Iowa › Woodbury County › Sioux City
Westwood Specialty Care
4201 Fieldcrest Drive, Sioux City, IA 51104
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
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 85 beds, Westwood Specialty Care serves Sioux City in Woodbury 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 2.
Inspectors recorded 79 health deficiencies across the three most recent survey cycles (16, 12, 51 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 92.9 per 100 beds, more than the state median of 27.5.
CMS lists 3 penalties in the period covered: fines totalling $181K and 1 payment denial.
Reported nurse staffing is 3.2 hours per resident per day (0.8 RN), close to the Iowa median of 3.7; nursing staff turnover is 49.3%.
79health deficiencies, 3 survey cycles2 at actual harm or worse
$181Kfines listed by CMS3 penalties in period
3.2nurse hours per resident per daystate median 3.7
91%occupancy (residents ÷ beds)77 residents a day
Compared with county, state and nation
| Measure | This facility | Woodbury Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 79 | 30 | 16 | 28.7 |
| Citations per 100 beds | 92.9 | 45.7 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.7 | 3.7 | 3.9 |
| RN hours per resident day | 0.8 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 49.3% | 49.3% | 41.9% | 45.8% |
| Fines listed | $181,086 | $0 | $0 | — |
County and state figures are medians across facilities (9 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: 29 Apr 2026, 27 Mar 2025.
Severity mix: G ×1 H ×1 D ×57 E ×17 F ×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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 29 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 16 Apr 2026 |
| 29 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 22 May 2026 |
| 29 Apr 2026 | 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. | E | Complaint investigation | 22 May 2026 |
| 29 Apr 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard survey | 22 May 2026 |
| 29 Apr 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 22 May 2026 |
| 29 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 May 2026 |
| 31 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 23 Jan 2026 |
| 31 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 | 23 Jan 2026 |
| 31 Dec 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 23 Jan 2026 |
| 31 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 23 Jan 2026 |
| 31 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 23 Jan 2026 |
| 31 Dec 2025 | 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 | Complaint investigation | 23 Jan 2026 |
| 31 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 23 Jan 2026 |
| 31 Dec 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 23 Jan 2026 |
| 31 Dec 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 23 Jan 2026 |
| 30 Oct 2025 | 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 | Complaint investigation | 29 Nov 2025 |
| 27 Mar 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 25 Apr 2025 |
| 27 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 25 Apr 2025 |
| 27 Mar 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Complaint investigation | 25 Apr 2025 |
| 27 Mar 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 25 Apr 2025 |
| 27 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 Apr 2025 |
| 27 Mar 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 25 Apr 2025 |
| 27 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 25 Apr 2025 |
| 27 Mar 2025 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Standard survey | 25 Apr 2025 |
| 27 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Apr 2025 |
| 27 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 25 Apr 2025 |
| 27 Mar 2025 | F0758 | 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. | D | Standard survey | 25 Apr 2025 |
| 27 Mar 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 25 Apr 2025 |
| 25 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 11 Aug 2024 |
| 25 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 11 Aug 2024 |
| 6 Jun 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 22 Jun 2024 |
| 6 Jun 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Complaint investigation | 22 Jun 2024 |
| 6 Jun 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 22 Jun 2024 |
| 6 Jun 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 22 Jun 2024 |
| 6 Jun 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 22 Jun 2024 |
| 6 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 Jun 2024 |
| 6 Jun 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 22 Jun 2024 |
| 6 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 Jun 2024 |
| 6 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 22 Jun 2024 |
| 6 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 Jun 2024 |
| 1 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 21 May 2024 |
| 1 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 21 May 2024 |
| 1 May 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 21 May 2024 |
| 28 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | Complaint investigation | 28 Mar 2024 |
| 28 Feb 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. | F | Complaint investigation | 28 Mar 2024 |
