Crestview Specialty Care

451 West Orange Street, West Branch, IA 52358 · CCN 165287 · 65 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing3 of 5CMS quality3 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 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-12-03 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.
2025-12-03 IMMEDIATE JEOPARDY (tag F0686, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-12-03 ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-11-21 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-09-04 ACTUAL HARM (tag F0658, severity G)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Ensure services provided by the nursing facility meet professional standards of quality.
2024-05-09 ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Staffing, from payroll records

Nursing hours / resident / day

2.99

state median 3.10

Weekend staffing gap

−5%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.47

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Days with zero RN hours reported

3

with residents present

Nursing staff turnover

63%

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 $216,061 in fines.

DateTypeAmount
2025-12-03Fine$184,438
2024-11-21Fine$19,877
2024-09-04Fine$11,746

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: No harm, potential for minimal harm: 2 · Actual harm: 5 · Potential for more than minimal harm: 20 · Immediate jeopardy: 1

Survey dateTagCategorySeverityCorrected
2025-12-03F0550Resident Rights DeficienciesDnot recorded
2025-12-03F0552Resident Rights DeficienciesDnot recorded
2025-12-03F0584Resident Rights DeficienciesEnot recorded
2025-12-03F0677Quality of Life and Care DeficienciesDnot recorded
2025-12-03F0684Quality of Life and Care DeficienciesGnot recorded
2025-12-03F0686Quality of Life and Care DeficienciesJnot recorded
2025-12-03F0689Quality of Life and Care DeficienciesGnot recorded
2025-12-03F0725Nursing and Physician Services DeficienciesEnot recorded
2025-12-03F0730Nursing and Physician Services DeficienciesDnot recorded
2025-12-03F0732Nursing and Physician Services DeficienciesCnot recorded
2025-12-03F0761Pharmacy Service DeficienciesDnot recorded
2025-12-03F0865Administration DeficienciesCnot recorded
2025-12-03F0880Infection Control DeficienciesEnot recorded
2024-11-21F0623Resident Rights DeficienciesDnot recorded
2024-11-21F0686Quality of Life and Care DeficienciesGnot recorded
2024-11-21F0725Nursing and Physician Services DeficienciesEnot recorded
2024-11-21F0812Nutrition and Dietary DeficienciesEnot recorded
2024-11-21F0882Infection Control DeficienciesEnot recorded
2024-09-04F0557Resident Rights DeficienciesDnot recorded
2024-09-04F0658Resident Assessment and Care Planning DeficienciesGnot recorded
2024-05-09F0684Quality of Life and Care DeficienciesGnot recorded
2024-02-01F0584Resident Rights DeficienciesEnot recorded
2024-02-01F0677Quality of Life and Care DeficienciesDnot recorded
2024-02-01F0690Quality of Life and Care DeficienciesDnot recorded
2023-11-08F0580Resident Rights DeficienciesDnot recorded
2023-11-08F0684Quality of Life and Care DeficienciesDnot recorded
2023-11-08F0686Quality of Life and Care DeficienciesDnot recorded
2023-11-08F0689Quality of Life and Care 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 “Crestview Specialty Care, West Branch” at medicare.gov/care-compare.