Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Westview Acres Care Center during CMS and state inspections, most recent first.
A resident experienced a significant decline in health status resulting in the initiation of hospice services, which was documented in the care plan. However, the required MDS assessment reflecting this change was not completed or submitted within the mandated timeframe, as confirmed by the DON and MDS Coordinator.
The facility failed to implement a comprehensive water management program to prevent Legionella and did not adhere to proper hand hygiene practices during resident care. The Maintenance Director lacked a current water flow diagram, and the Environmental Services Director could not document daily flushing tasks. Additionally, an RN repeatedly failed to clean hands before donning gloves or between procedures, violating the facility's handwashing policy.
A facility failed to obtain a Doctor's signature on the IPOST for a resident with a Do Not Resuscitate (DNR) status. The IPOST, dated December 2023, lacked the necessary signature, as confirmed by the Social Worker in July 2024. The facility's policy requires the attending Physician to clarify medical issues and decisions with the resident or legal representative and mandates annual reviews of advance directives by the Interdisciplinary Team.
The facility failed to respond to resident call lights in a timely manner, affecting five residents. Observations showed delays ranging from 15 to 45 minutes, despite the facility's policy requiring a 15-minute response time. Residents reported long wait times, and a family member expressed concerns about staffing levels, although he praised the quality of care. The DON confirmed the expectation for timely responses, but this was not consistently met.
A Certified Nurse Aide did not complete the required Dependent Adult Abuse training within six months of hire, as mandated by facility policy. The training was finalized several months late, despite initial engagement. This deficiency was identified during a review of employee files, with the facility having a census of 40 residents.
A facility failed to update a resident's care plan despite a comprehensive assessment indicating the need for revisions. The resident, with intact cognition and multiple medical conditions, had a care plan lacking documentation for right lower leg pain, depression, and personalized interventions for asthma and COPD. The facility's policy required thorough assessments and care plan reviews, but the necessary updates were not made, resulting in a deficiency.
A facility failed to appropriately attempt a gradual dose reduction (GDR) for a resident's psychotropic medication. The resident, with moderately impaired cognition and diagnosed with multiple conditions, was prescribed Buspirone for anxiety. Despite a pharmacist's recommendation for a GDR due to a lack of documented anxiety symptoms, the provider continued the current dosage, fearing worsened anxiety. The facility's policy required a meeting to discuss rejected GDR recommendations, but no documentation of such a meeting was found.
Failure to Complete MDS Assessment After Significant Change in Condition
Penalty
Summary
The facility failed to complete and submit a comprehensive Minimum Data Set (MDS) assessment following a significant change in condition for one resident. The resident experienced a decline in health status, leading to the initiation of hospice services, which was documented in the care plan. However, a review of the electronic health record revealed that no MDS entry reflecting this significant change was made within the required 14-day period. Interviews with the Director of Nursing and the MDS Coordinator confirmed that the MDS update was missed at the time the care plan was revised to include hospice services.
Deficiencies in Water Management and Hand Hygiene Practices
Penalty
Summary
The facility failed to implement a comprehensive water management program to reduce the risk of Legionella or other waterborne pathogens. The Maintenance Director admitted that there was no current water flow diagram or water management plan in place. Additionally, the Environmental Services Director was unable to provide documentation of daily flushing of toilets and sinks, which is a part of the water management program. The Director of Nursing was uncertain about the responsibility for implementing the water management plan, indicating a lack of clarity in roles and responsibilities. The facility also failed to adhere to proper hand hygiene practices during resident care. On multiple occasions, Staff B, an RN, did not clean hands before donning gloves or between different procedures, such as medication administration and insulin injections. This was observed during interactions with two residents, where Staff B moved items from wet surfaces, handled medications, and administered insulin without changing gloves or performing hand hygiene in between tasks. The facility's handwashing policy requires hand hygiene before and after glove use and between different care activities, which was not followed. The Director of Nursing acknowledged that hand hygiene should be performed before, after, and during procedures as needed, including when using gloves. The facility's policies on handwashing and PPE use were not adhered to, as evidenced by the observations of Staff B's practices. These deficiencies highlight a failure in implementing and enforcing infection prevention and control measures, particularly concerning hand hygiene and water management.
Failure to Obtain Doctor's Signature on IPOST for DNR Status
Penalty
Summary
The facility failed to obtain a Doctor's signature on the Iowa Physician Orders for Scope of Treatment (IPOST) for a resident who was reviewed for Advance Directives. The IPOST, dated December 11, 2023, indicated a Do Not Resuscitate (DNR) code status but lacked the necessary Doctor's signature. On July 23, 2024, the Social Worker confirmed that the IPOST had not been signed by the Doctor. The facility's policy on Advance Directives, revised on July 18, 2024, requires the attending Physician to clarify and present relevant medical issues and decisions to the resident or their legal representative as the resident's condition changes. The policy also mandates that the Interdisciplinary Team conduct ongoing reviews of the resident's decision-making capacity and communicate significant changes to the resident's legal representative, documenting these changes in the care plan and medical record. Additionally, the Interdisciplinary Team is required to review the resident's advance directives annually during the assessment process and record them on the resident assessment instrument (MDS).
