Total health inspections
2
Iowa average 4.9
Last Health inspection on Jul 2024
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Nora Springs Care Center
Nursing Home
Nora Springs Care Center
Nursing Home
Nora Springs Care Center focuses on healing, wellness, and enriching lives through compassionate care. It offers a welcoming atmosphere where expert caregivers deliver personalized treatments, aiding in physical recovery and enhancing overall quality of life. The facility specializes in a full spectrum of rehabilitation services and amenities.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
50
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
89.8%
Residents per day (avg)
43
Occupancy rate
89.8%
Residents per day (avg)
43
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
27% of new residents, usually for short-term rehab.
Typical stay
13 days
Private pay
53% of new residents, often for short stays.
Typical stay
4 - 5 months
Medicaid
20% of new residents, often for long-term daily care.
Typical stay
10 - 11 months
Finances and operations
Proprietary home
Corporation
Home revenue
$5.1M
Profit
$811.2K
Proprietary home
Corporation
Home revenue
$5,082,685.00
Profit
$811,187.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.3M
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.
$2.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.5M
About this community
Care Services
Nursing Services
Rehabilitation Services
Independent Living
Licensed Nurses/CNAs
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Independent & Assisted Living, Rehab-to-Home, Outpatient Therapy
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Nora Springs Care Center
-22%
-3%
+19%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 504580366
50
No
-
89.8%
$5,074,251.00
$2,269,432.00
44.7%
43.10
4.1580
-
5
-
-22%-3%+19%
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Nora Springs Care Center
Type of care:
SNF
AL
Community:
IA 504580366
Bed Count:
50
Pets Allowed:
No
CCN:
165347
Occupancy:
89.8%
Home Revenue:
$5,074,251.00
Payroll Costs:
$2,269,432.00
Payroll %:
44.7%
Avg Residents/Day:
43.10
Overall Rating:
Adj Nurse Hours:
4.1580
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
5
RN share vs State Avg:
-22%
-22%
Staffing vs State Avg:
-3%
-3%
Occupancy vs State Avg:
+19%
+19%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Pets Allowed:
No
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
Pets Allowed:
No
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65.20
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Pets Allowed:
No
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%Places of interest near Nora Springs Care Center
Nora Springs, IA 504580366
Nora Springs, IA 504580366
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
89
Total Staff
85
Employees
4
Contractors
16,388
Total Hours (Quarter)
26
Avg Staff/Day
6.9
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 8 | 6.8 | No |
| Licensed Practical Nurse | 8 | 8.5 | No |
| Certified Nursing Assistant | 39 | 6.8 | No |
Staff by Category
Administration ⓘ
2 staff
7.6hs shift avg
Nursing Staff ⓘ
65 staff
7.2hs shift avg
Physicians & Practitioners ⓘ
1 staff
8hs shift avg
Therapy Services ⓘ
15 staff
3.6hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
2.3hs shift avg
Dietary Services ⓘ
3 staff
7.9hs shift avg
Other Services ⓘ
1 staff
6.5hs shift avg
Contractor Analysis
1.1%
of total hours from contractors
175 contractor hours this quarter
Occupational Therapy Aide: 1
Feeding Assistant: 1
Occupational Therapy Assistant: 1
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 39 | 0 | 39 | 8,547 | 91 | 100% | 6.8 |
| Licensed Practical Nurse | 8 | 0 | 8 | 2,886 | 91 | 100% | 8.5 |
| Registered Nurse | 8 | 0 | 8 | 960 | 84 | 92% | 6.8 |
| Medication Aide/Technician | 8 | 0 | 8 | 859 | 79 | 87% | 8.1 |
| Administrator | 1 | 0 | 1 | 466 | 59 | 65% | 7.9 |
| Dietitian | 1 | 0 | 1 | 445 | 56 | 62% | 7.9 |
| Dental Services Staff | 1 | 0 | 1 | 410 | 63 | 69% | 6.5 |
| RN Director of Nursing | 1 | 0 | 1 | 403 | 51 | 56% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 320 | 40 | 44% | 8 |
| Speech Language Pathologist | 6 | 0 | 6 | 276 | 59 | 65% | 3.1 |
| Physical Therapy Aide | 1 | 0 | 1 | 189 | 48 | 53% | 3.9 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 178 | 41 | 45% | 4.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 154 | 20 | 22% | 7.7 |
| Occupational Therapy Aide | 1 | 1 | 2 | 109 | 16 | 18% | 6.8 |
| Physical Therapy Assistant | 4 | 0 | 4 | 70 | 33 | 36% | 2.1 |
| Feeding Assistant | 0 | 1 | 1 | 56 | 18 | 20% | 3.1 |
| Qualified Social Worker | 2 | 0 | 2 | 44 | 19 | 21% | 2.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 13 | 3 | 3% | 4.3 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
Health Inspection History
Inspections
Total health citations
5
Citations per inspection
2.5
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 5 citations resulted from standard inspections; and 1 of 5 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
5 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Jul 03, 2024
Corrected
Nutrition moderate citation
May 18, 2023
Corrected
Pharmacy moderate citation
May 18, 2023
Corrected
Care Planning moderate citation
May 18, 2023
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: Legacy Healthcare
Resident Census by Payment Source
45
Total Residents
Medicare
2
(4.4%)
ⓘ
Medicaid
18
(40%)
ⓘ
Private Pay/Other
25
(55.6%)
ⓘ
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.
9.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.2
11% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.0
26% better 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
14.9%
Percent of long-stay residents whose need for help with daily activities has increased
14.9%
21% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.9%
Percent of long-stay residents whose ability to move independently worsened
11.9%
40% better 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
21.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.2%
19% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.6%
Percent of long-stay residents experiencing one or more falls with major injury
6.6%
83% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.6%
Percent of long-stay high risk residents with pressure ulcers
4.6%
6% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.0%
Percent of long-stay residents with a urinary tract infection
4.0%
60% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.8%
Percent of long-stay residents who lose too much weight
7.8%
55% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.3%
Percent of long-stay residents who received an antipsychotic medication
19.3%
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
97.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
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
85.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.7%
In line with Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
22% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
78.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
78.4%
7% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Nora Springs Care Center based on CMS SNF Cost Reports.
Occupancy Rate
89.8%
↑ 0.9pp vs 2023
Net Income
$811,187
↑ ~$218K vs 2023
Total Payroll
$2,625,931
↑ ~$53K vs 2023
Profit Margin
16.0%
↑ 3.8pp vs 2023
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