Page 24 of Best Memory Care in Iowa

Overview of West Bend Health and Rehabilitation

West Bend Health and Rehabilitation is a 45-bed skilled nursing facility at 203 Fourth Street NW in West Bend, Iowa. Affiliated with The Ensign Group, the center serves Kossuth, Palo Alto, and Humboldt counties with 24-hour nursing and rehabilitative services. The campus is centrally located with a Walk Score of 41 and accepts both Medicare and Medicaid.

The facility is regulated by the Iowa Department of Inspections, Appeals, and Licensing. CMS data as of 2026 shows an overall rating of 3 out of 5 stars, reflecting an “Average” performance. While the quality measure rating is high at 4 stars, the health inspection rating is lower at 2 stars. A May 2025 standard survey identified six deficiencies, including issues with infection control, resident rights documentation, and care planning coordination. No fines or immediate jeopardy findings are currently on record.

The medical model emphasizes in-house therapy with professional oversight for short-term recovery and long-term care. Staffing data reveals a strong focus on rehabilitation, with physical therapist hours per resident day at 6 minutes—200% above the Iowa state average. Registered nurse (RN) hours also exceed the state average, though licensed practical nurse (LPN) and nurse aide hours are lower than typically seen in Iowa facilities. Quality metrics show that short-stay residents experience major injury falls at a rate of 2.9%, which is significantly higher than the state average of 0.8%.

The facility provides a residential setting with landscaped grounds and a calendar of social and recreational activities.Services include:Housekeeping, laundry, and chef-prepared meals tailored to nutritional needs. The community fosters a home-like environment, though the 53.3% nursing staff turnover rate is higher than the state average of 43.9%, which may impact the consistency of care relationships.

Interested individuals should evaluate the current staffing model and therapy outcomes during an on-site visit. It is advisable to ask the administrator for specific details on current fall prevention protocols for short-stay residents and to verify how nighttime and weekend nursing coverage is managed following the 2025 health inspection results.

Overview of Harvest Acres Nursing & Rehab

Harvest Acres Nursing & Rehab handles community clinical care through a 35-bed medical layout at 204 North Keokuk Washington Road in Keota, Iowa. Under the local ownership of Scott Mow, the building stabilizes its ongoing resident accounts by processing private funding streams alongside formal Medicare and state Medicaid certifications. The overall census hovers near an 80 percent occupancy baseline, with residential stay lengths averaging around 442 days to reflect a slow-paced blend of transitional physical therapy and traditional extended nursing placements.

Floor care schedules balance an average of 3 hours and 53 minutes of hands-on attention for every individual each day. Certified nursing aides provide over two hours of this direct care baseline, while registered nurses contribute 35 minutes and licensed practical nurses deliver 37 minutes to manage routine physical treatment lines and therapeutic recovery tracks.

For off-site errands, the local neighborhood maps out a walkability score of 32 out of 100, which means visiting families and staff members rely on personal vehicles to navigate standard regional trips. Prospective residents can get in touch with the main office to verify current bed layouts, look over the recovery calendar, or plan an afternoon walkthrough of the clinical therapy spaces.