Starfile / Iowa

Westwood Specialty Care

4201 Fieldcrest Drive, Sioux City, IA 51104 · CCN 165271

SFF Candidate

Inspection history vs Iowa & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$263,192

Number of fines

2

Number of penalties

3

Payment denials

1

Chain

Chain

CARE INITIATIVES

Facilities in chain

43

Chain avg overall

3.00 / 5

Inspection citations (100)1 immediate jeopardy2 actual harm

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-31 · Health · corrected 2026-01-23

   Potential for more than minimal harm

2. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-12-31 · Health · corrected 2026-01-23

   Potential for more than minimal harm

3. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-31 · Health · corrected 2026-01-23

   Potential for more than minimal harm

4. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-31 · Health · corrected 2026-01-23

   Potential for more than minimal harm

5. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-12-31 · Health · corrected 2026-01-23

   Potential for more than minimal harm

6. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-31 · Health · corrected 2026-01-23

   Potential for more than minimal harm

7. DF0760Ensure that residents are free from significant medication errors.2025-12-31 · Health · corrected 2026-01-23

   Potential for more than minimal harm

8. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-31 · Health · corrected 2026-01-23

   Potential for more than minimal harm

9. EF0880Provide and implement an infection prevention and control program.2025-12-31 · Health · corrected 2026-01-23

   Potential for more than minimal harm

10. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-10-30 · Health · corrected 2025-11-29

    Potential for more than minimal harm

11. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-27 · Health · corrected 2025-04-25

    Potential for more than minimal harm

12. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-27 · Health · corrected 2025-04-25

    Potential for more than minimal harm

13. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-27 · Health · corrected 2025-04-25

    Potential for more than minimal harm

14. DF0758Implement 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.2025-03-27 · Health · corrected 2025-04-25

    Potential for more than minimal harm

15. EF0803Ensure 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.2025-03-27 · Health · corrected 2025-04-25

    Potential for more than minimal harm

16. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-03-27 · Health · corrected 2025-04-25

    Potential for more than minimal harm

17. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-27 · Health · corrected 2025-04-25

    Potential for more than minimal harm

18. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-27 · Health · corrected 2025-04-25

    Potential for more than minimal harm

19. FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2025-03-27 · Health · corrected 2025-04-25

    Potential for more than minimal harm

20. EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-03-27 · Health · corrected 2025-04-25

    Potential for more than minimal harm

21. EF0880Provide and implement an infection prevention and control program.2025-03-27 · Health · corrected 2025-04-25

    Potential for more than minimal harm

22. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2025-03-27 · Health · corrected 2025-04-25

    Potential for more than minimal harm

23. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-07-25 · Health · corrected 2024-08-11

    Potential for more than minimal harm

24. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-25 · Health · corrected 2024-08-11

    Potential for more than minimal harm

25. DF0558Reasonably accommodate the needs and preferences of each resident.2024-06-06 · Health · corrected 2024-06-22

    Potential for more than minimal harm

26. DF0625Notify 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.2024-06-06 · Health · corrected 2024-06-22

    Potential for more than minimal harm

27. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-06-06 · Health · corrected 2024-06-22

    Potential for more than minimal harm

28. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-06-06 · Health · corrected 2024-06-22

    Potential for more than minimal harm

29. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-06 · Health · corrected 2024-06-22

    Potential for more than minimal harm

30. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-06 · Health · corrected 2024-06-22

    Potential for more than minimal harm

31. DF0692Provide enough food/fluids to maintain a resident's health.2024-06-06 · Health · corrected 2024-06-22

    Potential for more than minimal harm

32. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-06 · Health · corrected 2024-06-22

    Potential for more than minimal harm

33. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-06 · Health · corrected 2024-06-22

    Potential for more than minimal harm

34. DF0880Provide and implement an infection prevention and control program.2024-06-06 · Health · corrected 2024-06-22

    Potential for more than minimal harm

35. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-05-01 · Health · corrected 2024-05-21

    Potential for more than minimal harm

36. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-01 · Health · corrected 2024-05-21

    Potential for more than minimal harm

37. DF0880Provide and implement an infection prevention and control program.2024-05-01 · Health · corrected 2024-05-21

    Potential for more than minimal harm

38. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-28 · Health · corrected 2024-03-28

    Potential for more than minimal harm

39. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-28 · Health · corrected 2024-03-28

