What is West Ridge Specialty Care's Medicare star rating?

CMS rates West Ridge Specialty Care 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did West Ridge Specialty Care get at its last inspection?

0 health deficiencies at the standard inspection on July 2, 2026. The Iowa average is 6.5.

Has West Ridge Specialty Care been fined?

CMS lists no fines in the last three years.

Does West Ridge Specialty Care 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 Ridge Specialty Care?

CMS lists 25 owners and managers, and links the home to Care Initiatives. Legal business name: CARE INITIATIVES.

West Ridge Specialty Care: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on July 2, 2026, inspectors cited 0 health deficiencies (the Iowa average is 6.5, the national average 9.2).

None of its 11 health citations since May 2023 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 3.10 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.86 of those hours.

53.2% of nursing staff left within the year CMS measured (Iowa average 44.0%).

CMS links it to Care Initiatives, an affiliated group of 43 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.

505/23

203/24

007/24

108/24

111/25

204/26

007/26

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 11 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

July 2, 2026Standard inspection · 0 citations

April 23, 2026Complaint inspection · 2 citations

E

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 12, 2026

Inspectors wroteBased on electronic record review, resident interviews, staff interviews, and policy review, the facility failed to provide restorative programs as care planned for 3 of 4 residents reviewed for restorative care (Residents #2, #7, and #8). The facility reported a census of 71.
E

Provide care and assistance to perform activities of daily living for any resident who is unable.

F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 12, 2026

Inspectors wroteBased on electronic record review, resident interviews, staff interviews, and policy review, the facility failed to provide resident showers as scheduled for 5 of 5 residents reviewed for activities of daily living (Residents #1, #2, #4, #5, and #7). The facility reported a census of 71.

November 4, 2025Complaint inspection · 1 citation

E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 25, 2025

Inspectors wroteBased on clinical record review, staff interview, policy review, and resident interviews, the facility failed to protect the resident's right to a dignified existence by failing to carry out perineal cares in a timely manner after incontinence episodes for 1 of 1 residents reviewed for incontinence care assistance (Resident #1) and for multiple, random residents affected, as reported by multiple staff members. The facility reported a census of 74 residents.

August 30, 2024Complaint inspection · 1 citation

D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 31, 2024

Inspectors wroteBased on clinical record review, staff and resident interview, and policy review, the facility failed to report suspected abuse to the proper state agency within two (2) hours. The facility reported a census of 72 residents.

July 3, 2024Standard inspection · 0 citations

March 14, 2024Complaint inspection · 2 citations

D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 15, 2024

Inspectors wroteBased on clinical record review, policy review, and staff interview, the facility failed to notify the provider of a resident's low blood sugars for 1 of 3 residents reviewed for a change in condition (Resident#1). The facility reported a census of 74 residents.
D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 15, 2024

Inspectors wroteBased on clinical record review, policy review, and staff interviews, the facility failed to carry out an intervention to prevent a fall, and failed to ensure Care Plan entries based on root cause analysis were carried out and documented on the Care Plan for 2 of 3 residents reviewed for falls(Residents #3 and #6). The facility reported a census of 74 residents.

May 4, 2023Standard inspection · 5 citations

D

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2023

Inspectors wroteBased on observations, clinical record review, policy review, resident and staff interviews the facility failed to accommodate medication administration time preference for 1 of 2 residents (Resident #27) in the sample. The facility reported a census of 75.
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.

F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2023

Inspectors wroteBased on observations, clinical record review, staff interview and facility policy review the facility failed to maintain appropriate care for 2 out of 2 resident's catheters (Resident #26 and #52). The facility reported a census of 75 residents.
D

Provide safe, appropriate pain management for a resident who requires such services.

F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2023

Inspectors wroteBased on record review, policy review, resident and staff interviews the facility failed to administer pain medication in a timely manner for 1 of 1 residents (Resident #176) in the sample. The facility reported a census of 75 residents.
D

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2023

Inspectors wroteBased on observations, clinical record review, and staff interviews the facility failed to support the behavior health needs in an effort to prevent self harm for 1 of 1 residents (Resident #27) in the sample. The facility reported a census of 75.
D

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

F741 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2023

Inspectors wroteBased on employee training list, facility policy and staff interviews the facility failed to provide behavior management training to staff to meet the behavioral health needs 1 of 1 residents (Resident #27) in the sample The facility reported a census of 75 residents. Findings Include 1. The Quarterly Minimum Data Set (MDS) assessment tool, dated 4/19/23, listed diagnosis for Resident #27 included: Alzheimer's disease, depression, and hypothyroidism. The MDS listed the resident ' s Brief Interview for Mental Status (BIMS) score as 15 out of 15, indicating intact cognition. A review of progress notes in the Electronic Health Record (EHR) revealed the resident acquired the following wounds from picking her skin: a. On 12/13/23 an abrasion on her face (nose) b On 2/11/23 a skin tear on her right forearm c. On 2/20/20 two abrasions on her abdomen d. [...]

Fire safety inspections

13 fire safety citations on file: 4 on July 2, 2026, 5 on July 3, 2024, 4 on May 4, 2023.

Every fire safety citation13 citations

E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · July 2, 2026 · Corrected (the home has a date of correction)
E
Ensure proper usage of power strips and extension cords.

K 920 · July 2, 2026 · Corrected (the home has a date of correction)
E
Meet requirements for the use and maintenance of medical gas equipment.

