All states › Iowa › Gladbrook › Westbrook Acres
605 Garfield Street Gladbrook, IA 50635 · Tama County
CMS certification number 165446 · See this home on Medicare Care Compare
Is Westbrook Acres a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Westbrook Acres as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Iowa average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.37 hours per resident per day at Westbrook Acres, below the Iowa median of 3.76 (US median: 3.72). About 0.58 of those hours are from registered nurses. On weekends it falls to 2.86 hours, 15% below its all-week average. Ask how weekends are staffed. 36.1% of nursing staff left within a year (Iowa median 41.7%).
About this nursing home
Paying for care at Westbrook Acres: Medicare and Medicaid
Westbrook Acres is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 12, 2026 and found 2 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 13 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 13 citations at Westbrook Acres across 4 inspection dates, 2 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on June 3, 2026. The most common areas cited were resident rights (5) and nursing and physician services (2). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, June 3, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.
June 3, 2026 · 1 citation · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 12, 2026 · 3 citations · includes complaint inspection
DEnsure that residents are fully informed and understand their health status, care and treatments.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
March 6, 2025 · 6 citations
FHave 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.
DElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
BHonor 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.
BProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
BEnsure each resident receives an accurate assessment.
April 18, 2024 · 3 citations
DEnsure services provided by the nursing facility meet professional standards of quality.
DHave 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.
BNotify 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.
Questions to ask on a tour of Westbrook Acres
- Inspectors cited the home at the actual-harm level on June 3, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 12, 2026. How are staff trained, and how are concerns reported?
- Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $9,347 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 3, 2026 | Fine | $9,347 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 3/5 | 4/5 | 1/5 |
| August 2026 | 2/5 | 3/5 | 4/5 | 1/5 |
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Location
Hospitals near Westbrook Acres
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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12.4 mi
Grundy County Memorial Hospital Grundy CenterEmergency roomMedian ER visit 1h 21m for patients treated and sent home
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13.3 mi
Marshalltown Medical & Surgical Center MarshalltownEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 42m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.