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.
March 27, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 25, 2025.
March 27, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 25, 2025.
March 27, 2025
Tag F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 25, 2025.
March 27, 2025
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 25, 2025.
March 27, 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 April 25, 2025.
March 27, 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 April 25, 2025.
March 27, 2025
Tag F0803Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 25, 2025.
March 27, 2025
Tag F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 25, 2025.
July 25, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2024.
July 25, 2024
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 August 11, 2024.
June 6, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 22, 2024.
June 6, 2024
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 22, 2024.
June 6, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 22, 2024.
June 6, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 22, 2024.
June 6, 2024
Tag F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 22, 2024.
June 6, 2024
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 22, 2024.
June 6, 2024
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 22, 2024.
June 6, 2024
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 June 22, 2024.
June 6, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 22, 2024.
June 6, 2024
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 22, 2024.
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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Assisted Living · Sioux City, IA
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Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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