Westview Care Center reported 3.56 HPRD in Q1 2026. This level is around the CMS case-mix benchmark (3.53 HPRD) and in the 41st percentile of Iowa nursing homes.
Direct staff excludes Admin/DON. State minimums via MACPAC (2022) may reflect calculated HPRD equivalents. Direct staff excludes Admin/DON. State minimums via MACPAC may reflect calculated HPRD equivalents.
CMS case-mix is an acuity metric based on PDPM. It is not a state or federal minimum; the ratio is a reference point, not a measure of whether staffing is sufficient. based on PDPM. It is not a state or federal minimum; the ratio is a reference point, not a measure of whether staffing is sufficient.
Britt Ia Skilled Nursing Facility LLC
CMS owner data roles and percentages are reported filings, not proof of who operates the facility or care quality.CMS owner filings; not proof of who operates.
| Name | Type | Role | Since | |
|---|---|---|---|---|
| Bobbie Wierschem | Individual | Operational/managerial control | 8/15/2024 | |
| Catherine E Butler | Individual | Operational/managerial control | 8/15/2024 | |
| Chaim Rajchenbach | Individual | Operational/managerial control | 8/15/2024 | |
| Dorothy Mcclure | Individual | Operational/managerial control | 8/15/2024 | |
| Elizabeth Van Veghel | Individual | Operational/managerial control | 8/15/2024 | |
| Jaime Mitchell | Individual | Operational/managerial control | 8/15/2024 | |
| Jennifer Hedberg | Individual | Operational/managerial control | 8/15/2024 | |
| Jenny Borcherding | Individual | Operational/managerial control | 8/15/2024 | |
| Karla Beasley | Individual | Operational/managerial control | 8/15/2024 | |
| Kiley Shear | Individual | Operational/managerial control | 8/15/2024 | |
| Krystle Jaeger | Individual | Operational/managerial control | 8/15/2024 | |
| Larina Heying | Individual | Operational/managerial control | 8/15/2024 | |
| Laura Friedenberg | Individual | Operational/managerial control | 8/15/2024 | |
| Legacy Healthcare Financial Services LLC | Organization | Operational/managerial control | 8/15/2024 | |
| Linsey Behounek | Individual | Operational/managerial control | 8/15/2024 |
Staffing from CMS Payroll-Based Journal (PBJ) public files (2017–2026), plus Provider Information and chain data where shown. State staffing context via MACPAC (2022). Methodology · PBJ explained.
Metrics
Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.
Data transparency
The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.
Trend charts omit quarters with implausible submitted HPRD (total/direct below 0.25; RN, LPN, and aide use role floors and neighbor-quarter rules). Full criteria.
Rankings, within-state percentiles, CMS flags (including abuse icon): How metrics are calculated.