Westview Acres Care Center
203 S W Lorraine, Leon, IA 50144 · Decatur County · (641) 446-4165
46 certified beds, about 40 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1995
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165252 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 9, 2026, inspectors cited 3 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 11 health citations since February 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 3.62 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
55.8% of nursing staff left within the year CMS measured (Iowa average 44.0%).
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.
102/24
607/24
106/25
307/26
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
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
2E
2F
Potential for minimal harm
0A
0B
0C
July 9, 2026Standard 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 observations, clinical record review, resident and staff interview, the facility failed to maintain dignity for 1 of 13 residents (#17) by not cutting a resident's fingernails when he requested. The facility reported a census of 37 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 refer 1 of 1 resident (#2) with a negative Level I Pre-admission Screening and Resident Review (PASRR), to the appropriate state-designated authority for an evaluation and determination review after the resident experienced hallucinations and delusions. The facility reported a census of 37 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, clinical record review, staff interview, and policy review, the facility failed to notify visitors and staff of and failed to follow transmission-based precautions for 1 resident (#9) who had a wound infection with a clinically significant organism (MRSA - methicillin resistant staphylococcus aureus <staph>). The facility reported a census of 37 residents.
June 5, 2025Standard inspection · 1 citation
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on electronic health record review, document review, and staff interviews the facility failed to complete and submit a comprehensive assessment related to a significant change for 1 of 5 residents reviewed (Resident #5). The facility reported a census of 35 residents.
July 25, 2024Standard inspection · 6 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interviews, document reviews, and policy review, the facility failed to implement a comprehensive water management program and identify areas or devices in the building to reduce the risk and prevent the growth of Legionella or other waterborne pathogens. The facility also failed to implement appropriate hand hygiene practices during resident care. The facility reported a census of 40 residents.
- E Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on clinical record review, facility policy, and staff interview, the facility failed to have the Doctor signature on the Iowa Physician Orders for Scope of Treatment (IPOST) for 1 of 16 residents reviewed for Advance Directives (Resident # 17). The facility reported a census of 40 residents.
- 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 observations, resident interview, and policy review, the facility failed to respond to resident call lights in a timely manner for 5 of 5 residents reviewed (#1, #7, #13, #30, & #32). The facility reported a census of 40.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on employee file review, staff interview, and facility policy, the facility failed to ensure 1 of 5 staff members reviewed (Staff A, Certified Nurse Aide) completed the two hour Dependent Adult Abuse training within 6 months of their hire date. The facility reported a census of 40 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 interview, and facility policy review, the facility failed to revise the care plan for 1 of 16 residents reviewed for revision of care plan (Resident #23). The facility reported a census of 40 residents.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on clinical record review, staff interviews, and policy review, the facility failed to ensure a psychotropic medication (a medication that affects a person's mental state) gradual dose reduction (GDR) was appropriately attempted for 1 of 1 resident (#13) reviewed. The facility reported a census of 40.
February 29, 2024Complaint inspection · 1 citation
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on staff interviews, facility record review, facility policy review, and Centers for Disease Control information the facility failed to follow proper infection control practices to mitigate the risk for the spread of infectious disease. The facility reported a resident census of 33.
Fire safety inspections
11 fire safety citations on file: 3 on July 9, 2026, 4 on June 5, 2025, 4 on July 25, 2024.
Every fire safety citation11 citations
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have proper medical gas storage and administration areas.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Provide properly protected cooking facilities.
- E Have proper medical gas storage and administration areas.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Use approved construction type or materials.
- D Have properly installed electrical wiring and gas equipment.
