The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Azria Health Winterset
Winterset, IA · Medicare-certified · 65 beds
In good standing
For-profitChain member
2 of 5 overall
Azria Health Winterset has a 2-star overall rating, with 2-star health inspection, staffing, and quality ratings. Reported nurse staffing is 3.57 hours per resident per day, below the 4.1 federal benchmark, and there were no fines in the last 24 months; recent inspection citations included accident hazards/supervision, infection prevention and control, and food safety.
Facility ratings
Health inspections
Staffing
3.5682 hrs/resident/day
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5682.
Staffing detail
- Registered nurses
- 0.37
- Licensed practical nurses
- 0.82
- Nurse aides
- 2.38
- Weekend nursing
- 3.19
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 50%
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
12.9%14.8%Worsening
Residents with a fall causing major injury
0%4.3%Worsening
Residents with pressure ulcers (bedsores)
10%2.9%Improving
Residents with a urinary tract infection
2.1%4.3%Worsening
Residents who lost too much weight
2.5%7.9%Worsening
Residents who were physically restrained
2.1%2.1%No change
Residents needing more help with daily activities
44.1%20.6%Improving
Residents whose ability to walk got worse
32.5%16.7%Improving
Long-stay residents on antianxiety or sleep medication
20%13.2%Improving
Short-stay residents newly given an antipsychotic
—5.4%—
Residents with a long-term catheter
1.7%1.6%No change
Residents with new or worsening incontinence
19.4%31.6%Worsening
Residents with depressive symptoms
2.2%22.5%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
—94%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
90%96.8%Improving
What the inspectors found
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 March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 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 have enough qualified staff to properly provide food and nutrition services. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — 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 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 2 days
Medicare/Medicaid payment denial
May 9, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AZRIA HEALTH · 9 homes · 1.6 stars avg
- Occupancy
- 52.1 residents on an average day (80% of 65 beds)
- Medicare history
- Certified for 32 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.