41/100
Below average
4201 Fieldcrest Drive, Sioux City, IA 51104
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.
2 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$181,086 in federal fines
CMS has fined this facility across 2 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: April 29, 2026 (3 months ago).
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Actual harm to a resident
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled...
No actual harm, potential for more than minimal harm
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
No actual harm, potential for more than minimal harm
Part of CARE INITIATIVES, which operates 43 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| COMPUTERSHARE CORPORATE TRUST COMPANY, NA | Organization | 5% OR GREATER MORTGAGE INTEREST | — |
| BEAL, MICHAEL | Individual | CORPORATE DIRECTOR | — |
| BOWEN, LANE | Individual | CORPORATE DIRECTOR | — |
| CAROTHERS, MARY JANE | Individual | CORPORATE DIRECTOR | — |
| CHILDS, KEVIN | Individual | CORPORATE DIRECTOR | — |
| CORLESS, PETER | Individual | CORPORATE DIRECTOR | — |
| KREIN, KEITH | Individual | CORPORATE DIRECTOR | — |
| RUST, ELIZABETH | Individual | CORPORATE DIRECTOR | — |
| STURM, DENISE | Individual | CORPORATE DIRECTOR | — |
| UPMEYER, LINDA | Individual | CORPORATE DIRECTOR | — |
| BEAL, MICHAEL | Individual | CORPORATE OFFICER | — |
| DIXON, DAVID | Individual | CORPORATE OFFICER | — |
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Westwood Specialty Care holds an ElderGrade of D (41 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.20 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 2 of the 79 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Westwood Specialty Care 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.