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Complaint Investigation

Westwood Specialty Care

April 29, 2026 · Sioux City, IA · 4201 Fieldcrest Drive
Citations 6
CMS Rating 1/5
Beds 85
Provider ID 165271
Healthcare Facility
Westwood Specialty Care
Sioux City, IA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Westwood Specialty Care in Sioux City, IA — inspection on April 29, 2026.

Found 6 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0677
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited Westwood Specialty Care in Sioux City, IA for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2026-04-29.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of Westwood Specialty Care.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-05-22.

positioning. As a result, they performed the lift properly.In an interview on 4/22/26 at 1:46 PM, Staff

almost tipped, injuring Resident #18's forehead.

Staff H and other staff prevented the lift from falling

a bar under the wheelchair because they used the lift from the side.In an interview on 4/22/26 at 1:59 PM, Staff I, CNA, reported assisting with the lift transfer when Resident #18 almost fell as the lift tipped.

When asked why the lift tipped, Staff I stated, I don't know but we were thinking the lift might have got caught on the bars under the wheelchair.

When asked how the CNA positioned the lift, the CNA stated, it was from the side. We were educated not to use the lift from the side.

The resident has a brace that keeps her leg straight, she didn't want us hitting her leg on the lift so we the lift from the side like she asked.

Now we know we can't and it's okay to tell her we can't do it that way because it's for safety.

When asked what part of the lift hit the resident in the forehead, Staff I stated, the part that holds the sling.

The In-Service Form dated 4/16/26 mandated the following for use of the mechanical lift: The lift must be operated straight forward only.

The wheelchair must be positioned directly in front of the resident, ensuring straight-on alignment.

Staff must avoid approaching or transferring the resident from the side.The undated Operator's Instructions for the mechanical lift instructed to position the bar spreader so the two sling hanger bars are parallel to the resident's body and to adjust the legs of the lift to go around the wheelchair- picture indicated the lift is in front of the wheelchair. In an interview on 4/23/26 at 2:03 PM, the Director of Nursing (DON) stated the proper procedure for a safe mechanical lift transfer.

The DON explained that staff should position the mechanical lift directly in front of the wheelchair, rather than to the side.

The DON also noted that physical therapy staff provided immediate education following the incident.

165271 04/29/2026

Westwood Specialty Care 4201 Fieldcrest Drive Sioux City, IA 51104

Based on observation, staff interview, and policy review the facility failed to properly secure and

census of 77 residents.

Findings include:During continuous observation 4/19/26 at 2:12 PM a treatment cart was left unlocked with the computer screen left on with identifiable information left on the screen by Staff D Licensed Practical Nurse (LPN) for 4 minutes.

Staff C Regional Consultant then was observed to come down the hall, and shut off the screen of the computer and lock the treatment cart.

Staff C then revealed that she would like to see the treatment cart locked when it is not attended with the screen shut off so identifiable information is not showing.

Interview 4/21/26 at 8:46 AM with the Director of Nursing (DON) revealed that she would have liked to have seen the med carts locked, and the computer screen locked when not in use or staff are not around.

Review of a facility provided policy titled, Security of Medication Cart with a revision date of April 2007 indicated the nurse must secure the medication cart during medication pass to prevent unauthorized entry.

Federal health inspectors cited Westwood Specialty Care in Sioux City, IA for a deficiency under regulatory tag F-F0804 during a standard health inspection conducted on 2026-04-29.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of Westwood Specialty Care.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-05-22.

Federal health inspectors cited Westwood Specialty Care in Sioux City, IA for a deficiency under regulatory tag F-F0865 during a standard health inspection conducted on 2026-04-29.

Category: Administration Deficiencies

The facility was found deficient in the following area: Have a plan that describes the process for conducting QAPI and QAA activities.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of Westwood Specialty Care.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-05-22.

Federal health inspectors cited Westwood Specialty Care in Sioux City, IA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2026-04-29.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of Westwood Specialty Care.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-05-22.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Sioux City, IA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Westwood Specialty Care or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.