How to file a complaint about care →
No fines or payment denials in the published 3-year window.
Westbrook Acres
605 Garfield Street, Gladbrook, IA 50635 (opens Google Maps) · Tama County · (641) 473-2016· 54 certified beds · avg 39 residents/day · certified since Jun 1, 2002 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
3/5
Health inspection rating (on-site)
inspected Mar 12, 2026
2
Serious findings on record
most recent Jun 3, 2026
$0
Fines, last 3 years
4.43
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jun 9, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 20, 2023 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 15 inspection findings. Open the full record below to read every finding.
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 F-0689
The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. F-0552
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. F-0605
View all 15 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 3, 2026 | ▲ G · Actual harm, isolated | 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 · F-0689 |
| Mar 12, 2026 | D · Potential for more than minimal harm, isolated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552 |
| Mar 12, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0605 |
| Mar 12, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0627 |
| Mar 6, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0727 |
| Mar 6, 2025 | D · Potential for more than minimal harm, isolated | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851 |
| Mar 6, 2025 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Mar 6, 2025 | B · Potential for minimal harm, pattern | 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. · F-0585 |
| Mar 6, 2025 | B · Potential for minimal harm, pattern | 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. · F-0623 |
| Mar 6, 2025 | B · Potential for minimal harm, pattern | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Apr 18, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Apr 18, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0727 |
| Apr 18, 2024 | B · Potential for minimal harm, pattern | 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. · F-0625 |
| Sep 28, 2023 | ▲ G · Actual harm, isolated | 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 · F-0600 |
| Sep 28, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0602 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 3).
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 1
2024
All citations: 3
Serious citations (G–L): 0
2025
All citations: 6
Serious citations (G–L): 0
2026
All citations: 4
Serious citations (G–L): 1
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.43
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.67
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.79
Iowa average: 3.86
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 (%) | — | 42.1 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.51 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Westbrook Acres. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 28 parties CMS has on file for this facility; 8 are not displayed. The full list is in the CMS Ownership dataset.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 32% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 28 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 |
Facility data as of CMS processing date 2026-08-01. CCN 165446.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).