Total health inspections
4
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.
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Nursing Home
Azria Health Winterset
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
Privately-owned community
Operated by a business corporation.
Home revenue
$5.0M
Operating loss
-$222.7K
Privately-owned community
Operated by a business 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.
Health Inspection History
Inspections
Total health citations
24
Iowa average 21.7
Citations per inspection
6
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
23 of 24 citations resulted from standard inspections; and 1 of 24 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
1
1
11% worse than Iowa averageIowa average: 0.9
0 critical citations
1 serious citation
22 moderate citations
1 minor citation
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 10, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 10, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 10, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 10, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 10, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 10, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 10, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 10, 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.
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
+10%
0
4
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
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Azria Health Winterset
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.
Winterset
70
65.8%
-13%
3.70
-14%
0
24
1
51
Merron, Kristin
$4,7M
$2,2M
46.9%
165188
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
0%
1
21
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
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near Azria Health Winterset
Winterset, IA 502732209
Winterset, IA 502732209
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
95
Employees
93
Contractors
2
Staff to resident ratio
1.90:1
5% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
28
Average shift
7.5 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
19,029
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 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.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
44
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.4%
73 contractor hours this quarter
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| 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 |
44 Certified Nursing Assistant
% of Days
100%
10 Licensed Practical Nurse
% of Days
100%
10 Registered Nurse
% of Days
95%
9 Medication Aide/Technician
% of Days
71%
3 Clinical Nurse Specialist
% of Days
65%
1 Mental Health Service Worker
% of Days
74%
1 Administrator
% of Days
67%
1 RN Director of Nursing
% of Days
66%
1 Nurse Practitioner
% of Days
64%
3 Physical Therapy Assistant
% of Days
69%
2 Speech Language Pathologist
% of Days
35%
1 Occupational Therapy Aide
% of Days
15%
1 Other Dietary Services Staff
% of Days
16%
4 Respiratory Therapy Technician
% of Days
33%
2 Qualified Social Worker
% of Days
32%
1 Occupational Therapy Assistant
% of Days
11%
1 Medical Director
% of Days
36%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
50 residents
Residents by payment source
Medicare
5 residents (10%)
Medicaid
26 residents (52%)
Private pay or other
19 residents (38%)
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.
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.
14.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.6
42% 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.
28.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.6
33% 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
31.9%
Percent of long-stay residents whose need for help with daily activities has increased
31.9%
69% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
31.4%
Percent of long-stay residents whose ability to move independently worsened
31.4%
59% worse than 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
22.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.6%
14% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.5%
Percent of long-stay residents experiencing one or more falls with major injury
0.5%
85% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.6%
Percent of long-stay high risk residents with pressure ulcers
6.6%
51% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.1%
Percent of long-stay residents with a urinary tract infection
1.1%
56% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.5%
Percent of long-stay residents who lose too much weight
2.5%
50% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.6%
Percent of long-stay residents who have depressive symptoms
0.6%
86% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.9%
Percent of long-stay residents who received an antipsychotic medication
18.9%
In line with Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.0%
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
97.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
14% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
29% worse than Iowa averageIowa average: 1.8%
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
$0
100% lower than Iowa averageIowa average: $48K
Number of fines
0
100% 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
$0
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 9, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
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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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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