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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Crestview Nursing & Rehab is a 70-bed skilled nursing facility located at 2401 South Des Moines Street in Webster City, Iowa. Administered by Stacy Geopfert, the community provides 24-hour nursing, rehabilitation therapy, and memory care for Hamilton County residents. The facility currently maintains an 83% occupancy rate, which significantly exceeds the Iowa state average of 75.4%.
State and federal regulators currently assign the facility a 2-star overall rating, reflecting “Below Average” performance. Regulatory reports show a per-inspection deficiency rate of 1.3, which is 28% lower than the Iowa average of 1.8. While a November 2025 standard survey identified five citations related to resident dignity and tube feeding monitoring, a subsequent follow-up confirmed the facility returned to substantial compliance with zero new deficiencies. No federal fines or payment denials have been issued to this specific facility in the past three years.
Professional support is guided by a staffing model that delivers 4 hours 7 minutes of daily nursing time per resident—performing above the Iowa average of 3 hours 48 minutes. Registered Nurse (RN) hours are 38 minutes per day, while Licensed Practical Nurse (LPN) hours are 19 minutes. Clinical quality measures carry a 2-star rating, influenced by a high rehospitalization rate of 25.9%, which is above the state mean. Despite these metrics, the nursing staff turnover rate of 31.1% is considerably better than the Iowa average of 44.4%.
The campus environment features a residential atmosphere with independent living apartments also available on-site. Residents have access to physical, occupational, and speech therapy, along with specialized wellness and medication assistance programs. Dining services are designed for flexibility, allowing for family visits and varied mealtime hours.
For local medical needs, the community is situated near Van Diest Medical Center and provides transportation for scheduled appointments.
Prospective residents and their representatives should evaluate the current care planning and infection control protocols during a facility tour. It is advisable to ask the administrator for specific details regarding the corrective actions implemented following the 2025 dignity and safety citations to ensure that nursing coverage meets the resident’s specific clinical or long-term care goals.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 166th out of 241 homes in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 32m per day | ▼ 27% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 21m per day | ▼ 38% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 1m per day | ▲ 19% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 34m per day | ▲ 6% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 27m per day | ▼ 10% State avg: 30m per day · National avg: 28m per day |
Higher than the Iowa average: 75.4%Crestview Nursing & Rehab is administrated by Stacy Geopfert.
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 44 | 27 | This facility has 63% more total deficiencies than a typical Iowa nursing home (44 vs. IA avg 27).↑ 63% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 7.3 | 4.5 | This facility has 62% more deficiencies per year than a typical Iowa nursing home (7.3 vs. IA avg 4.5).↑ 62% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.2 | 1.8 | This facility has 22% more deficiencies per inspection than a typical Iowa nursing home (2.2 vs. IA avg 1.8).↑ 22% worse |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 20 | 15 | This facility has 33% more total inspections than a typical Iowa nursing home (20 vs. IA avg 15).↑ 33% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Iowa average 4.9
Last Health inspection on Nov 2025
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
16 of 19 citations resulted from standard inspections; and 3 of 19 resulted from complaint investigations.
233% worse than Iowa averageIowa average: 0.6
11% worse than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
16% fewer staff per resident than Iowa average
0% compared with Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 5 RN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursAssists with medical care and medications.
All 4 LPN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursHelps with daily care and mobility.
All 51 CNA Staff are full-time employees. No contractors work on this role.
51
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
841 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 51 | 0 | 51 | 16,634 | 92 | 100% | 7.4 |
| Registered Nurse | 5 | 0 | 5 | 2,343 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 4 | 0 | 4 | 1,611 | 83 | 90% | 9.7 |
| Dietitian | 1 | 0 | 1 | 481 | 60 | 65% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 475 | 65 | 71% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 463 | 64 | 70% | 7.2 |
| Administrator | 1 | 0 | 1 | 458 | 61 | 66% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 405 | 55 | 60% | 7.4 |
| Speech Language Pathologist | 0 | 3 | 3 | 240 | 55 | 60% | 4.3 |
| Physical Therapy Aide | 0 | 2 | 2 | 177 | 51 | 55% | 3.4 |
| Qualified Social Worker | 0 | 1 | 1 | 164 | 59 | 64% | 2.8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 100 | 28 | 30% | 3.6 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 72 | 27 | 29% | 2.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 35 | 13 | 14% | 2.7 |
| Medical Director | 0 | 27 | 27 | 30 | 27 | 29% | 1.1 |
| Other Dietary Services Staff | 1 | 0 | 1 | 26 | 6 | 7% | 4.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
Includes penalties issued in 2023-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
48% lower than Iowa averageIowa average: $48K
18% more fines than Iowa averageIowa average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 6, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 29, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.5
27% better than Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.6
33% better than Iowa averageIowa average: 21.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
16.0%
15% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
13.2%
33% better than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.5%
45% better than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
16% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
2.2%
50% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
4.0%
61% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
2.9%
42% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
1.9%
51% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
29.8%
57% worse than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
In line with Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.81
22% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.83
12% better than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
53.2%
38% worse than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
52.4%
29% worse than Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.6%
48% worse than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.1%
31% better than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
25.7%
52% worse than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
44.2%
13% worse than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
65% of new residents, usually for short-term rehab.
15% of new residents, often for short stays.
20% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
60Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Crestview Nursing & Rehab based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #142 / 242Payroll — State benchmarkedThis home is ranked 142nd out of 242 homes in Iowa for payroll. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Webster City's city center to Crestview Nursing & Rehab's address, calculated via Google Maps.
Add your location
Crestview Nursing & Rehab is located in Webster City, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
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IA AVG
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33
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IA AVG
45
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IA AVG
73
Rank
#326 / 407 | 95.0% | +26% | 5.14 | +11% | +20% | $0 | 20 | 5.0 | - | 36 | A+ |
5
Facility
5
IA AVG
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Rank
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IA AVG
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Rank
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24
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IA AVG
45
Rank
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IA AVG
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38
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38
IA AVG
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| Crestview Nursing & Rehab |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Webster City | 70
Facility
70
IA AVG
73
Rank
#163 / 407 | 82.9% | +10% | 3.95 | -58% | -8% | $25.1k | 19 | 4.8 | 3 | 58 | - |
58
Facility
58
IA AVG
45
Rank
#168 / 528 | Akiva Brandman | $5.5M | $3.4M | 60.8% | 165463 |
Crestview Nursing & Rehab has a walk score of 58. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to IA state health department records, Crestview Nursing & Rehab's license number is 400343.
According to IA state health department records, Crestview Nursing & Rehab's license expires on June 1, 2026.
Crestview Nursing & Rehab's occupancy is 83%.
The team at Crestview Nursing & Rehab can be reached at [email protected].
Stacy Geopfert is the administrator of Crestview Nursing & Rehab.
Crestview Nursing & Rehab has 70 beds.
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