Nursing Home Alerts

Crestview Specialty Care

451 West Orange Street, West Branch, IA 52358

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Crestview Specialty Care is a nursing home in West Branch, Iowa. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(319) 333-7182
Last standard health inspection
December 3, 2025 (11 months ago)
Certified beds
65
Residents per day, on average
47.3
Ownership type
Non profit - Corporation
Legal business name
Care Initiatives
Chain
Care Initiatives
Takes part in
Medicare and Medicaid

More health citations than the Iowa average (28 vs 21).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  2. CMS update of July 29, 2026

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Fine

      CMS changed the fine from December 3, 2025 from $283,750 to $184,438.

  3. CMS update of May 27, 2026

    • Fine

      CMS changed the fine from December 3, 2025 from $219,650 to $283,750.

  4. CMS update of April 29, 2026

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  5. CMS update of February 25, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

  6. 13 citations

    Health inspection on December 3, 2025

    CMS lists this as a standard inspection and a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    32 of 387 Iowa homes (8%) got a citation at the immediate jeopardy level in 2025.

    • Citation F0686. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on December 23, 2025.

      CMS has cited this home for F0686 3 times since 2023.

    • Citation F0684. Severity G: actual harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on December 23, 2025.

      CMS has cited this home for F0684 3 times since 2023.

    • Citation F0689. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on December 23, 2025.

      CMS has cited this home for F0689 2 times since 2023.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on January 2, 2026.

      CMS has cited this home for F0584 2 times since 2024.

    • Citation F0725. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

      CMS lists it as corrected on January 2, 2026.

      CMS has cited this home for F0725 2 times since 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on January 2, 2026.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on January 2, 2026.

    • Citation F0552. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are fully informed and understand their health status, care and treatments.

      CMS lists it as corrected on January 2, 2026.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on January 2, 2026.

      CMS has cited this home for F0677 2 times since 2024.

    • Citation F0730. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Observe each nurse aide's job performance and give regular training.

      CMS lists it as corrected on January 2, 2026.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on January 2, 2026.

    • Citation F0732. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Post nurse staffing information every day.

      CMS lists it as corrected on January 2, 2026.

    • Citation F0865. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Have a plan that describes the process for conducting QAPI and QAA activities.

      CMS lists it as corrected on January 2, 2026.

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  7. 2 citations

    Fire safety inspection on December 3, 2025

    CMS lists this as a standard inspection.

    • Citation E0004. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Develop and maintain an Emergency Preparedness Program (EP).

      CMS lists it as corrected on December 2, 2025.

    • Citation E0039. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on December 12, 2025.

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  8. Fine

    December 3, 2025 (11 months ago)

    CMS fine of $184,438 on December 3, 2025.

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  9. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 1 of 5 to 2 of 5.

  10. CMS update of June 25, 2025

    • Fine

      CMS changed the fine from September 4, 2024 from $18,070 to $11,746.

    • Fine

      CMS changed the fine from November 21, 2024 from $30,580 to $19,877.

  11. CMS update of April 30, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 1 of 5.

  12. CMS update of February 26, 2025

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

  13. 5 citations

    Health inspection on November 21, 2024

    CMS lists this as a standard inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    91 of 387 Iowa homes (24%) got a citation at the actual harm level in 2024.

    • Citation F0686. Severity G: actual harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on December 10, 2024.

    • Citation F0725. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

      CMS lists it as corrected on December 10, 2024.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on December 10, 2024.

    • Citation F0882. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

      CMS lists it as corrected on December 10, 2024.

    • Citation F0623. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on December 10, 2024.

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  14. 5 citations

    Fire safety inspection on November 21, 2024

    CMS lists this as a standard inspection.

    • Citation K0347. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Properly provide smoke detection systems in areas open to corridors.

      CMS lists it as corrected on December 3, 2024.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on December 9, 2024.

      CMS has cited this home for K0353 2 times since 2024.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on November 22, 2024.

      CMS has cited this home for K0918 2 times since 2024.

    • Citation K0521. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      CMS lists it as corrected on December 2, 2024.

    • Citation K0161. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Use approved construction type or materials.

      CMS lists it as corrected on November 25, 2024.

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  15. Fine

    November 21, 2024 (1 year ago)

    CMS fine of $19,877 on November 21, 2024.

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  16. CMS update of October 30, 2024

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

  17. 2 citations

    Health inspection on September 4, 2024

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    91 of 387 Iowa homes (24%) got a citation at the actual harm level in 2024.

    • Citation F0658. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on September 16, 2024.

    • Citation F0557. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

      CMS lists it as corrected on September 16, 2024.

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  18. Fine

    September 4, 2024 (2 years ago)

    CMS fine of $11,746 on September 4, 2024.

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  19. CMS update of May 29, 2024

    • CMS abuse icon

      CMS removed its abuse icon from this home.

  20. 1 citation

    Health inspection on May 9, 2024

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    91 of 387 Iowa homes (24%) got a citation at the actual harm level in 2024.

    • Citation F0684. Severity G: actual harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on June 4, 2024.

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  21. CMS update of April 25, 2024

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  22. CMS update of February 29, 2024

    • Fine

      CMS changed the fine from April 19, 2023 from $19,460 to $12,649.

  23. 3 citations

    Health inspection on February 1, 2024

    CMS lists this as a standard inspection.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on February 5, 2024.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on February 5, 2024.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on February 5, 2024.

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  24. 4 citations

    Fire safety inspection on February 1, 2024

    CMS lists this as a standard inspection.

    • Citation K0321. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on February 9, 2024.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on February 9, 2024.

    • Citation K0914. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

      CMS lists it as corrected on February 14, 2024.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on February 17, 2024.

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  25. CMS update of January 31, 2024

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

  26. 4 citations

    Health inspection on November 8, 2023

    CMS lists this as a complaint inspection.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on November 20, 2023.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on November 20, 2023.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on November 20, 2023.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on November 20, 2023.

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Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Crestview Specialty Care last inspected?

CMS lists December 3, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Crestview Specialty Care have?

CMS lists 28 health citations since November 8, 2023. CMS also calls these deficiencies.

Has Crestview Specialty Care been fined?

CMS lists 3 fines in the past three years, $216,061 in total.

What is the CMS star rating of Crestview Specialty Care?

Its CMS overall star rating is 1 of 5.

Is Crestview Specialty Care a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.