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Nursing homeFAID #4229

West Ridge Specialty Care

1904 WEST HOWARD STREET, KNOXVILLE, IA, 50138
(641) 842-3153
78 licensed beds
★★★★★3/5CMS Five-Star overall3/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
78
CMS facility ID
165308
Care type
Nursing home
County
Marion
Facility name
West Ridge Specialty Care
Street address
1904 WEST HOWARD STREET
City / state / ZIP
Knoxville, IA 50138
Phone
(641) 842-3153

West Ridge Specialty Care is a Medicare/Medicaid-certified skilled nursing facility in Knoxville, Iowa. It is licensed for 78 beds — above the median for skilled nursing facilities in Iowa (57 beds).

It is one of 5 senior care facilities in Knoxville and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited West Ridge Specialty Care 32 times across 10 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Care Initiatives
Ownership type
Non profit - Corporation

Registered owners & officers

Care Initiatives
Direct owner — 100% stake — since 2009
Beal, Michael
Director · Officer — since 2020
Bowen, Lane
Director — since 2021
Carothers, Mary Jane
Director — since 2023
Childs, Kevin
Director — since 2023
Computershare Corporate Trust Company, Na
Mortgage holder · Additional disclosable party — since 2025
Corless, Peter
Director — since 2025
Cox, Brittany
Operational control · Additional disclosable party — since 2023
Dixon, David
Officer — since 2016
Drake, Emily
Officer — since 2023
Gilyard, Tanya
Officer — since 2025
Krein, Keith
Director — since 2022
Kuhn, Jeramy
Officer — since 2008
Mahler, Carla
Operational control — since 2024
Mcdyer, Jessica
Officer — since 2023
Rafferty, Susan
Officer — since 2025
Rust, Elizabeth
Director — since 2023
Sturm, Denise
Director — since 2021
Upmeyer, Linda
Director — since 2022
Volm, Johanna
Officer — since 2021
Wei, Shipeng
Operational control · Additional disclosable party — since 2024

Regulatory standing

Federal court records
18 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1996-11-01
CMS overall rating
3 of 5 stars
Health deficiencies
3 at the last standard inspection
Federal fines
None on record
Last standard inspection
2024-07-03
Nurse staffing
3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$463 per day (≈ $14,080/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
57% Medicaid · 8% Medicare · 36% private/other
Occupancy
91% (fiscal year 2023)
Vs. state median
35% above the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
78
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-04-23Health inspectionComplaint-triggered2 citations
F-0676
E · No harm foundFrom a complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2026-05-12
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-05-12
2025-11-04Health inspectionComplaint-triggered1 citation
F-0550
E · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-11-25
7 earlier / fire-safety inspections (29 citations)
2024-08-30Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-31
2024-03-14Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-03-15
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-15
2023-05-04Health inspection5 citations
F-0561
D · No harm found
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-05-30
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-05-30
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-05-30
F-0740
D · No harm found
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-05-30
F-0741
D · No harm found
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2023-05-30
2021-07-22Health inspection2 citations
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2021-08-10
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-08-10
2024-07-03Fire-safety inspection5 citations
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-07-11
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-11
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-07-11
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-10
K-0922
E · No harm found
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2024-07-11
2023-05-04Fire-safety inspection4 citations
K-0161
D · No harm found
Use approved construction type or materials.
Corrected 2023-05-07
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-05-07
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-05-11
K-0771
F · No harm found
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
Corrected 2023-09-29
2021-07-22Fire-safety inspection10 citations
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2021-07-28
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-07-26
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2021-07-28
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2021-07-28
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-08-16
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2021-08-03
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-08-02
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2021-08-03
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2021-08-04
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2021-07-27
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165308.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 32 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered