Crestview Specialty Care
451 West Orange Street · West Branch, IA · 52358 · 3196432551
65 certified beds Non profit - Corporation Chain: Care Initiatives
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $315,373 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$315,373 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
69% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.22 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 2.97 | ≈ weekday level |
| Nursing turnover / year | 69% | median 45% |
| Fines (3-yr window) | 3 · $315,373 |
Inspection citations (28 in the current record)
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Immediate jeopardy · J December 3, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 23, 2025 · Quality of Life and Care
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Actual harm · G December 3, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 23, 2025 · Quality of Life and Care
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Actual harm · G December 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 23, 2025 · Quality of Life and Care
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Potential for harm · D December 3, 2025
Observe each nurse aide's job performance and give regular training.
Corrected January 2, 2026 · Nursing and Physician Services
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Potential for harm · D December 3, 2025
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 drugs.
Corrected January 2, 2026 · Pharmacy Service
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Potential for harm · E December 3, 2025
Provide and implement an infection prevention and control program.
Corrected January 2, 2026 · Infection Control
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Potential for harm · D December 3, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 2, 2026 · Resident Rights
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Potential for harm · D December 3, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected January 2, 2026 · Resident Rights
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Potential for harm · E December 3, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected January 2, 2026 · Resident Rights
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Potential for harm · D December 3, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 2, 2026 · Quality of Life and Care
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Potential for harm · E December 3, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 2, 2026 · Nursing and Physician Services
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No harm found · C December 3, 2025
Post nurse staffing information every day.
Corrected January 2, 2026 · Nursing and Physician Services
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No harm found · C December 3, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected January 2, 2026 · Administration
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Actual harm · G November 21, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 10, 2024 · Quality of Life and Care
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Potential for harm · D November 21, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 10, 2024 · Resident Rights
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Potential for harm · E November 21, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 10, 2024 · Nursing and Physician Services
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Potential for harm · E November 21, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 10, 2024 · Nutrition and Dietary
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Potential for harm · E November 21, 2024
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected December 10, 2024 · Infection Control
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Actual harm · G September 4, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 4, 2024 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected September 16, 2024 · Resident Rights
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Actual harm · G May 9, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 4, 2024 · Quality of Life and Care
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Potential for harm · E February 1, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected February 5, 2024 · Resident Rights
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Potential for harm · D February 1, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 5, 2024 · Quality of Life and Care
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Potential for harm · D February 1, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 5, 2024 · Quality of Life and Care
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Potential for harm · D November 8, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 20, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 3, 2025 | Fine | $283,750 |
| November 21, 2024 | Fine | $19,877 |
| September 4, 2024 | Fine | $11,746 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165287 · certified since September 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.