Iowa › Cedar County › West Branch
Crestview Specialty Care
451 West Orange Street, West Branch, IA 52358
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 65 beds, Crestview Specialty Care serves West Branch in Cedar County, Iowa and has taken Medicare and Medicaid residents since 1996.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 3 and quality measures 3.
Inspectors recorded 28 health deficiencies across the three most recent survey cycles (13, 7, 8 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 43.1 per 100 beds, more than the state median of 27.5.
CMS lists 3 penalties in the period covered: fines totalling $216K.
Reported nurse staffing is 3.7 hours per resident per day (0.8 RN), close to the Iowa median of 3.7; nursing staff turnover is 62.7%.
Compared with county, state and nation
| Measure | This facility | Cedar Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 28 | 15 | 16 | 28.7 |
| Citations per 100 beds | 43.1 | 30.8 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.7 | 3.7 | 3.9 |
| RN hours per resident day | 0.8 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 62.7% | 43.6% | 41.9% | 45.8% |
| Fines listed | $216,061 | $32,289 | $0 | — |
County and state figures are medians across facilities (4 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Dec 2025, 21 Nov 2024.
Severity mix: J ×1 G ×5 D ×13 E ×7 C ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 3 Dec 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint investigation | 23 Dec 2025 |
| 3 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 23 Dec 2025 |
| 3 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 23 Dec 2025 |
| 3 Dec 2025 | F0584 | 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. | E | Complaint investigation | 2 Jan 2026 |
| 3 Dec 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 2 Jan 2026 |
| 3 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 2 Jan 2026 |
| 3 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 2 Jan 2026 |
| 3 Dec 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 2 Jan 2026 |
| 3 Dec 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 2 Jan 2026 |
| 3 Dec 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 2 Jan 2026 |
| 3 Dec 2025 | F0761 | 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. | D | Standard survey | 2 Jan 2026 |
| 3 Dec 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 2 Jan 2026 |
| 3 Dec 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | C | Standard survey | 2 Jan 2026 |
| 21 Nov 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 10 Dec 2024 |
| 21 Nov 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 10 Dec 2024 |
| 21 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Dec 2024 |
| 21 Nov 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Standard survey | 10 Dec 2024 |
| 21 Nov 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 10 Dec 2024 |
| 4 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Complaint investigation | 16 Sep 2024 |
| 4 Sep 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 16 Sep 2024 |
| 9 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 4 Jun 2024 |
| 1 Feb 2024 | F0584 | 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. | E | Standard survey | 5 Feb 2024 |
| 1 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 5 Feb 2024 |
| 1 Feb 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 5 Feb 2024 |
| 8 Nov 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 20 Nov 2023 |
| 8 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Nov 2023 |
| 8 Nov 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 20 Nov 2023 |
| 8 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 20 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Dec 2025 | Fine | $184,438 | |
| 21 Nov 2024 | Fine | $19,877 | |
| 4 Sep 2024 | Fine | $11,746 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 62.7%, RNs 77.8%; 3 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.2% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.6% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.9% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.8% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.6% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Care Initiatives. Chain: Care Initiatives (43 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Care Initiatives | 5% or greater direct ownership interest | 100% | 09/01/2011 |
| Computershare Corporate Trust Company, Na | 5% or greater mortgage interest | NOT APPLICABLE | 02/01/2025 |
| Computershare Corporate Trust Company, Na | Adp of the snf | NOT APPLICABLE | 04/10/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Cedar County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Clarence Nursing Home | Clarence | 46 | 5 | 4 | 5 | 7 | 15.2 | — | 9 Jul 2025 |
| Mechanicsville Specialty Care | Mechanicsville | 39 | 5 | 4 | 4 | 12 | 30.8 | — | 4 Sep 2025 |
| Cedar Manor Nursing Home | Tipton | 54 | 3 | 3 | 4 | 15 | 27.8 | $32K | 20 Nov 2025 |
All 4 facilities in Cedar County
Questions and answers
How many deficiencies has Crestview Specialty Care been cited for?
28 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Crestview Specialty Care been fined?
Yes. CMS lists fines totalling $216K in the period covered.
How does staffing at Crestview Specialty Care compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Crestview Specialty Care?
It is part of the Care Initiatives chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Care Initiatives. Individual owners and managers are not listed on this site.
When was Crestview Specialty Care last inspected?
The most recent survey or investigation in the CMS record is dated 3 Dec 2025; the most recent standard health survey was 3 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.