Bickford Cottage Iowa City
State licensed3500 Lower W Branch Rd, Iowa City, IA 52245
Assisted LivingMemory Care
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Prices not published
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Medicare-certifiedSkilled Nursing
Crestview Specialty Care
West Branch, IowaMedicare inspection record
About Crestview Specialty Care
Crestview Specialty Care is a non profit - corporation nursing home in West Branch, IA with 65 certified beds.
Community at a glance
Capacity
65 residents
Location
West Branch, IA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
451 West Orange Street, West Branch, Iowa 52358
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on December 3, 2025, state inspectors cited 13 health deficiencies (the Iowa average is 6.5).
Nurses and nurse aides spend 3 hours 40 minutes with each resident a day, about the same as the Iowa average.
Medicare fined Crestview Specialty Care 3 times in the last three years, $216,061 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 40 minutes |
| Registered nurse time per resident, per day | 49 minutesAbove the Iowa average |
| Nursing staff who left in the past year | 63%Above the Iowa average |
3 administrators have left the home in the past year.
Inspections
28 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
December 3, 2025 · Standard inspection · 13 citations
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Dec 23, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Dec 23, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Dec 23, 2025Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jan 2, 2026Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Jan 2, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jan 2, 2026Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jan 2, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 2, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 2, 2026Observe each nurse aide's job performance and give regular training.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Jan 2, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 2, 2026Have a plan that describes the process for conducting QAPI and QAA activities.
Minimal harm or risk, widespread (level C)AdministrationCorrected Jan 2, 2026Post nurse staffing information every day.
Minimal harm or risk, widespread (level C)Nursing and Physician ServicesCorrected Jan 2, 2026
November 21, 2024 · Standard inspection · 5 citations
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Dec 10, 2024Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Dec 10, 2024Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Dec 10, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Dec 10, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 10, 2024
September 4, 2024 · Complaint investigation · 2 citations+
Ensure services provided by the nursing facility meet professional standards of quality.
Residents were harmed, a few residents (level G)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 16, 2024Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Sep 16, 2024
May 9, 2024 · Complaint investigation · 1 citation+
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jun 4, 2024
February 1, 2024 · Standard inspection · 3 citations+
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Feb 5, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 5, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 5, 2024
November 8, 2023 · Complaint investigation · 4 citations+
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 20, 2023Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Nov 20, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 20, 2023Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 20, 2023
Fines and payment denials
3 fines totaling $216,061 in the last three years.
- December 3, 2025Fine: $184,438
- November 21, 2024Fine: $19,877
- September 4, 2024Fine: $11,746
About the home, per Medicare
- Ownership
- Non profit - Corporation
- Legal business name
- Care Initiatives
- Medicare-certified beds
- 65
- Average residents per day
- 48
- Accepts
- Medicare and Medicaid
- First certified
- September 1, 1996
- Part of a chain
- Care Initiatives, 43 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 165287
Location
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451 West Orange StreetWest Branch, IA 52358
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Questions about Crestview Specialty Care
How did Crestview Specialty Care do on its last inspection?+
State inspectors visited on December 3, 2025 and cited 13 health deficiencies, 8 of them from complaint investigations. The Iowa average is 6.5.
How much nursing care does each resident get at Crestview Specialty Care?+
Nurses and aides spend 3 hours 40 minutes with each resident per day, including 49 minutes from registered nurses. 63% of nursing staff left over the past year.
Has Crestview Specialty Care been fined by Medicare?+
Yes. Medicare fined Crestview Specialty Care 3 times in the last three years, totaling $216,061.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.