    Potential for more than minimal harm

40. DF0585Honor 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.2024-02-28 · Health · corrected 2024-03-28

    Potential for more than minimal harm

41. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-02-28 · Health · corrected 2024-03-28

    Potential for more than minimal harm

42. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-28 · Health · corrected 2024-03-28

    Potential for more than minimal harm

43. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-28 · Health · corrected 2024-05-21

    Potential for more than minimal harm

44. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-28 · Health · corrected 2024-03-28

    Potential for more than minimal harm

45. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-28 · Health · corrected 2024-05-21

    Potential for more than minimal harm

46. DF0688Provide 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.2024-02-28 · Health · corrected 2024-03-28

    Potential for more than minimal harm

47. HF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-28 · Health · corrected 2024-03-28

    Actual harm

48. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-02-28 · Health · corrected 2024-03-28

    Potential for more than minimal harm

49. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-02-28 · Health · corrected 2024-03-28

    Potential for more than minimal harm

50. DF0758Implement 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.2024-02-28 · Health · corrected 2024-03-28

    Potential for more than minimal harm

51. DF0760Ensure that residents are free from significant medication errors.2024-02-28 · Health · corrected 2024-03-28

    Potential for more than minimal harm

52. DF0761Ensure 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.2024-02-28 · Health · corrected 2024-03-28

    Potential for more than minimal harm

53. DF0774Help the resident with transportation to and from laboratory services outside of the facility.2024-02-28 · Health · corrected 2024-03-28

    Potential for more than minimal harm

54. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-02-28 · Health · corrected 2024-03-28

    Potential for more than minimal harm

55. EF0880Provide and implement an infection prevention and control program.2024-02-28 · Health · corrected 2024-05-21

    Potential for more than minimal harm

56. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-24 · Health · corrected 2023-11-22

    Potential for more than minimal harm

57. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-10-24 · Health · corrected 2023-11-22

    Potential for more than minimal harm

58. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-24 · Health · corrected 2023-11-22

    Potential for more than minimal harm

59. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-24 · Health · corrected 2023-11-22

    Potential for more than minimal harm

60. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-24 · Health · corrected 2023-11-22

    Potential for more than minimal harm

61. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-24 · Health · corrected 2023-11-22

    Potential for more than minimal harm

62. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-10-24 · Health · corrected 2023-11-22

    Potential for more than minimal harm

63. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-10-24 · Health · corrected 2023-11-22

    Potential for more than minimal harm

64. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-10-24 · Health · corrected 2023-11-22

    Potential for more than minimal harm

65. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-10-24 · Health · corrected 2023-11-22

    Potential for more than minimal harm

66. DF0760Ensure that residents are free from significant medication errors.2023-10-24 · Health · corrected 2023-11-22

    Potential for more than minimal harm

67. DF0774Help the resident with transportation to and from laboratory services outside of the facility.2023-10-24 · Health · corrected 2023-11-22

    Potential for more than minimal harm

68. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-10-24 · Health · corrected 2023-11-22

    Potential for more than minimal harm

69. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-10-24 · Health · corrected 2023-11-22

    Potential for more than minimal harm

70. DF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2023-10-24 · Health · corrected 2023-11-22

    Potential for more than minimal harm

71. EF0809Ensure 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.2023-10-24 · Health · corrected 2023-11-22

    Potential for more than minimal harm

72. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-24 · Health · corrected 2023-11-22

    Potential for more than minimal harm

73. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-24 · Health · corrected 2023-11-22

    Potential for more than minimal harm

74. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

75. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

76. EF0575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

77. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

78. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

79. EF0585Honor 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.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

80. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

81. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-30 · Health · corrected 2023-05-02

    Potential for more than minimal harm

82. DF0625Notify 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.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

83. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

84. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

85. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

86. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

87. KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-30 · Health · corrected 2023-03-31

    Immediate jeopardy

88. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-30 · Health · corrected 2023-05-02

    Actual harm

89. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

90. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

91. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

92. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

93. DF0758Implement 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.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

94. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

95. EF0809Ensure 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.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

96. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

97. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

98. EF0880Provide and implement an infection prevention and control program.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

99. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-03-30 · Health · corrected 2023-05-09

    Potential for more than minimal harm

100. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2023-03-30 · Health · corrected 2023-05-09

     Potential for more than minimal harm

Ownership

Other facilities in Sioux City

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.