Westwood Specialty Care

Woodbury · IA · Non profit - Corporation · CARE INITIATIVES chain · 85 certified beds · CCN 165271 · CARE INITIATIVES


Westwood Specialty Care operates 85 certified beds in Sioux City, Iowa. Its Medicare and Medicaid certification dates to 1996-04-01. It averages 77.0 residents a day.

What harm was found in the violations cited at Westwood Specialty Care?

CMS lists 79 health-inspection deficiencies for Westwood Specialty Care, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is H; the most recent health inspection was 2026-04-29.

Survey dateTagDeficiencySeverity
2026-04-29F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2026-04-29F0677, F0761, F0865Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Have a plan that describes the process for conducting QAPI and QAA activities.E
2026-04-29F0804, F0880Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program.D
2025-12-31F0880Provide and implement an infection prevention and control program.E
2025-12-31F0550, F0677, F0684, F0689, F0690, F0755, F0760, F0842Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-10-30F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2025-03-27F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F
2025-03-27F0656, F0803, F0804, F0812, F0868, F0880, F0943Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Provide and implement an infection prevention and control program. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.E
2025-03-27F0677, F0689, F0758, F0842Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-07-25F0658, F0677Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-06-06F0558, F0625, F0644, F0658, F0686, F0689, F0692, F0695, F0812, F0880Reasonably accommodate the needs and preferences of each resident. / 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.D
2024-05-01F0658, F0684, F0880Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide and implement an infection prevention and control program.D
2024-02-28F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.H
2024-02-28F0725, F0865Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Have a plan that describes the process for conducting QAPI and QAA activities.F
2024-02-28F0880Provide and implement an infection prevention and control program.E
2024-02-28F0550, F0580, F0585, F0644, F0657, F0658, F0677, F0684, F0688, F0697, F0758, F0760, F0761, F0774Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide safe, appropriate pain management for a resident who requires such services. / 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. / Ensure that residents are free from significant medication errors. / 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. / Help the resident with transportation to and from laboratory services outside of the facility.D
2023-10-24F0689, F0725, F0755, F0806, F0809Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / 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
2023-10-24F0550, F0580, F0658, F0677, F0684, F0695, F0697, F0760, F0774, F0804, F0807, F0812, F0842Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure that residents are free from significant medication errors. / Help the resident with transportation to and from laboratory services outside of the facility. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D

Why was Westwood Specialty Care fined 2 times?

DateTypeAmount
2026-04-29Fine$14,380
2024-02-28Fine$166,706

Has Westwood Specialty Care had payment denied by Medicare?

Payment denial startLength in days
2024-04-0348

How is Westwood Specialty Care staffed relative to the IA average?

MeasureThis facilityIA average
Total nurse staffing hours per resident per day3.201273.81506
Total nursing staff turnover (%)49.344.0
Average number of residents per day77.052.4

Who owns Westwood Specialty Care, and what chain is it in?

Westwood Specialty Care is registered with CMS as Non profit - Corporation, operates under the legal business name CARE INITIATIVES and belongs to the CARE INITIATIVES chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTCARE INITIATIVESsince 09/01/2011
5% OR GREATER MORTGAGE INTERESTCOMPUTERSHARE CORPORATE TRUST COMPANY, NAsince 01/01/2024
CORPORATE DIRECTORBEAL, MICHAEL, BOWEN, LANE, CAROTHERS, MARY JANE, CHILDS, KEVIN, CORLESS, PETER, KREIN, KEITH, RUST, ELIZABETH, STURM, DENISE, UPMEYER, LINDAsince 01/01/2021
CORPORATE OFFICERBEAL, MICHAEL, DIXON, DAVID, DRAKE, EMILY, GILYARD, TANYA, KUHN, JERAMY, MCDYER, JESSICA, VOLM, JOHANNAsince 01/01/2021
OPERATIONAL/MANAGERIAL CONTROLBOEVE, DESTINY, JURGENS, MICHAEL, RAMEY, IDENsince 01/01/2024
ADP OF THE SNFCOMPUTERSHARE CORPORATE TRUST COMPANY, NA, JURGENS, MICHAEL, RAMEY, IDENsince 08/06/2025

Were you or a family member harmed at Westwood Specialty Care?