2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Accura Healthcare of Spirit Lake is a skilled nursing home in Spirit Lake, Iowa, set in the rural surroundings of Dickinson County. The community offers nursing home and skilled nursing care alongside memory care, hospice, palliative, and respite services, giving families a range of care options as a resident’s needs change over time. It accepts Medicare, Medicaid, and private pay, which opens several paths to covering both short-term and ongoing care.
The community has 80 beds and tends to run close to full, with an occupancy rate of 83.5 percent. The average stay is 77 days, a length that points to a meaningful mix of short-term rehabilitation and longer nursing care. Nursing support is a steady presence day to day, with total nursing care averaging 4 hours and 18 minutes per resident daily, including dedicated registered nurse time.
Rehabilitation is a core part of daily life here, with rehabilitation services and short-term rehab programs supporting residents recovering from surgery, illness, or a hospital stay. Twenty-four hour staffing means clinical support is available around the clock, and respite care gives family caregivers a reliable option for short-term relief.
Outside of clinical care, residents have access to a salon, building-wide Wi-Fi, and private short-stay suites for those here on a shorter recovery timeline. A courtyard and patio give residents places to spend time outdoors close to home. With a Walk Score of 76, the surrounding area is very walkable, so visiting family can comfortably get around the neighborhood on foot.
Families weighing a nursing home placement in the Spirit Lake area may want to ask about how the memory care and hospice programs work alongside standard nursing care, since both are offered here within the same community.
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
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.
Hours per resident per day vs Iowa averages
Total nursing care
This home is ranked 98th out of 234 homes in Iowa for nurse hours. 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
At state avg
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
3 of 6 metrics below state avg
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
28% fewer staff per resident than Iowa average
0% compared with Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursAssists with medical care and medications.
All 11 LPN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursHelps with daily care and mobility.
All 51 CNA Staff are full-time employees. No contractors work on this role.
51
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,075 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 51 | 0 | 51 | 14,048 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 11 | 0 | 11 | 3,514 | 92 | 100% | 8.2 |
| Registered Nurse | 9 | 0 | 9 | 2,824 | 92 | 100% | 8.6 |
| RN Director of Nursing | 2 | 0 | 2 | 962 | 66 | 72% | 7.7 |
| Nurse Practitioner | 2 | 0 | 2 | 958 | 64 | 70% | 7.8 |
| Dietitian | 1 | 0 | 1 | 453 | 66 | 72% | 6.9 |
| Medication Aide/Technician | 3 | 0 | 3 | 441 | 42 | 46% | 8.7 |
| Dental Services Staff | 1 | 0 | 1 | 426 | 57 | 62% | 7.5 |
| Physical Therapy Assistant | 0 | 5 | 5 | 317 | 73 | 79% | 3.1 |
| Speech Language Pathologist | 0 | 3 | 3 | 286 | 46 | 50% | 6.2 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 265 | 63 | 68% | 4.2 |
| Administrator | 1 | 0 | 1 | 252 | 63 | 68% | 4 |
| Other Dietary Services Staff | 2 | 0 | 2 | 243 | 66 | 72% | 2.6 |
| Qualified Social Worker | 0 | 2 | 2 | 94 | 57 | 62% | 1.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 66 | 13 | 14% | 5.1 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 29 | 3 | 3% | 9.8 |
| Medical Director | 0 | 1 | 1 | 15 | 6 | 7% | 2.5 |
| Physical Therapy Aide | 0 | 1 | 1 | 2 | 1 | 1% | 2.4 |
Includes penalties issued in 2024
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)
28% lower than Iowa averageIowa average: $48K
41% fewer fines than Iowa averageIowa average: 1.7
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 22, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 22, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
21.3%
13% worse than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
19.1%
In line with Iowa averageIowa average: 19.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
5.8%
61% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
6.7%
52% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.9%
64% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
12.2%
145% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
6.7%
72% worse than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
18.0%
5% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
5% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
In line with Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
2.22
50% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.81
34% worse than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
14% better than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
18% better than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.9%
24% better than Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.0%
6% better than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.1%
23% worse than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
49.5%
