Occupancy rate
96%
In line with Iowa averageMix 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.
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Nursing Home
Westbrook Acres
Westbrook Acres is a licensed Medicare and Medicaid facility located in Gladbrook, Iowa. It offers skilled nursing, rehabilitation services, long-term care, memory care, hospice, and respite care. The facility is family-owned and has been part of the community since 1995.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
46
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
95.7%
Residents per day (avg)
43
Occupancy rate
95.7%
Residents per day (avg)
43
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
32% of new residents, usually for short-term rehab.
Typical stay
19 days
Private pay
47% of new residents, often for short stays.
Typical stay
10 - 11 months
Medicaid
21% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Home revenue
$4.6M
Profit
$214.6K
Privately-owned community
Home revenue
$4,633,175.00
Profit
$214,617.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.0M
46-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
27 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy
In line with Iowa averageOccupied beds
44 / 46
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
Issuance
October 1, 1998
County:
Tama
Additional licensing details
License number:
860029
CMS Certification Number:
165446
Certification type:
FALSE
Ownership & operating entity
Westbrook Acres is administrated by Elizabeth Brubaker.
Owner name:
Crystal Heights Care Center(Free Standing NF/SNF) | 620049 Karen Acres Healthcare Center(Free Standing NF/SNF) | 770275
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
6414732233
Programs & Activities
Specific Programs
Long Term Care, Rehabilitation, Memory Care
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
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.
11 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date:March 24, 2025
17 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Westbrook Acres
The most recent inspection on March 24, 2025 found the facility in substantial compliance following acceptance of a Plan of Correction. Earlier inspections showed multiple deficiencies related to staffing, assessment accuracy, grievance policy, and notification procedures, with prior issues also involving resident care and safety measures. Complaint investigations substantiated concerns about resident abuse and medication misappropriation, and the facility failed to maintain required RN coverage on several occasions. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to have addressed many prior deficiencies through plans of correction, indicating some improvement over time.
Health Inspection History
Inspections
Total health inspections
4
Iowa average 4.9
Last Health inspection on Mar 2025
Total health citations
14
Iowa average 21.7
Citations per inspection
3.5
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 14 citations resulted from standard inspections; and 2 of 14 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
1
1
11% worse than Iowa averageIowa average: 0.9
0 critical citations
1 serious citation
9 moderate citations
4 minor citations
Citations history (last 3 years)
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 06, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 06, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 06, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 06, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Mar 06, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Mar 06, 2025
Corrected
Care Planning minor citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 06, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 06, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
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.
Akron
45
98.1%
+30%
4.71
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
165595
Accura HealthCare of Carlisle
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.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Westbrook Acres
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.
Gladbrook
54
89.3%
+18%
3.88
-10%
0
14
1
43
Even, Crystal
$4,6M
$2,1M
46.3%
165446
Accura Healthcare of Spirit Lake
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.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
1
65
-
$7,1M
$3,0M
42.7%
165528
Accura Healthcare of Lake City, LLC
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.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near Westbrook Acres
Gladbrook, IA 506350000
Gladbrook, IA 506350000
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
76
Employees
40
Contractors
36
Staff to resident ratio
1.73:1
13% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
21
Average shift
7.6 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
14,532
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
41
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 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
6.5%
952 contractor hours this quarter
Certified Nursing Assistant: 18
Physical Therapy Aide: 5
Physical Therapy Assistant: 4
Respiratory Therapy Technician: 2
Occupational Therapy Assistant: 2
Registered Nurse: 1
Occupational Therapy Aide: 1
Speech Language Pathologist: 1
Medical Director: 1
Qualified Social Worker: 1
Staff by category
| Certified Nursing Assistant | 23 | 18 | 41 | 8,132 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 5 | 0 | 5 | 2,061 | 91 | 100% | 8.2 |
| Registered Nurse | 5 | 1 | 6 | 1,156 | 90 | 99% | 7.4 |
| Other Dietary Services Staff | 2 | 0 | 2 | 678 | 61 | 67% | 6.9 |
| Medication Aide/Technician | 1 | 0 | 1 | 580 | 56 | 62% | 10.4 |
| RN Director of Nursing | 2 | 0 | 2 | 547 | 63 | 69% | 8.3 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Physical Therapy Aide | 0 | 5 | 5 | 89 | 48 | 53% | 1.7 |
| Speech Language Pathologist | 0 | 1 | 1 | 80 | 45 | 49% | 1.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 66 | 12 | 13% | 5.5 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 63 | 32 | 35% | 2 |
| Physical Therapy Assistant | 0 | 4 | 4 | 42 | 26 | 29% | 1.6 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 15 | 3 | 3% | 4.9 |
| Qualified Social Worker | 0 | 1 | 1 | 11 | 11 | 12% | 1 |
| Medical Director | 0 | 1 | 1 | 6 | 6 | 7% | 1 |
41 Certified Nursing Assistant
% of Days
100%
5 Licensed Practical Nurse
% of Days
100%
6 Registered Nurse
% of Days
99%
2 Other Dietary Services Staff
% of Days
67%
1 Medication Aide/Technician
% of Days
62%
2 RN Director of Nursing
% of Days
69%
1 Nurse Practitioner
% of Days
71%
1 Administrator
% of Days
67%
5 Physical Therapy Aide
% of Days
53%
1 Speech Language Pathologist
% of Days
49%
1 Occupational Therapy Aide
% of Days
13%
2 Respiratory Therapy Technician
% of Days
35%
4 Physical Therapy Assistant
% of Days
29%
2 Occupational Therapy Assistant
% of Days
3%
1 Qualified Social Worker
% of Days
12%
1 Medical Director
% of Days
7%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
44 residents
Residents by payment source
Medicare
4 residents (9.1%)
Medicaid
23 residents (52.3%)
Private pay or other
17 residents (38.6%)
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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.
10.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.2
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.
17.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.0
21% better than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
14.9%
Percent of long-stay residents whose need for help with daily activities has increased
14.9%
21% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
17.4%
Percent of long-stay residents whose ability to move independently worsened
17.4%
12% better 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
18.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.8%
28% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
7.1%
Percent of long-stay residents experiencing one or more falls with major injury
7.1%
97% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.6%
Percent of long-stay high risk residents with pressure ulcers
7.6%
73% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
10.2%
Percent of long-stay residents with a urinary tract infection
10.2%
311% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.0%
Percent of long-stay residents who lose too much weight
4.0%
21% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
21.3%
Percent of long-stay residents who received an antipsychotic medication
21.3%
12% worse than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
18% better 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
59.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
59.1%
19% worse than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Westbrook Acres based on CMS SNF Cost Reports.
Occupancy Rate
89.3%
↑ 1.6pp vs 2022
Net Income
$214,617
↑ ~$146K vs 2022
Total Payroll
$2,863,013
↑ ~$77K vs 2022
Profit Margin
4.7%
↑ 3.0pp vs 2022
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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