Total Health inspections
4
18% below Iowa average
Iowa average:
4.9
Last Health inspection on Mar 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Azria Health Winterset
Azria Health Winterset is a Nursing Home in Iowa
Azria Health Winterset is a Nursing Home in Iowa
Azria Health Winterset
Azria Health Winterset is a Nursing Home in Iowa
Azria Health Winterset is a Nursing Home in Iowa
Azria Health Winterset provides excellence at every level, delivering exceptional service to each individual. The facility offers post-acute rehabilitation, long-term care, and independent living with a focus on personalized services. Residents can enjoy a friendly, comfortable environment with various specialized care programs.
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.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
70
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
65.8%
Residents per day (avg)
51
Occupancy rate
65.8%
Residents per day (avg)
51
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
20% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
79% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
1% of new residents, often for long-term daily care.
Typical stay
23 - 24 years
Finances and operations
Proprietary home
Corporation
Home revenue
$5.0M
Operating loss
-$222.7K
Proprietary home
Corporation
Home revenue
$4,980,238.00
Operating loss
$-222,687.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.2M
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.
$3.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.2M
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
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Additional Policies & Features
Pets Allowed
Housekeeping:
Yes
Linen Service:
Yes
Utilities Included:
Yes
Amenities & Lifestyle
Programs & Activities
Specific Programs
Post-Acute Rehabilitation, Long Term Care, Independent Living, Specialized Care Programs
Pricing & Financial Information
Dining & Nutrition
Food Description
Convenient, home cooked meals on a schedule that works for you.
Meals Included
Yes
Meal Schedule
Meals provided two times a day when requested, or scheduled.
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
No
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
No
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%
Azria Health Winterset
-9%
-14%
-13%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 502732209
70
No
MERRON, KRISTIN
65.8%
$4,668,883.00
$2,188,671.00
46.9%
50.50
3.7001
-
24
1
-9%-14%-13%
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
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
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
No
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%
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:
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
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:
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%
Azria Health Winterset
Type of care:
SNF
AL
Community:
IA 502732209
Bed Count:
70
Pets Allowed:
No
Operator:
MERRON, KRISTIN
CCN:
165188
Occupancy:
65.8%
Home Revenue:
$4,668,883.00
Payroll Costs:
$2,188,671.00
Payroll %:
46.9%
Avg Residents/Day:
50.50
Overall Rating:
Adj Nurse Hours:
3.7001
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
24
Severe Citations:
1
RN share vs State Avg:
-9%
-9%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
-13%
-13%
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:
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
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:
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 Azria Health Winterset
Winterset, IA 502732209
Winterset, IA 502732209
Calculate Travel Distance to Azria Health Winterset
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
95
Total Staff
93
Employees
2
Contractors
19,029
Total Hours (Quarter)
28
Avg Staff/Day
7.5
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 10 | 8.6 | No |
| Licensed Practical Nurse | 10 | 9.4 | No |
| Certified Nursing Assistant | 44 | 7.4 | No |
Staff by Category
Administration ⓘ
2 staff
5.5hs shift avg
Nursing Staff ⓘ
74 staff
7.7hs shift avg
Physicians & Practitioners ⓘ
4 staff
8hs shift avg
Therapy Services ⓘ
11 staff
6hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
2hs shift avg
Dietary Services ⓘ
1 staff
6hs shift avg
Other Services ⓘ
1 staff
7.3hs shift avg
Contractor Analysis
0.4%
of total hours from contractors
73 contractor hours this quarter
Medical Director: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 44 | 0 | 44 | 11,019 | 91 | 100% | 7.4 |
| Licensed Practical Nurse | 10 | 0 | 10 | 2,691 | 91 | 100% | 9.4 |
| Registered Nurse | 10 | 0 | 10 | 1,151 | 86 | 95% | 8.6 |
| Medication Aide/Technician | 9 | 0 | 9 | 632 | 65 | 71% | 6 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 500 | 59 | 65% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 489 | 67 | 74% | 7.3 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Physical Therapy Assistant | 3 | 0 | 3 | 425 | 63 | 69% | 6.7 |
| Speech Language Pathologist | 2 | 0 | 2 | 263 | 32 | 35% | 7.3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 120 | 14 | 15% | 8.6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 89 | 15 | 16% | 6 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 86 | 30 | 33% | 2.7 |
| Qualified Social Worker | 2 | 0 | 2 | 59 | 29 | 32% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 43 | 10 | 11% | 4.3 |
| Medical Director | 0 | 1 | 1 | 31 | 33 | 36% | 0.9 |
Health Inspection History
Total Health citations
24
11% above Iowa average
Iowa average:
21.7
6 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
23 citations
Complaint investigations
1 citations
Breakdown of citations
Critical Health citations
0
100% below Iowa average
Iowa average:
0.6
Serious Health citations
1
11% above Iowa average
Iowa average:
0.9
Moderate Health citations
22
Minor Health citations
1
Citations history (last 3 years)
Infection Control moderate citation
Mar 10, 2025
Corrected
Nutrition moderate citation
Mar 10, 2025
Corrected
Pharmacy moderate citation
Mar 10, 2025
Corrected
Pharmacy moderate citation
Mar 10, 2025
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
50
Total Residents
Medicare
5
(10%)
ⓘ
Medicaid
26
(52%)
ⓘ
Private Pay/Other
19
(38%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
14.6
42% worse than Iowa average
Iowa average:
10.2
Functional decline score
28.6
33% worse than Iowa average
Iowa average:
21.6
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
31.9%
69% above Iowa average.
Walking Ability Worsened
31.4%
59% above Iowa average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
22.6%
14% below Iowa average.
Safety & clinical stability
Falls with Major Injury
0.5%
85% below Iowa average.
High Risk Residents with Pressure Ulcers
6.6%
51% above Iowa average.
Urinary Tract Infection
1.1%
56% below Iowa average.
Emotional & behavioral wellbeing
Depressive Symptoms
0.6%
86% below Iowa average.
Antipsychotic Use
18.9%
1% below Iowa average.
Preventive care
Pneumococcal Vaccine
100.0%
6% above Iowa average.
Influenza Vaccine
94.0%
1% below Iowa average.
Nutrition & physical health
Lost Too Much Weight
2.5%
50% below Iowa average.Short-stay resident measures
Pneumococcal Vaccine
97.3%
14% better than Iowa average
Antipsychotic medication increase
2.4%
29% worse than Iowa average 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
This home paid 100% less in fines than the state average.
Iowa average:
$48K
Number of Fines
0
This home received 100% 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.
Payment Denial
May 9, 2024
2 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Azria Health Winterset based on CMS SNF Cost Reports.
Occupancy Rate
65.8%
↑ 16.8pp vs 2022
Net Income
-$222,687
↑ ~$961K vs 2022
Total Payroll
$2,568,245
↑ ~$322K vs 2022
Profit Margin
-4.8%
↑ 31.5pp vs 2022
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