Westbrook Acres

A nursing home in Gladbrook, Iowa 50635

605 Garfield Street, Gladbrook, Iowa 50635. (641) 473-2016.

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The short answer

Record last released by CMS on Oct 28, 2026.

2of 5 CMS’s overall rating
4 health citations at the latest inspection cycle Iowa average: 6.6
3.37 nurse hours per resident per day Iowa average: 3.86
1 fine in the last three years (needs attention)

The last 24 months 13 citations in 4 months of the last 36. Last cited Jun 2026. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7

Star ratings: CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey): A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation: What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L): CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours: The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials: A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity: The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

On this record

Who runs it

Ownership: for profit, corporation.
Certified for Medicare and Medicaid since Jun 1, 2002.
Certified beds: 54.
49 owners or officers are people: Randall Lee Lange (owns 5% or more directly, 50%); Crystal L Even (owns 5% or more directly, 50%); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Molly Barker (runs it (operational or managerial control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Sharon Broome (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Brett Thomsen (runs it (operational or managerial control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Elizabeth Brubaker (runs it (operational or managerial control)); Elizabeth Brubaker (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Thomas J Johnsrud (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Keya Thomsen (runs it (operational or managerial control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Randall Lee Lange (corporate officer); Randall Lee Lange (additional disclosable party (controls, leases property to, or provides services to the home)); Steven T Scurr (runs it (operational or managerial control)); Steven T Scurr (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Crystal L Even (corporate officer); Crystal L Even (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)).

CCN 165446

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

Where it comes from

Provider InformationCMS, released Oct 28, 2026
Health DeficienciesCMS, released Oct 28, 2026
PenaltiesCMS, released Oct 28, 2026
All OwnersCMS, checked Nov 5, 2026
State and US AveragesCMS, released Oct 28, 2026

Every source, in full

What did inspectors find?

4 health citations at the latest inspection cycle

The Iowa average is 6.6.

Last standard inspection Mar 12, 2026.

Most serious in three years: actual harm (G), at a complaint inspection on Jun 3, 2026

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

13 citations in 4 months of the last 36. Last cited Jun 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

13 citations by month over the last 3 years. Each cell is one month.
	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2023												Dec
2024	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2025	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2026	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most

Hearth Record drew this from the dates and levels in the source’s own records.

All 13 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 2 came from complaint inspections.

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jun 3, 2026: complaint inspection1 citation

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jun 9, 2026.

Mar 12, 2026: standard inspection2 citations

Ensure that residents are fully informed and understand their health status, care and treatments.

Rule F0552. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 30, 2026.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.

Rule F0605. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 30, 2026.

Mar 12, 2026: standard and complaint inspection1 citation

Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.

Rule F0627. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 30, 2026.

Mar 6, 2025: standard inspection6 citations

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.

Rule F0727. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 21, 2025.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Rule F0851. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 21, 2025.
Develop and implement policies and procedures for flu and pneumonia vaccinations.

Rule F0883. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 21, 2025.
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.

Rule F0585. B: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Mar 21, 2025.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Rule F0623. B: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Mar 21, 2025.
Ensure each resident receives an accurate assessment.

Rule F0641. B: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Mar 21, 2025.

Apr 18, 2024: standard inspection3 citations

Ensure services provided by the nursing facility meet professional standards of quality.

Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 1, 2024.
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.

Rule F0727. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 1, 2024.
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.

Rule F0625. B: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: May 1, 2024.

Is it certified, and in good standing?

Certified for Medicare and Medicaid since Jun 1, 2002.
Not on CMS’s special focus list.
No abuse icon from CMS.
No change of ownership in the last 12 months.
CMS lists its ownership as for profit, corporation.
54 certified beds.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

1 fine in the last three years, $9,347 in all.
No Medicare payment denials in the last three years.
2 citations in the last three years came from complaint inspections.

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
Date	Kind	Amount
Jun 3, 2026	Fine	$9,347

Who does the caring?

3.37 nurse hours per resident per day

The Iowa average is 3.86.

CMS publishes staffing about four months after the fact.

