Azria Health Winterset
Nursing Home, Independent Living & Skilled Nursing · Winterset, IA
CMS overall rating Info 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

Nursing Home, Independent Living & Skilled Nursing · Winterset, IA
CMS overall rating Info 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.
Calculator: See prices in your area
Azria Health Winterset accepts Medicare, Medicaid, and private pay.

Overview of Azria Health Winterset

Azria Health Winterset is a skilled nursing home in Winterset, Iowa, offering nursing home, independent living, and skilled nursing care along with memory care and respite stays for residents of Madison County. It’s owned and operated by Kristin Merron and accepts Medicare, Medicaid, and private pay, giving families several ways to cover both short-term rehabilitation and longer-term nursing care.

The community has 65 beds and tends to serve a mix of residents: some staying for a period of post-acute rehab, others for longer-term nursing care, with an average stay of 208 days. On-site therapy covers physical, occupational, and speech services, supporting residents recovering from surgery, illness, or a hospital stay. Nursing staff provide roughly 3 hours and 42 minutes of hands-on care per resident each day, a figure that spans registered nurses, licensed practical nurses, and nurse aides working together on daily care.

Daily life is rounded out by a doctor on staff, 24-hour staffing, and a private dining room with chef-prepared menus. Residents can take part in scheduled activities, visit the on-site salon, and stay connected with building-wide Wi-Fi, and the facility allows pets. With a Walk Score of 72, the surrounding Winterset neighborhood is considered very walkable, meaning many everyday errands can be handled on foot rather than requiring a drive.

Families weighing Azria Health Winterset alongside other options in Madison County will find a facility built around a full continuum of nursing and rehabilitation care, with the daily therapy and staffing support that post-acute and long-term residents typically need.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 34.7% Below IA avg. ▼ 34.7% Below IA avg.IA average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 29.9% Below IA avg. ▼ 29.9% Below IA avg.IA average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 43.6% Below IA avg. ▼ 43.6% Below IA avg.IA average: 3.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 38.9% Below IA avg. ▼ 38.9% Below IA avg.IA average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Iowa averages

Rank #221 / 231Nurse hours — State benchmarkedThis home is ranked 221st out of 231 homes we track in Iowa for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 231 Iowa facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 221st out of 231 homes we track 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.

3h 15m

24% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
23m
−49% State avg: 44m per day · National avg: 41m per day
LPN / LVN Info 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.
42m
+24% State avg: 34m per day · National avg: 52m per day
Nurse Aide Info 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 11m
−14% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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.
2h 59m
−11% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Info 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
+199% State avg: 2m per day · National avg: 4m per day
Weekend RN Info 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
−44% State avg: 30m per day · National avg: 28m per day

4 of 6 metrics below state avg

Capacity and availability

This home usually has availability

Higher occupancy than the Iowa average: 67%
Occupancy rate
81.5% Rank #116 / 362Occupancy rate — State benchmarkedThis home is ranked 116th out of 362 homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 362. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Residents per day (avg)
53
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
208 days
Bed community size
65-bed community Rank #186 / 403Bed count — State benchmarkedThis home is ranked 186th out of 403 homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 72 / 100 Rank #89 / 504Walk Score — State benchmarkedThis home is ranked 89th out of 504 homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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

License Details

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

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Additional Services

1 service
Post-Acute Rehabilitation

Additional Policies & Features

HousekeepingYes
Linen ServiceYes
Utilities IncludedYes

Amenities & Lifestyle

Dining
Activities
Salon
Wi-Fi
Laundry
Chef-Prepared Menus
Specific ProgramsSpecialized Care Programs

Contact Azria Health Winterset

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 89
Employees 84
Contractors 5
Staff to resident ratio 1.78 : 1
13% fewer staff per resident than Iowa average
Iowa average ratio: 2.05 : 1 Iowa average ratio: 2.05 : 1See full Iowa ranking
Avg staff/day 28
Average shift 7.5 hours
0% compared with Iowa average
Iowa average: 7.4 hours Iowa average shift: 7.4 hoursSee full Iowa ranking
Total staff hours (quarter) 19,291

