See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Crestview Specialty Care

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

451 West Orange Street, West Branch, IA 5235865 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 17 Google reviews

5
4
3
2
1
Crestview Specialty Care Nursing Home in West Branch, IA — Street View
Street View

Watch Crestview Specialty Care

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (13 vs median 5)
  • High staff turnover (71%)
  • High RN turnover (90%)

Bottom 25% in IA · Below recommended RN staffing · Very high staff turnover · Worst in CARE INITIATIVES chain · $263,922 in fines

Source: Medicare data

What this means for your family

Crestview Specialty Care is praised by many for its kind staff and clean environment, making it a potentially good fit for those prioritizing a supportive atmosphere. However, because some families have reported concerns regarding staffing shortages and food quality, we strongly recommend requesting a tour during a weekend or evening shift to observe staffing levels firsthand.

Google Reviews

Google Reviews

17 reviews on Google
Crestview Specialty Care receives highly polarized feedback, with many reviewers praising the staff's kindness and the facility's organization, while others express severe dissatisfaction regarding food quality and staffing levels. While some residents and family members describe it as a 'hidden gem' with dedicated care, critics highlight significant operational failures and a lack of continuity in treatment plans. Prospective families should be aware of the stark contrast between these experiences and investigate current staffing ratios.

Quality Themes

Tap a score for details
Food2.0Staff8.0Clean9.0Activities8.0Meds4.0MemoryN/AComms6.0ValueN/A

Strengths

  • Kind and supportive nursing staff
  • Clean and well-organized facility
  • Welcoming and proactive leadership
  • Compassionate care for short-term residents

Concerns

  • Staff shortages and high turnover (mentioned by 2 reviewers)
  • Poor food quality (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02018(1)5.02020(1)3.42022(5)3.92023(7)4.02024(4)3.72026(3)

Distribution · 21 analyzed

5
15
4
0
3
0
2
0
1
6

How They Respond to Reviews

47%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed that your leadership team is very active in responding to feedback online; how do you incorporate that family input into your daily operations?
  • 2Given the current staffing landscape, what specific steps are you taking to ensure consistent, reliable care for residents during shift changes?
  • 3I understand that medication management is a critical priority for our family; could you walk us through your current process for ensuring accuracy and timely administration?
  • 4We value the importance of nutrition for overall well-being; what initiatives are you working on to improve the dining experience and food quality for residents?
  • 5With your focus on compassionate short-term care, how do you balance the needs of those residents with the long-term community members to ensure everyone feels supported?
  • 6Could you share how your team handles medical emergencies or sudden changes in a resident's health status during the evening and weekend hours?

Personalized based on this facility's data


Key Review Excerpts

The place is clean and the staff are always kind and friendly…no matter what time of day you need care.

Rehab patient · 2024★★★★★

These are the most caring, gentle, patient Medical Nurses and Nursing Assistants I’ve ever known! They are genuine and Fun!

Long-term resident · 2023★★★★★

Substandard would be high praise for this facility. Food is disgusting. Major staff shortages. A general lack of concern for the residents health and well being.

Family member · 2022☆☆☆☆
Source: 17 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.61hrs
81%
Registered nurses for medical care
Total Nursing
3.22hrs
79%
All nurses + aides combined
Staff Turnover
69%
Lower is better (< 30% = good)
RN Turnover
80%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

7

measures

Mixed Results

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility32.3%
Worse than Avg
Here
32.3%
US
19.4%
IA
25.9%
Cedar
28.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
IA
4.1%
Cedar
5.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility88.5%
Worse than Avg
Here
88.5%
US
95.5%
IA
95.3%
Cedar
98.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.5%
Better than Avg
Here
12.5%
US
19.5%
IA
20.7%
Cedar
14.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility16.2%
Mixed vs Avgs
Here
16.2%
US
14.4%
IA
17.6%
Cedar
23.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.1%
Better than Avg
Here
13.1%
US
15.3%
IA
17.5%
Cedar
18.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility53.3%
Worse than Avg
Here
53.3%
US
81.8%
IA
84.1%
Cedar
95.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility69.2%
Worse than Avg
Here
69.2%
US
79.8%
IA
73.3%
Cedar
91.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.6%
Worse than Avg
Here
2.6%
US
1.6%
IA
2.0%
Cedar
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
3penalties
Well above state avg (6.2)
15 complaint-triggered
$263,922 in fines

Families have filed multiple complaints triggering 19 deficiencies, indicating ongoing concerns about care quality. The facility has recurring problems with pressure ulcer care, accident prevention, and appropriate treatment according to care orders - with these issues persisting across multiple surveys from 2023 through 2025. While all deficiencies show correction dates, the pattern of repeated violations in core care areas suggests systemic challenges that families should carefully evaluate.

Dec 3, 2025Routine
7
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0730Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0865Minimal · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

Dec 3, 2025Complaint
8
0686Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Nov 21, 2024Routine
10
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0882Potential for harm · PatternCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

Sep 4, 2024Complaint
2
0658Actual harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

May 9, 2024Complaint
1
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Feb 1, 2024Routine
7
0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Federal Penalties

Fine

Dec 3, 2025

$283,750

Fine

Nov 21, 2024

$19,877

Fine

Sep 4, 2024

$11,746

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
25deficiencies
May 5, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Feb 2, 2026Inspection
Clean

Fed violations: 0, State violations: 0

Dec 3, 2025Inspection
Clean

Fed violations: 13, State violations: 3

Oct 9, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Aug 13, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Mar 27, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Jan 7, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Nov 21, 2024Inspection
Clean

Fed violations: 5, State violations: 1

Ownership & Operations

Who Operates This Facility

Owner / Operator

Crestview Specialty Care

Organization Type

nonprofit

Chain Affiliation

Chain Name

Care Initiatives

Chain Size

43 facilities nationwide

Chain avg rating: 3.0/5 · Rank 39 of 43 (Worst)

Ownership & Management

Owners

Care Initiatives

Owner · Organization

100%

Beal, Michael

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Computershare Corporate Trust Company, Na5% or Greater Mortgage InterestBeal, MichaelOfficer / DirectorBowen, LaneOfficer / DirectorCarothers, Mary JaneOfficer / DirectorChilds, KevinOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call