Total staff
196
Employees
83
Contractors
113
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
West Bend Health and Rehabilitation
Nursing Home · Iowa, IA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
West Bend Health and Rehabilitation
Nursing Home · Iowa, IA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
West Bend Health and Rehabilitation accepts Medicare, Medicaid, and private pay.
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.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 228th out of 241 homes in Iowa. 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.
This home is ranked 228th out of 241 homes in Iowa. 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.
3h 20m per day
Rank #228 / 241Nurse hours — State benchmarkedThis home is ranked 228th out of 241 homes in Iowa. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 241 Iowa SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Iowa avg
-22%
Standout metric
Physical Therapist is +200% above state avg
| 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.
| 46m per day | ▲ 5% 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.
| 14m per day | ▼ 59% 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.
| 2h 6m per day | ▼ 17% 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.
| 2h 53m per day | ▼ 14% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▲ 200% State avg: 2m per day · National avg: 4m 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.
| 33m per day | ▲ 10% State avg: 30m per day · National avg: 28m per day |
Capacity and availability
This home usually has availability
Occupancy rate
47.6%
Rank #292 / 401Occupancy rate — State benchmarkedThis home is ranked 292nd out of 401 homes in Iowa. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 401. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
193 days
Walk Score: 41 / 100 Rank #287 / 528Walk Score — State benchmarkedThis home is ranked 287th out of 528 homes in Iowa. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Iowa SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Accept Medicaid
Accept Medicare
Rehabilitation Services
Doctor on Staff
24-Hour Staffing
Nutritious Satisfying Menus
Housekeeping
Laundry Services
Beautifully Landscaped Grounds
ActivitiesOur monthly activity calendar is packed from morning to night with options designed to help you stay active.
Specific ProgramsIn-House Therapy, Stay Active
Food Descriptionnutritious satisfying menus
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
2.23:1
9% better than Iowa average
Avg staff/day
43
Average shift
7.7 hours
0% compared with Iowa average
Total staff hours (quarter)
30,633
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
27 total: 4 full-time employees and 23 contractors.
27
27 total: 4 full-time employees and 23 contractors.
27
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
30 total: 9 full-time employees and 21 contractors.
30
30 total: 9 full-time employees and 21 contractors.
30
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
87 total: 51 full-time employees and 36 contractors.
87
87 total: 51 full-time employees and 36 contractors.
87
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
26.1%
7,980 contractor hours this quarter
Certified Nursing Assistant: 36
Registered Nurse: 23
Licensed Practical Nurse: 21
Medication Aide/Technician: 11
Speech Language Pathologist: 7
Respiratory Therapy Technician: 5
Qualified Social Worker: 4
Physical Therapy Aide: 3
Physical Therapy Assistant: 3
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 51 | 36 | 87 | 15,468 | 90 | 98% | 7.9 |
| Licensed Practical Nurse | 9 | 21 | 30 | 3,763 | 92 | 100% | 8.5 |
| Registered Nurse | 4 | 23 | 27 | 3,081 | 92 | 100% | 8.3 |
| Medication Aide/Technician | 10 | 11 | 21 | 2,957 | 88 | 96% | 9.4 |
| RN Director of Nursing | 2 | 0 | 2 | 995 | 62 | 67% | 8.5 |
| Speech Language Pathologist | 0 | 7 | 7 | 539 | 61 | 66% | 6.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 521 | 70 | 76% | 6 |
| Mental Health Service Worker | 1 | 0 | 1 | 513 | 61 | 66% | 8.4 |
| Physical Therapy Aide | 0 | 3 | 3 | 509 | 63 | 68% | 5 |
| Dietitian | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 416 | 52 | 57% | 8 |
| Qualified Social Worker | 0 | 4 | 4 | 392 | 61 | 66% | 6.4 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 298 | 67 | 73% | 3.6 |
| Physical Therapy Assistant | 0 | 3 | 3 | 230 | 63 | 68% | 3.4 |
87 Certified Nursing Assistant
% of Days
98%
30 Licensed Practical Nurse
% of Days
100%
27 Registered Nurse
% of Days
100%
21 Medication Aide/Technician
% of Days
96%
2 RN Director of Nursing
% of Days
67%
7 Speech Language Pathologist
% of Days
66%
2 Other Dietary Services Staff
% of Days
76%
1 Mental Health Service Worker
% of Days
66%
3 Physical Therapy Aide
% of Days
68%
1 Dietitian
% of Days
65%
1 Administrator
% of Days
64%
2 Nurse Practitioner
% of Days
57%
4 Qualified Social Worker
% of Days
66%
5 Respiratory Therapy Technician
% of Days
73%
3 Physical Therapy Assistant
% of Days
68%
Penalties and fines
Includes penalties issued in 2024
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)
Total fines amount
$39K Rank #200 / 246Federal fines — State benchmarkedThis home is ranked 200th out of 246 homes in Iowa. Shows this facility's cumulative CMS federal fine dollars versus the Iowa average among facilities with fines, and where it ranks among 246 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
19% lower than Iowa averageIowa average: $48K
Number of fines
1
41% fewer fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1 
88% more payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$39K
Iowa average
$48K
Penalty History
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.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 21, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 21, 2024
$39K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 21, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 21, 2024
13 days
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.6
In line with Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.5
23% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
15.6%
Percent of long-stay residents whose need for help with daily activities has increased
15.6%
17% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
25.0%
Percent of long-stay residents whose ability to move independently worsened
25.0%
27% worse than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
38.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
38.8%
48% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
39% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.0%
Percent of long-stay high risk residents with pressure ulcers
2.0%
55% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.5%
Percent of long-stay residents with a urinary tract infection
3.5%
41% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.6%
Percent of long-stay residents who lose too much weight
5.6%
11% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
7.0%
Percent of long-stay residents who have depressive symptoms
7.0%
80% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
6.8%
Percent of long-stay residents who received an antipsychotic medication
6.8%
64% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
84.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
84.2%
11% worse than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.9%
In line with Iowa averageIowa average: 95.3%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.40
Number of hospitalizations per 1,000 long-stay resident days.
1.40
5% better than Iowa averageIowa average: 1.48
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.90
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.90
39% worse than Iowa averageIowa average: 2.09
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
73.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
73.4%
14% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
66.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
66.1%
10% worse than Iowa averageIowa average: 73.3%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
2.9%
Percentage of SNF residents who experience falls with major injury during their stay.
2.9%
271% worse than Iowa averageIowa average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
46.7%
Percentage of residents at or above expected ability to care for themselves at discharge.
46.7%
13% worse than Iowa averageIowa average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
54.5%
Rate of successful return to home or community from a skilled nursing facility.
54.5%
8% better 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.
Breakdown by payment type
Medicare
22% of new residents, usually for short-term rehab.
Typical stay
18 days
Private pay
57% of new residents, often for short stays.
Typical stay
4 months
Medicaid
22% of new residents, often for long-term daily care.
Typical stay
1 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
88
Medicare
3
3.4% of residents
Medicaid
70
79.5% of residents
Private pay or other
15
17% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Financial Trends
Historical financial and operational data for West Bend Health and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
47.6%
↑ 9.8pp vs 2022
Net Income
-$447.5K
↑ ~$52.6K vs 2022
Total Payroll
$3.4M
↑ ~$257.3K vs 2022
Profit Margin
-8.6%
↑ 3.3pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$5.2M
Operating loss
-$447.5K
Privately-owned community
Operated by a business corporation.
Home revenue
$5.2M Rank #171 / 242Revenue — State benchmarkedThis home is ranked 171st out of 242 homes in Iowa. Shows this facility's annual revenue compared to the Iowa SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$447.5K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #141 / 242Payroll — State benchmarkedThis home is ranked 141st out of 242 homes in Iowa. 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.
$3.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #141 / 242Payroll — State benchmarkedThis home is ranked 141st out of 242 homes in Iowa. 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.6M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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Financial Assistance for
Nursing Home in Iowa
West Bend Health and Rehabilitation is located in West Bend, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Compare Nursing Home around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
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| West Bend Health and Rehabilitation |
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).
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Frequently Asked Questions about West Bend Health and Rehabilitation
Is West Bend Health and Rehabilitation in a walkable area?
West Bend Health and Rehabilitation has a walk score of 41. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Are there photos of West Bend Health and Rehabilitation?
Yes — there are 9 photos of West Bend Health and Rehabilitation in the photo gallery on this page.
What is the address of West Bend Health and Rehabilitation?
West Bend Health and Rehabilitation is located at 203 Fourth Street NW.
What is the phone number of West Bend Health and Rehabilitation?
(515) 887-4071 will put you in contact with the team at West Bend Health and Rehabilitation.
Is West Bend Health and Rehabilitation Medicare or Medicaid certified?
Yes — West Bend Health and Rehabilitation is a CMS-certified provider of Medicare and Medicaid.
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