Westview Acres Care Center

Nursing Home, Assisted Living, Respite Care & Skilled Nursing · Leon, IA

CMS overall rating

203 Sw Lorraine, Leon, Ia 501440140 View map

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Westview Acres Care Center accepts Medicare, Medicaid, and private pay.

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Westview Acres Care Center accepts Medicare, Medicaid, and private pay.

Overview of Westview Acres Care Center

Westview Acres Care Center is a 58-bed skilled nursing facility in Leon, Iowa, providing long-term care, short-term stays, and respite care. The center has been locally owned and operated by Stegotek Inc. since 1966 and accepts Medicare, Medicaid, and private pay.

CMS rates the facility well above the Iowa average overall, driven by strong health inspection and staffing sub-ratings. Total nursing hours average 5 hours and 3 minutes per resident per day — roughly 14% above the Iowa average of 4 hours and 25 minutes, ranking the facility 47th among 241 Iowa SNFs. One staffing note worth flagging: registered nurse staffing is 29 minutes per resident per day, below the state’s 44-minute average, while LPN staffing is 50% above the state figure.

Across 17 inspections since 2020, the facility logged 5.8 deficiencies per year — 32% above the Iowa average of 4.4. One complaint was substantiated in February 2024, involving a staff member’s early return to work following a positive COVID-19 test in violation of facility policy. No fines, Immediate Jeopardy findings, or license actions appear in the record. The trajectory is improving: the most recent annual survey in June 2025 produced a single documentation deficiency, down from seven in the prior year’s survey.

On-site therapy services include physical, occupational, and speech-language therapy. The facility offers 24-hour staffing.

Westview Acres is best suited for residents seeking long-term skilled nursing care or post-acute stays in a small, locally rooted facility in Decatur County — particularly those whose care needs are well-served by strong total nursing hours and established Medicare and Medicaid acceptance.

Facility Direct Line (641) 446-4165 westview@leoncarecenters.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

5h 3m per day

vs avg

4 of 6 metrics below state avg

Standout metric LPN / LVN is +57% 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.	34m per day	▼ 22% 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.	53m per day	▲ 57% 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 11m per day	▼ 14% 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 7m per day	▼ 7% 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	▲ 18% 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.	19m per day	▼ 36% State avg: 30m per day · National avg: 28m per day

Capacity and availability

177 days

46-bed community

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

Walk Score: 53 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

76%

Similar to the Iowa average: 75.4%

Occupied beds

35 / 46

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationOctober 1, 2026

CountyDecatur

License Number270214

CMS Certification Number165252

Certification TypeFALSE

Westview Acres Care Center is administered by Rose Saxton.

Respite Care

24-Hour Staffing

Email wvaccadmin@grm.net

Fax6414466604

Pets not allowed

Since 2020 · 6 years of data 35 deficiencies 17 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 October 7, 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.	35	27	This facility has 30% more total deficiencies than a typical Iowa assisted living residence (35 vs. IA avg 27).↑ 30% worse
Deficiencies per year Average deficiencies per year since 2020.	5.8	4.5	This facility has 29% more deficiencies per year than a typical Iowa assisted living residence (5.8 vs. IA avg 4.5).↑ 29% worse
Deficiencies per inspection Average deficiencies per inspection.	2.1	1.8	This facility has 17% more deficiencies per inspection than a typical Iowa assisted living residence (2.1 vs. IA avg 1.8).↑ 17% 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.	17	15	This facility has had 13% more total inspections than the Iowa average (17 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 13% more

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

The most recent inspection on October 7, 2025 found the facility in substantial compliance with no deficiencies cited during complaint investigation #129660-I.
The July 25, 2024 annual survey cited 7 deficiencies including failure to respond to resident call lights timely, incomplete staff abuse training, inadequate infection control, and missing physician signatures on advance directives.
The February 29, 2024 complaint investigation substantiated a failure to follow COVID-19 infection control and staff return-to-work protocols, including early return without negative tests.

