Nursing homeActive

Westbrook Acres

605 Garfield Street, Gladbrook, IA 50635641473201654 certified beds · 39 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
15
492
Penalties · 3 yrs
none on file
Last survey
2026-06-03
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 4
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-06-03Complaint001CMS-2567 (Care Compare)
2026-03-12Standard030CMS-2567 (Care Compare)
2025-03-06Standard330CMS-2567 (Care Compare)
2024-04-18Standard120CMS-2567 (Care Compare)
2023-09-28Complaint011CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-06-03Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-06-09Record 165446-20260603-F689
2026-03-12Standard survey · 3 deficienciesOfficial report
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-30Record 165446-20260312-F552
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-30Record 165446-20260312-F605
F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-30Record 165446-20260312-F627
2025-03-06Standard survey · 6 deficienciesOfficial report
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-21Record 165446-20250306-F727
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-21Record 165446-20250306-F851
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-21Record 165446-20250306-F883
F585Honor 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.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2025-03-21Record 165446-20250306-F585
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2025-03-21Record 165446-20250306-F623
F641Ensure each resident receives an accurate assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2025-03-21Record 165446-20250306-F641
2024-04-18Standard survey · 3 deficienciesOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-01Record 165446-20240418-F658
F727Have 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.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-01Record 165446-20240418-F727
F625Notify 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.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2024-05-01Record 165446-20240418-F625
2023-09-28Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-10-20Record 165446-20230928-F600
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 165446-20230928-F602

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.53
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.51
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.00
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover32%
Facility
Iowa
National
Iowa 44% · National 46%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityIowaNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.3%4.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
7.4%3.8%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
30.8%19.5%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
8.8%2.4%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.2%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
14.0%17.1%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
0.9%4.6%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
29.4%20.8%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Even, Crystal
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST50%
Lange, Randall
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST50%
Barker, Molly
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Brubaker, Elizabeth
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Scurr, Steven
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Thomsen, Brett
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Thomsen, Keya
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Wright, Marcee
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Brighton Consulting Group LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Broome, Sharon
Individual
ADP OF THE SNFNOT APPLICABLE
Brubaker, Elizabeth
Individual
ADP OF THE SNFNOT APPLICABLE
Careserv Technologies LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Cattail Bcg LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Cattail Consulting LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Cattail Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Denman Cpa LLP
Organization
ADP OF THE SNFNOT APPLICABLE
Ecsi Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Even, Crystal
Individual
ADP OF THE SNFNOT APPLICABLE
Even, Crystal
Individual
CORPORATE OFFICERNOT APPLICABLE
Fox Rehab Ot Ia LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Fox Rehab Pt Ia Pllc
Organization
ADP OF THE SNFNOT APPLICABLE
Fox Rehab Slp Ia Pllc
Organization
ADP OF THE SNFNOT APPLICABLE
Iowa Health Care Association
Organization
ADP OF THE SNFNOT APPLICABLE
Johnsrud, Thomas
Individual
ADP OF THE SNFNOT APPLICABLE
Lange, Randall
Individual
CORPORATE OFFICERNOT APPLICABLE
Lange, Randall
Individual
ADP OF THE SNFNOT APPLICABLE
Pm Acquisition LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Scurr, Steven
Individual
ADP OF THE SNFNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.

No county cost figures on file for Tama.

Nearby nursing homes

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Grundy Care Center
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Parkview Manor Care Center
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Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01