Nursing Homes · Sioux City, IA
Nursing Homes · Medicare certified
Westwood Specialty Care
4201 Fieldcrest Drive · Sioux City, IA 51104 · 85 certified beds
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About Westwood Specialty Care
Westwood Specialty Care is a nursing home in Sioux City, Iowa. Its capacity is 85 beds, above the Woodbury County median of 66 for nursing homes. It is run by a nonprofit operator and is part of Care Initiatives. It is Medicare certified. Its public inspection record shows 79 citations, the most recent on April 29, 2026. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 3.55 hours per resident per day. It is one of 6 nursing homes listed in Sioux City. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
4.0Quality measures
1.0CMS Care Compare, October 2026.
Inspection history (79)
Records from October 2023 to April 2026.
April 29, 2026
Tag F0865Have a plan that describes the process for conducting QAPI and QAA activities.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 22, 2026.
April 29, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 22, 2026.
April 29, 2026
Tag F0761Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 22, 2026.
April 29, 2026
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 22, 2026.
April 29, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected April 16, 2026.
April 29, 2026
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 22, 2026.
December 31, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 23, 2026.
December 31, 2025
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 23, 2026.
December 31, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 23, 2026.
December 31, 2025
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 23, 2026.
December 31, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 23, 2026.
December 31, 2025
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 23, 2026.
December 31, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 23, 2026.
December 31, 2025
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 23, 2026.
December 31, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 23, 2026.
October 30, 2025
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 29, 2025.
March 27, 2025
Tag F0758Implement 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 l….
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 25, 2025.
March 27, 2025
Tag F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 25, 2025.
March 27, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 25, 2025.
March 27, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 25, 2025.
Penalties (3)
Total fines: $181,086
April 29, 2026 · Fine
CMS recorded a civil money penalty of $14,380 against this nursing home on April 29, 2026.
February 28, 2024 · Fine
CMS recorded a civil money penalty of $166,706 against this nursing home on February 28, 2024.
February 28, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting April 3, 2024, lasting 48 days (triggered by inspection on February 28, 2024).
Staffing
3.55 nurse hours per resident per day in Q2 2026, up from 3.16 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
Part of Care Initiatives, a chain of 43 nursing homes.
Average CMS star ratings across the chain: 3.0 overall, 2.7 for health inspections, 3.9 for staffing, 3.7 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Iowa.
What Medicaid pays nursing homes
This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$307.06per day
About $9,335 a month.
Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.
Source: IA Medicaid NF rate publication (opens in a new tab), updated 2026-01-01
Nearby alternatives
Other licensed providers in Sioux City.
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Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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