Iowa › Marion County › Knoxville
West Ridge Specialty Care
1904 West Howard Street, Knoxville, IA 50138
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.
West Ridge Specialty Care is a Non-profit, corporation nursing home in Knoxville, Iowa, certified for 78 beds and caring for about 65 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Iowa median; the health inspection rating is 3, staffing 4 and quality measures 2.
Inspectors recorded 13 health deficiencies across the three most recent survey cycles (3, 6, 4 by cycle, most recent first), none at the actual-harm level. That is 16.7 per 100 beds, fewer than the state median of 27.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.1 hours per resident per day (0.9 RN), close to the Iowa median of 3.7; nursing staff turnover is 53.2%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Marion Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 13 | 23 | 16 | 28.7 |
| Citations per 100 beds | 16.7 | 25.0 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.5 | 3.7 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 53.2% | 53.2% | 41.9% | 45.8% |
| Fines listed | $0 | $28,724 | $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 Jul 2024, 4 May 2023.
Severity mix: D ×10 E ×3
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 |
|---|---|---|---|---|---|
| 23 Apr 2026 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Complaint investigation | 12 May 2026 |
| 23 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 12 May 2026 |
| 4 Nov 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 25 Nov 2025 |
| 30 Aug 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 31 Aug 2024 |
| 14 Mar 2024 | 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 | 15 Mar 2024 |
| 14 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 15 Mar 2024 |
| 4 May 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 30 May 2023 |
| 4 May 2023 | 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 | 30 May 2023 |
| 4 May 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 30 May 2023 |
| 4 May 2023 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 30 May 2023 |
| 4 May 2023 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | Standard survey | 30 May 2023 |
| 22 Jul 2021 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 10 Aug 2021 |
| 22 Jul 2021 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 10 Aug 2021 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 53.2%, RNs 43.8%; 0 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 | 7.7% | 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 | 2.1% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.8% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.3% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.8% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.5% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.1% | 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% | 09/01/2009 |
| Computershare Corporate Trust Company, Na | 5% or greater mortgage interest | NOT APPLICABLE | 01/01/2025 |
| Computershare Corporate Trust Company, Na | Adp of the snf | NOT APPLICABLE | 02/19/2026 |
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 Marion County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Accura Healthcare of Knoxville, LLC | Knoxville | 60 | 2 | 2 | 3 | 15 | 25.0 | $16K | 19 Feb 2026 |
| Accura Healthcare of Pleasantville, LLC | Pleasantville | 46 | 1 | 1 | 3 | 45 | 97.8 | $29K | 30 Apr 2026 |
| The Cottages | Pella | 100 | 1 | 1 | 4 | 23 | 23.0 | $52K | 4 Jun 2026 |
All 4 facilities in Marion County
Questions and answers
How many deficiencies has West Ridge Specialty Care been cited for?
13 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has West Ridge Specialty Care been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at West Ridge Specialty Care compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates West Ridge 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 West Ridge Specialty Care last inspected?
The most recent survey or investigation in the CMS record is dated 23 Apr 2026; the most recent standard health survey was 3 Jul 2024.
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.