We arrange tours, appointments, and even moving support so you don’t have to
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.
Azria Health Winterset is a 70-bed skilled nursing and post-acute rehabilitation facility in Winterset, Iowa, providing long-term care, short-stay rehabilitation, memory care, and respite stays for residents in Madison County. The facility is privately owned and operated by Kristin Merron and accepts Medicare, Medicaid, and private pay.
CMS rates the facility at 2 stars overall, with all three sub-ratings below the Iowa average — Health Inspection 30% below, Staffing 15% below, and Quality Measures 39% below. Nurse staffing averages 3 hours and 42 minutes per resident per day, roughly 14% below Iowa’s average of 4 hours and 18 minutes, with weekend RN staffing at 17 minutes per day compared with the state’s average of 30. A payment denial was issued in May 2024 and lasted for two days; the facility carries no federal fines, ranking first among 246 Iowa skilled nursing facilities on that measure.
The facility’s on-site therapy — physical, occupational, and speech — supports the rehabilitation program. Lifestyle amenities include chef-prepared menus and a private dining room. The facility’s occupancy rate is 65.8%, below the Iowa average of 75.4%, suggesting current availability.
The facility is structured for residents seeking post-acute rehabilitation or long-term skilled nursing care in Winterset, with current availability and on-site therapy capacity.
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.
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.
This home is ranked 190th out of 241 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.
| 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.
| 22m per day | ▼ 50% 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.
| 49m per day | ▲ 45% 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 12m per day | ▼ 5% 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.
| 6m per day | ▲ 212% 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.
| 14m per day | ▼ 53% State avg: 30m per day · National avg: 28m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
13% 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 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 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.
9 hoursHelps with daily care and mobility.
All 42 CNA Staff are full-time employees. No contractors work on this role.
42
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
135 contractor hours this quarter
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 |
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)
100% lower than Iowa averageIowa average: $48K
100% 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.
1 penalty in the past 3 years
May 9, 2024 · 2 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 9, 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.
14.6
42% worse than Iowa averageIowa average: 10.2
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
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
31.9%
69% worse than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
31.4%
59% worse than Iowa averageIowa average: 19.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
0.5%
85% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
6.6%
51% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.1%
56% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
2.5%
50% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.6%
86% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
18.9%
In line with Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.0%
In line with Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.57
6% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.66
75% worse than Iowa averageIowa average: 2.09
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
14% better than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
29% worse than Iowa averageIowa average: 1.8%
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.
20% of new residents, usually for short-term rehab.
79% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
50Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Azria Health Winterset from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (79% of admissions), and a typical private pay stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Winterset's city center to Azria Health Winterset's address, calculated via Google Maps.
Add your location
Azria Health Winterset is located in Winterset, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Mill Pond |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Ankeny | 60
Facility
60
IA AVG
71
Rank
#214 / 407 |
98.3%
Facility
98.3%
IA AVG
75.4%
Rank
#14 / 401 | +30% | 4.91
Facility
4.91
IA AVG
4.30
Rank
#52 / 241 | -16% | +14% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 9
Facility
9
IA AVG
21.7
Rank
#62 / 241 | 3.0
Facility
3.0
IA AVG
4.1
Rank
#81 / 241 | - | 57 | - |
16
Facility
16
IA AVG
45
Rank
#439 / 528 | Phs Management, LLC | $13.9M
Facility
$13.9M
IA AVG
$7.0M
Rank
#32 / 242 | $6.9M
Facility
$6.9M
IA AVG
$3.1M
Rank
#34 / 242 | 49.4%
Facility
49.4%
IA AVG
46.3%
Rank
#177 / 242 | 165261 | ||||
| Valley View Village |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Des Moines (Fairmont Park) | 79
Facility
79
IA AVG
71
Rank
#117 / 407 |
100.0%
Facility
100.0%
IA AVG
75.4%
Rank
#1 / 401 | +33% | 5.52
Facility
5.52
IA AVG
4.30
Rank
#22 / 241 | +29% | +29% | $9.1k
Facility
$9.1k
IA AVG
$53.4k
Rank
#170 / 246 | 19
Facility
19
IA AVG
21.7
Rank
#139 / 241 | 3.2
Facility
3.2
IA AVG
4.1
Rank
#94 / 241 | 2 | 75 | - |
38
Facility
38
IA AVG
45
Rank
#305 / 528 | Elim Care Inc | $9.7M
Facility
$9.7M
IA AVG
$7.0M
Rank
#70 / 242 | $7.0M
Facility
$7.0M
IA AVG
$3.1M
Rank
#32 / 242 | 71.8%
Facility
71.8%
IA AVG
46.3%
Rank
#13 / 242 | 165507 | ||||
| Ramsey Village Continuing Care |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Des Moines (Drake) | 78
Facility
78
IA AVG
71
Rank
#119 / 407 |
85.8%
Facility
85.8%
IA AVG
75.4%
Rank
#93 / 401 | +14% | 4.04
Facility
4.04
IA AVG
4.30
Rank
#148 / 241 | -46% | -6% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 31
Facility
31
IA AVG
21.7
Rank
#188 / 241 | 4.4
Facility
4.4
IA AVG
4.1
Rank
#156 / 241 | 1 | 70 | - |
38
Facility
38
IA AVG
45
Rank
#305 / 528 | Claremont House Inc. | $12.4M
Facility
$12.4M
IA AVG
$7.0M
Rank
#43 / 242 | $8.5M
Facility
$8.5M
IA AVG
$3.1M
Rank
#20 / 242 | 68.5%
Facility
68.5%
IA AVG
46.3%
Rank
#29 / 242 | 165514 | ||||
| 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).
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Winterset | 65
Facility
65
IA AVG
71
Rank
#187 / 407 |
65.8%
Facility
65.8%
IA AVG
75.4%
Rank
#210 / 401 | -13% | 3.70
Facility
3.70
IA AVG
4.30
Rank
#190 / 241 | -61% | -14% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 24
Facility
24
IA AVG
21.7
Rank
#168 / 241 | 6.0
Facility
6.0
IA AVG
4.1
Rank
#200 / 241 | 1 | 52 | - |
72
Facility
72
IA AVG
45
Rank
#89 / 528 | Kristin Merron | $5.0M
Facility
$5.0M
IA AVG
$7.0M
Rank
#174 / 242 | $2.6M
Facility
$2.6M
IA AVG
$3.1M
Rank
#183 / 242 | 51.6%
Facility
51.6%
IA AVG
46.3%
Rank
#152 / 242 | 165188 | ||||
| Ridgecrest Village |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Davenport (Northwest Boulevard) | 82
Facility
82
IA AVG
71
Rank
#100 / 407 |
67.1%
Facility
67.1%
IA AVG
75.4%
Rank
#202 / 401 | -11% | 3.98
Facility
3.98
IA AVG
4.30
Rank
#148 / 241 | +31% | -7% | $118.9k
Facility
$118.9k
IA AVG
$53.4k
Rank
#223 / 246 | 43
Facility
43
IA AVG
21.7
Rank
#213 / 241 | 7.2
Facility
7.2
IA AVG
4.1
Rank
#220 / 241 | 3 | 55 | - |
41
Facility
41
IA AVG
45
Rank
#287 / 528 | Michael Beaderstadt | $15.8M
Facility
$15.8M
IA AVG
$7.0M
Rank
#20 / 242 | $8.1M
Facility
$8.1M
IA AVG
$3.1M
Rank
#23 / 242 | 51.1%
Facility
51.1%
IA AVG
46.3%
Rank
#156 / 242 | 165049 |
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.
Azria Health Winterset's occupancy is 65.8%.
Yes — there are 20 photos of Azria Health Winterset in the photo gallery on this page.
Azria Health Winterset is located at 1015 West Summit.
(515) 462-1711 will put you in contact with the team at Azria Health Winterset.
Yes — Azria Health Winterset is a CMS-certified provider of Medicare and Medicaid.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
