West Bend Health and Rehabilitation
203 Fourth Street Nw, West Bend, IA 50597 · Palo Alto County · (515) 887-4071
45 certified beds, about 43 residents a day · For profit - Corporation · Medicare and Medicaid since 2001
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165444 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 25, 2026, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 18 health citations since January 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 2.94 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.
CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
101/24
603/24
312/24
605/25
206/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 18 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
17D
1E
0F
Potential for minimal harm
0A
0B
0C
June 25, 2026Standard inspection · 2 citations
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on personnel file reviews, staff interviews, and facility policy review, the facility failed to provide a criminal background check and a Single Contact License and Background Check (SING) for 2 of 5 current employees sampled (Staff B and Staff C). The facility reported a census of 43 residents.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on clinical record review and staff interviews the facility failed to notify the Long Term Care (LTC) Ombudsman for 1 of 2 residents reviewed who transferred to the hospital or discharged from the facility (Resident #5). The facility reported a census of 43 residents.
May 1, 2025Standard inspection · 6 citations
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review, staff interview and policy review the facility failed to complete a discharge summary including a recapitulation of the resident's stay for 1 of 1 resident review for discharges for closed record review (R#39). The facility reported a census of 38 residents.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to submit a Level 2 Preadmission Screening and Resident Review (PASRR) evaluation for 1 of 1 residents reviewed with a new mental health diagnosis and start of new psychotropic medications (Resident #8). The facility reported a census of 38 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, record review and staff interview, the facility failed to follow physician orders for 1 of 5 residents reviewed for medications (Resident #15). The facility reported a census of 38 residents.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, staff interview, and clinical record review the facility failed to provide appropriate catheter care for 1 of 2 residents reviewed (Resident #140). The facility reported a census of 38 residents.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, record review, and staff interview, the facility failed to to ensure a medication error rate of less than 5%, with 2 errors of 33 medications passed for an error rate of 6.06% for 2 of 6 residents (Resident #5, and #21). The facility reported a census of 38 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and staff interview, the facility failed to provide infection control practices for personal devices for 1 resident (Resident #27) and during medication pass for 2 of 6 residents (Resident #27 and #8). The facility reported a census of 38 residents.
December 16, 2024Complaint inspection · 3 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on record review and staff interview, the facility failed to treat each resident in a manner that promoted dignity and respect for 1 of 3 residents reviewed (Resident #4). The facility reported a census of 43 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure staff followed professional standards for administering medication for 1 of 3 residents reviewed (Resident #4). The facility reported a census of 43 residents.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record review and staff interview, the facility failed to provide the necessary services to maintain personal hygiene for 1 of 3 residents reviewed (Resident #1) and failed to ensure linens and clothing soiled by incontinence were changed promptly. The facility reported a census of 43 residents.
March 7, 2024Standard inspection, Complaint inspection · 6 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record review, staff interview, and family interview the facility failed to notify the physician and failed to notify the family/power of attorney of change for 2 residents reviewed for notification, (Resident #18 and #143) regarding a decrease in medication and an unresponsive episode . The facility reported a census of 44 residents.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on clinical record review, family and staff interviews, and policy review, the facility failed to accurately complete a comprehensive care plan and failed to follow the care plan for 2 of 12 residents reviewed (Resident #14 and #20). The facility reported a census of 44 residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review staff interviews and policy reivew, the facility failed to revise the resident's care plan for 3 of 12 residents reviewed (Resident #2, #6, #8). The facility reported a census of 44 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review, staff and resident interviews the facility failed to provide professional standards by not administering medication prescribed by a physician for 1 of 8 residents reviewed (Resident # 19). The facility reported a census of 44 residents.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on record review, staff interview and policy review the facility failed to complete a discharge summary including a recapitulation of the resident's stay for 1 of 1 resident review for discharges for closed record review (Resident #40). The facility reported a census of 44 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, staff interview and policy review the facility failed preform proper hand hygiene and proper personal protective equipment guidelines to prevent the spread of potential infection and germs during peri cares for 1 of 2 residents reviewed (Resident #8). The facility reported a census of 44 residents.
January 12, 2024Complaint inspection · 1 citation
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on resident interview, resident council minutes and facility policy review the facility failed to answer resident call lights within the allotted professional standards of 15 minutes for 2 of 2 residents, (Resident #4 and #5). The facility identified a census of 40 residents.
