Westbrook Acres

Nursing Home, Hospice Care, Memory Care & Skilled Nursing · Gladbrook, IA

CMS overall rating

605 Garfield Street, Gladbrook, Ia 506350000 View map

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Westbrook Acres accepts Medicaid, Medicare, and private pay.

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Westbrook Acres accepts Medicaid, Medicare, and private pay.

Overview of Westbrook Acres

Westbrook Acres is a 46-bed skilled nursing facility in Gladbrook, Tama County, Iowa, serving residents with skilled nursing, long-term care, memory care, rehabilitation, hospice, and respite care. The facility has been operated by Crystal Even under family ownership since 1995 and accepts both Medicare and Medicaid.
CMS rates the facility 3 stars overall. Health inspection performance sits at the Iowa average, but staffing trails the benchmark — nurse staffing averages 3 hours and 53 minutes per resident per day, roughly 12% below Iowa’s average of 4 hours and 25 minutes.

Across inspections over the past five years, the facility averaged 6.2 deficiencies per year — 41% above the Iowa average of 4.4. The most recent annual survey in March 2025 cited six deficiencies: RN coverage gaps on multiple dates, failures to notify the Long-Term Care Ombudsman about resident hospitalizations, and inaccurate MDS assessments.

A September 2023 complaint investigation substantiated resident-to-resident physical abuse on the memory care unit, causing actual harm to both residents, and confirmed staff theft of a resident’s narcotic medication. A separate 2024 complaint added RN coverage lapses and a failure to follow a physician’s tube-feeding order. No fines or license actions appear in the available reports.

On-site services include physical, occupational, and respiratory therapy. The facility’s occupancy rate is 96% — well above the Iowa average of 75.4% — with an average length of stay of 345 days, indicating a predominantly long-term resident population.

Westbrook Acres’ memory care unit (CCDI), on-site rehabilitation, hospice access, and Medicaid acceptance position it to serve complex, long-term care needs in a small rural setting in Tama County. Families considering placement should review the facility’s deficiency history and prior abuse-related findings before making a placement decision.

Facility Direct Line (641) 473-2016 westbrookacres@outlook.com

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

3h 53m per day

vs avg

1 of 1 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
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 48m per day	▼ 16% State avg: 3h 21m per day · National avg: 3h 26m per day

Capacity and availability

345 days

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.

Walk Score: 31 / 100

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

About this community

Occupancy

Occupancy rate

96%

Higher than the Iowa average: 75.4%

Occupied beds

44 / 46

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

IssuanceOctober 1, 1998

ExpirationOctober 1, 2026

CountyTama

License Number860029

CMS Certification Number165446

Certification TypeFALSE

Westbrook Acres is administered by Elizabeth Brubaker.

Owner NameCrystal Heights Care Center(Free Standing Nf/Snf) | 620049 Karen Acres Healthcare Center(Free Standing Nf/Snf) | 770275

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

Hospice

Fax6414732233

Since 2020 · 6 years of data 31 deficiencies 11 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 March 24, 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.	31	27	This facility has 15% more total deficiencies than a typical Iowa assisted living residence (31 vs. IA avg 27).↑ 15% worse
Deficiencies per year Average deficiencies per year since 2020.	5.2	4.5	This facility has 16% more deficiencies per year than a typical Iowa assisted living residence (5.2 vs. IA avg 4.5).↑ 16% worse
Deficiencies per inspection Average deficiencies per inspection.	2.8	1.8	This facility has 56% more deficiencies per inspection than a typical Iowa assisted living residence (2.8 vs. IA avg 1.8).↑ 56% 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.	11	15	This facility has 27% fewer total inspections than a typical Iowa assisted living residence (11 vs. IA avg 15).↓ 27% better

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

The most recent inspection on March 24, 2025 accepted a Plan of Correction and certified the facility in substantial compliance effective March 21, 2025.
The March 6, 2025 annual inspection found six deficiencies including failure to provide 8 consecutive hours of RN coverage, inaccurate vaccination assessments, and incomplete staffing data submissions.
Complaint investigations in September 2023 substantiated resident-to-resident physical abuse causing harm and misappropriation of narcotic medication by staff.

