What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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Accura Healthcare of Spirit Lake

Spirit Lake, IA 513601000 View Map

Accura Healthcare of Spirit Lake is a Nursing Home in Iowa

Accura Healthcare of Spirit… is a Nursing Home in Iowa

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Overview of 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.

7123363300

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 4.29/day

Overall rating

1/5

Health Inspection

1/5

Staffing

4/5

Quality Measures

3/5

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.

66.6%

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for

Short stays Recovery Medicare-covered care

How we assess these insights Show admissions and discharges

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

Home revenue

$7.1M

Profit

$525.5K

Proprietary home Other

Home revenue

$7,106,559.00

Profit

$525,497.00

Payroll costs

$3.0M

42.3% of revenue

Other operating costs

$3.6M

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

Skilled Nursing

Long-Term Care

Rehabilitation

Respite Care

Hospice Care

Memory Care

Amenities & Lifestyle

24-hour skilled nursing care

rehabilitation services

outpatient therapy services

life enrichment program

private short-stay suites

private and semi-private long-term care rooms

on-site beauty and barber shop

community-wide Wi-Fi

outdoor patio and courtyard

Programs & Activities

Specific Programs

Skilled Nursing, Long-Term Care, Rehabilitation, Respite Care, Hospice Care, Memory Care

Operating Hours

Monday-Friday: 9am-5pm

Compare Nursing Homes around Iowa

Akron Care Center, INC

SNF

IA 510017716

CITY OF AKRON

98.1%

$4,650,730.00

$2,144,112.00

46.1%

42.00

4/5

4.7098

4/5

5/5

1/5

Accura HealthCare of Carlisle

SNF

IA 500478733

AMERICAN HEALTHCARE ASSOCIATES INC

80.5%

$4,098,046.00

$2,453,646.00

59.9%

38.90

4/5

5.8515

3/5

5/5

4/5

AMS Memorial-Greene

SNF

IA 506360617

STEINKRUGER, MICHAEL

28.8%

$973,320.00

$413,264.00

42.5%

1/5

2/5

1/5

Accura Healthcare of Spirit Lake

SNF

IA 513601000

66.6%

$7,053,735.00

$3,009,392.00

42.7%

65.20

1/5

4.2922

1/5

4/5

3/5

Accura Healthcare of Lake City, LLC

SNF

IA 514499701

ACCURA HEALTHCARE OF THE HEARTLAND LLC

70.4%

$2,045,587.00

$969,532.00

47.4%

39.80

1/5

5.1665

1/5

4/5

1/5

Akron Care Center, INC

Type of care: SNF AL

Community: IA 510017716

Bed Count: 45

Pets Allowed: No

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: 4/5

Adj Nurse Hours: 4.7098

Health Insp Rating: 4/5

Staffing Rating: 5/5

QM Rating: 1/5

Accura HealthCare of Carlisle

Type of care: SNF AL

Community: IA 500478733

Bed Count: 46

Pets Allowed: No

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: 4/5

Adj Nurse Hours: 5.8515

Health Insp Rating: 3/5

Staffing Rating: 5/5

QM Rating: 4/5

AMS Memorial-Greene

Type of care: SNF AL

Community: IA 506360617

Bed Count: 31

Pets Allowed: No

Operator: STEINKRUGER, MICHAEL

CCN: 165356

Occupancy: 28.8%

Home Revenue: $973,320.00

Payroll Costs: $413,264.00

Payroll %: 42.5%

Overall Rating: 1/5

