Westwood Specialty Care
4201 Fieldcrest Drive, Sioux City, IA, 51104
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation · Chain: Care Initiatives
- Certified beds
- 85 · avg 78 residents/day
- Total nursing staff turnover
- 48.1% — near the Iowa averageIowa avg: 44.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 57.1% — higher than most Iowa nursing homesIowa avg: 42.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Iowa averageIowa avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $166,706 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 165271
- Certified beds
- 85 beds · avg 78 residents/day
- Ownership type
- Non profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Care Initiatives
- Chain affiliation
- Care Initiatives
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Care Initiatives chain — 43 facilities. Chain-wide average overall rating 3.1 / 5.
Disclosed owners (27 on record)
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- Computershare Corporate Trust Company, na
Adp of The Snf · since 2025
- Iden Ramey
Adp of The Snf · since 2025
- Michael a Jurgens
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
+ 21 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 79)
- E0761·Apr 29, 2026Complaint
Pharmacy Service Deficiencies
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.
- G0689·Apr 29, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0880·Apr 29, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0865·Apr 29, 2026
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
- D0804·Apr 29, 2026
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0677·Apr 29, 2026
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0880·Dec 31, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Dec 31, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal penalties
By year
- 20241 fine · $167K · 1 payment denial
Most recent events
- Feb 28, 2024Payment denial · 48 days · starting Apr 3, 2024
- Feb 28, 2024Fine · $167K
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: Mar 27, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Westwood Specialty Careinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.