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.
May 1, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 21, 2024.
May 1, 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 May 21, 2024.
May 1, 2024
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 May 21, 2024.
February 28, 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 May 21, 2024.
February 28, 2024
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 28, 2024.
February 28, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 28, 2024.
February 28, 2024
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 28, 2024.
February 28, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 21, 2024.
February 28, 2024
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 March 28, 2024.
February 28, 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 March 28, 2024.
February 28, 2024
Tag F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 28, 2024.
February 28, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity H: pattern, actual harm. Corrected March 28, 2024.
February 28, 2024
Tag F0697Provide safe, appropriate pain management for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 28, 2024.
February 28, 2024
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 D: isolated, no actual harm, potential for more than minimal harm. Corrected March 28, 2024.
February 28, 2024
Tag F0774Help the resident with transportation to and from laboratory services outside of the facility.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 28, 2024.
February 28, 2024
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 May 21, 2024.
February 28, 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 March 28, 2024.
February 28, 2024
Tag F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 28, 2024.
February 28, 2024
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 28, 2024.
February 28, 2024
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 March 28, 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
Holy Spirit Retirement Home
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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