West Point Care Center

Nursing Home, Hospice Care, Memory Care, Nursing Care, Palliative Care & Respite Care · West Point, IA

CMS overall rating

607 6Th Street, West Point, Ia 526569502 View map

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West Point Care Center accepts Medicare, Medicaid, and private pay.

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West Point Care Center accepts Medicare, Medicaid, and private pay.

Overview of West Point Care Center

West Point Care Center is a 46-bed skilled nursing facility in West Point, Iowa, offering skilled nursing, short-term rehabilitation, respite care, and Alzheimer’s and dementia care to residents in Lee County. The facility is owned privately by Miriam Johnson and administered by Hattie Boyer.

CMS rates the facility 4 stars overall, driven by a Health Inspection rating 35.6% above the Iowa average. Across 17 inspections since 2020, the facility recorded 25 total deficiencies — roughly 7% below the Iowa average of 27, at 1.5 citations per inspection against a state norm of 1.8. However, the record is mixed: a January 2024 survey substantiated verbal abuse and neglect by a staff member, failure to protect residents from abuse, and delayed reporting of allegations, resulting in a $14,000 federal fine and a 26-day payment denial — the only enforcement actions in the six-year window, and both well below the Iowa fine average of $48,000. The two most recent annual inspections, in August 2024 and June 2025, found no deficiencies.

Nurse staffing averages 4 hours and 31 minutes per resident per day, in line with Iowa averages, with weekend RN staffing 60% above the state norm — a meaningful figure for residents who need consistent clinical oversight through the week. The facility provides 24-hour staffing, wound care, respiratory care, and palliative and hospice services on site.

The facility’s occupancy rate is 59%, below the Iowa average of 75.4%, indicating current availability. The payer mix includes 42% private-pay admissions, 35% Medicare, and 23% Medicaid; the average length of stay is 125 days, reflecting a mix of post-acute rehabilitation and longer-term residents.

West Point Care Center fits residents seeking skilled nursing or post-acute rehabilitation in a small, rural Iowa setting — including those with dementia-related care needs — where current bed availability and on-site clinical services align with both short- and longer-term placements. However, families should review the facility’s prior abuse-related findings and inspection performance before making a placement decision.

Facility Direct Line (319) 837-6117

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 31m per day

vs avg

2 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +47% 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.	1h 5m per day	▲ 47% 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.	23m per day	▼ 31% 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 52m per day	▲ 13% 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	▲ 7% 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.	1m per day	▼ 51% 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.	42m per day	▲ 40% State avg: 30m per day · National avg: 28m per day

Capacity and availability

125 days

46-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 37 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

70%

Lower than the Iowa average: 75.4%

Occupied beds

32 / 46

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationFebruary 23, 2027

CountyLee

License Number560646

CMS Certification Number165569

Certification TypeFALSE

West Point Care Center is administered by Hattie Boyer.

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Email administrator@westpointcarecenter.com

Fax3198376186

24/7 Nursing Care

On-Site Healthcare Services

Therapeutic Recreation

Meal Service

Beauty/Barber Services

Laundry Services

Family-Oriented Staff

Long-Term Skilled Nursing Services

Round-The-Clock Monitoring

Assistance With Activities Of Daily Living

Alzheimer’s And Dementia Care

Wound Care

Respiratory Care

Palliative Care

Comfort/Hospice Care

Nutritional Counseling

Laundry And Housekeeping Services

24/7 Admissions

Transportation

Since 2020 · 6 years of data 44 deficiencies 17 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Since 2020 vs. Iowa state average

Overall vs. IA average

Latest Inspection June 12, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	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 assisted living residence (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 assisted living residence (7.3 vs. IA avg 4.5).↑ 62% worse
Deficiencies per inspection Average deficiencies per inspection.	2.6	1.8	This facility has 44% more deficiencies per inspection than a typical Iowa assisted living residence (2.6 vs. IA avg 1.8).↑ 44% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	17	15	This facility has 13% more total inspections than a typical Iowa assisted living residence (17 vs. IA avg 15).↑ 13% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on May 29, 2025 found three deficiencies related to care plan updates, medication administration, and fall prevention but no immediate jeopardy or harm-level citations.
The January 22, 2024 annual survey cited seven deficiencies including failure to protect residents from verbal abuse, medication cart security breaches, and inadequate staff training, with substantiated complaints.
Complaint investigations in March 2024 and August 2024 were resolved with substantial compliance, but a March 13, 2024 revisit substantiated a failure to provide daily showers per physician orders.