Health Insp Rating: 2/5

Staffing Rating: 1/5

Accura Healthcare of Spirit Lake

Type of care: SNF AL

Community: IA 513601000

Bed Count: 85

Pets Allowed: No

CCN: 165528

Occupancy: 66.6%

Home Revenue: $7,053,735.00

Payroll Costs: $3,009,392.00

Payroll %: 42.7%

Avg Residents/Day: 65.20

Overall Rating: 1/5

Adj Nurse Hours: 4.2922

Health Insp Rating: 1/5

Staffing Rating: 4/5

QM Rating: 3/5

Number of Fines: 1

Accura Healthcare of Lake City, LLC

Type of care: SNF AL

Community: IA 514499701

Bed Count: 46

Pets Allowed: No

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: 1/5

Adj Nurse Hours: 5.1665

Health Insp Rating: 1/5

Staffing Rating: 4/5

QM Rating: 1/5

Number of Fines: 4

Spirit Lake, IA 513601000

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103

Total Staff

Employees

Contractors

25,138

Total Hours (Quarter)

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

View All Staffing Data

Total Health inspections 3

39% below Iowa average

Iowa average: 4.9

Last Health inspection on Oct 2025

Total Health citations 21

Near Iowa average

Iowa average: 21.7

7 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 21 citations

Complaint investigations 11 citations

Breakdown of citations

Critical Health citations 1

67% above Iowa average

Iowa average: 0.6

Serious Health citations 0

100% below Iowa average

Iowa average: 0.9

Moderate Health citations 20

Minor Health citations 0

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

Ownership: For-Profit Corporation

Part of: Accura Healthcare

Resident Census by Payment Source

67 Total Residents

Medicare 12 (17.9%)

Medicaid 26 (38.8%)

Private Pay/Other 29 (43.3%)

High-risk clinical events score 13.0

27% worse than Iowa average

Iowa average: 10.2

Functional decline score 23.7

10% worse than Iowa average

Iowa average: 21.6

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 21.3%

13% above Iowa average.

Walking Ability Worsened 19.1%

3% below Iowa average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 30.6%

17% above Iowa average.

Falls with Major Injury 5.8%

61% above Iowa average.

High Risk Residents with Pressure Ulcers 6.7%

52% above Iowa average.

Urinary Tract Infection 0.9%

64% below Iowa average.

Depressive Symptoms 6.7%

72% above Iowa average.

Antipsychotic Use 18.0%

5% below Iowa average.

Pneumococcal Vaccine 99.6%

5% above Iowa average.

Influenza Vaccine 98.3%

3% above Iowa average.

Lost Too Much Weight 12.2%

145% above Iowa average.

Short-stay resident measures

Pneumococcal Vaccine 97.0%

14% better than Iowa average

Antipsychotic medication increase 1.5%

18% better than Iowa average

Influenza Vaccine 90.9%

24% better than Iowa average

Total fines amount $35K

This home paid 28% less in fines than the state average.

Iowa average: $48K

Number of Fines 1

This home received 41% fewer fines than the state average.

Iowa average: 1.7

Payment Denials 1

This home had 88% more payment denials than the state average.

Iowa average: 0.5

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Aug 22, 2024

$35K

Payment Denial 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...

