Westbrook Acres

605 Garfield Street · Gladbrook, IA · 50635 · 6414732016

54 certified beds For profit - Corporation

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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Red flags

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 72
Serious harm & abuse 20% 84
Staffing 20% 65
Federal penalties 15% 100
Trend 10% 87
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.443.48 min · 4.1 strong
RN hours / resident-day0.590.55–0.75
Weekend hours / resident-day2.90≈ weekday level
Nursing turnover / year42%median 45%
Fines (3-yr window)none

Inspection citations (14 in the current record)

  • Potential for harm · D March 12, 2026

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected March 30, 2026 · Resident Rights

  • Potential for harm · D March 12, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected March 30, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 12, 2026 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected March 30, 2026 · Resident Rights

  • Potential for harm · F March 6, 2025

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected March 21, 2025 · Nursing and Physician Services

  • Potential for harm · D March 6, 2025

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected March 21, 2025 · Administration

  • Potential for harm · D March 6, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected March 21, 2025 · Infection Control

  • No harm found · B March 6, 2025

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected March 21, 2025 · Resident Rights

  • No harm found · B March 6, 2025

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected March 21, 2025 · Resident Rights

  • No harm found · B March 6, 2025

    Ensure each resident receives an accurate assessment.

    Corrected March 21, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 18, 2024

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

    Corrected May 1, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D April 18, 2024

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected May 1, 2024 · Nursing and Physician Services

  • No harm found · B April 18, 2024

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected May 1, 2024 · Resident Rights

  • Actual harm · G September 28, 2023 · found via complaint

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

    Corrected October 20, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 28, 2023 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected October 20, 2023 · Freedom from Abuse, Neglect, and Exploitation

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165446 · certified since June 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.