Westwood Specialty Care

Nursing Home · Sioux City, IA

CMS overall rating 1/5 Non profit - Corporation

CMS certification number165271

Contact & location

4201 Fieldcrest Drive
Sioux City, IA 51104
Woodbury County
Phone
(712) 258-0135
ZIP code
51104 – all care providers

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Facility details

Certified beds
85
Residents per day
77.0 (91% occupied)
Ownership
Non profit - Corporation
Legal name
Care Initiatives
Chain
Care Initiatives (43 facilities, avg 2.9★)
Medicare certified since
April 1, 1996
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.7
Quality measures★★★★★ 2/5
State avg 3.3
Long-stay quality★★★★★ 1/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.20 (state 3.82 · U.S. 3.86)
Registered nurses (RN)
0.75 (state 0.74 · U.S. 0.69)
Licensed practical nurses
0.47 (state 0.56 · U.S. 0.86)
Nurse aides
1.98 (state 2.51 · U.S. 2.32)
Weekend total
2.78 (state 3.37 · U.S. 3.42)
Nursing staff turnover
49.3 (state 44.0 · U.S. 45.8)%
RN turnover
50.0 (state 42.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
April 29, 2026
Health deficiencies (last cycle)
16.0 (state 6.5 · U.S. 9.3)
From complaints
12
Citations on record (3 years)
70 health · 10 fire safety · includes actual harm
DateCitationSeverityStatus
2026-04-29 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2026-04-16
2026-04-29 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-22
2026-04-29 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-22
2026-04-29 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-22
2026-04-29 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-22
2026-04-29 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-22
2025-12-31 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-01-23
2025-12-31 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-23
2025-12-31 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-23
2025-12-31 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-23
2025-12-31 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-23
2025-12-31 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-23
2025-12-31 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-23
2025-12-31 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-23
2025-12-31 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-23
2025-10-30 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-29
2025-03-27 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2025-03-27 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2025-03-27 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.
F0803 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2025-03-27 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2025-03-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2025-03-27 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2025-03-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2025-03-27 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2025-03-27 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2025-03-27 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2025-03-27 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2025-03-27 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2024-07-25 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-11
2024-07-25 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-11
2024-06-06 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-22
2024-06-06 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.
F0625 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-22
2024-06-06 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-22
2024-06-06 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-22
2024-06-06 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-22
2024-06-06 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-22
2024-06-06 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-22
2024-06-06 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-22
2024-06-06 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-22
2024-06-06 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-22
2024-05-01 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-21
2024-05-01 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-21
2024-05-01 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-21
2024-02-28 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
H
Actual harm
Corrected 2024-03-28
2024-02-28 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-03-28
2024-02-28 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-03-28
2024-02-28 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-21
2024-02-28 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-28
2024-02-28 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-28
2024-02-28 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.
F0585 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-28

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $181,086 in fines.

DateTypeAmount
2026-04-29Fine$14,380
2024-02-28Payment Denial48 days payment denial
2024-02-28Fine$166,706

Ownership & management

NameRoleSince
Care Initiatives (organization)5%+ Direct Ownership Interest · 100%
Computershare Corporate Trust Company, Na (organization)5%+ Mortgage Interest · NOT APPLICABLE
Computershare Corporate Trust Company, Na (organization)Administrator · NOT APPLICABLE
Jurgens, Michael (individual)Administrator · NOT APPLICABLE
Ramey, Iden (individual)Administrator · NOT APPLICABLE
Beal, Michael (individual)Corporate Director · NOT APPLICABLE
Bowen, Lane (individual)Corporate Director · NOT APPLICABLE
Carothers, Mary Jane (individual)Corporate Director · NOT APPLICABLE
Childs, Kevin (individual)Corporate Director · NOT APPLICABLE
Corless, Peter (individual)Corporate Director · NOT APPLICABLE
Krein, Keith (individual)Corporate Director · NOT APPLICABLE
Rust, Elizabeth (individual)Corporate Director · NOT APPLICABLE
Sturm, Denise (individual)Corporate Director · NOT APPLICABLE
Upmeyer, Linda (individual)Corporate Director · NOT APPLICABLE
Beal, Michael (individual)Corporate Officer · NOT APPLICABLE
Dixon, David (individual)Corporate Officer · NOT APPLICABLE
Drake, Emily (individual)Corporate Officer · NOT APPLICABLE
Gilyard, Tanya (individual)Corporate Officer · NOT APPLICABLE
Kuhn, Jeramy (individual)Corporate Officer · NOT APPLICABLE
McDyer, Jessica (individual)Corporate Officer · NOT APPLICABLE
Volm, Johanna (individual)Corporate Officer · NOT APPLICABLE
Boeve, Destiny (individual)Operational/managerial Control · NOT APPLICABLE
Jurgens, Michael (individual)Operational/managerial Control · NOT APPLICABLE
Ramey, Iden (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Westwood Specialty Care?

Westwood Specialty Care has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.

How many beds does Westwood Specialty Care have?

It has 85 certified beds and cares for about 77 residents per day.

Has Westwood Specialty Care been fined?

Yes. CMS lists 3 penalties totaling $181,086 in the last three years.

Who owns Westwood Specialty Care?

It is part of Care Initiatives and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Westwood Specialty Care?

(712) 258-0135. The facility is located at 4201 Fieldcrest Drive, Sioux City, IA 51104.

Other nursing homes in Sioux City

Compare all nursing homes in Sioux City, IA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.