West Point, IA

West Point Care Center Inc

4-star overall rating with 3-star inspections with $13,627 in total fines with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

607 6th Street, West Point, IA

(319) 837-6117

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

46

Certified beds

Average residents

28

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2006-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.86

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.38

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.86

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

4.10

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.24

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.44

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.81

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.97

CMS adjusted RN staffing hours

Adjusted total hours

4.65

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

59%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,457

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

32.79

Composite VBP score used to determine payment impact.

Payment multiplier

0.9873

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

4.64

Baseline 7.66% · Performance 6.45% · Measure score 4.64 · Achievement 4.64 · Improvement 4.05

Total nurse turnover

0.69

Baseline 50.00% · Performance 60.87% · Measure score 0.69 · Achievement 0.69 · Improvement 0

Adjusted total nurse staffing

4.51

Baseline 4.24 hours · Performance 4.36 hours · Measure score 4.51 · Achievement 4.51 · Improvement 0.28

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.53%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 47 · Observed rate 14.89% · Lower 95% interval 8.19%
Discharge to community	39.41%	50.57% 11.2 pts worse	No Different than the National Rate · Eligible stays 32 · Observed rate 28.13% · Lower 95% interval 27.83%
Medicare spending per beneficiary	0.98	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 31 · Denominator 31
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 31
Discharge self-care score	32%	53.69% 21.7 pts worse	Numerator 8 · Denominator 25
Discharge mobility score	48%	50.94% 2.9 pts worse	Numerator 12 · Denominator 25
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 31 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.45%	7.12% 0.7 pts better	No Different than the National Rate · Eligible stays 30 · Observed rate 3.33% · Lower 95% interval 3.66%
Staff COVID-19 vaccination coverage	6.12%	8.2% 2.1 pts worse	Numerator 3 · Denominator 49
Staff flu vaccination coverage	53.85%	42% 11.9 pts better	Numerator 35 · Denominator 65
Discharge function score	40%	56.45% 16.5 pts worse	Numerator 10 · Denominator 25
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.1	1.5 0.4 pts better	1.9 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.8 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.7	2.1 0.4 pts better	1.8 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.5 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.3%	94.0% 3.3 pts better	93.4% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 96.4% · Q4 92.6% · 4Q avg 97.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.6%	95.2% 1.4 pts better	95.5% 1.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.6%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.7% 3.7 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.6%	4.0% 2.6 pts worse	11.4% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.1% · Q3 3.7% · Q4 14.8% · 4Q avg 6.6%
Percentage of long-stay residents who lose too much weight	4.0%	4.9% 0.9 pts better	5.4% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.8% · Q3 4.2% · Q4 4.3% · 4Q avg 4.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.4%	20.6% 9.8 pts worse	19.6% 10.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 30.8% · Q3 32.0% · Q4 30.4% · 4Q avg 30.4%
Percentage of long-stay residents who received an antipsychotic medication	12.5%	19.8% 7.3 pts better	16.7% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 9.5% · 4Q avg 12.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	7.3%	18.5% 11.2 pts better	16.3% 9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 7.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.4%	18.3% 8.9 pts better	14.9% 5.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 8.3% · Q3 8.3% · Q4 4.5% · 4Q avg 9.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.7% 1.7 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	2.5% 2.5 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.8%	26.0% 6.2 pts better	19.8% About the same	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 23.6% · Q3 23.5% · Q4 13.3% · 4Q avg 19.8%
Percentage of long-stay residents with pressure ulcers	1.7%	4.3% 2.6 pts better	5.1% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 0.0% · Q3 3.1% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	58.0%	84.3% 26.3 pts worse	81.7% 23.7 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 58.0%
Percentage of short-stay residents who had an outpatient emergency department visit	18.0%	13.1% 4.9 pts worse	12.0% 6 pts worse	Short Stay · 20240701-20250630 · Adjusted 18.0% · Observed 16.7% · Expected 10.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission	14.4%	21.3% 6.9 pts better	23.9% 9.5 pts better	Short Stay · 20240701-20250630 · Adjusted 14.4% · Observed 12.5% · Expected 20.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-29 · Fire 2025-05-29

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-08-08 · Fire 2024-08-08

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

5 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 3 Health 2024-01-22 · Fire 2024-01-22

11 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-29

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-06-06

F · Potential for more than minimal harm 2025-05-29

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-06-03

F · Potential for more than minimal harm 2025-05-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-02

E · Potential for more than minimal harm 2025-05-29

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-30

F · Potential for more than minimal harm 2024-08-08

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-08-26

F · Potential for more than minimal harm 2024-08-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-26

E · Potential for more than minimal harm 2024-08-08

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-08-26

E · Potential for more than minimal harm 2024-08-08

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-08-20

E · Potential for more than minimal harm 2024-08-08

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-08-26

F · Potential for more than minimal harm 2024-01-22

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-01-18

F · Potential for more than minimal harm 2024-01-22

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2024-01-22

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-22

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Not marked corrected

D · Potential for more than minimal harm 2025-05-29

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-06-11

D · Potential for more than minimal harm 2025-05-29

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-06-11

D · Potential for more than minimal harm 2025-05-29

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-06-11

D · Potential for more than minimal harm 2024-03-13

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-03-17

J · Immediate jeopardy 2024-01-22

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-01-25

G · Actual harm 2024-01-22

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-01-25

E · Potential for more than minimal harm 2024-01-22

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-01-25

E · Potential for more than minimal harm 2024-01-22

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-01-25

E · Potential for more than minimal harm 2024-01-22

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2024-01-25

E · Potential for more than minimal harm 2024-01-22

F944 · Administration Deficiencies

Health

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2024-01-25

D · Potential for more than minimal harm 2024-01-22

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-01-25

D · Potential for more than minimal harm 2024-01-22

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-01-25

D · Potential for more than minimal harm 2024-01-22

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-01-25

D · Potential for more than minimal harm 2024-01-22

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-01-25

D · Potential for more than minimal harm 2023-05-08

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-05-25

Penalties and ownership

What sits behind the stars

$13,627 2024-01-22

Fine

Fine · fine $13,627

Fine

$0 2024-01-22

Payment Denial

Payment Denial · denial start 2024-02-20 · 26 days

26 day denial

Ownership

Thomas F Juckette Marital Trust

5% Or Greater Direct Ownership Interest · Organization

100% 4 facilities 2014-11-01

Baldwin, Connie