Westwood Specialty Care

4201 Fieldcrest Drive, Sioux City, IA 51104 · CCN 165271 · 85 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing3 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.

Serious inspection findings

2026-04-29 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-02-28 ACTUAL HARM (tag F0689, severity H)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

2.59

state median 3.10

Weekend staffing gap

+2%

more nursing hours on weekends · state median −7%

RN hours / resident / day

0.46

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Nursing staff turnover

49%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $181,086 in fines.

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

Ownership

Ownership type: Non profit - Corporation. Part of the CARE INITIATIVES chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 2 · Potential for more than minimal harm: 77

Survey dateTagCategorySeverityCorrected
2026-04-29F0677Quality of Life and Care DeficienciesEnot recorded
2026-04-29F0689Quality of Life and Care DeficienciesGnot recorded
2026-04-29F0761Pharmacy Service DeficienciesEnot recorded
2026-04-29F0804Nutrition and Dietary DeficienciesDnot recorded
2026-04-29F0865Administration DeficienciesEnot recorded
2026-04-29F0880Infection Control DeficienciesDnot recorded
2025-12-31F0550Resident Rights DeficienciesDnot recorded
2025-12-31F0677Quality of Life and Care DeficienciesDnot recorded
2025-12-31F0684Quality of Life and Care DeficienciesDnot recorded
2025-12-31F0689Quality of Life and Care DeficienciesDnot recorded
2025-12-31F0690Quality of Life and Care DeficienciesDnot recorded
2025-12-31F0755Pharmacy Service DeficienciesDnot recorded
2025-12-31F0760Pharmacy Service DeficienciesDnot recorded
2025-12-31F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2025-12-31F0880Infection Control DeficienciesEnot recorded
2025-10-30F0690Quality of Life and Care DeficienciesDnot recorded
2025-03-27F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2025-03-27F0677Quality of Life and Care DeficienciesDnot recorded
2025-03-27F0689Quality of Life and Care DeficienciesDnot recorded
2025-03-27F0758Pharmacy Service DeficienciesDnot recorded
2025-03-27F0803Nutrition and Dietary DeficienciesEnot recorded
2025-03-27F0804Nutrition and Dietary DeficienciesEnot recorded
2025-03-27F0812Nutrition and Dietary DeficienciesEnot recorded
2025-03-27F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2025-03-27F0851Administration DeficienciesFnot recorded
2025-03-27F0868Administration DeficienciesEnot recorded
2025-03-27F0880Infection Control DeficienciesEnot recorded
2025-03-27F0943Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-07-25F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-25F0677Quality of Life and Care DeficienciesDnot recorded
2024-06-06F0558Resident Rights DeficienciesDnot recorded
2024-06-06F0625Resident Rights DeficienciesDnot recorded
2024-06-06F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2024-06-06F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-06-06F0686Quality of Life and Care DeficienciesDnot recorded
2024-06-06F0689Quality of Life and Care DeficienciesDnot recorded
2024-06-06F0692Quality of Life and Care DeficienciesDnot recorded
2024-06-06F0695Quality of Life and Care DeficienciesDnot recorded
2024-06-06F0812Nutrition and Dietary DeficienciesDnot recorded
2024-06-06F0880Infection Control DeficienciesDnot recorded
2024-05-01F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-05-01F0684Quality of Life and Care DeficienciesDnot recorded
2024-05-01F0880Infection Control DeficienciesDnot recorded
2024-02-28F0550Resident Rights DeficienciesDnot recorded
2024-02-28F0580Resident Rights DeficienciesDnot recorded
2024-02-28F0585Resident Rights DeficienciesDnot recorded
2024-02-28F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2024-02-28F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-02-28F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-02-28F0677Quality of Life and Care DeficienciesDnot recorded
2024-02-28F0684Quality of Life and Care DeficienciesDnot recorded
2024-02-28F0688Quality of Life and Care DeficienciesDnot recorded
2024-02-28F0689Quality of Life and Care DeficienciesHnot recorded
2024-02-28F0697Quality of Life and Care DeficienciesDnot recorded
2024-02-28F0725Nursing and Physician Services DeficienciesFnot recorded
2024-02-28F0758Pharmacy Service DeficienciesDnot recorded
2024-02-28F0760Pharmacy Service DeficienciesDnot recorded
2024-02-28F0761Pharmacy Service DeficienciesDnot recorded
2024-02-28F0774Administration DeficienciesDnot recorded
2024-02-28F0865Administration DeficienciesFnot recorded
2024-02-28F0880Infection Control DeficienciesEnot recorded
2023-10-24F0550Resident Rights DeficienciesDnot recorded
2023-10-24F0580Resident Rights DeficienciesDnot recorded
2023-10-24F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2023-10-24F0677Quality of Life and Care DeficienciesDnot recorded
2023-10-24F0684Quality of Life and Care DeficienciesDnot recorded
2023-10-24F0689Quality of Life and Care DeficienciesEnot recorded
2023-10-24F0695Quality of Life and Care DeficienciesDnot recorded
2023-10-24F0697Quality of Life and Care DeficienciesDnot recorded
2023-10-24F0725Nursing and Physician Services DeficienciesEnot recorded
2023-10-24F0755Pharmacy Service DeficienciesEnot recorded
2023-10-24F0760Pharmacy Service DeficienciesDnot recorded
2023-10-24F0774Administration DeficienciesDnot recorded
2023-10-24F0804Nutrition and Dietary DeficienciesDnot recorded
2023-10-24F0806Nutrition and Dietary DeficienciesEnot recorded
2023-10-24F0807Nutrition and Dietary DeficienciesDnot recorded
2023-10-24F0809Nutrition and Dietary DeficienciesEnot recorded
2023-10-24F0812Nutrition and Dietary DeficienciesDnot recorded
2023-10-24F0842Resident Assessment and Care Planning DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Westwood Specialty Care, Sioux City” at medicare.gov/care-compare.