Nursing HomeInspections

Westbrook Acres

Nursing home in Gladbrook, IA

Medicare & Medicaid certified2★ overall (CMS)

Call (641) 473-2016Send a messageMap ↗

Public-record details

Address
605 Garfield Street, Gladbrook, IA 50635
Phone
(641) 473-2016
Listed under
For-profit, No fines in 3 years
Medicare CCN
165446
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measures rating
1 of 5
Certified beds
54
Average residents per day
39
Ownership
For-profit, corporation
Legal business name
Crystal INC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 2002
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 165446. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 12, 2026. CMS lists 15 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 28, 2023 to Jun 3, 2026): 4 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 3, 2026Ensure 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
Mar 12, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 12, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Mar 12, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 6, 2025Honor 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.
Resident Rights		B
Potential for minimal harm, pattern
Mar 6, 2025Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights		B
Potential for minimal harm, pattern
Mar 6, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		B
Potential for minimal harm, pattern
Mar 6, 2025Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration		D
Potential for more than minimal harm, isolated
Mar 6, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		D
Potential for more than minimal harm, isolated
Mar 6, 2025Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services		F
Potential for more than minimal harm, widespread
Apr 18, 2024Notify 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.
Resident Rights		B
Potential for minimal harm, pattern
Apr 18, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 15. 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 no fines or payment denials for this facility in the last three years.

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
3.51 hours
Registered nurse (RN) time per resident per day
0.53 hours
Nurse aide time per resident per day
2.21 hours
Total nurse staffing on weekends
3.00 hours
Nursing staff turnover (yearly)
32%
Administrators who left in the past year
0

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.