Crestview Specialty Care

    451 W Orange St, West Branch, IA, 52358
    3.8 · 25 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Bright facility, caring staff, understaffed

    I loved the bright, beautiful facility, the warm sense of community, and the genuinely caring, cheerful staff who kept things clean and engaged residents. My experience was marred by chronic understaffing, high turnover and agency staff that caused long call-light waits, inconsistent physical therapy and medical coverage, and poor/repetitive food choices. Overall I recommend it cautiously - great when properly staffed, but the staffing, PT and food issues need fixing.

    Pricing

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    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

    3.84 · 25 reviews

    Overall rating

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

      3.5
    • Staff

      3.9
    • Meals

      1.6
    • Amenities

      3.6
    • Value

      1.0

    Pros

    • Compassionate, individualized care reported by many reviewers
    • Kind, friendly, and helpful nursing and support staff
    • Skilled CNAs noted by several reviewers
    • Effective physical therapy for some residents (helped with standing/steps)
    • Clean, new, and well-maintained facility
    • Light, airy, and comfortable resident rooms
    • Welcoming, home-like atmosphere good for family visits
    • Engaging group activities and thought-provoking programming
    • Strong sense of community and cheerful residents
    • Supportive and motivated leadership cited in some reviews
    • 24/7 availability of care mentioned positively
    • Considered one of the better nursing options in the area by several reviewers

    Cons

    • Severe understaffing and chronic staffing shortages
    • Heavy reliance on agency/temporary staff
    • High management and leadership turnover
    • Long call-light wait times (reports up to an hour)
    • Inconsistent or poor medical care and continuity of treatment
    • Physical therapy described as inconsistent or minimal by some
    • Limited PT equipment and therapy resources
    • Poor food quality and limited fresh fruit/vegetable options
    • Lack of dietary accommodations (repeated carb-heavy menus, diabetics not accommodated)
    • Poor communication from management and staff to families
    • Missing or mishandled belongings and laundry
    • Agitated residents and a chaotic environment reported by some
    • Loss of trust reported after staff departures
    • No on-site doctor available during at least one reported illness
    • Some reviewers describe few competent CNAs despite caring staff
    • Reports of management being unengaged or uninterested in fixing problems

    Summary review

    Overall sentiment in the reviews is mixed and polarized: a substantial number of reviewers praise Crestview Specialty Care as a clean, compassionate, and community-oriented facility that provides excellent individualized care and strong support for residents and families, while a significant and consistent set of concerns centers on staffing shortages, management turnover, food quality, and inconsistency in clinical services. Several reviewers call it a "hidden gem," highlighting warm, helpful staff members, effective therapy experiences, attractive light-filled rooms, and engaging programming. Others describe a decline in care quality tied to the departure of long-time staff and increasing reliance on temporary agency workers.

    Care quality and clinical services are a prominent area of divergence. Positive comments emphasize compassionate, individualized attention, quick and competent responses to needs, and PT that helped some residents regain standing and steps. Those reviewers frequently say staff are gentle, patient, and highly caring. Negative reports focus on inconsistent medical care, lack of continuity in treatment plans, minimal or nearly nonexistent physical therapy at times, and a shortage of therapy equipment. There are also reports of no doctor being available during at least one illness event. Taken together, these patterns suggest variability in clinical experiences that may depend on staffing and scheduling: when regular, experienced staff and therapists are present, care can be excellent; when the facility relies on temporary staff or experiences turnover, care appears to suffer.

    Staffing, management, and communication are recurring themes linked to both strengths and weaknesses. Many reviewers praise CNAs and other direct-care staff as friendly, respectful, and attentive, and multiple comments commend leadership and administrators for being welcoming and supportive. However, an equally strong thread of reviews describes severe understaffing, high management turnover, and heavy use of agency staff. These staffing challenges are tied to long waits for assistance (some report waits up to an hour), feelings of a chaotic environment, resident agitation, and a loss of trust after established caregivers left. Several reviewers specifically call out poor communication and an unengaged director or management that seems uninterested in addressing problems.

