Westwood Specialty Care
4201 Fieldcrest Drive · Sioux City, IA · 51104 · 7122580135
85 certified beds Non profit - Corporation Chain: Care Initiatives
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
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
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.16 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.70 | 0.55–0.75 |
| Weekend hours / resident-day | 2.69 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 1 · $166,706 |
Inspection citations (79 in the current record)
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Actual harm · G April 29, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 16, 2026 · Quality of Life and Care
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Potential for harm · E April 29, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 22, 2026 · Quality of Life and Care
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Potential for harm · D April 29, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 22, 2026 · Nutrition and Dietary
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Potential for harm · E April 29, 2026
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected May 22, 2026 · Administration
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Potential for harm · D April 29, 2026
Provide and implement an infection prevention and control program.
Corrected May 22, 2026 · Infection Control
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Potential for harm · E April 29, 2026 · found via complaint
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 May 22, 2026 · Pharmacy Service
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Potential for harm · D December 31, 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 23, 2026 · Resident Rights
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Potential for harm · D December 31, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 23, 2026 · Quality of Life and Care
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Potential for harm · D December 31, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 23, 2026 · Quality of Life and Care
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Potential for harm · D December 31, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 23, 2026 · Quality of Life and Care
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Potential for harm · D December 31, 2025 · found via complaint
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 January 23, 2026 · Quality of Life and Care
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Potential for harm · D December 31, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 23, 2026 · Pharmacy Service
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Potential for harm · D December 31, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 23, 2026 · Pharmacy Service
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Potential for harm · D December 31, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 31, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 23, 2026 · Infection Control
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Potential for harm · D October 30, 2025 · found via complaint
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 November 29, 2025 · Quality of Life and Care
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Potential for harm · E March 27, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected April 25, 2025 · Pharmacy Service
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Potential for harm · E March 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 25, 2025 · Nutrition and Dietary
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Potential for harm · D March 27, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · F March 27, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected April 25, 2025 · Administration
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Potential for harm · E March 27, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected April 25, 2025 · Administration
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Potential for harm · E March 27, 2025
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected April 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 25, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 28, 2024 | Fine | $166,706 |
| February 28, 2024 | Payment Denial | 48 days |
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 165271 · certified since April 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.