Nursing HomeInspections

Crestview Specialty Care

Nursing home in West Branch, IA

Medicare & Medicaid certified1★ overall (CMS)

Call (319) 333-7182Send a messageMap ↗

Public-record details

Address
451 West Orange Street, West Branch, IA 52358
Phone
(319) 333-7182
Listed under
Nonprofit
Medicare CCN
165287
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
65
Average residents per day
48
Ownership
Nonprofit, corporation
Legal business name
Care Initiatives
Chain
Care Initiatives (43 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 1, 1996
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165287. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 3, 2025. CMS lists 28 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 8, 2023 to Dec 3, 2025): 15 from complaint inspections, 6 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Dec 3, 2025Post nurse staffing information every day.
Nursing and Physician Services		C
Potential for minimal harm, widespread
Dec 3, 2025Have a plan that describes the process for conducting QAPI and QAA activities.
Administration		C
Potential for minimal harm, widespread
Dec 3, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 3, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 3, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 3, 2025Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
Dec 3, 2025Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Dec 3, 2025Honor 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.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Dec 3, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection		E
Potential for more than minimal harm, pattern
Dec 3, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Dec 3, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Dec 3, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated

Showing the 12 most recent of 28. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $216,061 in the last three years.

Dec 3, 2025Fine: $184,438
Nov 21, 2024Fine: $19,877
Sep 4, 2024Fine: $11,746

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.67 hours
Registered nurse (RN) time per resident per day
0.81 hours
Nurse aide time per resident per day
2.29 hours
Total nurse staffing on weekends
3.27 hours
Nursing staff turnover (yearly)
63%
RN turnover (yearly)
78%
Administrators who left in the past year
3

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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.