nursing home in Spirit Lake, IA
Accura Healthcare of Spirit Lake
1912 Zenith Avenue, Spirit Lake, IA 51360 · (712) 336-3300
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Accura Healthcare of Spirit Lake at a glance
Accura Healthcare of Spirit Lake is a 80-bed for-profit nursing home in Spirit Lake, Iowa (Dickinson County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 3.5 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (October 2, 2025) found 7 health citations. The Iowa average is 6.5.
Federal regulators fined it 1 time in the past three years, totaling $34,567.
Nursing staff turnover is 40.8% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 80
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Accura Healthcare
- Medicare-certified since
- April 22, 2004
- Resident/family council
- None
- County
- Dickinson County
- CMS Certification Number
- 165528
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.54 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.55 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.27 hrs | 2.52 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.04 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 40.8% | 44% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 44.4% | 42.1% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 7 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 77.3 | 54.5 | 80.6 | Average |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $34,567 | $19,286 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 80 | 65 | 107 | |
| Average residents per day | 71 | 52 | 86 | |
| Occupancy | 88.8% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 9.4% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.5% | 4.2% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 18.2% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.4% | 2.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.6% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 20.5% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 23.5% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 7.1% | 4.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 6.8% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 10.6% | 20.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 33.6% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 98.3% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 94% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.2% | 2.1% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 90.9% | 73.3% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.2% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 22, 2026 Complaint | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected May 16, 2026 |
| April 22, 2026 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected May 16, 2026 |
| October 2, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected October 3, 2025 |
| October 2, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected October 2, 2025 |
| October 2, 2025 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected November 26, 2025 |
| October 2, 2025 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 26, 2025 |
| October 2, 2025 Complaint | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected November 26, 2025 |
| October 2, 2025 Complaint | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected November 26, 2025 |
| October 2, 2025 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected November 26, 2025 |
| August 22, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected September 29, 2024 |
| August 22, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 30, 2024 |
| August 22, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected September 29, 2024 |
| August 22, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected September 4, 2024 |
| August 22, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | K Immediate jeopardy, pattern | Corrected August 23, 2024 |
| August 22, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected September 14, 2024 |
| August 22, 2024 Standard | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Tag F0800 | E Potential harm, pattern | Corrected September 14, 2024 |
| August 22, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 23, 2024 |
| August 22, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 27, 2024 |
| August 22, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected September 14, 2024 |
| August 22, 2024 Standard | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. Nutrition and Dietary Deficiencies · Tag F0811 | D Potential harm, isolated | Corrected September 14, 2024 |
| August 22, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected August 23, 2024 |
| August 22, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected August 23, 2024 |
| August 22, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected August 23, 2024 |
| August 22, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected August 23, 2024 |
| August 22, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected August 27, 2024 |
| August 3, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected September 1, 2023 |
| August 3, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected September 1, 2023 |
| August 3, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected August 9, 2023 |
| August 3, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected August 21, 2023 |
| August 3, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected August 21, 2023 |
| August 3, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 21, 2023 |
| August 3, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 21, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $34,567 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 22, 2024 | Payment Denial | 31 days from September 19, 2024 |
| August 22, 2024 | Fine | $34,567 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ACCURA MIDWEST HEALTHCARE LLC Organization | 5% or greater indirect ownership interest | 100% | 11/01/2017 |
| LENEAVE, TED Individual | corporate officer | NOT APPLICABLE | 11/01/2017 |
| TOTI, LISA Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 11/01/2017 |
| BUTCHER, DAREN Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2023 |
| OLSON, BRETT Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2024 |
| TOTI, LISA Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2021 |
Other nursing homes near Accura Healthcare of Spirit Lake
Accura Healthcare of Milford
1600 13th Street, Milford, IA 51351 · 6.8 mi
For-profit · 46 beds · Part of Accura Healthcare
★★★★★4Above averageGood Samaritan - Estherville
1646 Fifth Avenue North, Estherville, IA 51334 · 15 mi
Non-profit · 62 beds · Part of Good Samaritan Society
★★★★★3AverageGood Samaritan Society - Jackson
601 West Jackson, Jackson, MN 56143 · 15.1 mi
Non-profit · 46 beds · Part of Good Samaritan Society
★★★★★4Above averageEstherville Community Care Center
2001 First Avenue North, Estherville, IA 51334 · 15.4 mi
For-profit · 46 beds
- New owner (last 12 months)
★★★★★2Below average- ★★★★★1Much below average
Spencer Post Acute Rehabilitation Center
711 West 11th Street, Spencer, IA 51301 · 19 mi
For-profit · 82 beds · Part of The Ensign Group
★★★★★1Much below average
Frequently asked questions
What is Accura Healthcare of Spirit Lake's rating?
Accura Healthcare of Spirit Lake has 2 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Accura Healthcare of Spirit Lake receive?
Its most recent standard health inspection found 7 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Accura Healthcare of Spirit Lake accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Accura Healthcare of Spirit Lake?
It is for profit - corporation and part of Accura Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Accura Healthcare of Spirit Lake and how do I contact it?
Accura Healthcare of Spirit Lake is at 1912 Zenith Avenue, Spirit Lake, IA 51360. Phone: (712) 336-3300.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.