Westwood Specialty Care
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 43 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Low overall rating (1/5 stars)
- Above-median deficiencies (22 vs median 5)
Bottom 25% in IA · Below recommended RN staffing · Worst in CARE INITIATIVES chain · $263,192 in fines · Special Focus Facility (CMS)
What this means for your family
Westwood Specialty Care offers a strong rehabilitation program with dedicated therapy staff, making it a potential candidate for short-term recovery. However, families should be aware of significant reports regarding slow response times and weekend staffing shortages. We strongly recommend visiting during a weekend or evening to observe staffing levels firsthand before making a decision.
Google Reviews
Google Reviews
43 reviews on Google“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
Tap a score for detailsStrengths
- Effective physical and speech therapy
- Kind and dedicated frontline staff
- Well-maintained, updated facility
- Welcoming atmosphere
Concerns
- Slow response to call lights and resident needs (mentioned by 4 reviewers)
- Chronic understaffing, particularly on weekends (mentioned by 3 reviewers)
- Poor communication and coordination by administration (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 48 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed the facility has undergone some nice updates recently; how do those physical improvements contribute to the daily activities and social engagement opportunities for residents?
- 2With the therapy department being a strong point here, how is the coordination handled between the physical and speech therapists and the nursing team to ensure consistent care?
- 3How does the administration ensure that family members stay well-informed about their loved one's health status and any changes in their care plan?
- 4I understand that call light response times can be a challenge in many facilities; could you walk me through your current process for monitoring these requests and ensuring residents receive timely assistance?
- 5Given the importance of medication management, what specific protocols and double-check systems do you have in place to ensure accuracy for residents?
- 6I see that you actively engage with feedback online; how do you use that input from families to make tangible improvements to the quality of life here?
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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
4
measures
8
measures
5
measures
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Dec 31, 2025Complaint9
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.
Oct 30, 2025Complaint1
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.
Mar 27, 2025Routine9
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.
Mar 27, 2025Complaint4
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.
Jul 25, 2024Complaint2
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jun 6, 2024Routine16
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
Federal Penalties
Fine
Feb 28, 2024
$166,706
Payment Denial
Feb 28, 2024
48-day denial
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
May 26, 2026InspectionClean
Fed violations: 0, State violations: 0
Apr 29, 2026InspectionClean
Fed violations: 6, State violations: 1
Feb 27, 2026ComplaintClean
Fed violations: 0, State violations: 0
Jan 26, 2026ComplaintClean
Fed violations: 0, State violations: 0
Dec 31, 2025ComplaintClean
Fed violations: 9, State violations: 0
Dec 15, 2025ComplaintClean
Fed violations: 0, State violations: 0
Oct 30, 2025ComplaintClean
Fed violations: 1, State violations: 0
Jun 5, 2025ComplaintClean
Fed violations: 0, State violations: 0
Ownership & Operations
Who Operates This Facility
Westwood Specialty Care
nonprofit
Chain Affiliation
Care Initiatives
43 facilities nationwide
Chain avg rating: 3.0/5 · Rank 37 of 43 (Worst)
Ownership & Management
Owners
Care Initiatives
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
43 reviews from families & visitors
Official Website
Visit careinitiatives.org
Medicare data downloads
Original nursing home datasets
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