Quick answers
- Where is Westbrook Acres?
- 605 Garfield Street, Gladbrook, IA 50635, in Tama County, Iowa.
- What is the phone number of Westbrook Acres?
- (641) 473-2016, as listed by Medicare (CMS).
- What is the Medicare star rating of Westbrook Acres?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Westbrook Acres been fined?
- Medicare lists 1 fine totaling $9,347.
- What did inspectors find at Westbrook Acres?
- In its last three inspection cycles (April 18, 2024 to June 3, 2026), Medicare lists 13 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (April 18, 2024 to June 3, 2026), Westbrook Acres had 13 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $9,347 in total (1 fine, the latest on June 3, 2026). Nurse staffing is 3.37 hours per resident per day; the Iowa average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: March 12, 2026 — 4 health citations
Inspections in this cycle: March 12, 2026 (complaint investigation); March 12, 2026 (standard health inspection); June 3, 2026 (complaint investigation).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 3 less serious citations (levels A to F)
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0605 Level D
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0627 Level D
“Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.”
Previous cycle: March 6, 2025 — 6 health citations
Inspections in this cycle: March 6, 2025 (standard health inspection).
Show 6 citations (levels A to F, no actual harm)
F0727 Level F
“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.”
F0851 Level D
“Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0585 Level B
“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.”
F0623 Level B
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0641 Level B
“Ensure each resident receives an accurate assessment.”
Earlier cycle: April 18, 2024 — 3 health citations
Inspections in this cycle: April 18, 2024 (standard health inspection).
Show 3 citations (levels A to F, no actual harm)
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0727 Level D
“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.”
F0625 Level B
“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.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (22)
K0324 Level F
“Provide properly protected cooking facilities.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0347 Level F
“Properly provide smoke detection systems in areas open to corridors.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0711 Level F
“Provide a written emergency evacuation plan.”
E0006 Level F
“Conduct risk assessment and an All-Hazards approach.”
E0013 Level F
“Develop Emergency Preparedness policies and procedures.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0346 Level F
“Follow proper procedures when the fire alarm was out of service for more than 4 hours.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0741 Level F
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0923 Level F
“Have proper medical gas storage and administration areas.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0354 Level E
“Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.”
K0914 Level E
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0355 Level F
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0222 Level D
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
Fines and payment denials
Total fines over about the last three years: $9,347 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| June 3, 2026 | Fine | $9,347 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Iowa | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.58 | 0.74 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.64 | 0.56 | 0.86 |
| Nurse aide hours per resident per day | 2.15 | 2.56 | 2.35 |
| Total nurse staff hours per resident per day | 3.37 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.86 | 3.38 | 3.43 |
| RN hours per resident per day on the weekend | 0.34 | 0.51 | 0.48 |
| Nursing staff turnover (per year) | 36.1% | 44.1% | 45.3% |
| RN turnover (per year) | 20.0% | 42.1% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Crystal Inc.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Even, Crystal | Direct owner | 50% | July 1, 2013 |
| Lange, Randall | Direct owner | 50% | October 1, 1998 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 54 |
| Average residents per day | 42.1 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Legal business name | Crystal Inc |
| First approved by Medicare/Medicaid | 2002-06-01 |
| Resident and family councils | None |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 605 Garfield Street, Gladbrook, IA 50635 |
| County | Tama County |
| State | Iowa |
| Phone | (641) 473‑2016 |
| CMS Certification Number | 165446 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Oakview Nursing Home8.0 mi · Conrad, IA · 3 of 5 stars
- Parkview Manor Care Center11 mi · Reinbeck, IA · 2 of 5 stars
- Creekside12 mi · Grundy Center, IA · 5 of 5 stars
- Grundy Care Center12 mi · Grundy Center, IA · 2 of 5 stars
- Sunrise Hill Care Center13 mi · Traer, IA · 5 of 5 stars
Nearest hospital emergency rooms
- Grundy County Memorial Hospital12 mi · Grundy Center, IA · Critical Access Hospital
- UnityPoint Health - Marshalltown13 mi · Marshalltown, IA · Acute Care Hospital
- MercyOne Waterloo Medical Center27 mi · Waterloo, IA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13