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.
Accura Healthcare of Spirit Lake
Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Accura Healthcare of Spirit Lake
Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 108th out of 240 homes in Iowa.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 108th out of 240 homes in Iowa.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 18m per day
vs Iowa avg
+0%
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%
Avg. Length of Stay
77 days
Occupancy rate
66.6%
Avg. Length of Stay
77 days
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
$7.1M
Profit
$525.5K
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
Rehabilitation Services
Respite Care
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Rehabilitation
Hospice Care
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
Specific ProgramsRehabilitation, Respite Care
Operating HoursMonday-Friday: 9am-5pm
Health Inspection History
Inspections
Total health citations
21
Iowa average 21.7
Citations per inspection
7
Iowa average 4.11
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
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 02, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 02, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 02, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 02, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 02, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 02, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 02, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
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.
Filter by care type
| Akron Care Center, INC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Akron | 45 | 98.1% | +30% | 4.71 | +15% | +10% | 0 | 4 | 2.0 | 0 | 42 | - | - | City Of Akron | $4.7M | $2.1M | 46.1% | 165595 | ||||
| Accura HealthCare of Carlisle |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Carlisle | 46 | 80.5% | +7% | 5.85 | -40% | +36% | 0 | 17 | 5.7 | 2 | 39 | - | - | American Healthcare Associates Inc | $4.1M | $2.5M | 59.9% | 165311 | ||||
| Accura Healthcare of Spirit Lake |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Spirit Lake | 85 | 66.6% | -12% | 4.29 | -8% | 0% | 1 | 21 | 7.0 | 1 | 65 | - | - | - | $7.1M | $3.0M | 42.7% | 165528 | ||||
| Accura Healthcare of Lake City, LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lake City | 46 | 70.4% | -7% | 5.17 | -33% | +20% | 4 | 39 | 3.9 | 4 | 40 | - | - | Accura Healthcare Of The Heartland Llc | $2.0M | $1.0M | 47.4% | 165082 | ||||
| Altoona Nursing and Rehabilitation Center | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Altoona | 106 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | A+ | - | - | - | - | - | - |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
103
Employees
85
Contractors
18
Staff to resident ratio
1.54:1
23% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
38
Average shift
7.3 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
25,138
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
52
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
3.4%
856 contractor hours this quarter
Physical Therapy Assistant: 6
Respiratory Therapy Technician: 3
Qualified Social Worker: 3
Speech Language Pathologist: 2
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Physical Therapy Aide: 1
Medical Director: 1
Staff by category
| 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 |
52 Certified Nursing Assistant
% of Days
100%
11 Registered Nurse
% of Days
100%
10 Licensed Practical Nurse
% of Days
100%
2 RN Director of Nursing
% of Days
71%
2 Nurse Practitioner
% of Days
74%
3 Medication Aide/Technician
% of Days
65%
1 Dental Services Staff
% of Days
67%
1 Dietitian
% of Days
75%
3 Respiratory Therapy Technician
% of Days
69%
2 Other Dietary Services Staff
% of Days
80%
1 Administrator
% of Days
66%
6 Physical Therapy Assistant
% of Days
64%
2 Speech Language Pathologist
% of Days
34%
3 Qualified Social Worker
% of Days
57%
1 Occupational Therapy Aide
% of Days
14%
1 Occupational Therapy Assistant
% of Days
3%
1 Physical Therapy Aide
% of Days
5%
1 Medical Director
% of Days
4%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
67
Medicare
12
17.9% of residents
Medicaid
26
38.8% of residents
Private pay or other
29
43.3% of residents
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
$525.5K
↑ ~$566.0K vs 2022
Total Payroll
$4.0M
↓ ~$107.5K vs 2022
Profit Margin
7.5%
↑ 8.1pp vs 2022
Loading trend charts...
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