Inspection Reports for Westview Acres Care Center
203 SW Lorraine, IA, 501440140
Back to Facility ProfileInspection Report Summary
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.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
3.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
14% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
35 residents
Based on a June 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 7, 2025
Visit Reason
A complaint investigation for facility reported incident #129660-I was conducted.
Findings
The facility was found to be in substantial compliance.
Complaint Details
Complaint investigation for incident #129660-I; facility found in substantial compliance.
Inspection Report
Plan of Correction
Deficiencies: 0
Jun 25, 2025
Visit Reason
The document is a Plan of Correction related to a prior inspection, indicating acceptance of the facility's credible allegation of substantial compliance and plan of correction.
Findings
The facility was certified in compliance effective June 23, 2025, based on acceptance of the credible allegation of substantial compliance and the Plan of Correction.
Inspection Report
Annual Inspection
Census: 35
Deficiencies: 1
Jun 5, 2025
Visit Reason
The inspection was conducted as the facility's annual recertification survey combined with an investigation of complaint #127602-C from June 2 to June 5, 2025.
Findings
No deficiencies were cited related to the complaint. However, a deficiency was found related to the facility's failure to complete and submit a comprehensive assessment after a significant change in condition for one of five residents reviewed (Resident #5).
Complaint Details
The complaint #127602-C was investigated during the survey, and no deficiency was cited related to the complaint.
Severity Breakdown
Ss-D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to complete and submit a comprehensive assessment related to a significant change in condition for Resident #5 within 14 days. | Ss-D |
Report Facts
Residents reviewed: 5
Census: 35
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing (DON) | Interviewed on 6/05/25 regarding Resident #5's health status and MDS entry | |
| MDS Coordinator | Interviewed on 6/05/25 regarding updating the Care Plan and MDS submission for Resident #5 |
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 30, 2024
Visit Reason
A complaint investigation for complaint #123655-C was conducted from December 24, 2024 to December 30, 2024.
Findings
The facility was found to be in substantial compliance.
Complaint Details
Complaint #123655-C was investigated and the facility was found to be in substantial compliance.
Inspection Report
Plan of Correction
Deficiencies: 0
Aug 16, 2024
Visit Reason
The visit was conducted to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and to review the provider's credible allegation of compliance and plan of correction.
Findings
The facility, Westview Acres, was found to be in substantial compliance effective August 16, 2024, based on the department's acceptance of the credible allegation of compliance and plan of correction.
Inspection Report
Annual Inspection
Census: 40
Deficiencies: 7
Jul 25, 2024
Visit Reason
The inspection was conducted as the facility's annual recertification survey and included investigation of a reported incident #122266-I from July 22, 2024 to July 25, 2024.
Findings
The facility was found deficient in several areas including failure to have a doctor signature on an advance directive for one resident, incomplete dependent adult abuse training for staff, failure to revise care plans timely for residents, insufficient nursing staff response to call lights, improper use and documentation of psychotropic medications, and inadequate infection prevention and control measures including water management for Legionella risk.
Deficiencies (7)
| Description |
|---|
| Failure to have the Doctor signature on the Iowa Physician Orders for Scope of Treatment (IPOST) for 1 of 16 residents reviewed. |
| Failure to ensure 1 of 5 staff members completed dependent adult abuse training within 6 months of hire. |
| Failure to revise the care plan timely for 1 of 16 residents reviewed. |
| Failure to respond to resident call lights in a timely manner for 5 of 5 residents reviewed. |
| Failure to ensure psychotropic medications were used appropriately and documented for 1 of 1 resident reviewed. |
| Failure to implement a comprehensive infection prevention and control program including water management to reduce Legionella risk. |
| Failure to ensure proper hand hygiene and cleaning procedures during medication administration. |
Report Facts
Residents reviewed for advance directives: 16
Staff reviewed for dependent adult abuse training: 5
Residents reviewed for care plan revision: 16
Residents reviewed for call light response: 5
Resident reviewed for psychotropic medication use: 1
Facility census: 40
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Certified Nurse Aide | Failed to complete dependent adult abuse training within required timeframe. |
| Staff B | Registered Nurse | Observed failing to clean hands and gloves properly during medication administration. |
| Director of Nursing | Director of Nursing (DON) | Provided statements regarding staff training, call light response expectations, and infection control. |
Inspection Report
Plan of Correction
Deficiencies: 0
Mar 22, 2024
Visit Reason
The document serves as a Plan of Correction following acceptance of a credible allegation of substantial compliance for the facility.
Findings
The facility was found to be in substantial compliance based on the credible allegation and Plan of Correction, resulting in certification of compliance effective March 22, 2024.
Inspection Report
Complaint Investigation
Census: 33
Deficiencies: 1
Feb 29, 2024
Visit Reason
The inspection was conducted as a result of complaints #114942-C, #115057-C, #115669-C, #116565-C and a facility self-report from February 26 to February 29, 2024.
Findings
The facility failed to follow proper infection control practices to mitigate the risk of spreading infectious disease, specifically related to COVID-19 return to work protocols for staff. Complaint #115669-C was substantiated.
Complaint Details
Complaint #115669-C was substantiated. The investigation found failures in infection control practices and COVID-19 return to work procedures for staff.
Deficiencies (1)
| Description |
|---|
| The facility did not conduct an annual review of its infection prevention and control program as required, and failed to follow proper infection control practices related to COVID-19 staff return to work protocols. |
Report Facts
Resident census: 33
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Dietary Aide | Named in findings related to COVID-19 infection and return to work |
| Dietary Supervisor | Instructed Staff C regarding COVID-19 testing and return to work | |
| Director of Nursing | Director of Nursing | Provided statements regarding testing records and facility protocols |
| Rose Saxton | Administrator | Signed the report and plan of correction |
Inspection Report
Plan of Correction
Deficiencies: 0
Jun 16, 2023
Visit Reason
The document is a plan of correction submitted following a survey to address deficiencies and certify compliance.
Findings
The facility was found to be in compliance based on acceptance of a credible allegation of compliance and plan of correction effective June 16, 2023.
Inspection Report
Annual Inspection
Census: 34
Deficiencies: 4
May 24, 2023
Visit Reason
The inspection was conducted as the facility's Annual Recertification Survey from May 21, 2023 to May 24, 2023.
Findings
The facility was found deficient in several areas including failure to provide proper bed hold notice before resident transfers, improper labeling and storage of drugs and biologicals, inadequate food procurement and sanitation practices, and incomplete abuse, neglect, and exploitation training for staff.
Severity Breakdown
SS=D: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to provide bed hold notice for resident transfers as required by policy and regulations. | SS=D |
| Failure to ensure drugs and biologicals were properly labeled and stored separately from food in locked compartments. | SS=D |
| Failure to ensure food procurement, storage, preparation, and serving met sanitary requirements, including proper sanitizing solution concentration. | SS=D |
| Failure to ensure all employees received required education and training on abuse, neglect, and exploitation, including dependent adult abuse mandatory reporter training. | SS=D |
Report Facts
Census: 34
Deficiencies cited: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Certified Nursing Assistant | Named in abuse training deficiency for incomplete dependent adult abuse mandatory reporter training |
| Staff C | Licensed Practical Nurse (LPN) | Interviewed regarding medication storage practices |
| Staff D | Dietary Cook | Observed and interviewed regarding food sanitation and sanitizing solution concentration |
| Staff E | Dietary Cook | Performed sanitizing solution concentration checks |
| Director of Nursing | Interviewed regarding bed hold policy and medication storage policy | |
| Social Services Staff A | Interviewed regarding bed hold notice completion | |
| Dietary Manager | Interviewed regarding sanitizing solution change frequency | |
| Administrator | Named in training deficiency and plan of correction |
Inspection Report
Complaint Investigation
Census: 37
Deficiencies: 0
Apr 20, 2023
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted along with a complaint investigation for complaints #104912-C, #107894-C, and #111386-C, as well as facility reported incidents #107764-I and #108347-I.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices for COVID-19 preparation and was found to be in substantial compliance during the complaint investigation.
Complaint Details
Complaint investigation was conducted for complaints #104912-C, #107894-C, and #111386-C, and facility reported incidents #107764-I and #108347-I. The facility was found to be in substantial compliance.
Inspection Report
Annual Inspection
Census: 39
Deficiencies: 4
Jan 13, 2022
Visit Reason
The annual recertification survey was conducted from January 10, 2022 to January 13, 2022 to assess compliance with federal regulations.
Findings
The survey identified deficiencies related to coordination of PASARR and assessments, development and implementation of comprehensive care plans, drug regimen management, and provision of specialized rehabilitative services. The facility failed to meet requirements in these areas as evidenced by clinical record reviews, staff interviews, and observations.
