Total health inspections
8
Iowa average 4.9
Last Health inspection on Oct 2025
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.
Westwood Specialty Care
Nursing Home · Sioux City, IA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Westwood Specialty Care
Nursing Home · Sioux City, IA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Westwood Specialty Care accepts Medicare, Medicaid, and private pay.
Overview of Westwood Specialty Care
Welcome to Westwood Specialty Care, an 85-bed skilled nursing facility offering rehabilitation services, skilled nursing care, long-term care, and hospice care. As a part of Care Initiatives, Iowa’s largest not-for-profit skilled nursing and long-term care provider, Westwood Specialty Care is deeply committed to delivering exceptional care to its residents. Dedicated to providing dignified and customized care for diverse needs, Westwood Specialty Care extends its care to the well-being of families as well.
At Westwood Specialty Care, they welcome Medicare and Medicaid beneficiaries and are proud to be a contracted provider for the Veterans Affairs Community Nursing Home Program, ensuring that a wide range of seniors can access their compassionate transitional health care services. Their dedication to compassion and excellence has been acknowledged by the American Health Care Association with the 2018 Bronze Award, showcasing their commitment to outstanding care. Experience the warmth and care at Westwood Specialty Care, where they strive to meet the unique needs of every individual they serve.
Iden Ramey serves as the Administrator at Westwood Specialty Care, overseeing the community's operations and ensuring quality care for residents. With a dedicated focus on compassionate leadership, Iden supports the team in delivering personalized services in a warm and professional environment.
Quality ratings
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.
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.
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.
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.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 191st out of 222 homes in Iowa.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 191st out of 222 homes in Iowa.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 34m per day
Rank #191 / 222Nurse hours — State benchmarkedThis home is ranked 191st out of 222 homes in Iowa.Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 222 Iowa SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Iowa avg
-17%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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 59m per day |
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
92%
Rank #39 / 227Occupancy rate — State benchmarkedThis home is ranked 39th out of 227 homes in Iowa.Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 227. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
141 days
Occupancy rate
92%
Rank #39 / 227Occupancy rate — State benchmarkedThis home is ranked 39th out of 227 homes in Iowa.Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 227. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
141 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
44% of new residents, usually for short-term rehab.
Typical stay
27 days
Private pay
51% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
5% of new residents, often for long-term daily care.
Typical stay
4 - 5 years
Finances and operations
Voluntary non-profit community
Home revenue
$14.0M
Surplus of revenue
$181.5K
Voluntary non-profit community
Home revenue
$14.0M Rank #29 / 223Revenue — State benchmarkedThis home is ranked 29th out of 223 homes in Iowa.Shows this facility's annual revenue compared to the Iowa SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Surplus of revenue
$181.5K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #74 / 223Payroll — State benchmarkedThis home is ranked 74th out of 223 homes in Iowa.Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #74 / 223Payroll — State benchmarkedThis home is ranked 74th out of 223 homes in Iowa.Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$13.2M
Walk Score: 9 / 100 Rank #206 / 223Walk Score — State benchmarkedThis home is ranked 206th out of 223 homes in Iowa.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Iowa SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Rehabilitation Services
Short-Term Rehab
24-Hour Staffing
Specific ProgramsSkilled Nursing Care
Operating Hours24 hours a day, seven days a week
Health Inspection History
Inspections
Total health citations
91
Rank #221 / 222Health citations — State benchmarkedThis home is ranked 221st out of 222 homes in Iowa.Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 222 IA SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Iowa average 21.7
Citations per inspection
11.38
Rank #215 / 222Citations per inspection — State benchmarkedThis home is ranked 215th out of 222 homes in Iowa.Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 222 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
29 of 91 citations resulted from standard inspections; 44 of 91 resulted from complaint investigations; and 18 of 91 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
67% worse than Iowa averageIowa average: 0.6
Serious Health citations
2
Rank #54 / 111Serious citations (G–I) — State benchmarkedThis home is ranked 54th out of 111 homes in Iowa.Shows G–I scope serious health citations for this facility versus other Iowa SNFs. Lower counts rank better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
122% worse than Iowa averageIowa average: 0.9
Citations history (last 3 years)
Quality of Care moderate citation
Oct 30, 2025
Corrected
Abuse/Neglect moderate citation
Mar 27, 2025
Corrected
Administration moderate citation
Mar 27, 2025
Corrected
Administration moderate citation
Mar 27, 2025
Corrected
Financial Assistance for
Nursing Home in Iowa
Westwood Specialty Care is located in Sioux City, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Staffing Data
Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
Total staff
100
Employees
81
Contractors
19
Staff to resident ratio
1.22:1
39% worse than Iowa average
Avg staff/day
39
Average shift
8.1 hours
9% better than Iowa average
Total staff hours (quarter)
28,582
Nursing staff breakdown
