Westbrook Acres
605 Garfield Street, Gladbrook, IA 50635 · Tama County · 54 certified beds · avg 39 residents/day · certified since Jun 1, 2002
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jun 3, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 9, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 28, 2023 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 20, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (15)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 3, 2026 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Mar 6, 2025 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Mar 6, 2025 | B · Minimal risk, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Mar 6, 2025 | B · Minimal risk, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Mar 6, 2025 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Apr 18, 2024 | B · Minimal risk, repeated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Sep 28, 2023 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 1 | G ▲ |
| 2024 | 3 | 0 | D |
| 2025 | 6 | 0 | F |
| 2026 | 4 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.43 | 4.37 | 3.95 | top 41% in Iowa; top 25% in the U.S. |
| Registered Nurse hours | 0.67 | 0.85 | 0.69 | bottom 31% in Iowa; top 39% in the U.S. |
| Weekend total nurse staffing | 3.79 | 3.86 | 3.50 | top 49% in Iowa; top 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.51 | 0.48 | bottom 10% in Iowa; bottom 26% in the U.S. |
| Total nursing staff turnover (%) | 32.4 | 44.0 | 45.8 | top 22% in Iowa; top 19% in the U.S. |
| RN turnover (%) | 0.0 | 42.1 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.51, RN 0.53, weekend 3.00. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Even, Crystal | Individual | 5% or Greater Direct Ownership Interest | 50% | 07/01/2013 |
| Lange, Randall | Individual | 5% or Greater Direct Ownership Interest | 50% | 10/01/1998 |
| Barker, Molly | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/05/2024 |
| Brighton Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Broome, Sharon | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Brubaker, Elizabeth | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/22/2021 |
| Brubaker, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 09/26/2025 |
| Careserv Technologies LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/02/2018 |
| Cattail BCG LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Cattail Consulting LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/30/2022 |
| Cattail INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Denman Cpa LLP | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2011 |
| Ecsi INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Even, Crystal | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2013 |
| Even, Crystal | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2013 |
| Fox Rehab Ot Ia LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/30/2024 |
| Fox Rehab Pt Ia PLLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/30/2024 |
| Fox Rehab SLP Ia PLLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/30/2024 |
| Iowa Health Care Association | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Johnsrud, Thomas | Individual | ADP of the SNF | NOT APPLICABLE | 03/31/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you explain health changes and treatment options to residents and their families?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Oakview Nursing Home | 8.0 mi | Conrad, IA | ★★★★☆ | 4/5 | |
| Parkview Manor Care Center | 11.3 mi | Reinbeck, IA | ★☆☆☆☆ | 1/5 | |
| Creekside | 12.2 mi | Grundy Center, IA | ★★★★★ | 5/5 | |
| Grundy Care Center | 12.3 mi | Grundy Center, IA | ★☆☆☆☆ | 1/5 | |
| Sunrise Hill Care Center | 13.3 mi | Traer, IA | ★★★★☆ | 4/5 | |
| Harmony Marshalltown | 14.1 mi | Marshalltown, IA | ★☆☆☆☆ | 1/5 | |
| Iowa Veterans Home | 14.3 mi | Marshalltown, IA | ★★★★★ | 5/5 | |
| Accura Healthcare of Toledo | 15.2 mi | Toledo, IA | ★★★☆☆ | 4/5 | |
| Accura Healthcare of Marshalltown | 15.2 mi | Marshalltown, IA | ★☆☆☆☆ | 1/5 | abuse |
| Southridge Specialty Care | 15.5 mi | Marshalltown, IA | ★★☆☆☆ | 2/5 | |
| Sunny Hill Care Center | 16.0 mi | Tama, IA | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165446.