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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 44 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. The latest standard survey recorded 16 findings, above the IA average of 6.2. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Westwood Specialty Care receives highly polarized feedback, with many families praising the dedicated therapy teams and recent facility improvements, while others report severe neglect and staffing shortages. While some residents thrive and appreciate the kind staff, multiple accounts describe long wait times for call lights, poor pain management, and inconsistent nursing care. Families should be aware that experiences appear to vary significantly depending on the specific department and staffing levels at the time of stay.
Quality Themes
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Concerns
Rating Trends
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Distribution · 49 analyzed
This facility responds to some reviews.
Personalized based on this facility's data
Key Review Excerpts
“The PT/OT was excellent and my husband made such progress with them. Outstanding team that truly cares about each patient and has made a big impact on both my husband and myself.”
“The CNAs and Nursing staff are pleasant but are very understaffed. Call lights on for at least 30-45 minutes. Staff at the nurses station not answering call lights ringing right in front of them.”
“I was in extreme pain the whole time and they wouldn't let me lay down very often. I was drug out of bed in the morning by my arm. I was pushed very hard by physical therapy to the point where I was not ready at all.”
Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
3
measures
10
measures
4
measures
Residents whose walking got worse
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility has a concerning pattern with 71 out of 117 deficiencies triggered by family complaints, indicating ongoing issues with quality of care, medication management, and safety hazards. The most recurring problems involve daily care assistance, accident prevention, and medication errors that persist across multiple surveys from 2023 through 2025, suggesting systemic issues that haven't been fully resolved despite reported corrections.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Apr 29, 2026
$14,380
Fine
Feb 28, 2024
$166,706
Payment Denial
Feb 28, 2024
48-day denial
Source: Iowa Dept. of Inspections, Appeals & Licensing
Fed violations: 0, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 6, State violations: 1
Fed violations: 0, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 9, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 1, State violations: 0
Westwood Specialty Care
nonprofit
Care Initiatives
43 facilities nationwide
Chain avg rating: 3.0/5 · Rank 37 of 43 (Lowest rating)
Owners
Care Initiatives
Owner · Organization
Key personnel
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