Westwood Specialty Care
Nursing home in Sioux City, IA
Medicare & Medicaid certified1★ overall (CMS)
Public-record details
- Address
- 4201 Fieldcrest Drive, Sioux City, IA 51104
- Phone
- (712) 258-0135
- Listed under
- Nonprofit
- Medicare CCN
- 165271
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 2 of 5
- Certified beds
- 85
- Average residents per day
- 77
- Ownership
- Nonprofit, corporation
- Legal business name
- Care Initiatives
- Chain
- Care Initiatives (43 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Apr 1, 1996
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident and family councils
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Apr 29, 2026. CMS lists 79 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 24, 2023 to Apr 29, 2026): 60 from complaint inspections, 2 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Apr 29, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D |
| Apr 29, 2026 | Provide and implement an infection prevention and control program. | D |
| Apr 29, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| Apr 29, 2026 | 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… | E |
| Apr 29, 2026 | Have a plan that describes the process for conducting QAPI and QAA activities. | E |
| Apr 29, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| Dec 31, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| Dec 31, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Dec 31, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| Dec 31, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Dec 31, 2025 | 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 |
| Dec 31, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
Fines and payment denials
CMS records 2 fines totalling $181,086 and 1 denial of Medicare payment for new admissions in the last three years.
| Apr 29, 2026 | Fine: $14,380 |
| Feb 28, 2024 | Fine: $166,706 |
| Feb 28, 2024 | Payment denial for 48 days from Apr 3, 2024 |
Staffing
- Total nurse staffing per resident per day
- 3.20 hours
- Registered nurse (RN) time per resident per day
- 0.75 hours
- Nurse aide time per resident per day
- 1.98 hours
- Total nurse staffing on weekends
- 2.78 hours
- Nursing staff turnover (yearly)
- 49%
- RN turnover (yearly)
- 50%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
Other nursing homes in Sioux City
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