Westhaven Community

Nursing Home, Assisted Living, Independent Living & Skilled Nursing · Boone, IA

CMS overall rating

112 West 4Th Street, Boone, IA 50036 View map

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Westhaven Community accepts Medicare, Medicaid, and private pay.

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Westhaven Community accepts Medicare, Medicaid, and private pay.

Overview of Westhaven Community

Westhaven Community is a 40-bed nonprofit skilled nursing facility in Boone, Iowa, offering independent living, assisted living, and skilled care. The community is operated as a ministry of the Evangelical Free Church and accepts Medicare, Medicaid, and private pay.

Across inspections since 2017, the facility has averaged approximately 2 deficiencies per year — 55% below the Iowa average of 4.4 — a strong long-term compliance picture. That record includes two notable exceptions: a 2023 inspection that found an Immediate Jeopardy citation for failure to re-evaluate a resident’s advance directives and code status.

A separate complaint investigation that year in which a resident sustained a fatal fall and staff were cited for inadequate supervision. The April 2025 standard inspection recorded 8 deficiencies covering medication management, infection control, and respiratory care. The most recent visit, a September 2025 complaint investigation, found no regulatory issues.

CMS rates Westhaven 4 stars overall, with staffing hours 34.8% above the Iowa average — nurse staffing averaging 5 hours and 20 minutes per resident per day places the community 24th out of 241 Iowa skilled nursing facilities. Occupancy is significantly below the state average at 43%, indicating current availability.

The on-site salon is the one amenity listed on the profile; the facility’s broader lifestyle programming is not detailed on the page.

Westhaven Community is best studied for residents seeking independent, assisted, or skilled nursing care in a small, faith-affiliated residential setting in Boone County, with immediate availability across bed types. However, families should review the facility’s prior Immediate Jeopardy finding and fall-related complaint history.

Facility Direct Line (515) 432-1393

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

5h 20m per day

vs avg

4 of 6 metrics below state avg

Standout metric LPN / LVN is +44% 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.	32m per day	▼ 28% 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.	49m per day	▲ 44% 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 34m per day	■ Avg 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 15m per day	▼ 3% 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.	2m per day	▼ 13% 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.	24m per day	▼ 21% State avg: 30m per day · National avg: 28m per day

Capacity and availability

379 days

40-bed community

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

14 years in operation

A community with a solid operating history and experience delivering ongoing care.

Walk Score: 83 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

43%

Lower than the Iowa average: 75.4%

Occupied beds

17 / 40

Average occupied beds in Iowa homes 51 beds

Facility TypeAssisted Living Programs

StatusActive

IssuanceSeptember 9, 2011

ExpirationSeptember 9, 2027

CountyBoone

License NumberS0321

CMS Certification Number165498

Westhaven Community is administered by Breanna Streeter.

Email bstreeter@efreechurchhome.org

Fax5154327882

Pets not allowed

On-Site Salon

Since 2012 · 14 years of data 20 deficiencies 9 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 2012 vs. Iowa state average

Overall vs. IA average

Latest Inspection September 30, 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.	20	27	This facility has 26% fewer total deficiencies than a typical Iowa assisted living residence (20 vs. IA avg 27).↓ 26% better
Deficiencies per year Average deficiencies per year since 2012.	1.4	1.9	This facility has 26% fewer deficiencies per year than a typical Iowa assisted living residence (1.4 vs. IA avg 1.9).↓ 26% better
Deficiencies per inspection Average deficiencies per inspection.	2.2	1.8	This facility has 22% more deficiencies per inspection than a typical Iowa assisted living residence (2.2 vs. IA avg 1.8).↑ 22% 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.	9	15	This facility has had 40% fewer total inspections than the Iowa average (9 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↓ 40% fewer

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

The most recent inspection on September 3, 2025, found no deficiencies during complaint investigations for two complaints.
The April 3, 2025 routine inspection cited eight deficiencies including medication errors, oxygen therapy failures, and infection control lapses.
The March 30, 2023 complaint investigation found inadequate fall prevention and supervision, resulting in a resident’s major injury and death.

Show Inspection Reports

Inspections since 2023

Total health inspections 2

State average N/A

Last Health inspection on Apr 2025

Total health citations

State average N/A

Citations per inspection

6.5

State average N/A

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

12 of 13 citations resulted from standard inspections; and 1 of 13 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

0 serious citations State average: N/A

12 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Infection Control moderate citation Apr 03, 2025

Corrected

Pharmacy moderate citation Apr 03, 2025

Corrected

Pharmacy moderate citation Apr 03, 2025

Corrected

Pharmacy moderate citation Apr 03, 2025

Corrected

Total staff 100

Employees 65

Contractors 35

Staff to resident ratio 2.08 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 35

