Westwood Specialty Care

    4201 Fieldcrest Dr, Sioux City, IA, 51103
    3.3 · 39 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Good rehab; inconsistent long-term care

    I had a mixed experience. The building, grounds and dining areas are nice, therapy (PT/OT/speech) is excellent, and several staff and activity directors were kind and hardworking - I saw residents make real progress. However, chronic understaffing, slow call-light and IV responses, inconsistent caregiving (especially for nonverbal residents), occasional cold/poor meals, medication/psychiatric oversights and management problems led to neglectful moments. Administration seems to be improving, but I would not trust this facility for inpatient/long-term care; outpatient rehab here was good.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.33 · 39 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.5
    • Staff

      3.3
    • Meals

      2.8
    • Amenities

      3.7
    • Value

      1.0

    Pros

    • Excellent physical therapy (PT/OT)
    • Excellent speech therapy
    • Caring and dedicated staff (many individual staff praised)
    • Good staff communication and teamwork
    • Accommodates hearing impairment
    • Welcoming, home-like atmosphere
    • Beautiful building and pleasant outdoor area
    • Engaging activities and innovative activity directors
    • Accessible location near I-29
    • New administration and nursing leadership driving improvements
    • Patient and professional therapists
    • Some consistently positive rehab outcomes and successful progress

    Cons

    • Chronic understaffing of CNAs and nursing
    • Long or unanswered call-light response times
    • Inconsistent and at times uncaring caregiving, especially for nonverbal residents
    • Management issues and reports of poor treatment of employees
    • Medication and clinical-care concerns (delays, errors, IV timing issues)
    • Improper use of PPE and infection-control concerns
    • Mixed or poor inpatient rehab experiences; outpatient rehab reported better
    • Insurance/administrative problems leading to evictions or abrupt discharges
    • Mixed dining experiences (reports of cold or poor meals)
    • Facility maintenance issues (lighting/electrical) reported
    • Reports of neglect and resident mistreatment

    Summary review

    Overall sentiment in these reviews is highly polarized: many reviewers praise the therapy teams, certain caregivers, and the physical environment, while a substantial number report systemic problems with nursing coverage, management, and clinical safety that can lead to neglectful experiences. There are recurring, distinct themes that prospective residents and families should weigh carefully.

    Care quality and clinical services: Reviews consistently highlight outstanding rehabilitative services—physical therapy, occupational therapy, and speech therapy receive strong, repeated praise for patient-centered care and measurable progress. Multiple reviewers reported successful speech improvement and positive rehab outcomes. Conversely, nursing and CNA care are repeatedly criticized for understaffing and inconsistency. Frequent complaints include long call-light response times, call lights left unanswered, delayed IV antibiotics (example cited: vancomycin delayed 2–4 hours), medications not properly reviewed, and improper PPE use. Several reviews indicate that nonverbal residents are particularly vulnerable to inadequate or improper cares. There are also reports of lack of psychiatric services and administrative/insurance issues that have resulted in eviction notices or abrupt discharges.

    Staff, management, and culture: Staff-level impressions vary widely. Many reviews name specific staff and administrators (including praise for Asha, Heather, the DON, and a friendly administrator) and describe caring, hardworking, warm employees who create a family-like, spiritual, supportive atmosphere. Activity staff are repeatedly praised for creativity and engagement. However, other reviewers report that management treats employees poorly, contributing to low morale and poor resident care. Several reviews come from or reference former employees who offered negative perspectives. The contrast suggests variable staff performance and possible turnover or uneven leadership impact across shifts and departments.

    Facilities, dining, and activities: The facility itself receives mostly positive comments: described as beautiful, clean, home-like, and easy to access from I-29, with a nice outdoor area and small, comfortable rooms. Activity programming is often cited as a strength, with innovative crafts and dedicated activity directors. Dining impressions are mixed—some residents and family members praise food quality (specific mentions like enjoying scrambled eggs), while others report cold meals, food left in rooms, or generally poor culinary experiences. A few reviewers also noted maintenance problems such as lighting or electrical issues.

    Patterns and notable concerns: The strongest pattern is a split between excellent therapy/rehab experiences and inconsistent bedside nursing care. Multiple independent reports of slow call-light responses, understaffed shifts, medication delays, and improper PPE indicate systemic operational shortcomings that can directly affect safety and comfort. At the same time, improvements under new administration and positive reports about specific staff suggest the facility may be in transition; some reviewers explicitly note recent positive changes and renewed dedication from leadership.

    Bottom line and practical considerations: Westwood Specialty Care appears to offer high-quality rehabilitative therapies and has many compassionate, skilled individuals on staff, a pleasant physical facility, and engaging activities. However, there are significant and repeatedly reported concerns about nursing staffing levels, call response times, clinical safety practices, and management culture that have led to serious negative experiences for some residents—particularly those who are nonverbal or require close nursing attention. Prospective residents and families should tour the facility, ask specific questions about nurse-to-resident ratios, call-light response metrics, medication administration protocols, infection-control practices, psychiatric services availability, and recent staffing/leadership changes. If considering Westwood for rehab, outpatient and therapy services appear strong; for long-term inpatient nursing care—especially for medically complex or nonverbal residents—families should probe current staffing stability and read recent reviews to ensure the facility’s recent improvements are sustained.

    Location

    Map showing location of Westwood Specialty Care

    About Westwood Specialty Care

    Westwood Specialty Care sits in Sioux City, Iowa, and has room for up to 85 residents in more than 50 private rooms and over 15 semi-private rooms, offering both short-term rehab for people recovering between hospital and home and long-term skilled nursing care for folks with serious or ongoing health needs like heart disease or Alzheimer's, so you'll find 24-hour nursing care there every day of the week. The facility, part of Care Initiatives which is Iowa's largest nonprofit care provider, focuses on specialty care services and provides a wide range of medical help, like medication management, pain management, wound care, orthopedic rehabilitation, bariatric care, total parenteral nutrition, and nutritional counseling, and it helps with daily needs through home making services and personal care, always keeping things as home-like as possible for comfort. Rehab therapy plays a big role at Westwood Specialty Care, where staff develop rehab-to-home and other therapy programs so people can get back on their feet, using services like physical, occupational, and speech therapy offered both as inpatient and outpatient care, and residents benefit from therapy staff along with registered nurses, LPNs, CNAs, dieticians, pharmacists, and feeding assistants on site.

    Meals and snacks are provided, and a full-time social worker helps residents and families manage the ups and downs of care, while staff also arrange activities and social programs to keep everyone engaged, trying to create an active lifestyle and positive social environment. Hospice and respite care services are available too, covering people who need a break or end-of-life care as well as therapy and longer-term needs, and everything is open 24 hours for convenience, though the main office is open Monday through Friday from 8 AM to 5 PM. The building doesn't have a Resident Council but does have a Family Council, and it doesn't offer telehealth or operate as a CCRC, but Medicare and Medicaid are accepted. While Westwood Specialty Care has a strong record in nursing care, with good staffing and therapy hours per patient, the facility's overall historical ratings are well below average, so families may want to review recent inspection results and care details carefully. Residents from Woodbury County and nearby communities can check details or care options through the Care Initiatives website, and with a staff of over 100 people dedicated to offering personalized and compassionate care, the goal remains creating a comfortable place that supports healing, independence, and daily wellness, even though the overall score is low compared to other facilities.

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