Crestview Specialty Care: Staffing, Turnover, and Inspection Record
Crestview Specialty Care is a 65-bed nonprofit nursing home in West Branch, Iowa, part of Care Initiatives. In the CMS August 2026 release it reported 2.29 nurse aide hours per resident per day, 9% below the Iowa average of 2.51, and 62.7% nursing staff turnover (Iowa average 44.0%).
Crestview Specialty Care
451 West Orange StreetWest Branch, IA 52358
Cedar County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Crestview Specialty Care, nurse aides logged 2.29 hours per resident per day, 9% below the Iowa average. With about 48 residents a day, that works out to roughly 109 aide hours a day, or about 14 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.29 | 2.51 | 2.32 |
| Licensed practical nurses | 0.57 | 0.56 | 0.86 |
| Registered nurses | 0.81 | 0.74 | 0.69 |
| All nursing staff | 3.67 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.27 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
62.7% of nursing staff at Crestview Specialty Care left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 77.8%. 3 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 3, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 13 health deficiencies (Iowa average 6.5). CMS lists 3 fines totaling $216,061 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Dec 3, 2025 | Fine | $184,438 |
| Nov 21, 2024 | Fine | $19,877 |
| Sep 4, 2024 | Fine | $11,746 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Crestview Specialty Care holds 1 of 5 overall; the Iowa average is 3.1.
About Crestview Specialty Care
- Ownership: Non profit - Corporation
- Chain: Care Initiatives, 43 homes
- Legal name: Care Initiatives
- Medicare and Medicaid certified since: Sep 1, 1996
- Councils: resident council
- Area: rural
Nursing homes near Crestview Specialty Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Iowa City Rehab & Health Care Iowa City · staffing data not validated | 6.8 | 89 | — | — | 50.0% | 1 | None |
| Simpson Memorial Home West Liberty | 8.2 | 55 | 3.08 | 4.18 | 40.0% | 3 | None |
| Briarwood Healthcare Center Iowa City | 10.2 | 62 | 2.76 | 3.88 | 43.8% | 5 | None |
| Oaknoll Retirement Residence Iowa City | 10.7 | 70 | 3.90 | 5.28 | 27.9% | 5 | None |
| Solon Nursing Care Center Solon | 11.4 | 96 | 2.54 | 3.83 | 55.3% | 5 | None |
| Lantern Park Specialty Care Coralville | 12.8 | 90 | 2.48 | 3.52 | 59.4% | 2 | $62,595 |
| Cedar Manor Nursing Home Tipton | 13.6 | 54 | 2.91 | 4.16 | 43.6% | 3 | $32,289 |
| Lone Tree Health Care Center Inc Lone Tree | 13.8 | 44 | 3.22 | 4.45 | 32.4% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.