Westview Acres Care Center

Name: Westview Acres Care Center
Address: 203 S W Lorraine, Leon, IA, 50144, US
Telephone: 6414464165

203 S W Lorraine, Leon, IA 50144 · Decatur County · 46 certified beds · avg 40 residents/day · certified since Apr 1, 1995

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.56

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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.

All citations in the current public record (12)

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 5, 2025	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Jul 25, 2024	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 25, 2024	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jul 25, 2024	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Jul 25, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jul 25, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jul 25, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Feb 29, 2024	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
May 24, 2023	D · Potential for harm, one-off	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.
May 24, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
May 24, 2023	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 24, 2023	D · Potential for harm, one-off	The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 1).

Year	Citations	Worst severity that year
2023	4	D
2024	7	F
2025	1	D

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)	4.56	4.37	3.95	top 37% in Iowa; top 21% in the U.S.
Registered Nurse hours	0.62	0.85	0.69	bottom 26% in Iowa; top 45% in the U.S.
Weekend total nurse staffing	3.93	3.86	3.50	top 42% in Iowa; top 25% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.30	0.51	0.48	bottom 16% in Iowa; bottom 31% in the U.S.
Total nursing staff turnover (%)	55.8	44.0	45.8	bottom 19% in Iowa; bottom 23% in the U.S.
RN turnover (%)	33.3	42.1	42.9	top 38% in Iowa; top 33% in the U.S.

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 3.62, RN 0.49, weekend 3.12. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Conner, Robert	Individual	Direct Ownership Interest	NOT APPLICABLE	12/01/2019
Steggerda, Jeffrey	Individual	Indirect Ownership Interest	NOT APPLICABLE	01/01/2017
Stegotek INC	Organization	Direct Ownership Interest	NOT APPLICABLE	01/01/2017
Wilkes, James	Individual	Direct Ownership Interest	NOT APPLICABLE	12/01/2019
Allen, Nathan	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2021
Allen, Nathan	Individual	ADP of the SNF	NOT APPLICABLE	10/24/2025
Birchem, Patricia	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2014
Blue Stone Therapy INC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2023
Brighton Consulting Group LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Cattail Consulting LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/30/2022
Dahm, Knapp & Associates PC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2014
Digital Stew Services INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2023
Guardian Pharmacy of Iowa LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/31/2021
Harper, Tiffany	Individual	Operational/Managerial Control	NOT APPLICABLE	04/16/2020
McIntosh, Carla	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2016
Norman, Jessica	Individual	Operational/Managerial Control	NOT APPLICABLE	01/03/2011
Pearson, Lori	Individual	Operational/Managerial Control	NOT APPLICABLE	11/15/2021
Saxton, Rose	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2014
Saxton, Rose	Individual	ADP of the SNF	NOT APPLICABLE	10/24/2025
Showers, Donald	Individual	Operational/Managerial Control	NOT APPLICABLE	01/15/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"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
Lamoni Specialty Care	13.1 mi	Lamoni, IA	★★★★★	5/5

Compare this facility with the 1 closest →

All facilities in Leon →

Facility data as of CMS processing date 2026-08-01. CCN 165252.

The Care File

Visit checklist — Westview Acres Care Center

203 S W Lorraine, Leon, IA 50144 · 6414464165

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165252 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)