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C
Below Standard

Westwood Specialty Care

4201 Fieldcrest Drive · Sioux City, IA 51104

7122580135 · Non profit - Corporation

85 beds79.2 residents114 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

Westwood Specialty Care receives an overall staffing grade of C (Below Standard). With 3.2933 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6894 HPRD, below the recommended 0.75. It is 0.60 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 21.85% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2933 HPRD — needs 0.19 more hours per resident per day.
⚠️RN staffing (0.6894 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.2933hrs/resident/day▼ 0.60
CMS benchmark: 3.48
RN HPRD
0.6894hrs/resident/day▲ 0.01
Recommended: 0.75
Weekend Drop-off
21.85%
3.51 weekday → 2.743 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8549hrs/resident/day
Direct care aides
LPN HPRD
0.3988hrs/resident/day
Licensed practical nurses
Consistency
0.4231std 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. Woodbury County Average-0.58 HPRD
3.87
03.29 HPRD
vs. Iowa State Average-0.52 HPRD
3.82
03.29 HPRD
vs. National Average-0.60 HPRD
3.90
03.29 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
Westwood Specialty Care ★
Sioux City · This facility
—
C
3.29330.6894★☆☆☆☆
Casa De Paz Health Care Center
Sioux City
1.4 mi
C
3.02480.7086★☆☆☆☆
Holy Spirit Retirement Home
Sioux City
1.8 mi
B
4.30060.7419★★★★☆
Embassy Rehab and Care Center
Sergeant Bluff
9.2 mi
B
3.56370.9061★☆☆☆☆
Kingsley Specialty Care
Kingsley
22.2 mi
C
3.08351.1241★★☆☆☆
Accura Healthcare of Le Mars
Le Mars
24.7 mi
A
4.79330.8927★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
100
Total Deficiencies
$263,192
Fines Assessed
Dec 31, 2025Health
9 deficiencies cited
▼
Oct 30, 2025Health
1 deficiency cited
▼
Mar 27, 2025Health
12 deficiencies cited
▼
Jul 25, 2024Health
2 deficiencies cited
▼
Jun 6, 2024Health
10 deficiencies cited
▼
May 1, 2024Health
3 deficiencies cited
▼
Feb 28, 2024Health
18 deficiencies cited· Includes actual harm
▼
Oct 24, 2023Health
18 deficiencies cited
▼
Mar 30, 2023Health
27 deficiencies cited· Includes actual harm
▼

Penalty History

Feb 28, 2024Fine
$166,706
Feb 28, 2024Payment Denial
Mar 30, 2023Fine
$96,486
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.