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info 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 Info All 4 RN Staff are full-time employees. No contractors work on this role. 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 11 LPN Staff are full-time employees. No contractors work on this role. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 42 CNA Staff are full-time employees. No contractors work on this role. 42
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info 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 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4204211,22292100%7.4
Licensed Practical Nurse110113,54592100%9
Registered Nurse4048557076%9.6
Dietitian3035276267%5.3
Respiratory Therapy Technician4044986470%6.7
Administrator1014806065%8
Nurse Practitioner1014725964%8
Clinical Nurse Specialist4044416065%6.7
RN Director of Nursing1014014953%8.2
Physical Therapy Assistant3033996368%6.1
Medication Aide/Technician6061531820%7
Mental Health Service Worker2021181820%6.6
Occupational Therapy Aide011791820%4.4
Qualified Social Worker202461820%2.5
Occupational Therapy Assistant0333278%4.5
Medical Director011253235%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%

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 / 239Federal fines — State benchmarkedThis home is ranked 1st out of 239 homes we track in Iowa for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Iowa average among facilities with fines, and where it ranks among 239 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.

1 penalty in the past 3 years

May 9, 2024 · 2 days

Payment Denial Info 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 Info 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 average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 28.6
33% worse than Iowa average

Iowa average: 21.6

Long-stay resident measures
Below average Iowa avg: 3.3 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 31.9%
69% worse than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 31.4%
59% 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 22.6%
14% better 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 0.5%
85% better than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.6%
51% worse than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.1%
56% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.5%
50% better than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.6%
86% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.9%
In line with Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.0%
In line with Iowa average

Iowa average: 95.3%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.57
6% worse than Iowa average

Iowa average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.66
75% worse than Iowa average

Iowa average: 2.09

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.3%
14% better than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.4%
29% worse than Iowa average

Iowa average: 1.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 54.0%
7% better than Iowa average

Iowa average: 50.6%

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.5M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$534.0K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.5M Rank #153 / 224Net patient revenue — State benchmarkedThis home is ranked 153rd out of 224 homes we track in Iowa. Shows this facility's net patient revenue compared to the Iowa average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$534.0K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$311.4K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #159 / 224Payroll costs — State benchmarkedThis home is ranked 159th out of 224 homes we track in Iowa. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Iowa average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$2.6M 56.5% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #129 / 224Payroll % of net patient revenue — State benchmarkedThis home is ranked 129th out of 224 homes we track in Iowa. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$5.1M

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

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.

Most new residents arrive under private pay (79% of admissions), and a typical private pay stay runs around 3 - 4 months.

Admissions
96 total

Coverage residents most often arrive under.

Medicare 20%
Private pay 79%
Medicaid 1%
Discharges
81 total

Coverage residents most often leave under.

Medicare 16%
Private pay 83%
Medicaid 1%

Places of interest near Azria Health Winterset

Address 0.0 miles from city center Info Estimated distance in miles from Winterset's city center to Azria Health Winterset's address, calculated via Google Maps.