| 28 Feb 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint investigation | 28 Mar 2024 |
| 28 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 21 May 2024 |
| 28 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 28 Mar 2024 |
| 28 Feb 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 | 28 Mar 2024 |
| 28 Feb 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 28 Mar 2024 |
| 28 Feb 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 28 Mar 2024 |
| 28 Feb 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 28 Mar 2024 |
| 28 Feb 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 21 May 2024 |
| 28 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 28 Mar 2024 |
| 28 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 21 May 2024 |
| 28 Feb 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Complaint investigation | 28 Mar 2024 |
| 28 Feb 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 28 Mar 2024 |
| 28 Feb 2024 | F0758 | 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. | D | Complaint investigation | 28 Mar 2024 |
| 28 Feb 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 28 Mar 2024 |
| 28 Feb 2024 | 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 | Complaint investigation | 28 Mar 2024 |
| 28 Feb 2024 | F0774 | Help the resident with transportation to and from laboratory services outside of the facility. | D | Complaint investigation | 28 Mar 2024 |
| 24 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 22 Nov 2023 |
| 24 Oct 2023 | 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 | 22 Nov 2023 |
| 24 Oct 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 22 Nov 2023 |
| 24 Oct 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Complaint investigation | 22 Nov 2023 |
| 24 Oct 2023 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Complaint investigation | 22 Nov 2023 |
| 24 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 22 Nov 2023 |
| 24 Oct 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 | 22 Nov 2023 |
| 24 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 22 Nov 2023 |
| 24 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 22 Nov 2023 |
| 24 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 22 Nov 2023 |
| 24 Oct 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 22 Nov 2023 |
| 24 Oct 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 22 Nov 2023 |
| 24 Oct 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 22 Nov 2023 |
| 24 Oct 2023 | F0774 | Help the resident with transportation to and from laboratory services outside of the facility. | D | Complaint investigation | 22 Nov 2023 |
| 24 Oct 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 22 Nov 2023 |
| 24 Oct 2023 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Complaint investigation | 22 Nov 2023 |
| 24 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 22 Nov 2023 |
| 24 Oct 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 22 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 29 Apr 2026 | Fine | $14,380 | |
| 28 Feb 2024 | Payment denial | — | 48 days |
| 28 Feb 2024 | Fine | $166,706 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 49.3%, RNs 50.0%; 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 | 18.1% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.4% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.5% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 30.0% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 28.9% | 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 | 01/01/2024 |
| Computershare Corporate Trust Company, Na | Adp of the snf | NOT APPLICABLE | 08/06/2025 |
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 Woodbury County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| St Luke'S Regional Medical Center SNF | Sioux City | 20 | 5 | 5 | 4 | 3 | 15.0 | — | 18 Jan 2024 |
| Sunrise Retirement Community | Sioux City | 74 | 5 | 4 | 5 | 11 | 14.9 | — | 11 Sep 2025 |
| Accura Healthcare of Sioux City, LLC | Sioux City | 46 | 4 | 4 | 4 | 21 | 45.7 | — | 4 Dec 2025 |
| Holy Spirit Retirement Home | Sioux City | 78 | 3 | 2 | 4 | 30 | 38.5 | — | 30 Apr 2026 |
| Casa De Paz Health Care Center | Sioux City | 71 | 2 | 2 | 2 | 36 | 50.7 | — | 9 Apr 2026 |
| Correctionville Specialty Care | Correctionville | 39 | 1 | 1 | 4 | 42 | 107.7 | $60K | 7 May 2026 |
| Embassy Rehab and Care Centerabuse icon | Sergeant Bluff | 60 | 1 | 2 | 4 | 27 | 45.0 | — | 21 May 2026 |
| Pioneer Valley Living and Rehab | Sergeant Bluff | 66 | 1 | 1 | 4 | 55 | 83.3 | — | 3 Mar 2026 |
All 9 facilities in Woodbury County
Questions and answers
How many deficiencies has Westwood Specialty Care been cited for?
79 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Westwood Specialty Care been fined?
Yes. CMS lists fines totalling $181K in the period covered, plus 1 payment denial.
How does staffing at Westwood Specialty Care compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Westwood 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 Westwood Specialty Care last inspected?
The most recent survey or investigation in the CMS record is dated 29 Apr 2026; the most recent standard health survey was 29 Apr 2026.
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.