Total health inspections
3
Iowa average 4.9
Last Health inspection on Oct 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Nursing Home
Accura Healthcare of Spirit Lake
Accura Healthcare of Spirit Lake provides short-term rehabilitation, skilled nursing, and long-term care in Spirit Lake, IA. The facility is dedicated to delivering exceptional, person-centered healthcare in a supportive setting. Residents can expect a warm, caring atmosphere where they feel comfortable and valued.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
85
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
66.6%
Residents per day (avg)
65
Occupancy rate
66.6%
Residents per day (avg)
65
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
54% of new residents, usually for short-term rehab.
Typical stay
22 days
Private pay
39% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
7% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Finances and operations
Privately-owned community
Home revenue
$7.1M
Profit
$525.5K
Privately-owned community
Home revenue
$7,106,559.00
Profit
$525,497.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.6M
About this community
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Long-Term Care, Rehabilitation, Respite Care, Hospice Care, Memory Care
Operating Hours
Monday-Friday: 9am-5pm
Health Inspection History
Inspections
Total health citations
21
Citations per inspection
7
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
10 of 21 citations resulted from standard inspections; and 11 of 21 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
67% worse than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
1 critical citation
0 serious citations
20 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Oct 02, 2025
Corrected
Nutrition moderate citation
Oct 02, 2025
Corrected
Nutrition moderate citation
Oct 02, 2025
Corrected
Quality of Care moderate citation
Oct 02, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
-
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
-
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
-
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
-
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Altoona Nursing and Rehabilitation Center
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500091630
106
A+
-
-
-
-
-
-
-
-
-
-
-
-
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%
Places of interest near Accura Healthcare of Spirit Lake
Spirit Lake, IA 513601000
Spirit Lake, IA 513601000
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
103
Total Staff
85
Employees
18
Contractors
25,138
Total Hours (Quarter)
38
Avg Staff/Day
7.3
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 11 | 8.9 | No |
| Licensed Practical Nurse | 10 | 8 | No |
| Certified Nursing Assistant | 52 | 7.7 | No |
Staff by Category
Administration ⓘ
2 staff
3.9hs shift avg
Nursing Staff ⓘ
78 staff
7.9hs shift avg
Physicians & Practitioners ⓘ
2 staff
7.6hs shift avg
Therapy Services ⓘ
14 staff
3.7hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
1.9hs shift avg
Dietary Services ⓘ
3 staff
4.2hs shift avg
Other Services ⓘ
1 staff
7.6hs shift avg
Contractor Analysis
3.4%
of total hours from contractors
856 contractor hours this quarter
Respiratory Therapy Technician: 3
Qualified Social Worker: 3
Physical Therapy Assistant: 6
Speech Language Pathologist: 2
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Physical Therapy Aide: 1
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 52 | 0 | 52 | 14,077 | 91 | 100% | 7.7 |
| Registered Nurse | 11 | 0 | 11 | 3,051 | 91 | 100% | 8.9 |
| Licensed Practical Nurse | 10 | 0 | 10 | 2,927 | 91 | 100% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 962 | 65 | 71% | 7.9 |
| Nurse Practitioner | 2 | 0 | 2 | 947 | 67 | 74% | 7.6 |
| Medication Aide/Technician | 3 | 0 | 3 | 911 | 59 | 65% | 8.4 |
| Dental Services Staff | 1 | 0 | 1 | 462 | 61 | 67% | 7.6 |
| Dietitian | 1 | 0 | 1 | 452 | 68 | 75% | 6.7 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 330 | 63 | 69% | 5.1 |
| Other Dietary Services Staff | 2 | 0 | 2 | 253 | 73 | 80% | 2.5 |
| Administrator | 1 | 0 | 1 | 240 | 60 | 66% | 4 |
| Physical Therapy Assistant | 0 | 6 | 6 | 172 | 58 | 64% | 2 |
| Speech Language Pathologist | 0 | 2 | 2 | 156 | 31 | 34% | 4.9 |
| Qualified Social Worker | 0 | 3 | 3 | 101 | 52 | 57% | 1.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 67 | 13 | 14% | 5.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 13 | 3 | 3% | 4.2 |
| Physical Therapy Aide | 0 | 1 | 1 | 12 | 5 | 5% | 2.4 |
| Medical Director | 0 | 1 | 1 | 7 | 4 | 4% | 1.7 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
67 residents
Residents by payment source
Medicare
12 residents (17.9%)
Medicaid
26 residents (38.8%)
Private pay or other
29 residents (43.3%)
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.0
27% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.7
10% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
21.3%
Percent of long-stay residents whose need for help with daily activities has increased
21.3%
13% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.1%
Percent of long-stay residents whose ability to move independently worsened
19.1%
In line with Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.6%
17% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.8%
Percent of long-stay residents experiencing one or more falls with major injury
5.8%
61% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.7%
Percent of long-stay high risk residents with pressure ulcers
6.7%
52% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.9%
Percent of long-stay residents with a urinary tract infection
0.9%
64% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
12.2%
Percent of long-stay residents who lose too much weight
12.2%
145% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
6.7%
Percent of long-stay residents who have depressive symptoms
6.7%
72% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.0%
Percent of long-stay residents who received an antipsychotic medication
18.0%
5% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
5% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
14% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
18% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.9%
24% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$35K
28% lower than Iowa averageIowa average: $48K
Number of fines
1
41% fewer fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
88% more payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$35K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 22, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 22, 2024
$35K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 22, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 22, 2024
31 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Accura Healthcare of Spirit Lake based on CMS SNF Cost Reports.
Occupancy Rate
66.6%
↑ 3.9pp vs 2022
Net Income
$525,497
↑ ~$566K vs 2022
Total Payroll
$3,952,838
↓ ~$107K vs 2022
Profit Margin
7.5%
↑ 8.1pp vs 2022
Loading trend charts...
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