K 922 · July 2, 2026 · Corrected (the home has a date of correction)
D
Have properly installed hallway dispensers for alcohol-based hand rub.

K 325 · July 2, 2026 · Corrected (the home has a date of correction)
F
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · July 3, 2024 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · July 3, 2024 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · July 3, 2024 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · July 3, 2024 · Corrected (the home has a date of correction)
E
Meet requirements for the use and maintenance of medical gas equipment.

K 922 · July 3, 2024 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · May 4, 2023 · Corrected (the home has a date of correction)
F
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.

K 771 · May 4, 2023 · Waiver
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · May 4, 2023 · Corrected (the home has a date of correction)
D
Use approved construction type or materials.

K 161 · May 4, 2023 · Corrected (the home has a date of correction)

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)	3.10	3.82	3.86
Registered nurses	0.86	0.74	0.69
All nursing staff on weekends	2.58	3.37	3.42
Nurse aides	1.87
Licensed practical nurses	0.37
Nursing staff turnover (share who left in a year)	53.2%	44.0%	45.8%
Registered nurse turnover	43.8%	42.1%	42.9%
Administrators who left	0

CMS expects 3.11 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 3.31 on weekdays and 2.58 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.35 in April to June 2025 to 3.10 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	3.10	0.86	3.31	2.58	0.0%	0 of 90	65
Oct to Dec 2025	3.00	0.73	3.18	2.53	0.0%	0 of 92	70
Jul to Sep 2025	3.24	0.74	3.45	2.70	0.0%	0 of 92	68
Apr to Jun 2025	3.35	0.60	3.58	2.77	0.0%	0 of 91	72
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.

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	7.7	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	2.1	2.4	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.9	3.8	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	2.3	2.1	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	18.8	16.6	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	2.5	4.2	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	11.1	19.4	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	31.5	20.9	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	20.3	13.2	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.9	1.5	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.4	2.1	1.8

Owners and operators

Legal business name: CARE INITIATIVES. CMS links this home to Care Initiatives, a group of 43 nursing homes averaging 2.9 stars overall.

Name	Role	Type	Share	Since
Care Initiatives	5% or greater direct ownership interest	Organization	100%	09/01/2009
Computershare Corporate Trust Company, Na	5% or greater mortgage interest	Organization		01/01/2025
Beal, Michael	Corporate director	Individual		06/01/2020
Bowen, Lane	Corporate director	Individual		01/01/2021
Carothers, Mary Jane	Corporate director	Individual		01/01/2023
Childs, Kevin	Corporate director	Individual		04/01/2023
Corless, Peter	Corporate director	Individual		01/01/2025
Krein, Keith	Corporate director	Individual		01/01/2022
Rust, Elizabeth	Corporate director	Individual		01/01/2023
Sturm, Denise	Corporate director	Individual		01/01/2021
Upmeyer, Linda	Corporate director	Individual		01/01/2022
Beal, Michael	Corporate officer	Individual		06/01/2020
Dixon, David	Corporate officer	Individual		06/01/2016
Drake, Emily	Corporate officer	Individual		01/04/2023
Gilyard, Tanya	Corporate officer	Individual		05/23/2025
Kuhn, Jeramy	Corporate officer	Individual		06/25/2008
McDyer, Jessica	Corporate officer	Individual		02/22/2023
Rafferty, Susan	Corporate officer	Individual		10/13/2025
Volm, Johanna	Corporate officer	Individual		01/01/2021
Cox, Brittany	Operational/managerial control	Individual		04/13/2023
Mahler, Carla	Operational/managerial control	Individual		01/01/2024
Wei, Shipeng	Operational/managerial control	Individual		01/01/2024
Computershare Corporate Trust Company, Na	Adp of the SNF	Organization		02/19/2026
Cox, Brittany	Adp of the SNF	Individual		03/26/2026
Wei, Shipeng	Adp of the SNF	Individual		08/06/2025

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.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on April 23, 2026: "Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on November 4, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on August 30, 2024: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.58 hours per resident per day, below the Iowa average of 3.37.

Other nursing homes nearby

Accura Healthcare of Knoxville, LLC
Knoxville, 1.5 mi · 2 of 5 stars · 15 citations
Accura Healthcare of Pleasantville, LLC
Pleasantville, 9.9 mi · 1 of 5 stars · 44 citations
The Cottages
Pella, 12.9 mi · 1 of 5 stars · 23 citations
Chariton Specialty Care
Chariton, 21.9 mi · 2 of 5 stars · 18 citations
Good Samaritan - Indianola
Indianola, 23.2 mi · 1 of 5 stars · 42 citations
Oskaloosa Care Center
Oskaloosa, 23.3 mi · 1 of 5 stars · 33 citations
Accura Healthcare of Carlisle
Carlisle, 23.4 mi · 1 of 5 stars · 45 citations
Crystal Heights Care Center
Oskaloosa, 23.6 mi · 3 of 5 stars · 18 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 Ridge Specialty Care's Medicare star rating?: CMS rates West Ridge Specialty Care 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did West Ridge Specialty Care get at its last inspection?: 0 health deficiencies at the standard inspection on July 2, 2026. The Iowa average is 6.5.
Has West Ridge Specialty Care been fined?: CMS lists no fines in the last three years.
Does West Ridge Specialty Care 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 Ridge Specialty Care?: CMS lists 25 owners and managers, and links the home to Care Initiatives. Legal business name: CARE INITIATIVES.

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.