Show Inspection Reports

Inspections since 2023

Total health inspections 4

State average N/A

Last Health inspection on Jun 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

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

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

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)

Care Planning moderate citation Jun 05, 2025

Corrected

Abuse/Neglect moderate citation Jul 25, 2024

Corrected

Infection Control moderate citation Jul 25, 2024

Corrected

Nursing Services moderate citation Jul 25, 2024

Corrected

Total staff 66

Employees 53

Contractors 13

Staff to resident ratio 1.89 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 21

Average shift 7.5 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 14,482

Nursing staff breakdown

8.1 hours

9 hours

7.9 hours

Contractor staffing

411 contractor hours this quarter

Physical Therapy Aide: 2 Respiratory Therapy Technician: 2 Physical Therapy Assistant: 2 Occupational Therapy Assistant: 2 Qualified Social Worker: 2 Occupational Therapy Aide: 1 Medical Director: 1 Speech Language Pathologist: 1

Staff by category


Certified Nursing Assistant	30	0	30	7,870	92	100%	7.9
Licensed Practical Nurse	8	0	8	3,197	92	100%	9
Registered Nurse	8	0	8	1,268	92	100%	8.1
Nurse Practitioner	1	0	1	479	60	65%	8
Mental Health Service Worker	1	0	1	459	59	64%	7.8
Clinical Nurse Specialist	1	0	1	318	40	43%	7.9
Administrator	1	0	1	288	55	60%	5.2
Physical Therapy Aide	0	2	2	142	58	63%	2.4
Respiratory Therapy Technician	0	2	2	142	53	58%	2.7
Other Dietary Services Staff	2	0	2	100	20	22%	5
Dietitian	1	0	1	93	10	11%	9.3
Occupational Therapy Aide	0	1	1	79	13	14%	6.1
Physical Therapy Assistant	0	2	2	19	20	22%	0.9
Occupational Therapy Assistant	0	2	2	16	4	4%	3.9
Medical Director	0	1	1	8	7	8%	1.1
Qualified Social Worker	0	2	2	4	8	9%	0.5
Speech Language Pathologist	0	1	1	3	2	2%	1.7

30 Certified Nursing Assistant

% of Days 100%

8 Licensed Practical Nurse

% of Days 100%

8 Registered Nurse

% of Days 100%

1 Nurse Practitioner

% of Days 65%

1 Mental Health Service Worker

% of Days 64%

1 Clinical Nurse Specialist

% of Days 43%

1 Administrator

% of Days 60%

2 Physical Therapy Aide

% of Days 63%

2 Respiratory Therapy Technician

% of Days 58%

2 Other Dietary Services Staff

% of Days 22%

1 Dietitian

% of Days 11%

1 Occupational Therapy Aide

% of Days 14%

2 Physical Therapy Assistant

% of Days 22%

2 Occupational Therapy Assistant

% of Days 4%

1 Medical Director

% of Days 8%

2 Qualified Social Worker

% of Days 9%

1 Speech Language Pathologist

% of Days 2%

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 7.9

23% better than State average

State average: 10.2

Functional decline score 17.4

19% better than State average

State average: 21.6

Long-stay resident measures

Average State avg: 3.3

Need for Help with Daily Activities Increased 12.5%

34% better than State average

State average: 18.8%

Walking Ability Worsened 12.4%

37% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 27.4%

In line with State average

State average: 26.2%

Falls with Major Injury 6.3%

76% worse than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 5.9%

36% worse than State average

State average: 4.4%

Urinary Tract Infection 3.5%

42% worse than State average

State average: 2.5%

Lost Too Much Weight 2.3%

55% better than State average

State average: 5.0%

Depressive Symptoms 0.0%

100% better than State average

State average: 3.9%

Antipsychotic Use 3.6%

81% better than State average

State average: 19.0%

Pneumococcal Vaccine 98.6%

In line with State average

State average: 94.4%

Influenza Vaccine 94.7%

In line with State average

State average: 95.3%

Hospitalizations per 1,000 days 2.79

89% worse than State average

State average: 1.48

ED visits per 1,000 days 2.59

24% worse than State average

State average: 2.09

Short-stay resident measures

Pneumococcal Vaccine 100.0%

18% better than State average

State average: 85.1%

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

Total residents 35

Medicare

5.7% of residents

Medicaid

62.9% of residents

Private pay or other

31.4% of residents

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.

