Total staff
89
Employees
84
Contractors
5
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Azria Health Winterset
Nursing Home · Iowa, IA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
Azria Health Winterset
Nursing Home · Iowa, IA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
Azria Health Winterset accepts Medicare, Medicaid, and private pay.
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.
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 190th out of 241 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 190th out of 241 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.
3h 42m per day
Rank #190 / 241Nurse hours — State benchmarkedThis home is ranked 190th out of 241 homes in Iowa. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 241 Iowa SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Iowa avg
-14%
Standout metric
Physical Therapist is +250% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 28m per day | ▼ 36% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 41m per day | ▲ 21% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 2h 23m per day | ▼ 6% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 3h 15m per day | ▼ 3% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 7m per day | ▲ 250% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
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.
| 17m per day | ▼ 43% State avg: 30m per day · National avg: 28m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
65.8%
Rank #204 / 401Occupancy rate — State benchmarkedThis home is ranked 204th out of 401 homes in Iowa. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 401. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
208 days
Occupancy rate
65.8%
Rank #204 / 401Occupancy rate — State benchmarkedThis home is ranked 204th out of 401 homes in Iowa. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 401. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
208 days
Walk Score: 72 / 100 Rank #89 / 528Walk Score — State benchmarkedThis home is ranked 89th out of 528 homes in Iowa. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Iowa SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
About this community
AccreditationsMember of Iowa Health Care Association, Member of American Healthcare Association, Medicare and Medicaid approved facility.
Accept Medicaid
Accept Medicare
Rehabilitation Services
Respite Care
Short-Term Rehab
Doctor on Staff
24-Hour Staffing
Post-Acute Rehabilitation
Pets Allowed
HousekeepingYes
Linen ServiceYes
Utilities IncludedYes
Physical Therapy
Occupational Therapy
Speech Therapy
Maintenance Free Living
Personalized Services
Customized Dining Program
Activities On Campus
Beauty Shop On Site
Complimentary Wi-Fi
Chef-Prepared Menus
Private Dining Room
Laundry Services
Specific ProgramsSpecialized Care Programs
Food DescriptionConvenient, home cooked meals on a schedule that works for you.
Meal ScheduleMeals provided two times a day when requested, or scheduled.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.78:1
13% worse than Iowa average
Avg staff/day
28
Average shift
7.5 hours
0% compared with Iowa average
Total staff hours (quarter)
19,291
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
42
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
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0.7%
135 contractor hours this quarter
Occupational Therapy Assistant: 3
Medical Director: 1
Occupational Therapy Aide: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 42 | 0 | 42 | 11,222 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 11 | 0 | 11 | 3,545 | 92 | 100% | 9 |
| Registered Nurse | 4 | 0 | 4 | 855 | 70 | 76% | 9.6 |
| Dietitian | 3 | 0 | 3 | 527 | 62 | 67% | 5.3 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 498 | 64 | 70% | 6.7 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 441 | 60 | 65% | 6.7 |
| RN Director of Nursing | 1 | 0 | 1 | 401 | 49 | 53% | 8.2 |
| Physical Therapy Assistant | 3 | 0 | 3 | 399 | 63 | 68% | 6.1 |
| Medication Aide/Technician | 6 | 0 | 6 | 153 | 18 | 20% | 7 |
| Mental Health Service Worker | 2 | 0 | 2 | 118 | 18 | 20% | 6.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 79 | 18 | 20% | 4.4 |
| Qualified Social Worker | 2 | 0 | 2 | 46 | 18 | 20% | 2.5 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 32 | 7 | 8% | 4.5 |
| Medical Director | 0 | 1 | 1 | 25 | 32 | 35% | 0.8 |
42 Certified Nursing Assistant
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
4 Registered Nurse
% of Days
76%
3 Dietitian
% of Days
67%
4 Respiratory Therapy Technician
% of Days
70%
1 Administrator
% of Days
65%
1 Nurse Practitioner
% of Days
64%
4 Clinical Nurse Specialist
% of Days
65%
1 RN Director of Nursing
% of Days
53%
3 Physical Therapy Assistant
% of Days
68%
6 Medication Aide/Technician
% of Days
20%
2 Mental Health Service Worker
% of Days
20%
1 Occupational Therapy Aide
% of Days
20%
2 Qualified Social Worker
% of Days
20%
3 Occupational Therapy Assistant
% of Days
8%
1 Medical Director
% of Days
35%
Penalties and fines
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)
Total fines amount
$0 Rank #1 / 246Federal fines — State benchmarkedThis home is ranked 1st out of 246 homes in Iowa. Shows this facility's cumulative CMS federal fine dollars versus the Iowa average among facilities with fines, and where it ranks among 246 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.
1 penalty in the past 3 years
May 9, 2024 · 2 days
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.57
Number of hospitalizations per 1,000 long-stay resident days.
1.57
6% worse than Iowa averageIowa average: 1.48
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.66
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.66
75% worse than Iowa averageIowa average: 2.09
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%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
54.0%
Rate of successful return to home or community from a skilled nursing facility.
54.0%
7% 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.
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
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
50
Medicare
5
10% of residents
Medicaid
26
52% of residents
Private pay or other
19
38% of residents
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.
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
-$222.7K
↑ ~$961.5K vs 2022
Total Payroll
$2.6M
↑ ~$321.8K vs 2022
Profit Margin
-4.8%
↑ 31.5pp vs 2022
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
$5.0M Rank #174 / 242Revenue — State benchmarkedThis home is ranked 174th out of 242 homes in Iowa. Shows this facility's annual revenue compared to the Iowa SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$222.7K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #183 / 242Payroll — State benchmarkedThis home is ranked 183rd out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #183 / 242Payroll — State benchmarkedThis home is ranked 183rd out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.2M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Azria Health Winterset
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Estimated distance in miles from Winterset's city center to Azria Health Winterset's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Iowa
Azria Health Winterset is located in Winterset, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Compare Nursing Home around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
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| 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).
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Frequently Asked Questions about Azria Health Winterset
Is Azria Health Winterset in a walkable area?
Azria Health Winterset has a walk score of 72. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
What is the occupancy rate at Azria Health Winterset?
Azria Health Winterset's occupancy is 65.8%.
Are there photos of Azria Health Winterset?
Yes — there are 22 photos of Azria Health Winterset in the photo gallery on this page.
What is the address of Azria Health Winterset?
Azria Health Winterset is located at 1015 West Summit.
What is the phone number of Azria Health Winterset?
(515) 462-1711 will put you in contact with the team at Azria Health Winterset.
Is Azria Health Winterset Medicare or Medicaid certified?
Yes — Azria Health Winterset is a CMS-certified provider of Medicare and Medicaid.
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