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Nursing Home

Westview Acres Care Center

Overview of Westview Acres Care Center
Westview Acres Care Center in Leon, Iowa is dedicated to a 'Service of Caring' by providing personalized attention to community members. It is a fully-licensed, 58-bed skilled nursing facility that offers long-term, short-term, and respite care. The center is locally owned and operated, continuing a tradition of excellence since its establishment in 1966.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
5/5
Iowa average: 3.2/5
Health Inspection Info 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.
4/5
Iowa average: 2.9/5
Staffing Info 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.
5/5
Iowa average: 3.7/5
Quality Measures Info 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.
3/5
Iowa average: 3.5/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
5h 3m per day

This home provides 14% more nursing time per resident than the Iowa average.

Iowa average: 4h 25m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 46

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Iowa average
Occupancy rate 76.1%
Residents per day (avg) 36
Occupancy rate
76.1%
Residents per day (avg)
36

Who this home usually serves

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.

Breakdown by payment type

Medicare

14% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

52% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

34% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$4.5M
Profit
$206.9K
Privately-owned community Operated by a business corporation.
Home revenue
$4,533,655.00
Profit
$206,873.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.1M
45.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.1M
Total costs $4.2M
Bed community size
46-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

Occupancy

Occupancy rate
76%
In line with Iowa average
Occupied beds
35 / 46
Average residents 51 per day

License details

Facility type
Free Standing Nf/snf
Status Active
County: Decatur

Additional licensing details

License number: 270214
CMS Certification Number: 165252
Certification type: FALSE

Ownership & operating entity

Westview Acres Care Center is administrated by Rose Saxton.

Care Services

Nursing Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

Contact Information

Fax: 6414466604

Programs & Activities

Specific Programs
Care and Services, Our Facility, News, Jobs, Contact
Contact Westview Acres Care Center

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.

17 visits/inspections

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date:October 7, 2025

23 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for Westview Acres Care Center

The most recent inspection on October 7, 2025, was a complaint investigation in which the facility was found to be in substantial compliance with no deficiencies cited. Earlier inspections showed a mixed pattern with some deficiencies related mainly to documentation of resident assessments, infection control practices, medication management, and timely staff training. Prior complaint investigations were mostly unsubstantiated except for one substantiated case in February 2024 involving infection control and COVID-19 staff return-to-work protocols. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s record shows some improvement over time, with fewer deficiencies noted in the most recent inspections compared to earlier years.

Health Inspection History

Inspections
Total health inspections 4

Iowa average 4.9


Last Health inspection on Jun 2025

Total health citations 12

Iowa average 21.7

Citations per inspection
3

Iowa average 4.11


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

11 of 12 citations resulted from standard inspections; and 1 of 12 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Iowa average

Iowa average: 0.6


Serious Health citations More info 0
100% better than Iowa average

Iowa average: 0.9

0 critical citations More info Iowa average: 0.6

0 serious citations More info Iowa average: 0.9

12 moderate citations More info Iowa average: 19.7

0 minor citations More info Iowa average: 0.5
Citations history (last 3 years)
Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Jun 05, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Jul 25, 2024
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jul 25, 2024
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Jul 25, 2024
Corrected

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

5 facilities compared · CMS & IA Dept. of Health data · Updated Mar 2026

Westview Acres Care Center
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.

Leon
46
77.6%
+3%
5.05
-25%
+18%
0
12
0
36
Stegotek Inc
$4,5M
$2,1M
46.5%
165252
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
+15%
+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
-40%
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
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
-8%
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
-33%
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082

Places of interest near Westview Acres Care Center

Address Leon, IA 501440140

Address Leon, IA 501440140

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 69
Employees 54
Contractors 15
Staff to resident ratio 1.97:1
0% compared with Iowa average

Iowa average ratio: 2.00:1

Avg staff/day 23
Average shift 7 hours
5% worse than Iowa average

Iowa average: 7.4 hours

Total staff hours (quarter) 14,604
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 34
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

3%

438 contractor hours this quarter

Speech Language Pathologist: 5 Respiratory Therapy Technician: 2 Physical Therapy Aide: 2 Physical Therapy Assistant: 2 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 1 Qualified Social Worker: 1
Staff by category
Certified Nursing Assistant340348,31391100%7.2
Licensed Practical Nurse8082,56791100%8.5
Registered Nurse6061,0268897%8.3
Dietitian1014975864%8.6
Nurse Practitioner1014806066%8
Mental Health Service Worker1014646167%7.6
Clinical Nurse Specialist1014645864%8
Administrator1012406066%4
Physical Therapy Aide0221797380%2.4
Other Dietary Services Staff1011171719%6.9
Occupational Therapy Aide011791314%6.1
Speech Language Pathologist055733640%2
Respiratory Therapy Technician022604044%1.5
Physical Therapy Assistant022182022%0.9
Occupational Therapy Assistant0111644%4
Medical Director01110910%1.1
Qualified Social Worker011478%0.5
34 Certified Nursing Assistant
% of Days 100%
8 Licensed Practical Nurse
% of Days 100%
6 Registered Nurse
% of Days 97%
1 Dietitian
% of Days 64%
1 Nurse Practitioner
% of Days 66%
1 Mental Health Service Worker
% of Days 67%
1 Clinical Nurse Specialist
% of Days 64%
1 Administrator
% of Days 66%
2 Physical Therapy Aide
% of Days 80%
1 Other Dietary Services Staff
% of Days 19%
1 Occupational Therapy Aide
% of Days 14%
5 Speech Language Pathologist
% of Days 40%
2 Respiratory Therapy Technician
% of Days 44%
2 Physical Therapy Assistant
% of Days 22%
1 Occupational Therapy Assistant
% of Days 4%
1 Medical Director
% of Days 10%
1 Qualified Social Worker
% of Days 8%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
35 residents
Residents by payment source
Medicare
2 residents (5.7%)
Medicaid
22 residents (62.9%)
Private pay or other
11 residents (31.4%)
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.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.9
23% better than Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 17.4
19% better than Iowa average

Iowa average: 21.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.5%
34% better than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 12.4%
37% better than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.4%
In line with Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.3%
76% worse than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.9%
36% worse than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.5%
42% worse than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.3%
55% better than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 3.6%
81% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.6%
In line with Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.7%
In line with Iowa average

Iowa average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
18% better than Iowa average

Iowa average: 85.1%

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

Loans up to $25,000; statewide via Easterseals partnership.

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