Show Inspection Reports

Inspections since 2023

Total health inspections 4

State average N/A

Last Health inspection on May 2025

Total health citations

State average N/A

Citations per inspection

3.75

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

10 of 15 citations resulted from standard inspections; 2 of 15 resulted from complaint investigations; and 3 of 15 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

1 critical citation State average: N/A

1 serious citation State average: N/A

13 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Quality of Care moderate citation May 29, 2025

Corrected

Care Planning moderate citation May 29, 2025

Corrected

Care Planning moderate citation May 29, 2025

Corrected

Quality of Care moderate citation Mar 13, 2024

Corrected

Total staff 83

Employees 46

Contractors 37

Staff to resident ratio 3.07 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 18

Average shift 6.8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 11,185

Nursing staff breakdown

6.8 hours

7.5 hours

7.2 hours

Contractor staffing

1,457 contractor hours this quarter

Certified Nursing Assistant: 12 Registered Nurse: 7 Licensed Practical Nurse: 5 Speech Language Pathologist: 3 Physical Therapy Aide: 3 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 2 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Qualified Social Worker: 1

Staff by category


Certified Nursing Assistant	22	12	34	5,672	92	100%	7.2
Registered Nurse	11	7	18	1,853	92	100%	6.8
Licensed Practical Nurse	2	5	7	872	79	86%	7.5
Medication Aide/Technician	3	0	3	736	81	88%	7.4
Other Dietary Services Staff	5	0	5	486	61	66%	5.9
Administrator	1	0	1	440	55	60%	8
Nurse Practitioner	1	0	1	411	52	57%	7.9
Speech Language Pathologist	0	3	3	275	62	67%	4.4
Physical Therapy Assistant	0	2	2	153	50	54%	2.9
Clinical Nurse Specialist	1	0	1	142	22	24%	6.4
Physical Therapy Aide	0	3	3	57	33	36%	1.7
Respiratory Therapy Technician	0	2	2	36	30	33%	1.2
Occupational Therapy Aide	0	1	1	32	13	14%	2.5
Qualified Social Worker	0	1	1	11	15	16%	0.7
Occupational Therapy Assistant	0	1	1	8	4	4%	2.1

34 Certified Nursing Assistant

% of Days 100%

18 Registered Nurse

% of Days 100%

7 Licensed Practical Nurse

% of Days 86%

3 Medication Aide/Technician

% of Days 88%

5 Other Dietary Services Staff

% of Days 66%

1 Administrator

% of Days 60%

1 Nurse Practitioner

% of Days 57%

3 Speech Language Pathologist

% of Days 67%

2 Physical Therapy Assistant

% of Days 54%

1 Clinical Nurse Specialist

% of Days 24%

3 Physical Therapy Aide

% of Days 36%

2 Respiratory Therapy Technician

% of Days 33%

1 Occupational Therapy Aide

% of Days 14%

1 Qualified Social Worker

% of Days 16%

1 Occupational Therapy Assistant

% of Days 4%

View All Staffing Data

Total fines amount $14K

72% lower than State average

State average: $48K

Number of fines 1

41% fewer fines than State average

State average: 1.7

Payment Denials 1

88% more payment denials than State average

State average: 0.5

Fines amount comparison

This facility $14K

State 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 Jan 22, 2024

$14K

Payment Denial Jan 22, 2024

26 days

Last updated: Jan 2026

High-risk clinical events score 6.8

34% better than State average

State average: 10.2

Functional decline score 15.6

28% better than State average

State average: 21.6

Long-stay resident measures

Significantly above average State avg: 3.3

Need for Help with Daily Activities Increased 15.8%

16% better than State average

State average: 18.8%

Walking Ability Worsened 11.2%

43% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 19.7%

25% better than State average

State average: 26.2%

Falls with Major Injury 0.0%

100% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 2.9%

34% better than State average

State average: 4.4%

Urinary Tract Infection 0.0%

100% better than State average

State average: 2.5%

Lost Too Much Weight 4.0%

19% better than State average

State average: 5.0%

Depressive Symptoms 4.9%

25% worse than State average

State average: 3.9%

Antipsychotic Use 17.4%

8% better than State average

State average: 19.0%

Pneumococcal Vaccine 98.2%

In line with State average

State average: 94.4%

Influenza Vaccine 96.6%

In line with State average

State average: 95.3%

Hospitalizations per 1,000 days 1.09

26% better than State average

State average: 1.48

ED visits per 1,000 days 1.72

18% better than State average

State average: 2.09

Short-stay resident measures

Average State avg: 2.6

Pneumococcal Vaccine 65.2%

23% worse than State average

State average: 85.1%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.8%

Re-hospitalized after SNF stay 14.4%

32% better than State average

State average: 21.3%

Emergency department visits 18.0%

37% worse than State average

State average: 13.1%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 32.0%

40% worse than State average

State average: 53.7%

Successful return to home or community 39.4%

22% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

35% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

42% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

23% of new residents, often for long-term daily care.

Typical stay 9 - 10 months

Total residents 27

Medicare

11.1% of residents

Medicaid

55.6% of residents

Private pay or other

33.3% 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.