    Facility environment and activities are generally seen as strengths. The building is described repeatedly as beautiful, new, clean, and well-organized, with comfortable semi-private room options and spaces that are welcoming for family visits. Many reviewers note a strong sense of community, cheerful residents, and well-run group activities that encourage participation and social interaction. These positive aspects contribute to an "at-home" feeling for some residents and are cited as reasons reviewers would recommend the facility or return after a rehab stay.

    Dining and ancillary services are another area of mixed but predominantly negative feedback. Multiple reviews describe the food as poor or "disgusting," with menus that are carb-heavy and lacking in fresh fruit and vegetables. Reviewers specifically mention inadequate dietary accommodations for diabetics and a lack of improvement over time. Separate complaints include missing laundry and belongings, with at least one reviewer reporting multiple missing outfits and shoes. These operational issues compound concerns about consistency and reliability of care.

    Notable patterns: several reviewers describe an initial period of excellent care that deteriorated following departure of long-time staff and increased use of temporary workers. This temporal pattern suggests that stability of personnel is a key driver of the resident experience at this facility. There is also a clear split in experiences—some families and residents rate the facility among the best in the area, while others find the problems severe enough to declare it "not recommended." The most frequently mentioned risk factors for a negative experience are staffing shortages, management turnover, and poor food/meal accommodations.

    Recommendations for prospective residents and families based on these reviews: ask about current staffing levels, the use of agency staff, and recent management changes; inquire about consistency and scheduling of physical therapy and on-site medical coverage; request information about dietary accommodations (especially for diabetes) and sample menus; visit at different times of day and week to observe staffing and resident mood; and confirm policies and protections for resident belongings and laundry. In summary, Crestview Specialty Care appears capable of providing outstanding, compassionate care in a beautiful setting when staffing and management are stable, but recurrent operational and staffing problems reported by many reviewers create variability in the resident experience and significant areas of concern to investigate before placement.

    Location

    Map showing location of Crestview Specialty Care

    About Crestview Specialty Care

    Crestview Specialty Care sits about nine miles outside Iowa City in West Branch, Iowa, and has served the community since 2000 with skilled nursing and long-term care for up to 65 residents. The facility is part of Care Initiatives, known as Iowa's largest nonprofit provider of skilled nursing, hospice, assisted living, independent living, and memory care, and this place focuses a lot on making people comfortable and providing personal, team-based care to meet each resident's needs, whether that's for short-term rehabilitation or long-term help. The building keeps a home-like setting while offering a variety of studio room layouts, cared for by a staff of over 60 dedicated people, many experienced in nursing, and some who speak languages other than English. Residents get 24-hour nursing care, skilled nursing services, and support for medication management, as well as physical, occupational, and speech therapy. There's memory care for those with Alzheimer's or dementia, concentrating on safety and personalized care to help with daily life, and the facility also provides hospice and respite care if a primary caregiver needs temporary relief.

    People living at Crestview Specialty Care have meal planning, nutritional counseling, and daily activities that help with social, mental, and physical well-being, which includes both social and educational events. The center pays attention to both the residents and their families, aiming to give everyone peace of mind, and has a quality assurance program that checks services every day to quickly catch any concerns. Rehabilitation services can be used by those who live there or those who come in just for outpatient therapy. The center has a 2-star "Nursing Home" rating from the Centers for Medicare & Medicaid Services, and a 7.6 out of 10 as the highest-rated facility in the city. Crestview Specialty Care keeps a warm, community-like atmosphere, doesn't offer telehealth services, and only accepts new patients as space opens up. The focus stays on providing the right support for residents' health, comfort, and dignity, with specialized programs for memory care, rehabilitation, and hospice, doing so in a straightforward way, as part of the West Branch area for over two decades.

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