Nursing homeFAID #4197
Westwood Specialty Care
4201 FIELDCREST DRIVE, SIOUX CITY, IA, 51104
(712) 258-0135
85 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing2/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
85
CMS facility ID
165271
Care type
Nursing home
County
Woodbury
Facility name
Westwood Specialty Care
Street address
4201 FIELDCREST DRIVE
City / state / ZIP
Sioux City, IA 51104
Phone
(712) 258-0135
About this facility — Westwood Specialty Care
Westwood Specialty Care is a Medicare/Medicaid-certified skilled nursing facility in Sioux City, Iowa. It is licensed for 85 beds — above the median for skilled nursing facilities in Iowa (57 beds).
It is one of 24 senior care facilities in Sioux City 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 Westwood Specialty Care 89 times across 15 inspections in the last three years, including 10 food-safety citations, and CMS has imposed $181,086 in fines. 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.
Facility background
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 2011
Beal, Michael
Director · Officer — since 2020
Boeve, Destiny
Operational control — since 2024
Bowen, Lane
Director — since 2022
Carothers, Mary Jane
Director — since 2023
Childs, Kevin
Director — since 2023
Computershare Corporate Trust Company, Na
Mortgage holder · Additional disclosable party — since 2024
Corless, Peter
Director — since 2025
Dixon, David
Officer — since 2016
Drake, Emily
Officer — since 2023
Gilyard, Tanya
Officer — since 2025
Jurgens, Michael
Operational control · Additional disclosable party — since 2024
Krein, Keith
Director — since 2022
Kuhn, Jeramy
Officer — since 2008
Mcdyer, Jessica
Officer — since 2023
Ramey, Iden
Operational control · Additional disclosable party — since 2024
Rust, Elizabeth
Director — since 2023
Sturm, Denise
Director — since 2021
Upmeyer, Linda
Director — since 2021
Volm, Johanna
Officer — since 2021
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
1996-04-01
CMS overall rating
1 of 5 stars
Health deficiencies
16 at the last standard inspection
Federal fines
$181,086 total
Last standard inspection
2026-04-29
Nurse staffing
3.2 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$490 per day (≈ $14,900/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
55% Medicaid · 8% Medicare · 37% private/other
Occupancy
92% (fiscal year 2023)
Vs. state median
43% above the IA median of $342/day — full state cost breakdown
Services & coverage
Licensed beds
85
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.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 10 food-safety citations on its three-year record — flagged below among the inspections.
2026-04-29Health inspectionComplaint-triggered6 citations
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-05-22
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-04-16
F-0761
E · No harm foundFrom a complaint
Ensure 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.
Corrected 2026-05-22
F-0804
D · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-05-22
F-0865
E · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2026-05-22
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-05-22
2025-12-31Health inspectionComplaint-triggered9 citations
F-0550
D · 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 2026-01-23
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-01-23
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-23
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 2026-01-23
F-0690
D · No harm foundFrom a complaint
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 2026-01-23
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-01-23
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-01-23
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-23
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-01-23
9 earlier / fire-safety inspections (74 citations)
2025-10-30Health inspectionComplaint-triggered1 citation
F-0690
D · No harm foundFrom a complaint
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 2025-11-29
2025-03-27Health inspectionComplaint-triggered12 citations
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-25
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-25
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 2025-04-25
F-0758
D · No harm found
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.
Corrected 2025-04-25
F-0803
E · No harm foundFood safetyFrom a complaint
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.
Corrected 2025-04-25
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-04-25
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-25
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-25
F-0851
F · No harm found
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2025-04-25
F-0868
E · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-04-25
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-04-25
F-0943
E · No harm found
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2025-04-25
2024-07-25Health inspectionComplaint-triggered2 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-11
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-11
2024-06-06Health inspectionComplaint-triggered10 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-06-22
F-0625
D · No harm foundFrom a complaint
Notify 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.
Corrected 2024-06-22
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-06-22
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-22
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-06-22
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 2024-06-22
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-06-22
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-06-22
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-22
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-06-22
2024-05-01Health inspectionComplaint-triggered3 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-21
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-21
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-05-21
2024-02-28Health inspectionComplaint-triggered18 citations
F-0550
D · 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 2024-03-28
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 2024-03-28
F-0585
D · No harm foundFrom a complaint
Honor 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.
Corrected 2024-03-28
F-0644
D · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-03-28
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-03-28
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-21
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-28
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-21
F-0688
D · No harm foundFrom a complaint
Provide 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.
Corrected 2024-03-28
F-0689
H · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-28
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-03-28
F-0725
F · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-03-28
F-0758
D · No harm foundFrom a complaint
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.
Corrected 2024-03-28
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-03-28
F-0761
D · No harm foundFrom a complaint
Ensure 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.
Corrected 2024-03-28
F-0774
D · No harm foundFrom a complaint
Help the resident with transportation to and from laboratory services outside of the facility.
Corrected 2024-03-28
F-0865
F · No harm foundFrom a complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-03-28
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-05-21
2023-10-24Health inspectionComplaint-triggered18 citations
F-0550
D · 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 2023-11-22
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 2023-11-22
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-22
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-22
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-22
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-22
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-11-22
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-11-22
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-11-22
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-22
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2023-11-22
F-0774
D · No harm foundFrom a complaint
Help the resident with transportation to and from laboratory services outside of the facility.
Corrected 2023-11-22
F-0804
D · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-11-22
F-0806
E · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-11-22
F-0807
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2023-11-22
F-0809
E · No harm foundFood safetyFrom a complaint
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2023-11-22
F-0812
D · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-22
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-11-22
2025-03-27Fire-safety inspection1 citation
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-31
2024-06-06Fire-safety inspection9 citations
K-0222
D · No harm found
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.
Corrected 2024-06-14
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-18
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-06-14
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-06-13
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-06-14
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-06-14
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-14
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-06-13
K-0922
D · No harm found
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2024-06-13
Federal penalties
2026-04-29Fine$14,380
2024-02-28Fine$166,706
2024-02-28Medicare payment denial — 48 days
Total fines$181,086
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 165271.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 89 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 onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
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