Financial Trends

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

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

Occupancy Rate 77.6% ↑ 11.7pp vs 2022

Net Patient Income $296.1K ↑ ~$568.0K vs 2022

Payroll Costs $2.3M ↑ ~$215.2K vs 2022

Operating Margin 7.3% ↑ 15.4pp vs 2022

Metric	2011	2012	2013	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	67.5%	64.4%	64.1%	68.1%	75.1%	78.7%	73.5%	82.0%	73.9%	69.0%	65.9%	77.6%
Beds	67	67	67	60	60	60	58	58	58	55	55	46
Net Income	-$46,749	-$4,101	-$99,786	$122,192	$369,180	$25,451	$25,175	$198,823	$435,586	$454,373	-$321,263	$206,873
Gross Revenue	$2,337,477	$2,326,049	$2,152,654	$2,853,321	$3,786,485	$3,860,529	$3,768,441	$4,079,564	$4,011,817	$3,470,734	$3,547,590	$4,458,852
Operating Expenses	$2,253,670	$2,217,826	$2,195,227	$2,566,454	$2,908,456	$3,338,870	$3,209,266	$3,348,964	$3,481,072	$3,369,723	$3,622,879	$3,747,845
Net Patient Income	-$32,025	-$23,901	-$131,452	$154,045	$436,768	$70,242	$52,332	$297,182	$231,282	-$91,837	-$271,915	$296,073
Net Patient Revenue	$2,221,645	$2,193,925	$2,063,775	$2,720,499	$3,345,224	$3,409,112	$3,261,598	$3,646,146	$3,712,354	$3,277,886	$3,350,964	$4,043,918
Payroll Costs	$1,406,802	$1,390,803	$1,352,040	$1,495,611	$1,708,777	$1,937,963	$1,867,653	$1,903,903	$2,116,306	$2,001,480	$2,130,807	$2,346,010
Operating Margin %	-1.4%	-1.1%	-6.4%	5.7%	13.1%	2.1%	1.6%	8.2%	6.2%	-2.8%	-8.1%	7.3%
Medicare %	3.7%	3.7%	1.9%	3.3%	6.1%	5.2%	5.2%	3.6%	3.1%	2.6%	4.1%	3.5%
Medicaid %	67.3%	67.0%	68.4%	63.6%	57.7%	61.6%	64.6%	63.4%	60.7%	66.3%	65.8%	60.6%
Private %	29.0%	29.3%	29.7%	33.1%	36.2%	33.3%	30.1%	33.0%	36.2%	31.1%	30.2%	35.9%
Net Patient Revenue/Day	$135	$139	$132	$182	$203	$198	$209	$210	$237	$237	$253	$296
Cost/Day	$137	$140	$140	$172	$176	$194	$206	$193	$222	$243	$274	$274
Avg Length of Stay	217.2 days	181.6 days	230.6 days	286.9 days	196.4 days	172.5 days	192.3 days	182.6 days	265.9 days	227.1 days	228.0 days	177.4 days

Finances and operations

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

Net patient revenue

$4.0M

Net patient income

$296.1K

For-profit Operated by a single business entity.

Net patient revenue

$4.0M

Net patient income

$296.1K

Other income

$74.8K

Payroll costs

$2.3M 58% of net patient revenue

Other operating costs

$1.4M

Total costs

$3.7M

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.

Most new residents arrive under private pay (52% of admissions), and a typical private pay stay runs around 4 - 5 months.

Coverage residents most often arrive under.

Medicare 14%

Private pay 52%

Medicaid 34%

Coverage residents most often leave under.

Medicare 18%

Private pay 53%

Medicaid 29%

0.0 miles from city center Estimated distance in miles from Leon's city center to Westview Acres Care Center's address, calculated via Google Maps.

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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	-
Westview Acres Care Center	NH AL RC SNF	Leon	-	46	-	53	-

Nursing Home Explorer

Is Westview Acres Care Center in a walkable area?

Westview Acres Care Center has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Westview Acres Care Center?

According to IA state health department records, Westview Acres Care Center's license number is 270214.

When does Westview Acres Care Center's license expire?

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

What is the occupancy rate at Westview Acres Care Center?

Westview Acres Care Center's occupancy is 76%.

Are pets allowed at Westview Acres Care Center?

No, Westview Acres Care Center has a no-pet policy.

What is the best email address for Westview Acres Care Center?

The team at Westview Acres Care Center can be reached at wvaccadmin@grm.net.

Does Westview Acres Care Center operate as a for-profit or non-profit?

Westview Acres Care Center is registered as a for-profit in IA.

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Westview Acres Care Center

Overview of Westview Acres Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Additional Policies & Features

Contact Westview Acres Care Center

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

30 Certified Nursing Assistant

8 Licensed Practical Nurse

8 Registered Nurse

1 Nurse Practitioner

1 Mental Health Service Worker

1 Clinical Nurse Specialist

1 Administrator

2 Physical Therapy Aide

2 Respiratory Therapy Technician

2 Other Dietary Services Staff

1 Dietitian

1 Occupational Therapy Aide

2 Physical Therapy Assistant

2 Occupational Therapy Assistant

1 Medical Director

2 Qualified Social Worker

1 Speech Language Pathologist

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

Programs & Services

Residents Group

Active Resident Council

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

Places of interest near Westview Acres Care Center

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