Financial Trends

Historical financial and operational data for West Point Care Center from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 68.5% ↑ 7.0pp vs 2022

Net Patient Income $224.8K ↑ ~$372.6K vs 2022

Payroll Costs $1.8M ↑ ~$223.0K vs 2022

Operating Margin 6.7% ↑ 11.9pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	73.9%	63.0%	61.1%	62.4%	71.7%	64.1%	68.1%	63.0%	59.5%	58.0%	59.3%	61.6%	68.5%
Beds	50	49	46	46	46	46	46	46	46	46	46	46	46
Net Income	$225,794	$68,993	-$72,365	$35,697	$287,043	$69,034	$142,263	$154,113	$16,087	$323,423	$332,762	-$129,090	$217,998
Gross Revenue	$2,410,791	$2,054,587	$1,923,564	$2,052,445	$2,537,411	$2,620,193	$2,665,650	$2,802,145	$2,820,014	$2,913,932	$3,252,453	$3,538,027	$3,990,757
Operating Expenses	$2,144,901	$1,941,982	$1,892,983	$1,916,843	$1,994,723	$2,157,528	$2,182,399	$2,259,121	$2,356,091	$2,525,565	$2,696,357	$2,996,982	$3,148,777
Net Patient Income	$199,515	$53,022	-$93,687	$16,416	$277,716	$69,225	$137,943	$131,049	-$7,887	-$38,517	-$28,036	-$147,859	$224,766
Net Patient Revenue	$2,344,416	$1,995,004	$1,799,296	$1,933,259	$2,272,439	$2,226,753	$2,320,342	$2,390,170	$2,348,204	$2,487,048	$2,668,321	$2,849,123	$3,373,543
Payroll Costs	$1,341,168	$1,270,467	$1,254,470	$1,311,861	$1,333,864	$1,404,049	$1,404,372	$1,396,689	$1,425,819	$1,559,291	$1,510,462	$1,587,186	$1,810,153
Operating Margin %	8.5%	2.7%	-5.2%	0.9%	12.2%	3.1%	5.9%	5.5%	-0.3%	-1.6%	-1.1%	-5.2%	6.7%
Medicare %	8.8%	7.2%	6.1%	7.9%	6.8%	7.7%	7.2%	9.5%	11.3%	13.4%	15.5%	16.1%	8.1%
Medicaid %	31.1%	49.2%	44.4%	45.3%	40.4%	39.3%	38.0%	27.7%	25.4%	22.2%	42.0%	38.7%	48.4%
Private %	60.1%	43.5%	49.5%	46.8%	52.7%	52.9%	54.8%	62.8%	63.3%	64.4%	42.5%	45.2%	43.5%
Net Patient Revenue/Day	$174	$177	$176	$184	$189	$206	$203	$226	$235	$255	$268	$276	$293
Cost/Day	$159	$172	$185	$183	$166	$200	$191	$214	$236	$259	$271	$290	$274
Avg Length of Stay	121.6 days	173.7 days	176.7 days	145.5 days	222.8 days	140.3 days	112.1 days	139.1 days	124.9 days	123.6 days	140.2 days	114.9 days	125.1 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$3.4M

Net patient income

$224.8K

For-profit Operated by a single business entity.

Net patient revenue

$3.4M

Net patient income

$224.8K

Other income

$47.3K

Payroll costs

$1.8M 53.7% of net patient revenue

Other operating costs

$1.3M

Total costs

$3.1M

TYPE OF STAY

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.

New residents most often arrive under private pay (42% of admissions), and a typical private pay stay runs around 4 - 5 months.

Coverage residents most often arrive under.

Medicare 35%

Private pay 42%

Medicaid 23%

Coverage residents most often leave under.

Medicare 39%

Private pay 40%

Medicaid 21%

0.0 miles from city center Estimated distance in miles from West Point's city center to West Point Care Center's address, calculated via Google Maps.

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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.


West Point Care Center	NH HC MC NC PC RC	West Point	-	46	-	37	-
Ramsey Village Continuing Care	NH AL IL MC RC	Des Moines (Drake)	-	78	-	38	1 bed / 2 bed
Rotary Senior Living	NH AL IL MC	Eagle Grove	-	40	-	24	Private Rooms
Calvin Community	NH AL IL MC	Des Moines (Beaverdale)	-	59	-	61	1 Bed
The Summit at Bettendorf	NH AL IL MC	Bettendorf	-	40	-	11	Studio / 1 Bed / 2 Bed

Nursing Home Explorer

Is West Point Care Center in a walkable area?

West Point Care Center has a walk score of 37. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of West Point Care Center?

According to IA state health department records, West Point Care Center's license number is 560646.

When does West Point Care Center's license expire?

According to IA state health department records, West Point Care Center's license expires on February 23, 2027.

What is the occupancy rate at West Point Care Center?

West Point Care Center's occupancy is 70%.

What is the best email address for West Point Care Center?

The team at West Point Care Center can be reached at administrator@westpointcarecenter.com.

Does West Point Care Center operate as a for-profit or non-profit?

West Point Care Center is registered as a for-profit in IA.

Who is the administrator of West Point Care Center?

Hattie Boyer is the administrator of West Point Care Center.

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West Point Care Center

Overview of West Point Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Amenities & Lifestyle

Contact West Point Care Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

34 Certified Nursing Assistant

18 Registered Nurse

7 Licensed Practical Nurse

3 Medication Aide/Technician

5 Other Dietary Services Staff

1 Administrator

1 Nurse Practitioner

3 Speech Language Pathologist

2 Physical Therapy Assistant

1 Clinical Nurse Specialist

3 Physical Therapy Aide

2 Respiratory Therapy Technician

1 Occupational Therapy Aide

1 Qualified Social Worker

1 Occupational Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near West Point Care Center

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