Westwood Specialty Care: Staffing, Turnover, and Inspection Record
Westwood Specialty Care is a 85-bed nonprofit nursing home in Sioux City, Iowa, part of Care Initiatives. In the CMS August 2026 release it reported 1.98 nurse aide hours per resident per day, 21% below the Iowa average of 2.51, and 49.3% nursing staff turnover (Iowa average 44.0%).
Westwood Specialty Care
4201 Fieldcrest DriveSioux City, IA 51104
Woodbury 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 Westwood Specialty Care, nurse aides logged 1.98 hours per resident per day, 21% below the Iowa average. With about 77 residents a day, that works out to roughly 152 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.98 | 2.51 | 2.32 |
| Licensed practical nurses | 0.47 | 0.56 | 0.86 |
| Registered nurses | 0.75 | 0.74 | 0.69 |
| All nursing staff | 3.20 | 3.82 | 3.86 |
| All nursing staff, weekends | 2.78 | 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
49.3% of nursing staff at Westwood 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 50.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 29, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 16 health deficiencies (Iowa average 6.5). CMS lists 2 fines totaling $181,086 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 29, 2026 | Fine | $14,380 |
| Feb 28, 2024 | Fine | $166,706 |
| Feb 28, 2024 | Payment Denial | 48 days from Apr 3, 2024 |
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. Westwood Specialty Care holds 1 of 5 overall; the Iowa average is 3.1.
About Westwood Specialty Care
- Ownership: Non profit - Corporation
- Chain: Care Initiatives, 43 homes
- Legal name: Care Initiatives
- Medicare and Medicaid certified since: Apr 1, 1996
- Councils: resident and family councils
- Area: urban
Nursing homes near Westwood Specialty Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Casa De Paz Health Care Center Sioux City | 1.4 | 71 | 1.68 | 2.79 | 60.3% | 2 | None |
| Holy Spirit Retirement Home Sioux City | 1.8 | 78 | 2.52 | 4.09 | 44.4% | 3 | None |
| St Luke's Regional Medical Center SNF Sioux City | 3.2 | 20 | 5.16 | 10.85 | — | 5 | None |
| Adept Nursing & Rehab of South Sioux City South Sioux City | 4.1 | 72 | 2.82 | 4.63 | 39.2% | 1 | $33,784 |
| Continental Falls South Sioux City | 4.3 | 77 | 2.56 | 3.61 | 38.8% | 2 | None |
| Accura Healthcare of Sioux City, LLC Sioux City | 4.9 | 46 | 2.57 | 3.74 | 37.0% | 4 | None |
| Sunrise Retirement Community Sioux City | 6.7 | 74 | 3.19 | 5.09 | 37.8% | 5 | None |
| Pioneer Valley Living And Rehab Sergeant Bluff | 9.2 | 66 | 2.75 | 3.72 | 46.6% | 1 | 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.