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
Data as of July 1, 2026
2 of 5 overall
Accura Healthcare of Spirit Lake has an overall rating of 2 out of 5 stars, with 2-star health inspections, a recent federal penalty and $34,567 in fines in the last 24 months. Staffing is rated 4 stars, but reported nurse staffing is 3.54 hours per resident per day, below the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.5387 hrs/resident/day
Quality measures
Last inspection: April 22, 2026Penalties, last 24 months: $34,567recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5387.
Staffing detail
- Registered nurses
- 0.55
- Licensed practical nurses
- 0.72
- Nurse aides
- 2.27
- Weekend nursing
- 3.04
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 44%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
17.1%18.2%Worsening
Residents with a fall causing major injury
5.3%14.5%Worsening
Residents with pressure ulcers (bedsores)
4.9%6.6%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
10.9%6.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.9%21.3%Improving
Residents whose ability to walk got worse
15.2%33.4%Worsening
Long-stay residents on antianxiety or sleep medication
8.7%12.2%Worsening
Short-stay residents newly given an antipsychotic
0%4.8%Worsening
Residents with a long-term catheter
2.8%0%Improving
Residents with new or worsening incontinence
21.5%32.2%Worsening
Residents with depressive symptoms
3.8%10.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.3%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—90.9%—
Short-stay residents given the pneumonia vaccine
97%100%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 ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
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
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- 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 · 43 homes · 2.3 stars avg
- Occupancy
- 71 residents on an average day (89% 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.