Calculate Travel Distance to Azria Health Winterset

Add your location

Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Iowa average is: 60.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Bethany Home Retirement Center
NH
IL
MC
SNF
Dubuque (Eagle Point District)
66
Facility 66
IA AVG 72
Rank #181 / 403
--
5.47
Facility 5.47
IA AVG 4.30
Rank #17 / 231
0%+27%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
2
Facility 2
IA AVG 21.7
Rank #6 / 232
2.0
Facility 2.0
IA AVG 4.1
Rank #19 / 232
-67-
69
Facility 69
IA AVG 47
Rank #103 / 504
Mike Brannon
$9.2MFiscal year ending 12/2023
Facility $9.2MFiscal year ending 12/2023
IA AVG $6.9M
Rank #42 / 224
$6.2MFiscal year ending 12/2023
Facility $6.2MFiscal year ending 12/2023
IA AVG $4.2M
Rank #32 / 224
68%Fiscal year ending 12/2023
Facility 68%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #43 / 224
165584
Friendship Village
NH
AL
IL
MC
SNF
Waterloo
72
Facility 72
IA AVG 72
Rank #143 / 403
91.7%
Facility 91.7%
IA AVG 67
Rank #40 / 362
+37%
5.78
Facility 5.78
IA AVG 4.30
Rank #9 / 231
+5%+34%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
8
Facility 8
IA AVG 21.7
Rank #44 / 232
2.0
Facility 2.0
IA AVG 4.1
Rank #19 / 232
166-
52
Facility 52
IA AVG 47
Rank #202 / 504
Friends Of Faith Retirement Homes, Inc
$14.2MFiscal year ending 03/2024
Facility $14.2MFiscal year ending 03/2024
IA AVG $6.9M
Rank #10 / 224
$11.6MFiscal year ending 03/2024
Facility $11.6MFiscal year ending 03/2024
IA AVG $4.2M
Rank #6 / 224
81.4%Fiscal year ending 03/2024
Facility 81.4%Fiscal year ending 03/2024
IA AVG 60.3%
Rank #14 / 224
165081
St Francis Manor
NH
AL
HOS
SNF
Grinnell
78
Facility 78
IA AVG 72
Rank #119 / 403
69.2%
Facility 69.2%
IA AVG 67
Rank #195 / 362
+3%
5.66
Facility 5.66
IA AVG 4.30
Rank #13 / 231
+34%+32%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
1
Facility 1
IA AVG 21.7
Rank #1 / 232
1.0
Facility 1.0
IA AVG 4.1
Rank #1 / 232
-54-
82
Facility 82
IA AVG 47
Rank #39 / 504
St Francis Manor Inc
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
IA AVG $6.9M
Rank #82 / 224
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
IA AVG $4.2M
Rank #50 / 224
69.4%Fiscal year ending 12/2023
Facility 69.4%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #38 / 224
165480
Prairie Vista Village
NH
AL
IL
SNF
South Altoona
68
Facility 68
IA AVG 72
Rank #170 / 403
50.0%
Facility 50.0%
IA AVG 67
Rank #254 / 362
-25%
4.82
Facility 4.82
IA AVG 4.30
Rank #57 / 231
-20%+12%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
5
Facility 5
IA AVG 21.7
Rank #17 / 232
1.3
Facility 1.3
IA AVG 4.1
Rank #8 / 232
-34A
29
Facility 29
IA AVG 47
Rank #371 / 504
John Freeman
$9.1MFiscal year ending 12/2023
Facility $9.1MFiscal year ending 12/2023
IA AVG $6.9M
Rank #43 / 224
$3.7MFiscal year ending 12/2023
Facility $3.7MFiscal year ending 12/2023
IA AVG $4.2M
Rank #102 / 224
40.8%Fiscal year ending 12/2023
Facility 40.8%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #221 / 224
165610
Azria Health Winterset
NH
IL
SNF
Summit Winterset
65
Facility 65
IA AVG 72
Rank #186 / 403
81.5%
Facility 81.5%
IA AVG 67
Rank #116 / 362
+22%
3.25
Facility 3.25
IA AVG 4.30
Rank #221 / 231
-61%-24%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
24
Facility 24
IA AVG 21.7
Rank #155 / 232
6.0
Facility 6.0
IA AVG 4.1
Rank #189 / 232
153-
72
Facility 72
IA AVG 47
Rank #89 / 504
Kristin Merron
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
IA AVG $6.9M
Rank #153 / 224
$2.6MFiscal year ending 12/2023
Facility $2.6MFiscal year ending 12/2023
IA AVG $4.2M
Rank #159 / 224
56.5%Fiscal year ending 12/2023
Facility 56.5%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #129 / 224
165188

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 pets allowed at Azria Health Winterset?

Yes, Azria Health Winterset allows residents to bring their pets.

Does Azria Health Winterset operate as a for-profit or non-profit?

Azria Health Winterset is registered as a for-profit.

Are there photos of Azria Health Winterset?

Yes — there are 20 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, Winterset, IA 50273-2209.

What is the phone number of Azria Health Winterset?

(515) 462-1711 will put you in contact with the team at Azria Health Winterset.

Guides for Better Senior Living

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