Westwood Specialty Care
Nursing Home Facility
4201 Fieldcrest Drive, Sioux City, IA 51104
Westwood Specialty Care is a senior care community located in Sioux City, IA. It provides nursing home care and senior living for older adults in the Sioux City area. To learn more or schedule a tour, call (712) 258-0135.
Operated by Care Initiatives, which runs 43 communities in our directory.
Westwood Specialty Care is licensed for 85 beds, about typical for the area, where senior care communities in Sioux City average about 84 beds.
Federal reporting puts occupancy at about 91% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Sioux City average about 3.0 stars. The individual scores differ noticeably: 3 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in April 2026 and recorded 16 deficiencies.
Residents receive about 3.2 hours of nursing care per day on average, including 0.8 hours from a registered nurse. Communities in Sioux City average about 3.8 hours. Nursing staff turnover over the past year was about 49%.
The community is located in Woodbury County, IA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 79 problems at Westwood Specialty Care. 2 findings involved harm to a resident. 60 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $181,086. Medicare also stopped paying for new admissions once in that period.
Findings from the most recent inspection cycle
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, a pattern
Pharmacy Service
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.
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Could cause more than minimal harm, a pattern
Administration
Have a plan that describes the process for conducting QAPI and QAA activities.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Show 8 more
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Westwood Specialty Care offers nursing home care and senior living.
Facility details
- Organization type Non profit - Corporation
- Beds / units 85
- Occupancy 91%
- Nursing hours per resident/day 3.2
- Annual staff turnover 49%
- Last health inspection April 2026
Resident & family reviews
I would not recommend this facility to anyone. You never get straight answers and concerns are not addressed. Administrator will look you directly in the eye and lie to you. The also violate HIPPA laws by sharing residents medical info with other facilities.
by julie sanders, Oct 2015