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
Measure	This home	Iowa average
Nurse hours per resident per day	3.37	3.86
Of which registered nurses	0.58	0.74
At weekends	2.86	3.38
Nursing staff turnover	36.1%	44.1%
Registered nurse turnover	20%	42.1%
Administrators who left	0	Not given

Who owns it?

49 owners or officers are people: Randall Lee Lange (owns 5% or more directly, 50%); Crystal L Even (owns 5% or more directly, 50%); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Molly Barker (runs it (operational or managerial control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Sharon Broome (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Brett Thomsen (runs it (operational or managerial control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Elizabeth Brubaker (runs it (operational or managerial control)); Elizabeth Brubaker (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Thomas J Johnsrud (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Keya Thomsen (runs it (operational or managerial control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Randall Lee Lange (corporate officer); Randall Lee Lange (additional disclosable party (controls, leases property to, or provides services to the home)); Steven T Scurr (runs it (operational or managerial control)); Steven T Scurr (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Crystal L Even (corporate officer); Crystal L Even (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)).
No private-equity firm among the owners CMS lists.
No real-estate investment trust among the owners CMS lists.

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
Organisation	Role	Since
Pm Acquisition LLC	Additional disclosable party (controls, leases property to, or provides services to the home)	Mar 31, 2022
Denman Cpa LLP	Additional disclosable party (controls, leases property to, or provides services to the home)	Dec 1, 2011
Careserv Technologies LLC	Additional disclosable party (controls, leases property to, or provides services to the home)	Feb 2, 2018
Fox Rehab Slp IA PLLC	Additional disclosable party (controls, leases property to, or provides services to the home)	Jun 30, 2024
Cattail Inc.	Additional disclosable party (controls, leases property to, or provides services to the home)	Oct 1, 2024
Iowa Health Care Association	Additional disclosable party (controls, leases property to, or provides services to the home)	Oct 1, 2024
Fox Rehab Pt IA PLLC	Additional disclosable party (controls, leases property to, or provides services to the home)	Jun 30, 2024
Fox Rehab Ot IA LLC	Additional disclosable party (controls, leases property to, or provides services to the home)	Jun 30, 2024
Ecsi Inc.	Additional disclosable party (controls, leases property to, or provides services to the home)	Oct 1, 2024
Cattail Consulting LLC	Additional disclosable party (controls, leases property to, or provides services to the home)	Sep 30, 2022
Cattail Bcg LLC	Additional disclosable party (controls, leases property to, or provides services to the home)	Oct 1, 2024
Brighton Consulting Group LLC	Additional disclosable party (controls, leases property to, or provides services to the home)	Oct 1, 2024

How do residents fare?

CMS rates its quality measures 1 of 5 (Iowa average 3.4).

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
Measure	Rating
Overall rating	2 of 5
Health inspections	3 of 5
Staffing	4 of 5
Quality measures	1 of 5

How does it compare nearby?

Among the 12 nearest homes, within 16.0 miles, this one had the 5th most health citations at the latest inspection cycle (4; the middle value was 4).

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
Place	Miles away	Citations, latest cycle
Westbrook Acres This nursing home		4
Oakview Nursing Home	8.0	5
Parkview Manor Care Center	11.3	6
Creekside	12.2	2
Grundy Care Center	12.3	3
Sunrise Hill Care Center	13.3	1
Harmony Marshalltown	14.1	5
Iowa Veterans Home	14.2	1
Accura Healthcare of Toledo	15.2	4
Accura Healthcare of Marshalltown	15.2	11
Southridge Specialty Care	15.5	4
Sunny Hill Care Center	16.0	2

What the record doesn’t say

Complaints that didn’t lead to a citation aren’t published.
Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

Westbrook Acres

The short answer

What did inspectors find?

When those citations happened

All 13 citations in the last three years

Is it certified, and in good standing?

Has it been fined or penalized?

Who does the caring?

Who owns it?

How do residents fare?

How does it compare nearby?

What the record doesn’t say

Sources

From the home

Replies

Paid listing

How to read a record

Every fact names its source.

A number never stands alone.

What needs attention is marked.

The public record comes first.