Show Inspection Reports

Inspections since 2023

Total health inspections 4

State average N/A

Last Health inspection on Mar 2025

Total health citations

State average N/A

Citations per inspection

3.5

State average N/A

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

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

9 moderate citations State average: N/A

4 minor citations State average: N/A

Citations history (last 3 years)

Administration moderate citation Mar 06, 2025

Corrected

Infection Control moderate citation Mar 06, 2025

Corrected

Nursing Services moderate citation Mar 06, 2025

Corrected

Care Planning minor citation Mar 06, 2025

Corrected

Total staff 64

Employees 41

Contractors 23

Staff to resident ratio 1.45 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 22

Average shift 7.2 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 14,548

Nursing staff breakdown

7.8 hours

8.5 hours

7.9 hours

Contractor staffing

773 contractor hours this quarter

Certified Nursing Assistant: 6 Respiratory Therapy Technician: 3 Registered Nurse: 2 Speech Language Pathologist: 2 Physical Therapy Aide: 2 Physical Therapy Assistant: 2 Qualified Social Worker: 2 Occupational Therapy Aide: 1 Medical Director: 1 Clinical Nurse Specialist: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	22	6	28	7,376	92	100%	7.9
Licensed Practical Nurse	5	0	5	1,769	91	99%	8.5
Registered Nurse	6	2	8	1,619	92	100%	7.8
Other Dietary Services Staff	3	0	3	952	73	79%	7
Medication Aide/Technician	2	0	2	764	79	86%	9.6
Administrator	1	0	1	528	66	72%	8
Nurse Practitioner	1	0	1	528	66	72%	8
RN Director of Nursing	1	0	1	495	61	66%	8.1
Speech Language Pathologist	0	2	2	164	64	70%	2.5
Physical Therapy Aide	0	2	2	128	53	58%	2.3
Physical Therapy Assistant	0	2	2	65	32	35%	2
Occupational Therapy Aide	0	1	1	65	14	15%	4.6
Respiratory Therapy Technician	0	3	3	52	34	37%	1.4
Clinical Nurse Specialist	0	1	1	17	2	2%	8.3
Occupational Therapy Assistant	0	1	1	12	3	3%	4.1
Qualified Social Worker	0	2	2	8	7	8%	1.1
Medical Director	0	1	1	6	6	7%	1

28 Certified Nursing Assistant

% of Days 100%

5 Licensed Practical Nurse

% of Days 99%

8 Registered Nurse

% of Days 100%

3 Other Dietary Services Staff

% of Days 79%

2 Medication Aide/Technician

% of Days 86%

1 Administrator

% of Days 72%

1 Nurse Practitioner

% of Days 72%

1 RN Director of Nursing

% of Days 66%

2 Speech Language Pathologist

% of Days 70%

2 Physical Therapy Aide

% of Days 58%

2 Physical Therapy Assistant

% of Days 35%

1 Occupational Therapy Aide

% of Days 15%

3 Respiratory Therapy Technician

% of Days 37%

1 Clinical Nurse Specialist

% of Days 2%

1 Occupational Therapy Assistant

% of Days 3%

2 Qualified Social Worker

% of Days 8%

1 Medical Director

% of Days 7%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 10.2

In line with State average

State average: 10.2

Functional decline score 17.0

21% better than State average

State average: 21.6

Long-stay resident measures

Significantly below average State avg: 3.3

Need for Help with Daily Activities Increased 14.9%

21% better than State average

State average: 18.8%

Walking Ability Worsened 17.4%

12% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 18.8%

28% better than State average

State average: 26.2%

Falls with Major Injury 7.1%

97% worse than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 7.6%

73% worse than State average

State average: 4.4%

Urinary Tract Infection 10.2%

311% worse than State average

State average: 2.5%

Lost Too Much Weight 4.0%

21% better than State average

State average: 5.0%

Depressive Symptoms 0.0%

100% better than State average

State average: 3.9%

Antipsychotic Use 21.3%

12% worse than State average

State average: 19.0%

Pneumococcal Vaccine 100.0%

6% better than State average

State average: 94.4%

Influenza Vaccine 100.0%

5% better than State average

State average: 95.3%

Hospitalizations per 1,000 days 2.30

55% worse than State average

State average: 1.48

ED visits per 1,000 days 1.70

19% better than State average

State average: 2.09

Short-stay resident measures

Below average State avg: 2.6

Pneumococcal Vaccine 100.0%

18% better than State average

State average: 85.1%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.8%

Influenza Vaccine 59.1%

19% worse than State average

State average: 73.3%

Re-hospitalized after SNF stay 28.5%

34% worse than State average

State average: 21.3%

Emergency department visits 4.7%

64% better 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 28.6%

47% worse than State average

State average: 53.7%

Successful return to home or community 48.7%

In line with State average

State average: 50.6%

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

Total residents 44

Medicare

9.1% of residents

Medicaid

52.3% of residents

Private pay or other

38.6% of residents

Financial Trends

Historical financial and operational data for Westbrook Acres from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 104.8% ↑ 17.2pp vs 2022