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
46
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Contractor staffing
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
6.4%
1,819 contractor hours this quarter
Physical Therapy Assistant: 5
Speech Language Pathologist: 4
Physical Therapy Aide: 4
Respiratory Therapy Technician: 3
Qualified Social Worker: 2
Medical Director: 1
Staff by category
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 46 | 0 | 46 | 15,237 | 91 | 100% | 7.7 |
| Registered Nurse | 11 | 0 | 11 | 4,311 | 91 | 100% | 9.7 |
| Licensed Practical Nurse | 8 | 0 | 8 | 2,124 | 89 | 98% | 10.5 |
| Medication Aide/Technician | 6 | 0 | 6 | 2,094 | 91 | 100% | 8.6 |
| Speech Language Pathologist | 0 | 4 | 4 | 593 | 65 | 71% | 6 |
| Physical Therapy Assistant | 0 | 5 | 5 | 579 | 68 | 75% | 6 |
| RN Director of Nursing | 1 | 0 | 1 | 565 | 66 | 73% | 8.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 524 | 65 | 71% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 443 | 61 | 67% | 7.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 426 | 52 | 57% | 7.6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 369 | 62 | 68% | 5.9 |
| Physical Therapy Aide | 0 | 4 | 4 | 156 | 36 | 40% | 4.2 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 69 | 7 | 8% | 9.8 |
| Medical Director | 0 | 1 | 1 | 42 | 3 | 3% | 14 |
| Qualified Social Worker | 0 | 2 | 2 | 24 | 28 | 31% | 0.7 |
| Occupational Therapy Aide | 2 | 0 | 2 | 20 | 8 | 9% | 2.5 |
46 Certified Nursing Assistant
% of Days
100%
11 Registered Nurse
% of Days
100%
8 Licensed Practical Nurse
% of Days
98%
6 Medication Aide/Technician
% of Days
100%
4 Speech Language Pathologist
% of Days
71%
5 Physical Therapy Assistant
% of Days
75%
1 RN Director of Nursing
% of Days
73%
1 Mental Health Service Worker
% of Days
71%
1 Nurse Practitioner
% of Days
70%
1 Administrator
% of Days
68%
1 Dietitian
% of Days
67%
3 Respiratory Therapy Technician
% of Days
57%
1 Other Dietary Services Staff
% of Days
68%
4 Physical Therapy Aide
% of Days
40%
2 Clinical Nurse Specialist
% of Days
8%
1 Medical Director
% of Days
3%
2 Qualified Social Worker
% of Days
31%
2 Occupational Therapy Aide
% of Days
9%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
82
Medicare
17
20.7% of residents
Medicaid
50
61% of residents
Private pay or other
15
18.3% 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.6
13% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.2
12% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
17.7%
Percent of long-stay residents whose need for help with daily activities has increased
17.7%
6% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
27.9%
Percent of long-stay residents whose ability to move independently worsened
27.9%
42% worse than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.2%
In line with Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
27% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.1%
Percent of long-stay high risk residents with pressure ulcers
4.1%
6% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.2%
Percent of long-stay residents with a urinary tract infection
1.2%
54% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.7%
Percent of long-stay residents who lose too much weight
5.7%
15% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.1%
Percent of long-stay residents who have depressive symptoms
2.1%
46% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
17.8%
Percent of long-stay residents who received an antipsychotic medication
17.8%
7% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.9%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.4%
In line with Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
9% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
62.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
62.4%
15% worse than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$263K Rank #223 / 226Federal fines — State benchmarkedThis home is ranked 223rd out of 226 homes in Iowa.Shows this facility's cumulative CMS federal fine dollars versus the Iowa average among facilities with fines, and where it ranks among 226 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
448% higher than Iowa averageIowa average: $48K
Number of fines
2
18% more fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
88% more payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$263K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 28, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 28, 2024
$167K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 28, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 28, 2024
48 days
Last updated: Jan 2026
Compare Nursing Home around Sioux City
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
| Westwood Specialty Care |
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. | Sioux City | 85 | 92.0% | +22% | 3.57 | -5% | -17% | $263.2k | 91 | 11.4 | 3 | 80 | 9 | Michael Jurgens | $14.0M | $4.9M | 34.6% | 165271 | ||||
| Countryside Health 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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
N Nursing | Sioux City (Morningside Avenue) | 101 | 49.3% | -35% | - | - | - | - | - | - | - | - | - | - | - | 9 | #N/A | $4.0M | $2.4M | 59.7% | 165540 |
Financial Trends
Historical financial and operational data for Westwood Specialty Care based on CMS SNF Cost Reports.
Occupancy Rate
92.0%
↑ 0.9pp vs 2022
Net Income
$181.5K
↑ ~$1.2M vs 2022
Total Payroll
$4.9M
↓ ~$128.5K vs 2022
Profit Margin
1.3%
↑ 11.0pp vs 2022
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Frequently Asked Questions about Westwood Specialty Care
Is Westwood Specialty Care in a walkable area?
Westwood Specialty Care has a walk score of 9. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the occupancy rate at Westwood Specialty Care?
Westwood Specialty Care's occupancy is 92.0%.
Are there photos of Westwood Specialty Care?
Yes — there are 7 photos of Westwood Specialty Care in the photo gallery on this page.
What is the phone number of Westwood Specialty Care?
(712) 258-0135 will put you in contact with the team at Westwood Specialty Care.
Is Westwood Specialty Care Medicare or Medicaid certified?
Yes — Westwood Specialty Care is a CMS-certified provider of Medicare and Medicaid.
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