The home failed to respond appropriately to all reported abuse or neglect concerns. Cited August 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: K
Nursing home report
Accura Healthcare of Spirit Lake
Spirit Lake, IA · Medicare-certified · 80 beds
Needs attention
For-profitChain member
2 of 5 overall
Accura Healthcare of Spirit Lake has a 2-out-of-5 overall rating, with a 2-star health inspection rating, 4-star staffing, and 3-star quality measures. It reports 3.70 nursing hours per resident per day versus the 4.1 federal benchmark, and it had $34,567 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.7011 hrs/resident/day
Quality measures
Last inspection: October 2, 2025Penalties, last 24 months: $34,567recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7011.
Staffing detail
- Registered nurses
- 0.62
- Licensed practical nurses
- 0.73
- Nurse aides
- 2.36
- Weekend nursing
- 3.19
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 33%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
16.5%Worsening
Residents with a fall causing major injury
6.9%Worsening
Residents with pressure ulcers (bedsores)
5.2%Improving
Residents with a urinary tract infection
0.9%Steady
Residents who lost too much weight
10.7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18.6%Worsening
Residents whose ability to walk got worse
20.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
9.5%Worsening
Short-stay residents newly given an antipsychotic
2.1%Worsening
Residents with a long-term catheter
2%Improving
Residents with new or worsening incontinence
35.7%Improving
Residents with depressive symptoms
5.9%Steady
Long-stay residents given the seasonal flu vaccine
98.3%Steady
Long-stay residents given the pneumonia vaccine
99.6%Improving
Short-stay residents given the seasonal flu vaccine
90.9%Steady
Short-stay residents given the pneumonia vaccine
98.5%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited October 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The home failed to make sure each resident got a nourishing, balanced diet that met daily nutrition and special dietary needs. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 800 — 42 CFR §483.60 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $34,567 was recorded.
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $34,567 in total fines · 1 payment denial.
- 31 days
Medicare/Medicaid payment denial
Aug 22, 2024
- $34,567
Federal fine
Aug 22, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of ACCURA HEALTHCARE · 41 homes · 2.4 stars avg
- Occupancy
- 66.8 residents on an average day (84% of 80 beds)
- Medicare history
- Certified for 22 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.