1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
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.
This home is ranked 207th out of 249 homes in Iowa for nurse hours. 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.
| 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.
| 42m per day | ▼ 5% 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.
| 28m per day | ▼ 17% 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 0m per day | ▼ 20% State avg: 2h 30m 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.
| 2h 41m per day | ▼ 20% State avg: 3h 23m per day · National avg: 3h 27m 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.
| 3m per day | ▲ 58% 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 | ▼ 20% State avg: 30m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
24% fewer staff per resident than Iowa average
0% compared with Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 12 RN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursAssists with medical care and medications.
All 11 LPN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
All 49 CNA Staff are full-time employees. No contractors work on this role.
49
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,399 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 49 | 0 | 49 | 12,893 | 92 | 100% | 7.8 |
| Registered Nurse | 12 | 0 | 12 | 2,982 | 92 | 100% | 9.3 |
| Licensed Practical Nurse | 11 | 0 | 11 | 2,962 | 92 | 100% | 9.5 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 1,622 | 84 | 91% | 7.4 |
| Medication Aide/Technician | 7 | 0 | 7 | 1,483 | 83 | 90% | 8.2 |
| Speech Language Pathologist | 0 | 8 | 8 | 985 | 70 | 76% | 5.9 |
| Administrator | 2 | 0 | 2 | 512 | 63 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 478 | 62 | 67% | 7.7 |
| Physical Therapy Aide | 0 | 5 | 5 | 466 | 64 | 70% | 5.6 |
| Dietitian | 1 | 0 | 1 | 462 | 66 | 72% | 7 |
| Nurse Practitioner | 5 | 0 | 5 | 456 | 53 | 58% | 8 |
| Physical Therapy Assistant | 0 | 8 | 8 | 449 | 63 | 68% | 4.9 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 419 | 57 | 62% | 6.9 |
| RN Director of Nursing | 2 | 0 | 2 | 398 | 67 | 73% | 5.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 367 | 58 | 63% | 6.2 |
| Medical Director | 0 | 1 | 1 | 45 | 3 | 3% | 15 |
| Qualified Social Worker | 0 | 2 | 2 | 36 | 43 | 47% | 0.8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 9 | 3 | 3% | 3.1 |
Includes penalties issued in 2024
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)
448% higher than Iowa averageIowa average: $48K
18% more fines than Iowa averageIowa average: 1.7
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
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.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 28, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 28, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
Percent of long-stay residents whose need for help with daily activities has increased
17.7%
6% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
27.9%
42% worse than Iowa averageIowa average: 19.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
27% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
4.1%
6% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.2%
54% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
5.7%
15% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
2.1%
46% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
17.8%
7% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
In line with Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.9%
In line with Iowa averageIowa average: 95.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.4%
In line with Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
9% better than Iowa averageIowa average: 1.8%
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.
44% of new residents, usually for short-term rehab.
51% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
82Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Westwood Specialty Care from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #81 / 251Payroll — State benchmarkedThis home is ranked 81st out of 251 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.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #241 / 251Payroll % — State benchmarkedThis home is ranked 241st out of 251 homes in Iowa. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
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 (51% of admissions), and a typical private pay stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Sunrise Retirement Community | NH AL IL MC NC RC | Sioux City | 74
Facility
74
IA AVG
71
Rank
#136 / 407 |
90.5%
Facility
90.5%
IA AVG
75.4%
Rank
#60 / 407 | +20% | 6.19
Facility
6.19
IA AVG
4.30
Rank
#3 / 249 | -23% | +44% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 255 | 11
Facility
11
IA AVG
21.7
Rank
#78 / 250 | 3.7
Facility
3.7
IA AVG
4.1
Rank
#119 / 250 | - | 68 | A+ |
22
Facility
22
IA AVG
45
Rank
#411 / 528 | Samantha Roth | $13.6M
Facility
$13.6M
IA AVG
$7.0M
Rank
#25 / 251 | $8.5M
Facility
$8.5M
IA AVG
$3.1M
Rank
#19 / 251 | 62.2%
Facility
62.2%
IA AVG
46.3%
Rank
#94 / 251 | 165473 | ||||
| Holy Spirit Retirement Home | NH AL IL MC NC | Sioux City | 52
Facility
52
IA AVG
71
Rank
#252 / 407 |
25.0%
Facility
25.0%
IA AVG
75.4%
Rank
#386 / 407 | -67% | 3.96
Facility
3.96
IA AVG
4.30
Rank
#148 / 249 | -54% | -8% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 255 | 28
Facility
28
IA AVG
21.7
Rank
#183 / 250 | 5.6
Facility
5.6
IA AVG
4.1
Rank
#194 / 250 | - | 13 | - |
91
Facility
91
IA AVG
45
Rank
#2 / 528 | The Diocese Of Sioux City | $7.9M
Facility
$7.9M
IA AVG
$7.0M
Rank
#68 / 251 | $4.9M
Facility
$4.9M
IA AVG
$3.1M
Rank
#79 / 251 | 62.4%
Facility
62.4%
IA AVG
46.3%
Rank
#180 / 251 | 165266 | ||||
| Kingsley Specialty Care | NH HC | Kingsley (West 3Rd Street) | 43
Facility
43
IA AVG
71
Rank
#315 / 407 |
72.1%
Facility
72.1%
IA AVG
75.4%
Rank
#177 / 407 | -4% | 3.29
Facility
3.29
IA AVG
4.30
Rank
#234 / 249 | +67% | -23% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 255 | 31
Facility
31
IA AVG
21.7
Rank
#190 / 250 | 7.8
Facility
7.8
IA AVG
4.1
Rank
#234 / 250 | - | 34 | - |
21
Facility
21
IA AVG
45
Rank
#415 / 528 | Jackie Loghry Pirner | $3.5M
Facility
$3.5M
IA AVG
$7.0M
Rank
#158 / 251 | $1.9M
Facility
$1.9M
IA AVG
$3.1M
Rank
#214 / 251 | 55.3%
Facility
55.3%
IA AVG
46.3%
Rank
#228 / 251 | 165329 | ||||
| Westwood Specialty Care | NH | Sioux City | 85
Facility
85
IA AVG
71
Rank
#97 / 407 |
92.0%
Facility
92.0%
IA AVG
75.4%
Rank
#49 / 407 | +22% | 3.57
Facility
3.57
IA AVG
4.30
Rank
#207 / 249 | -19% | -17% | $166.7k
Facility
$166.7k
IA AVG
$53.4k
Rank
#249 / 255 | 91
Facility
91
IA AVG
21.7
Rank
#249 / 250 | 11.4
Facility
11.4
IA AVG
4.1
Rank
#243 / 250 | 3 | 78 | - |
9
Facility
9
IA AVG
45
Rank
#470 / 528 | Michael Jurgens | $8.9M
Facility
$8.9M
IA AVG
$7.0M
Rank
#30 / 251 | $4.3M
Facility
$4.3M
IA AVG
$3.1M
Rank
#81 / 251 | 48.4%
Facility
48.4%
IA AVG
46.3%
Rank
#241 / 251 | 165271 |
Westwood Specialty Care is located in Sioux City, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Westwood Specialty Care has a walk score of 9. Car-dependent. Most errands require a car, with limited nearby walkable options.
Westwood Specialty Care's occupancy is 92.0%.
Yes — there are 3 photos of Westwood Specialty Care in the photo gallery on this page.
(712) 258-0135 will put you in contact with the team at Westwood Specialty Care.
Yes — Westwood Specialty Care is a CMS-certified provider of Medicare and Medicaid.
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