8% worse than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
56.3%
11% better than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
54% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
7% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
67Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Accura Healthcare of Spirit Lake from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #112 / 224Payroll costs — State benchmarkedThis home is ranked 112th out of 224 homes in Iowa. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Iowa average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #177 / 224Payroll % of net patient revenue — State benchmarkedThis home is ranked 177th out of 224 homes in Iowa. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (54% of admissions), and a typical Medicare stay runs around 22 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Spirit Lake's city center to Accura Healthcare of Spirit Lake's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Bethany Home Retirement Center | NH IL MC SNF | Dubuque (Eagle Point District) | 66
Facility
66
IA AVG
72
Rank
#181 / 404 | - | - | 4.19
Facility
4.19
IA AVG
4.30
Rank
#112 / 234 | 0% | -2% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 239 | 2
Facility
2
IA AVG
21.7
Rank
#6 / 232 | 2.0
Facility
2.0
IA AVG
4.1
Rank
#19 / 232 | - | 67 | - |
69
Facility
69
IA AVG
47
Rank
#103 / 505 | Mike Brannon | $9.2MFiscal year ending 12/2023
Facility
$9.2MFiscal year ending 12/2023
IA AVG
$6.9M
Rank
#42 / 224 | $6.2MFiscal year ending 12/2023
Facility
$6.2MFiscal year ending 12/2023
IA AVG
$4.2M
Rank
#32 / 224 | 68%Fiscal year ending 12/2023
Facility
68%Fiscal year ending 12/2023
IA AVG
60.3%
Rank
#43 / 224 | 165584 | ||||
| St Francis Manor | NH AL HOS SNF | Grinnell | 78
Facility
78
IA AVG
72
Rank
#119 / 404 |
69.2%
Facility
69.2%
IA AVG
64.7
Rank
#193 / 377 | +7% | 5.32
Facility
5.32
IA AVG
4.30
Rank
#23 / 234 | +34% | +24% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 239 | 1
Facility
1
IA AVG
21.7
Rank
#1 / 232 | 1.0
Facility
1.0
IA AVG
4.1
Rank
#1 / 232 | - | 54 | - |
82
Facility
82
IA AVG
47
Rank
#39 / 505 | St Francis Manor Inc | $7.3MFiscal year ending 12/2023
Facility
$7.3MFiscal year ending 12/2023
IA AVG
$6.9M
Rank
#82 / 224 | $5.0MFiscal year ending 12/2023
Facility
$5.0MFiscal year ending 12/2023
IA AVG
$4.2M
Rank
#50 / 224 | 69.4%Fiscal year ending 12/2023
Facility
69.4%Fiscal year ending 12/2023
IA AVG
60.3%
Rank
#38 / 224 | 165480 | ||||
| Friendship Village | NH AL IL MC SNF | Waterloo | 72
Facility
72
IA AVG
72
Rank
#143 / 404 |
91.7%
Facility
91.7%
IA AVG
64.7
Rank
#41 / 377 | +42% | 6.17
Facility
6.17
IA AVG
4.30
Rank
#3 / 234 | +5% | +44% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 239 | 8
Facility
8
IA AVG
21.7
Rank
#44 / 232 | 2.0
Facility
2.0
IA AVG
4.1
Rank
#19 / 232 | 1 | 66 | - |
52
Facility
52
IA AVG
47
Rank
#202 / 505 | Friends Of Faith Retirement Homes, Inc | $14.2MFiscal year ending 03/2024
Facility
$14.2MFiscal year ending 03/2024
IA AVG
$6.9M
Rank
#10 / 224 | $11.6MFiscal year ending 03/2024
Facility
$11.6MFiscal year ending 03/2024
IA AVG
$4.2M
Rank
#6 / 224 | 81.4%Fiscal year ending 03/2024
Facility
81.4%Fiscal year ending 03/2024
IA AVG
60.3%
Rank
#14 / 224 | 165081 | ||||
| Prairie Vista Village | NH AL IL SNF | South Altoona | 68
Facility
68
IA AVG
72
Rank
#170 / 404 |
50.0%
Facility
50.0%
IA AVG
64.7
Rank
#254 / 377 | -23% | 4.71
Facility
4.71
IA AVG
4.30
Rank
#58 / 234 | -20% | +10% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 239 | 5
Facility
5
IA AVG
21.7
Rank
#17 / 232 | 1.3
Facility
1.3
IA AVG
4.1
Rank
#8 / 232 | - | 34 | A |
29
Facility
29
IA AVG
47
Rank
#372 / 505 | John Freeman | $9.1MFiscal year ending 12/2023
Facility
$9.1MFiscal year ending 12/2023
IA AVG
$6.9M
Rank
#43 / 224 | $3.7MFiscal year ending 12/2023
Facility
$3.7MFiscal year ending 12/2023
IA AVG
$4.2M
Rank
#102 / 224 | 40.8%Fiscal year ending 12/2023
Facility
40.8%Fiscal year ending 12/2023
IA AVG
60.3%
Rank
#221 / 224 | 165610 | ||||
| Accura Healthcare of Spirit Lake | NH HOS MC PC RC SNF | Spirit Lake | 80
Facility
80
IA AVG
72
Rank
#105 / 404 |
83.5%
Facility
83.5%
IA AVG
64.7
Rank
#97 / 377 | +29% | 4.29
Facility
4.29
IA AVG
4.30
Rank
#98 / 234 | -22% | 0% | $34.6k
Facility
$34.6k
IA AVG
$53.4k
Rank
#193 / 239 | 21
Facility
21
IA AVG
21.7
Rank
#142 / 232 | 7.0
Facility
7.0
IA AVG
4.1
Rank
#208 / 232 | 1 | 67 | - |
76
Facility
76
IA AVG
47
Rank
#70 / 505 | - | $6.8MFiscal year ending 12/2023
Facility
$6.8MFiscal year ending 12/2023
IA AVG
$6.9M
Rank
#91 / 224 | $3.5MFiscal year ending 12/2023
Facility
$3.5MFiscal year ending 12/2023
IA AVG
$4.2M
Rank
#112 / 224 | 51.5%Fiscal year ending 12/2023
Facility
51.5%Fiscal year ending 12/2023
IA AVG
60.3%
Rank
#177 / 224 | 165528 |
Accura Healthcare of Spirit Lake has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Accura Healthcare of Spirit Lake's occupancy is 66.6%.
No, Accura Healthcare of Spirit Lake has a no-pet policy.
Accura Healthcare of Spirit Lake is registered as a for-profit.
Yes — there are 4 photos of Accura Healthcare of Spirit Lake in the photo gallery on this page.
Accura Healthcare of Spirit Lake is located at 1912 Zenith Avenue, Spirit Lake, Ia 513601000.
(712) 336-3300 will put you in contact with the team at Accura Healthcare of Spirit Lake.
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