Federal inspection record · CMS data as of October 1, 2026
The Suites at Western Home Communities
5301 Caraway Lane, Cedar Falls, IA · (319) 277-2141
- CMS high-performer trophy
- Certified beds
- 72
- Residents per day
- 70
- Ownership
- Non-Profit
- Chain
- Western Home Communities
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 21, 2018
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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Staffing
★★★★★no change (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
The Suites at Western Home Communities carries 6 inspection points. That is fewer than 92% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
11 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning5D
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary2E
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care2D
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1D
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspection history
2026-03-26
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-02-06
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-02-29
7 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 35 min of nursing staff time a day, 52 min of it from a registered nurse.
This home
4 h 35 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 39% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts better | 0.8 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts better | 0.5 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine23.8 pts worse | 70.4% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.7 pts better | 98.5% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better | 3.1% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.8 pts worse | 5.0% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.2 pts better | 1.2% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.8 pts better | 20.2% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9 pts worse | 28.8% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.2 pts worse | 19.4% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.6 pts worse | 27.2% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts better | 0.4% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.4 pts better | 0.0% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.8 pts worse | 29.8% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts worse | 5.3% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine35.4 pts worse | 48.6% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2 pts worse | 15.0% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.9% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.1 pts better | 94.5% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.5 pts better | 12.2% | 20.7% | 23.4% |
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Who owns and runs it
34 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ager, Wendy | Adp Of The SNF · Individual | 0% | 6 facilities |
| Ames, Trenton | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Brighton Consulting Group LLC | Adp Of The SNF · Organization | 0% | 73 facilities |
| Brockelsby, Sheri | Corporate Officer · Individual | 0% | 3 facilities |
| Cliftonlarsonallen | Adp Of The SNF · Organization | 0% | 124 facilities |
| Dreyer, Cheryl | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Evans, Angela | Adp Of The SNF · Individual | 0% | 8 facilities |
| First Interstate Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 5 facilities |
| Fox, Larry | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Frankhauser, Richard | Corporate Officer · Individual | 0% | 4 facilities |
| Frankhauser, Richard | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Frankhauser, Richard | Adp Of The SNF · Individual | 0% | 4 facilities |
| Garcia, Jenny | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Gibbs, Stacy | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Grape Tree Medical Staffing LLC | Adp Of The SNF · Organization | 0% | 64 facilities |
| Hansen, Kris | Corporate Officer · Individual | 0% | 6 facilities |
| Hansen, Kris | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 6 facilities |
| Hansen, Kris | Adp Of The SNF · Individual | 0% | 6 facilities |
| Harris, Jerry | Adp Of The SNF · Individual | 0% | 12 facilities |
| Helping Hands Healthcare Solutions | Adp Of The SNF · Organization | 0% | 4 facilities |
| Lotus Above & Beyond Healthcare Staffing LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Mccormick, Darrell | Adp Of The SNF · Individual | 0% | 6 facilities |
| Morse, Andrew | Operational/Managerial Control · Individual | 0% | 1 facilities |
| O'leary, Patrick | Adp Of The SNF · Individual | 0% | 6 facilities |
| Reliant Care Pharmacy Services LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Sannes, Aaron | Corporate Director · Individual | 0% | 4 facilities |
| Schroeder, Heather | Corporate Director · Individual | 0% | 4 facilities |
| Sugar Creek Health Management LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Susong, Katherine | Corporate Director · Individual | 0% | 4 facilities |
| Tech Of Ages LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Tjaden, Tabitha | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Tjaden, Tabitha | Adp Of The SNF · Individual | 0% | 2 facilities |
| Western Home Services Inc | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Western Home Services Inc | Adp Of The SNF · Organization | 0% | 5 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- D
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1D
- D
Ensure proper usage of power strips and extension cords.
Egress1F
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
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Other homes nearby
-
Pinnacle Specialty Care
Cedar Falls, IA · Care Initiatives
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 40 min
- Fines
- $8,362
-
Newaldaya Lifescapes
Cedar Falls, IA
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 4 h 26 min
- Fines
- $132,074
-
Martin Health Center, INC
Cedar Falls, IA · Western Home Communities
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 12 min
- Fines
- $0