Average shift 7.3 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 23,409

Nursing staff breakdown

8 hours

7.5 hours

7.3 hours

Contractor staffing

2,847 contractor hours this quarter

Certified Nursing Assistant: 13 Physical Therapy Assistant: 4 Physical Therapy Aide: 4 Registered Nurse: 3 Qualified Social Worker: 3 Speech Language Pathologist: 2 Respiratory Therapy Technician: 2 Licensed Practical Nurse: 1 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	38	13	51	13,087	92	100%	7.3
Licensed Practical Nurse	12	1	13	3,651	91	99%	7.5
Registered Nurse	6	3	9	1,769	91	99%	8
Other Dietary Services Staff	3	0	3	1,095	77	84%	6.3
Administrator	1	0	1	528	66	72%	8
Speech Language Pathologist	0	2	2	521	68	74%	6.1
Clinical Nurse Specialist	1	0	1	504	63	68%	8
Physical Therapy Assistant	0	4	4	501	60	65%	6.8
RN Director of Nursing	1	0	1	488	61	66%	8
Nurse Practitioner	2	0	2	424	52	57%	8
Dental Services Staff	1	0	1	336	42	46%	8
Occupational Therapy Aide	0	1	1	179	40	43%	4.5
Respiratory Therapy Technician	0	2	2	147	33	36%	4.3
Physical Therapy Aide	0	4	4	134	29	32%	4.3
Qualified Social Worker	0	3	3	35	26	28%	1.4
Occupational Therapy Assistant	0	1	1	9	5	5%	1.8
Medical Director	0	1	1	3	3	3%	1

51 Certified Nursing Assistant

% of Days 100%

13 Licensed Practical Nurse

% of Days 99%

9 Registered Nurse

% of Days 99%

3 Other Dietary Services Staff

% of Days 84%

1 Administrator

% of Days 72%

2 Speech Language Pathologist

% of Days 74%

1 Clinical Nurse Specialist

% of Days 68%

4 Physical Therapy Assistant

% of Days 65%

1 RN Director of Nursing

% of Days 66%

2 Nurse Practitioner

% of Days 57%

1 Dental Services Staff

% of Days 46%

1 Occupational Therapy Aide

% of Days 43%

2 Respiratory Therapy Technician

% of Days 36%

4 Physical Therapy Aide

% of Days 32%

3 Qualified Social Worker

% of Days 28%

1 Occupational Therapy Assistant

% of Days 5%

1 Medical Director

% of Days 3%

View All Staffing Data

Total fines amount $7K

84% lower than State average

State average: $48K

Number of fines 1

41% fewer fines than State average

State average: 1.7

Payment Denials 0

100% fewer payment denials than State average

State average: 0.5

Fines amount comparison

This facility $7K

State average $48K

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 9.1

11% better than State average

State average: 10.2

Functional decline score 22.5

In line with State average

State average: 21.6

Long-stay resident measures

Above average State avg: 3.3

Need for Help with Daily Activities Increased 19.6%

In line with State average

State average: 18.8%

Walking Ability Worsened 18.0%

9% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 29.8%

13% worse than State average

State average: 26.2%

Falls with Major Injury 5.6%

54% worse than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 2.2%

49% better than State average

State average: 4.4%

Urinary Tract Infection 0.5%

79% better than State average

State average: 2.5%

Lost Too Much Weight 0.0%

100% better than State average

State average: 5.0%

Depressive Symptoms 1.6%

59% better than State average

State average: 3.9%

Antipsychotic Use 5.2%

73% better than State average

State average: 19.0%

Pneumococcal Vaccine 99.0%

5% 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 1.39

6% better than State average

State average: 1.48

ED visits per 1,000 days 3.21

54% worse than State average

State average: 2.09

Short-stay resident measures

Pneumococcal Vaccine 80.8%

5% worse than State average

State average: 85.1%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.8%

Breakdown by payment type

Medicare

32% of new residents, usually for short-term rehab.

Typical stay 2 months

Private pay

61% of new residents, often for short stays.

Typical stay 10 - 11 months

Medicaid

7% of new residents, often for long-term daily care.

Typical stay 9 years

Total residents 48

Medicare

10.4% of residents

Medicaid

52.1% of residents

Private pay or other

37.5% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

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 Westhaven Community from 2011–2023, based on CMS SNF Cost Reports.