Delayed Response to Resident Call Lights
Penalty
Summary
The facility failed to respond to resident call lights in a timely manner for five residents, as observed and reported during a survey. Resident #13, with moderately impaired cognition and a history of anxiety and isolation, activated her call light at 2:53 PM, but staff did not respond until 3:16 PM. Resident #1, with intact cognition, reported frequent 45-minute waits for call light responses. Resident #7, with mildly impaired cognition, stated that call lights generally took 15-20 minutes to be answered. Resident #30, with intact cognition, had her call light activated and observed for 18 minutes before it was answered, despite multiple staff members passing by without responding. A family member of Resident #30 expressed concerns about staffing levels, although he praised the quality of care provided by the nursing staff. Resident #32 reported satisfaction with the care received but noted long wait times for call light responses. The Director of Nursing stated that staff were expected to answer call lights within 15 minutes, as per the facility's policy. The policy also required staff at the nurse station to promptly acknowledge call light alerts and seek assistance if needed. However, the observations and resident reports indicate that these expectations were not consistently met, leading to delays in responding to residents' needs.
Failure to Complete Mandatory Abuse Training
Penalty
Summary
The facility failed to ensure that a Certified Nurse Aide, referred to as Staff A, completed the required two-hour Dependent Adult Abuse training within six months of their hire date. Staff A was hired on October 6, 2023, but did not complete the Iowa Department of Public Health approved training until July 23, 2024, which is beyond the six-month requirement. The Director of Nursing confirmed that Staff A had initially engaged with the training in February but did not finalize it until July. This deficiency was identified during a review of employee files, which revealed that Staff A was one of five staff members reviewed, and the facility had a census of 40 residents at the time of the survey. The facility's policy mandates that each employee complete this training within six months of hire, followed by a recertification every three years.
Failure to Revise Resident Care Plan
Penalty
Summary
The facility failed to revise the care plan for one resident, despite a comprehensive assessment indicating the need for updates. The resident, identified with a BIMS score of 14 indicating intact cognition, was noted to be independent in various activities but frequently incontinent of urine and occasionally incontinent of bowel. The resident's medical diagnoses included conditions such as intracranial hemorrhage, hypertension, diabetes, cerebrovascular accident, asthma, COPD, morbid obesity, and atrial fibrillation. Despite these conditions and the resident being on medications like antidepressants, insulin, and diuretics, the care plan lacked documentation for tubi grip related to right lower leg pain, depression, and personalized interventions for asthma and COPD. The facility's policy required a thorough assessment of the resident's health status and a review of the care plan to determine necessary revisions. However, the care plan was not updated to reflect the resident's current health needs, including the initiation of antidepressant medication and specific interventions for asthma and COPD. The process involved the doctor making rounds, with progress notes arriving later, and orders being documented and processed by nursing staff. Despite this process, the care plan was not personalized or updated as required, leading to the deficiency noted in the report.
Failure to Attempt Gradual Dose Reduction for Psychotropic Medication
Penalty
Summary
The facility failed to ensure a gradual dose reduction (GDR) was appropriately attempted for a resident prescribed psychotropic medication. The resident, who had moderately impaired cognition with a BIMS score of 12 out of 15, was diagnosed with hypertension, non-Alzheimer's dementia, anxiety, depression, and bipolar disorder. The resident was prescribed Buspirone for generalized anxiety disorder and Celexa for major depressive disorder. Although a GDR for Celexa was implemented, the pharmacist recommended a GDR for Buspirone due to the lack of documented anxiety symptoms over a 30-day period. However, the provider decided to continue the current dosage, citing a potential worsening of anxiety if reduced. The facility's policy required a meeting between the consultant pharmacist, the Director of Nursing (DON), and the Medical Director (MD) if a valid clinical reason for rejecting a GDR recommendation was provided. Despite this, there was no documentation of such a meeting occurring. The resident's care plan directed staff to assess for side effects related to anxiety medication every shift, but there was no evidence of crying episodes in the last six months. The deficiency was identified through clinical record review, staff interviews, and policy review, indicating a failure to appropriately attempt a GDR for the resident's psychotropic medication.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Leon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lamoni Specialty Care | 13.1 mi | ★★★★★ | 3 | 0 |
| Southern Hills Specialty Care | 20.5 mi | ★★★★★ | 7 | 0 |
| Corydon Specialty Care | 22.8 mi | ★★★★★ | 4 | 0 |
| Pearl's Ii Eden For Elders | 24.8 mi | ★★★★★ | 0 | 0 |
| Mount Ayr Health Care Center | 25.4 mi | ★★★★★ | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.