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) | 3.62 | 3.82 | 3.86 |
| Registered nurses | 0.49 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.12 | 3.37 | 3.42 |
| Nurse aides | 2.21 | ||
| Licensed practical nurses | 0.92 | ||
| Nursing staff turnover (share who left in a year) | 55.8% | 44.0% | 45.8% |
| Registered nurse turnover | 33.3% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.04 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 3.83 on weekdays and 3.12 on weekends, 19% 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 3.95 in April to June 2025 to 3.62 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 | 3.62 | 0.49 | 3.83 | 3.12 | 0.0% | 0 of 90 | 40 |
| Oct to Dec 2025 | 3.66 | 0.57 | 3.87 | 3.12 | 0.0% | 0 of 92 | 39 |
| Jul to Sep 2025 | 3.80 | 0.49 | 4.02 | 3.24 | 0.0% | 0 of 92 | 38 |
| Apr to Jun 2025 | 3.95 | 0.60 | 4.19 | 3.33 | 0.0% | 0 of 91 | 36 |
| 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 | 17.4 | 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 | 4.1 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.2 | 3.8 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.7 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.8 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.3 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 2.1 | 1.8 |
Owners and operators
Legal business name: WESTVIEW PROPERTIES LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Stegotek Inc | Direct ownership interest | Organization | 01/01/2017 | |
| Conner, Robert | Direct ownership interest | Individual | 12/01/2019 | |
| Wilkes, James | Direct ownership interest | Individual | 12/01/2019 | |
| Steggerda, Jeffrey | Indirect ownership interest | Individual | 01/01/2017 | |
| Allen, Nathan | Operational/managerial control | Individual | 08/01/2021 | |
| Harper, Tiffany | Operational/managerial control | Individual | 04/16/2020 | |
| McIntosh, Carla | Operational/managerial control | Individual | 06/01/2016 | |
| Norman, Jessica | Operational/managerial control | Individual | 01/03/2011 | |
| Pearson, Lori | Operational/managerial control | Individual | 11/15/2021 | |
| Saxton, Rose | Operational/managerial control | Individual | 10/01/2014 | |
| Showers, Donald | Operational/managerial control | Individual | 01/15/2021 | |
| Blue Stone Therapy Inc | Adp of the SNF | Organization | 04/01/2023 | |
| Brighton Consulting Group LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Cattail Consulting LLC | Adp of the SNF | Organization | 09/30/2022 | |
| Dahm, Knapp & Associates PC | Adp of the SNF | Organization | 10/01/2014 | |
| Digital Stew Services Inc | Adp of the SNF | Organization | 01/01/2023 | |
| Guardian Pharmacy of Iowa LLC | Adp of the SNF | Organization | 01/31/2021 | |
| Westview Acres Corp | Adp of the SNF | Organization | 10/01/2014 | |
| Allen, Nathan | Adp of the SNF | Individual | 10/24/2025 | |
| Birchem, Patricia | Adp of the SNF | Individual | 10/01/2014 | |
| Saxton, Rose | Adp of the SNF | Individual | 10/24/2025 | |
| Wilkes, James | Adp of the SNF | Individual | 10/01/2024 |
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 3 problems in this area, most recently on July 9, 2026: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on July 9, 2026: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on July 9, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on July 25, 2024: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.12 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Lamoni Specialty Care Lamoni, 13.1 mi · 5 of 5 stars · 5 citations
- Southern Hills Specialty Care Osceola, 20.5 mi · 3 of 5 stars · 8 citations
- Corydon Specialty Care Corydon, 22.8 mi · 4 of 5 stars · 14 citations
- Pearl's II Eden for Elders Princeton, 24.8 mi · 4 of 5 stars · 38 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 Westview Acres Care Center's Medicare star rating?
- CMS rates Westview Acres Care Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Westview Acres Care Center get at its last inspection?
- 3 health deficiencies at the standard inspection on July 9, 2026. The Iowa average is 6.5.
- Has Westview Acres Care Center been fined?
- CMS lists no fines in the last three years.
- Does Westview Acres Care Center 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 Westview Acres Care Center?
- CMS lists 22 owners and managers. Legal business name: WESTVIEW PROPERTIES LLC.
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.