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C
Below Standard

Crestview Specialty Care

451 West Orange Street · West Branch, IA 52358

3196432551 · Non profit - Corporation

65 beds47.3 residents106 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Crestview Specialty Care receives an overall staffing grade of C (Below Standard). With 3.1618 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.7422 HPRD, below the recommended 0.75. It is 0.73 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 9.07% compared to weekdays. The facility has low agency staff usage (0.09% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1618 HPRD — needs 0.32 more hours per resident per day.
⚠️RN staffing (0.7422 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.09%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 9.07% drop-off
Total Nurse HPRD
3.1618hrs/resident/day▼ 0.73
CMS benchmark: 3.48
RN HPRD
0.7422hrs/resident/day▲ 0.06
Recommended: 0.75
Weekend Drop-off
9.07%
3.245 weekday → 2.9507 weekend
Agency Staff
0.09%
0.37% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.592hrs/resident/day
Direct care aides
LPN HPRD
0.455hrs/resident/day
Licensed practical nurses
Consistency
0.3571std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Cedar County Average-0.32 HPRD
3.48
03.16 HPRD
vs. Iowa State Average-0.65 HPRD
3.82
03.16 HPRD
vs. National Average-0.73 HPRD
3.90
03.16 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Crestview Specialty Care ★
West Branch · This facility
—
C
3.16180.7422★☆☆☆☆
Iowa City Rehab & Health Care
Iowa City
6.8 mi
C
3.02040.6712★☆☆☆☆
Oaknoll Retirement Residence
Iowa City
9.2 mi
A+
5.40451.0158★★★★★
Briarwood Healthcare Center
Iowa City
10.2 mi
B
3.98670.6201★★★★★
Lantern Park Specialty Care
Coralville
12.7 mi
B
3.60230.6893★☆☆☆☆
Lone Tree Health Care Center Inc
LONE TREE
13.8 mi
B
4.15530.6886★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
28
Total Deficiencies
$44,272
Fines Assessed
Dec 3, 2025Health
8 deficiencies cited· Includes actual harm
▼
Nov 21, 2024Health
5 deficiencies cited· Includes actual harm
▼
Sep 4, 2024Health
2 deficiencies cited· Includes actual harm
▼
May 9, 2024Health
1 deficiency cited· Includes actual harm
▼
Feb 1, 2024Health
3 deficiencies cited
▼
Nov 8, 2023Health
4 deficiencies cited
▼
Apr 19, 2023Health
4 deficiencies cited· Includes actual harm
▼
Oct 13, 2022Health
1 deficiency cited
▼

Penalty History

Nov 21, 2024Fine
$19,877
Sep 4, 2024Fine
$11,746
Apr 19, 2023Fine
$12,649
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.