.06 total nurse hours per resident per day (national median 3.77)
  • →0.67 RN hours per resident per day
  • →Weekend staffing drops 11% against weekdays

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →96% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day4.10 hrs
National average 3.86 hrsBetter than average
Registered nurse (RN) hours0.67 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours3.66 hrs
National average 3.42 hrsBetter than average

The shift most families visit, and the one thinned first.

Nursing staff turnover96.10%
National average 45.80%Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: April 30, 2026 (6 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

What families say

Write a review

No family reviews yet for Westhaven Community. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern , that routes you to your state ombudsman, who can actually intervene.

Common questions about Westhaven Community

What is the ElderGrade for Westhaven Community? +

Westhaven Community holds an ElderGrade of B (76 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Westhaven Community? +

Residents receive an average of 4.10 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Westhaven Community been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Westhaven Community accept Medicaid? +

Yes, Westhaven Community is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.