Severity Breakdown
SS=C: 1
SS=D: 3
Deficiencies (4)
| Description | Severity |
|---|---|
| Coordination of PASARR and Assessments was not met as the facility failed to refer one out of one resident reviewed for a level II evaluation following a change in psychiatric diagnosis and medications. | SS=C |
| The facility failed to update a comprehensive person-centered care plan for 2 of 16 residents reviewed. | SS=D |
| The facility failed to follow physician orders to draw Prothrombin time (PT)/International normalized ratio (INR) for 3 of 4 residents receiving warfarin on a daily basis. | SS=D |
| The facility failed to ensure a resident received specialized rehabilitative services to restore their highest practicable level of physical and functional well-being. | SS=D |
Report Facts
Census: 39
Residents reviewed for care plan deficiency: 16
Residents with care plan deficiencies: 2
Residents with warfarin PT/INR monitoring deficiency: 3
Residents receiving warfarin: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rosa Saxton | Administrator | Signed the statement of deficiencies on 2/11/2022 |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding PT/INR monitoring and care plan updates |
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Interviewed regarding PASARR resubmission policy |
| MDS Coordinator | Interviewed regarding care plan expectations and catheter care |
Inspection Report
Complaint Investigation
Census: 38
Deficiencies: 6
Jul 29, 2021
Visit Reason
The inspection was conducted as part of an investigation of multiple complaints and a facility-reported incident between June 28 and July 29, 2021. The visit aimed to assess compliance with federal regulations related to resident care and facility operations.
Findings
The facility was found to have multiple deficiencies including failure to notify families and physicians of significant resident changes, inadequate assistance with activities of daily living, failure to provide proper treatment and prevention of pressure ulcers, incomplete pharmacy service procedures, infection control lapses, and ineffective pest control. Several residents were affected by these deficiencies.
Complaint Details
The visit was triggered by complaints numbered 87931-C, 89085-C, 89761-C, 90470-C, 92583-C, 92855-C, 93437-C, 94447-C, 94963-C, 95073-C, and 98610-C, as well as a facility-reported incident 95230-I. Complaints 92855-C, 95073-C, and 92855-C were substantiated.
Deficiencies (6)
| Description |
|---|
| Failure to ensure timely notification of resident changes to physician and family. |
| Failure to provide adequate ADL care including toileting, bathing, and catheter care for dependent residents. |
| Failure to provide appropriate treatment and prevention of pressure ulcers. |
| Failure to maintain accurate pharmacy drug records and secure narcotic E-kit. |
| Failure to properly disinfect shower rooms and maintain infection prevention and control program. |
| Failure to maintain an effective pest control program resulting in fly infestation. |
Report Facts
Resident census: 38
Deficiency counts: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ross Saxton | Administrator | Signed the initial comments and plan of correction. |
| Staff M | Named in re-education regarding perineal care and catheter care. | |
| Staff K | Named in re-education regarding perineal care and catheter care and infection control. | |
| Staff N | Named in re-education regarding perineal care and catheter care and infection control. | |
| Staff P | Business Office Manager | Informed about resident assistance needs. |
| Staff J | Certified Nurse Aide | Provided assistance and care to residents. |
| Staff A | Registered Nurse | Involved in narcotic E-kit handling and re-education. |
| Staff B | Involved in narcotic E-kit handling and re-education. | |
| Staff C | Licensed Practical Nurse | Involved in narcotic E-kit handling and re-education. |
| Staff D | Involved in narcotic E-kit handling and re-education. | |
| Staff E | Certified Nurse Aide | Assisted with resident care and narcotic E-kit handling. |
| Staff F | Assisted with resident care. | |
| Staff G | Housekeeping Supervisor | Responsible for pest control spray. |
| Staff H | Housekeeping Supervisor | Responsible for pest control spray. |
| Staff I | Re-educated on pest control monitoring and reporting. | |
| Staff J | Re-educated on infection prevention and control. | |
| Staff L | Re-educated on infection prevention and control. | |
| Staff U | Hospice Nurse | Interviewed regarding resident wound assessment. |
Inspection Report
Abbreviated Survey
Census: 37
Deficiencies: 0
Dec 2, 2020
Visit Reason
A focused COVID-19 infection control survey was conducted to assess the facility's compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Total residents: 37
Inspection Report
Abbreviated Survey
Census: 45
Deficiencies: 0
Jun 23, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals on 6/23/20 to assess the facility's compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Total residents: 45
Loading inspection reports...
