Nursing Home

Azria Health Longview

Nursing Home

Azria Health Longview

Missouri Valley, IA 515551227 View map
Overview of Azria Health Longview
Azria Health Longview provides excellence at every level, delivering exceptional service to each individual. The facility offers a range of services including post-acute rehabilitation, long-term care, independent living, assisted living, and memory care. The team is dedicated to ensuring a high level of personal attention and fostering health and well-being.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Iowa average: 3.1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Iowa average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Iowa average: 3.5/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
1/5
Iowa average: 3.3/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
3h 29m per day

This home provides 19% less nursing time per resident than the Iowa average.

Iowa average: 4h 18m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 112

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Iowa average
Occupancy rate 63.5%
Residents per day (avg) 83
Occupancy rate
63.5%
Residents per day (avg)
83

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

18% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

82% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

1% of new residents, often for long-term daily care.

Typical stay 22 - 23 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$8.8M
Operating loss
-$56.4K
Privately-owned community Operated by a business corporation.
Home revenue
$8,794,001.00
Operating loss
$-56,351.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.2M
48% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.6M
Total costs $8.9M

About this community

Additional licensing details

Accreditations: Member of Iowa Health Care Association, Member of American Healthcare Association, Medicare and Medicaid approved facility.

Safety & Compliance

Care Services

Accepts Medicaid
Accepts Medicare
Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
24-Hour Staffing

Additional Policies & Features

Pets Allowed
Housekeeping: Yes

Amenities & Lifestyle

Compassionate Care
Personalized Services
State-of-the-Art Programs
Beauty Salon and Spa Services
Complimentary Wi-Fi
Chef-Prepared Menus
Laundry Services
Pet Visitation

Programs & Activities

Specific Programs
Post-Acute Rehabilitation, Long Term Care, Independent Living, Assisted Living, Memory Care, Specialized Care Programs

Dining & Nutrition

Food Description
Convenient, home cooked meals on a schedule that works for you.
Meals Included
Yes

Health Inspection History

Inspections
Total health inspections 7

Iowa average 4.9


Last Health inspection on Oct 2025

Total health citations 40
Citations per inspection
5.71

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

23 of 40 citations resulted from standard inspections; 7 of 40 resulted from complaint investigations; and 10 of 40 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Iowa average

Iowa average: 0.6


Serious Health citations More info 3
233% worse than Iowa average

Iowa average: 0.9

0 critical citations More info Iowa average: 0.6

3 serious citations More info Iowa average: 0.9

37 moderate citations More info Iowa average: 19.7

0 minor citations More info Iowa average: 0.5
Citations history (last 3 years)
Abuse/Neglect moderate citation Oct 01, 2025

Quality of Care moderate citation Jul 16, 2025
Corrected

Administration moderate citation Jun 12, 2025
Corrected

Infection Control moderate citation Jun 12, 2025
Corrected

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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
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Azria Health Longview
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 515551227
112
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Accura Healthcare of Spirit Lake
SNF

Nursing Home 24/7 care needed

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Assisted Living For seniors needing help with daily tasks but not full-time nursing.

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Accura Healthcare of Lake City, LLC
SNF

Nursing Home 24/7 care needed

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47.4%
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Places of interest near Azria Health Longview

Address Missouri Valley, IA 515551227

Address Missouri Valley, IA 515551227

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

195
Total Staff
137
Employees
58
Contractors
32,882
Total Hours (Quarter)
45
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse159.3 Yes
Licensed Practical Nurse149.8 Yes
Certified Nursing Assistant1147.5 Yes
Staff by Category
Administration
2 staff
7.1hs shift avg
Nursing Staff
163 staff
8.1hs shift avg
Physicians & Practitioners
8 staff
7.9hs shift avg
Therapy Services
15 staff
6.9hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
2 staff
6.9hs shift avg
Dietary Services
4 staff
6.8hs shift avg
Other Services
1 staff
8.7hs shift avg
Contractor Analysis
13.7%
of total hours from contractors
4,518 contractor hours this quarter
Certified Nursing Assistant: 43 Licensed Practical Nurse: 2 Registered Nurse: 10 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant714311414,17491100%7.5
Medication Aide/Technician180185,0079099%8.4
Licensed Practical Nurse122144,65091100%9.8
Registered Nurse510151,9389099%9.3
Clinical Nurse Specialist7079966167%7.9
Physical Therapy Assistant5059447178%7.4
Respiratory Therapy Technician4048828492%6.7
RN Director of Nursing2027076571%7.9
Administrator1015286571%8.1
Physical Therapy Aide1015206571%8
Speech Language Pathologist3035157481%5.5
Qualified Social Worker2024656268%6.9
Nurse Practitioner1014645965%7.9
Dental Services Staff1014625358%8.7
Other Dietary Services Staff2023684853%7
Occupational Therapy Aide0111531415%10.9
Occupational Therapy Assistant011641112%5.8
Medical Director011261314%2
Dietitian2022022%5.1

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
86 residents
Residents by payment source
Medicare
6 residents (7%)
Medicaid
64 residents (74.4%)
Private pay or other
16 residents (18.6%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 15.3
49% worse than Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 33.0
53% worse than Iowa average

Iowa average: 21.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 29.6%
57% worse than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 34.8%
77% worse than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 34.5%
31% worse than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.3%
48% worse than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.2%
20% worse than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.2%
29% worse than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.4%
72% better than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.8%
27% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 29.2%
54% worse than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 89.3%
5% worse than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.5%
In line with Iowa average

Iowa average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 51.8%
39% worse than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.2%
18% worse than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 39.1%
47% worse than Iowa average

Iowa average: 73.3%

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 $0
100% lower than Iowa average

Iowa average: $48K

Number of fines 0
100% fewer fines than Iowa average

Iowa average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
88% more payment denials than Iowa average

Iowa average: 0.5

Fines amount comparison
Fines amount comparison
This facility $0
Iowa average $48K
Penalty History

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

Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Jul 18, 2024
8 days

Last updated: Jan 2026

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Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

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

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

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

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

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

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

Iowa PACE

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

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

$2,000 (individual), $3,000 (couple).

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

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

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

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

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

Iowa VA Aid and Attendance/Housebound

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

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

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

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

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

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

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