| Westbrook Acres | |
| 605 Garfield Street, Gladbrook, Iowa 50635 | |
| (641) 473-2016 | |
| Name | Westbrook Acres |
|---|---|
| Location | 605 Garfield Street, Gladbrook, Iowa |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 54 |
| Occupancy Rate | 71.48% |
| Medicare ID (CCN) | 165446 |
| Legal Business Name | Crystal Inc |
| Ownership Type | For Profit - Corporation |
| NPI Number | 1447334487 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Crystal Inc |
| Doing Business As | Westbrook Acres |
| Address | 605 Garfield St, Gladbrook, IA 50635 |
| Phone Number | 641-473-2016 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.51 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.53 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.76 | 0.86 |
| Nurse aide hours per resident per day | 2.21 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3 | 3.42 |
| RN hours per resident per day on the weekend | 0.27 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 32.4% | 45.8% |
| Registered nurse turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 3, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Jun 9, 2026 |
| Mar 12, 2026 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 30, 2026 |
| Mar 12, 2026 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Mar 30, 2026 |
| Mar 12, 2026 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Mar 30, 2026 |
| Mar 6, 2025 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Corrected by Mar 21, 2025 |
| Mar 6, 2025 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851, Administration, Standard inspection | Potential for harm, isolated | Corrected by Mar 21, 2025 |
| Mar 6, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Mar 21, 2025 |
| Mar 6, 2025 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by Mar 21, 2025 |
| Mar 6, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by Mar 21, 2025 |
| Mar 6, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Corrected by Mar 21, 2025 |
| Apr 18, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 1, 2024 |
| Apr 18, 2024 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by May 1, 2024 |
| Apr 18, 2024 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by May 1, 2024 |
| Sep 28, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Actual harm, isolated | Corrected by Oct 20, 2023 |
| Sep 28, 2023 | Protect each resident from the wrongful use of the resident's belongings or money. F0602, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Oct 20, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.02 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 0.85 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.32 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 8.84 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.38 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.65 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.3 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.41 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 59.09 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.3 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.66 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 30.84 | 15.38 |