Net Patient Income $638.1K ↑ ~$421.3K vs 2022

Payroll Costs $2.5M ↓ ~$72.7K vs 2022

Operating Margin 14.4% ↑ 8.8pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	87.7%	99.0%	96.9%	88.3%	89.2%	90.7%	91.2%	95.5%	94.2%	75.2%	81.9%	87.7%	104.8%
Beds	57	54	54	54	54	54	54	54	54	54	54	54	46
Net Income	$64,311	$244,559	$80,485	$19,094	$144,355	$236,681	$278,213	$291,530	$185,227	-$228,041	$434,426	$69,015	$214,617
Gross Revenue	$2,684,863	$3,164,966	$3,149,779	$3,126,840	$3,222,958	$3,500,089	$3,526,815	$3,688,876	$3,707,186	$3,237,010	$3,337,393	$4,045,862	$4,607,555
Operating Expenses	$2,621,049	$2,703,304	$2,888,130	$2,872,852	$2,849,488	$2,999,346	$3,064,498	$3,147,834	$3,213,941	$3,164,380	$3,212,048	$3,667,356	$3,801,632
Net Patient Income	$63,814	$331,128	$161,754	$95,294	$223,205	$365,225	$324,689	$401,739	$353,909	-$68,144	$39,780	$216,856	$638,116
Net Patient Revenue	$2,684,863	$3,034,432	$3,049,884	$2,968,146	$3,072,693	$3,364,571	$3,389,187	$3,549,573	$3,567,850	$3,096,236	$3,251,828	$3,884,212	$4,439,748
Payroll Costs	$1,480,894	$1,607,820	$1,876,875	$1,722,318	$1,916,510	$1,860,637	$2,059,745	$2,098,183	$2,205,065	$2,152,772	$2,203,814	$2,535,512	$2,462,769
Operating Margin %	2.4%	10.9%	5.3%	3.2%	7.3%	10.9%	9.6%	11.3%	9.9%	-2.2%	1.2%	5.6%	14.4%
Medicare %	1.9%	2.4%	2.2%	2.7%	1.4%	2.1%	1.6%	1.7%	1.2%	2.0%	0.6%	2.2%	2.1%
Medicaid %	25.8%	30.6%	31.0%	30.6%	27.3%	27.6%	29.8%	31.3%	39.2%	39.9%	47.3%	41.8%	44.9%
Private %	72.2%	67.0%	66.9%	66.6%	71.3%	70.3%	68.6%	67.0%	59.6%	58.1%	52.1%	56.0%	53.0%
Net Patient Revenue/Day	$147	$155	$160	$171	$175	$188	$188	$189	$192	$208	$202	$225	$252
Cost/Day	$144	$138	$151	$165	$162	$167	$170	$167	$173	$213	$199	$212	$216
Avg Length of Stay	701.9 days	287.8 days	335.1 days	241.8 days	244.2 days	208.4 days	246.4 days	257.8 days	273.0 days	232.3 days	393.5 days	345.6 days	345.2 days

Finances and operations

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

Net patient revenue

$4.4M

Net patient income

$638.1K

For-profit Corporation

Net patient revenue

$4.4M

Net patient income

$638.1K

Other income

$25.6K

Payroll costs

$2.5M 55.5% of net patient revenue

Other operating costs

$1.3M

Total costs

$3.8M

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 (47% of admissions), and a typical private pay stay runs around 10 - 11 months.

Coverage residents most often arrive under.

Medicare 32%

Private pay 47%

Medicaid 21%

Coverage residents most often leave under.

Medicare 14%

Private pay 59%

Medicaid 27%

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


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Nursing Home Explorer

Who is the owner of Westbrook Acres?

Westbrook Acres is legally operated by Crystal Heights Care Center(Free Standing NF/SNF) | 620049 Karen Acres Healthcare Center(Free Standing NF/SNF) | 770275, and administered by Elizabeth Brubaker.

Is Westbrook Acres in a walkable area?

Westbrook Acres has a walk score of 31. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Westbrook Acres?

According to IA state health department records, Westbrook Acres's license number is 860029.

When does Westbrook Acres's license expire?

According to IA state health department records, Westbrook Acres's license expires on October 1, 2026.

What is the occupancy rate at Westbrook Acres?

Westbrook Acres's occupancy is 96%.

Does Westbrook Acres operate as a for-profit or non-profit?

Westbrook Acres is registered as a for-profit in IA.

Who is the administrator of Westbrook Acres?

Elizabeth Brubaker is the administrator of Westbrook Acres.

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Westbrook Acres

Overview of Westbrook Acres

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Payment & Insurance

Therapy & Rehabilitation

Additional Services

Contact Information

Contact Westbrook Acres

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

28 Certified Nursing Assistant

5 Licensed Practical Nurse

8 Registered Nurse

3 Other Dietary Services Staff

2 Medication Aide/Technician

1 Administrator

1 Nurse Practitioner

1 RN Director of Nursing

2 Speech Language Pathologist

2 Physical Therapy Aide

2 Physical Therapy Assistant

1 Occupational Therapy Aide

3 Respiratory Therapy Technician

1 Clinical Nurse Specialist

1 Occupational Therapy Assistant

2 Qualified Social Worker

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

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

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