Fire safety inspections
8 fire safety citations on file: 3 on June 25, 2026, 3 on May 1, 2025, 2 on March 7, 2024.
Every fire safety citation8 citations
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install corridor and hallway doors that block smoke.
- F Install corridor and hallway doors that block smoke.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Provide properly protected cooking facilities.
- F Have simulated fire drills held at unexpected times.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.94 | 3.82 | 3.86 |
| Registered nurses | 0.59 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.66 | 3.37 | 3.42 |
| Nurse aides | 2.09 | ||
| Licensed practical nurses | 0.26 | ||
| Nursing staff turnover (share who left in a year) | not reported | 44.0% | 45.8% |
| Registered nurse turnover | not reported | 42.1% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.20 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.05 on weekdays and 2.66 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.14 in April to June 2025 to 2.94 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.94 | 0.59 | 3.05 | 2.66 | 1.2% | 0 of 90 | 43 |
| Jul to Sep 2025 | 3.09 | 0.76 | 3.23 | 2.76 | 0.0% | 0 of 92 | 41 |
| Apr to Jun 2025 | 3.14 | 0.71 | 3.34 | 2.65 | 0.4% | 0 of 91 | 39 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Iowa
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.0 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.7 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.3 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.5 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.4 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.1 | 1.8 |
Owners and operators
Legal business name: PRAIRIE CREEK HEALTHCARE INC. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Kleinstreuber, Peter | Managing control - governing body | Individual | 11/19/2019 | |
| Owen, Brent | Managing control - governing body | Individual | 05/01/2014 | |
| Jorgensen, David | Corporate director | Individual | 01/01/2024 | |
| Burnam, Soon | Corporate officer | Individual | 07/18/2011 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Koenig, Debra | Corporate officer | Individual | 01/01/2020 | |
| Sato, Ami | Corporate officer | Individual | 09/09/2024 | |
| Ventura Medstaff, LLC | Operational/managerial control | Organization | 07/18/2011 | |
| Kleinstreuber, Peter | Operational/managerial control | Individual | 11/19/2019 | |
| Owen, Brent | Operational/managerial control | Individual | 05/01/2014 | |
| Port, Barry | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/09/2025 | |
| 4th Street Holdings LLC | Adp of the SNF | Organization | 07/18/2011 | |
| Caretrust Gp LLC | Adp of the SNF | Organization | 07/18/2011 | |
| Caretrust Reit Inc | Adp of the SNF | Organization | 07/18/2011 | |
| Ctr Partnership LP | Adp of the SNF | Organization | 07/18/2011 | |
| Ensign Services Inc | Adp of the SNF | Organization | 06/01/2011 | |
| Burnam, Soon | Adp of the SNF | Individual | 07/09/2025 | |
| Kleinstreuber, Peter | Adp of the SNF | Individual | 07/09/2025 | |
| Owen, Brent | Adp of the SNF | Individual | 07/09/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on May 1, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on June 25, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on May 1, 2025: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on May 1, 2025: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.66 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Good Samaritan - Algona Algona, 12.9 mi · 3 of 5 stars · 27 citations
- Algona Manor Care Center Algona, 14.3 mi · 5 of 5 stars · 12 citations
- Emmetsburg Care Center Emmetsburg, 15.5 mi · 1 of 5 stars · 22 citations
- Lakeside Lutheran Home Emmetsburg, 16.2 mi · 3 of 5 stars · 22 citations
- Palo Alto County Hospital Emmetsburg, 16.6 mi · 4 of 5 stars · 1 citation
- Humboldt County Memorial Hospital Humboldt, 19 mi · 5 of 5 stars · 7 citations
- Laurens Care Center Laurens, 21.6 mi · 4 of 5 stars · 15 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is West Bend Health and Rehabilitation's Medicare star rating?
- CMS rates West Bend Health and Rehabilitation 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did West Bend Health and Rehabilitation get at its last inspection?
- 2 health deficiencies at the standard inspection on June 25, 2026. The Iowa average is 6.5.
- Has West Bend Health and Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does West Bend Health and Rehabilitation accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns West Bend Health and Rehabilitation?
- CMS lists 19 owners and managers, and links the home to The Ensign Group. Legal business name: PRAIRIE CREEK HEALTHCARE INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.