Federal inspection record · CMS data as of October 1, 2026
Westview Acres Care Center
203 S W Lorraine, Leon, IA · (641) 446-4165
- Certified beds
- 46
- Residents per day
- 38
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1995
1
How this home got 4 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
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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Westview Acres Care Center carries 14 inspection points. That is fewer than 77% 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 Planning3D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Assess the resident when there is a significant change in condition
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control3F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Resident Rights2E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Pharmacy Service1D
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspection history
2026-07-09
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-06-05
1 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2024-07-25
7 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 57 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 57 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 33% 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 days1 pts worse | 2.4 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse | 2.9 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better | 98.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better | 97.5% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.3 pts worse | 7.2% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 0.0% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts worse | 5.8% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.7 pts better | 14.3% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.9 pts better | 5.9% | 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 worsened5.6 pts better | 9.6% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts worse | 17.5% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.6 pts worse | 6.0% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.8 pts better | 24.2% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts better | 1.6% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 100.0% | 84.0% | 82.3% |
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Who owns and runs it
22 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 |
|---|---|---|---|
| Allen, Nathan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Allen, Nathan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Birchem, Patricia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Blue Stone Therapy Inc | Adp Of The SNF · Organization | 0% | 27 facilities |
| Brighton Consulting Group LLC | Adp Of The SNF · Organization | 0% | 73 facilities |
| Cattail Consulting LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Conner, Robert | Direct Ownership Interest · Individual | 0% | 13 facilities |
| Dahm, Knapp & Associates Pc | Adp Of The SNF · Organization | 0% | 4 facilities |
| Digital Stew Services Inc | Adp Of The SNF · Organization | 0% | 4 facilities |
| Guardian Pharmacy Of Iowa LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Harper, Tiffany | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mcintosh, Carla | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Norman, Jessica | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pearson, Lori | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Saxton, Rose | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Saxton, Rose | Adp Of The SNF · Individual | 0% | 2 facilities |
| Showers, Donald | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Steggerda, Jeffrey | Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Stegotek Inc | Direct Ownership Interest · Organization | 0% | 2 facilities |
| Westview Acres Corp | Adp Of The SNF · Organization | 0% | 1 facilities |
| Wilkes, James | Direct Ownership Interest · Individual | 0% | 4 facilities |
| Wilkes, James | Adp Of The SNF · Individual | 0% | 4 facilities |
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Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems5F
- E
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Smoke3E
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Construction1D
- D
Use approved construction type or materials.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
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Lamoni Specialty Care
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★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 36 min
- Fines
- $0
-
Southern Hills Specialty Care
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 20 min
- Fines
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-
Corydon Specialty Care
Corydon, IA · Care Initiatives
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 29 min
- Fines
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