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

Occupancy Rate 54.1% ↓ 4.4pp vs 2022

Net Patient Income -$1.8M ↓ ~$32.7K vs 2022

Payroll Costs $3.8M ↓ ~$57.0K vs 2022

Operating Margin -31.7% ↓ 0.5pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	96.9%	92.5%	95.9%	96.1%	94.3%	79.5%	77.1%	74.3%	26,412.5%	76.2%	66.3%	58.5%	54.1%
Beds	100	127	127	127	127	152	140	140	152	100	100	100	100
Net Income	$181,232	$21,064	-$4,876	$450,530	$171,168	$521,739	$489,871	-$72,824	$344,105	$1,328,703	$406,267	-$1,410,001	-$424,423
Gross Revenue	$6,269,118	$6,602,734	$6,944,636	$7,419,640	$7,459,133	$7,820,545	$7,786,349	$7,696,288	$7,666,103	$6,489,537	$6,102,152	$6,083,336	$6,052,323
Operating Expenses	$6,244,199	$6,652,096	$7,059,030	$7,087,247	$7,252,761	$7,575,996	$7,640,610	$7,627,520	$7,624,930	$7,587,450	$7,030,488	$7,436,498	$7,488,466
Net Patient Income	$29,326	-$117,612	-$154,580	$300,865	$151,829	$193,774	$98,895	$13,443	-$161,061	-$1,177,591	-$1,172,299	-$1,767,685	-$1,800,352
Net Patient Revenue	$6,273,525	$6,534,484	$6,904,450	$7,388,112	$7,404,590	$7,769,770	$7,739,505	$7,640,963	$7,463,869	$6,409,859	$5,858,189	$5,668,813	$5,688,114
Payroll Costs	$3,521,133	$3,754,827	$3,884,282	$4,040,881	$4,094,943	$4,308,302	$4,300,939	$4,312,096	$4,280,840	$4,307,123	$4,001,787	$3,873,038	$3,816,060
Operating Margin %	0.5%	-1.8%	-2.2%	4.1%	2.1%	2.5%	1.3%	0.2%	-2.2%	-18.4%	-20.0%	-31.2%	-31.7%
Medicare %	3.8%	3.2%	3.8%	3.6%	4.1%	2.8%	4.1%	4.0%	2.6%	2.5%	2.6%	7.4%	4.4%
Medicaid %	56.0%	44.7%	36.7%	37.8%	37.8%	39.9%	44.5%	43.8%	41.0%	51.5%	47.8%	38.5%	52.2%
Private %	40.3%	52.1%	59.6%	58.6%	58.2%	57.3%	51.3%	52.2%	56.5%	46.0%	49.6%	54.1%	43.4%
Net Patient Revenue/Day	$177	$152	$155	$166	$169	$176	$197	$201	$186	$230	$242	$266	$288
Cost/Day	$177	$155	$159	$159	$166	$171	$194	$201	$190	$272	$290	$348	$380
Avg Length of Stay	315.8 days	191.1 days	151.8 days	232.9 days	240.0 days	335.7 days	267.0 days	255.3 days	2,514.4 days	796.5 days	1,008.5 days	508.1 days	379.5 days

Finances and operations

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

Net patient revenue

$5.7M

Net patient income

-$1.8M

Nonprofit Other Nonprofit

Net patient revenue

$5.7M

Net patient income

-$1.8M

Other income

$1.4M

Payroll costs

$3.8M 67.1% of net patient revenue

Other operating costs

$3.7M

Total costs

$7.5M

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (61% of admissions), and a typical private pay stay runs around 10 - 11 months.

Coverage residents most often arrive under.

Medicare 32%

Private pay 61%

Medicaid 7%

Coverage residents most often leave under.

Medicare 17%

Private pay 56%

Medicaid 27%

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


Bethany Home Retirement Center	NH IL MC SNF	Dubuque (Eagle Point District)	-	66	-	69	1 Bed / 2 Bed
Friendship Village	NH AL IL MC SNF	Waterloo	-	72	-	52	2 Bed / 3 Bed
Prairie Vista Village	NH AL IL SNF	South Altoona	-	68	A	29	-
St Francis Manor	NH AL HOS SNF	Grinnell	-	78	-	82	-
Westhaven Community	NH AL IL SNF	Boone	-	40	-	83	-

Nursing Home Explorer

Is Westhaven Community in a walkable area?

Westhaven Community has a walk score of 83. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Westhaven Community?

According to IA state health department records, Westhaven Community's license number is S0321.

When does Westhaven Community's license expire?

According to IA state health department records, Westhaven Community's license expires on September 9, 2027.

What is the occupancy rate at Westhaven Community?

Westhaven Community's occupancy is 43%.

Are pets allowed at Westhaven Community?

No, Westhaven Community has a no-pet policy.

What is the best email address for Westhaven Community?

The team at Westhaven Community can be reached at bstreeter@efreechurchhome.org.

Does Westhaven Community operate as a for-profit or non-profit?

Westhaven Community is registered as a non-profit in IA.

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Westhaven Community

Overview of Westhaven Community

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Westhaven Community

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

51 Certified Nursing Assistant

13 Licensed Practical Nurse

9 Registered Nurse

3 Other Dietary Services Staff

1 Administrator

2 Speech Language Pathologist

1 Clinical Nurse Specialist

4 Physical Therapy Assistant

1 RN Director of Nursing

2 Nurse Practitioner

1 Dental Services Staff

1 Occupational Therapy Aide

2 Respiratory Therapy Technician

4 Physical Therapy Aide

3 Qualified Social Worker

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

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

CCRC

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

Places of interest near Westhaven Community

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