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	81.0%	75.5%	79.1%	73.9%	67.1%	61.4%	57.9%	55.6%	70.3%	73.5%	55.1%	62.7%	66.6%
Beds	127	127	120	120	120	120	120	120	98	85	85	85	85
Net Income	$806,457	$469,849	$518,466	$366,392	$79,379	$260,471	$151,483	$305,561	$635,387	$622,840	$565,993	-$40,493	$525,497
Gross Revenue	$7,098,444	$6,804,019	$7,953,502	$8,019,856	$7,223,719	$7,058,442	$5,842,354	$7,149,121	$8,909,323	$7,074,127	$5,672,121	$6,497,972	$7,053,735
Operating Expenses	$5,834,510	$5,901,440	$6,205,345	$6,474,166	$6,147,130	$5,772,863	$4,713,089	$5,569,291	$6,029,084	$5,734,820	$5,393,082	$5,986,669	$6,312,964
Net Patient Revenue	$6,482,024	$6,197,627	$6,745,434	$6,822,516	$6,212,087	$6,016,154	$4,820,730	$5,746,209	$6,618,533	$6,374,181	$4,943,036	$5,753,876	$6,785,637
Total Payroll	$3,381,390	$3,698,048	$3,990,600	$3,280,969	$3,459,315	$3,229,496	$2,744,440	$3,194,363	$4,105,091	$3,824,119	$3,490,951	$4,060,324	$3,952,838
Profit Margin %	11.4%	6.9%	6.5%	4.6%	1.1%	3.7%	2.6%	4.3%	7.1%	8.8%	10.0%	-0.6%	7.5%
Medicare %	5.7%	4.8%	9.8%	9.2%	8.0%	8.7%	11.0%	10.4%	15.8%	13.5%	14.8%	16.1%	15.7%
Medicaid %	31.1%	27.1%	33.3%	38.0%	43.6%	40.8%	38.5%	29.1%	33.0%	30.0%	31.8%	30.6%	31.5%
Private %	63.3%	68.1%	56.9%	52.8%	48.4%	50.5%	50.5%	60.6%	51.2%	56.5%	53.3%	53.3%	52.8%
Revenue/Day	$173	$177	$195	$211	$211	$223	$228	$236	$263	$279	$289	$296	$328
Cost/Day	$155	$168	$179	$200	$209	$214	$223	$229	$240	$251	$316	$308	$306
Avg Length of Stay	248.7 days	229.3 days	194.6 days	197.5 days	229.6 days	236.7 days	122.9 days	121.7 days	82.7 days	124.3 days	189.9 days	185.3 days	77.1 days

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Elderly Waiver

Iowa Medicaid Elderly Waiver

General: Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

Income Limits (2025): ~$2,829/month (300% FBR, individual).

Asset Limits: $2,000 (individual), $3,000 (couple).

IA Specifics: Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

General: Caregiver of someone 60+, Iowa resident.

Income Limits: No strict limit; prioritizes low-income.

Asset Limits: Not applicable.

IA Specifics: Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

General: Age 65+ or disabled, Iowa resident, Medicare Part A/B.

Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits: $9,430 (individual), $14,130 (couple).

IA Specifics: Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

General: Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

Income Limits (2025): ~$2,829/month (300% FBR, Medicaid-eligible).

Asset Limits: $2,000 (individual), $3,000 (couple).

IA Specifics: Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

General: Age 55+, unemployed, low-income, Iowa resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

IA Specifics: Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits: ~$155,356 (net worth limit).

IA Specifics: High veteran demand in rural areas.

Able Up Iowa

General: Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

Income Limits (2025): No strict limit; must demonstrate repayment capacity.

Asset Limits: Not specified; credit-based.

IA Specifics: Loans up to $25,000; statewide via Easterseals partnership.

Accura Healthcare of Spirit Lake

Accura Healthcare of Spirit Lake is a Nursing Home in Iowa

Accura Healthcare of Spirit… is a Nursing Home in Iowa

Accura Healthcare of Spirit Lake

Accura Healthcare of Spirit Lake is a Nursing Home in Iowa

Accura Healthcare of Spirit… is a Nursing Home in Iowa

Quality ratings

Capacity and availability

Smaller home

This home usually has availability

Who this home usually serves

Mostly short-term rehab stays

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Care Services

All Levels of Care

Amenities & Lifestyle

Programs & Activities

Compare Nursing Homes around Iowa

Places of interest near Accura Healthcare of Spirit Lake

Calculate Travel Distance to Accura Healthcare of Spirit Lake

Staffing Data

Nursing Staff Breakdown

Staff by Category

Contractor Analysis

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Penalties and fines

Penalty History

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for Iowa Seniors

Elderly Waiver

Iowa Family Caregiver Support

Medicare Savings Program (MSP)

Program of All-Inclusive Care for the Elderly (PACE)

Senior Community Service Employment Program (SCSEP)

VA Aid and Attendance (A&A) and Housebound Benefits

Able Up Iowa

Touring Checklist for Senior Living

Location

Community Spaces and Overall Environment

Services

Staffing

Accommodations

Finances

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