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Nursing HomeMedicaid Investigative

Accura Healthcare of Spirit Lake

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1912 Zenith Avenue, Spirit Lake, IA 5136080 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.3/5

based on 4 Google reviews

Accura Healthcare of Spirit Lake Nursing Home in Spirit Lake, IA — Street View
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2/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)

Below average in IA · Below recommended RN staffing · Above average staffing · $34,567 in fines

Source: Medicare data

What this means for your family

There is currently no actionable information available regarding this facility as all existing reviews lack written feedback. We strongly recommend scheduling an in-person tour and requesting recent state survey reports to evaluate the quality of care before making a decision.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.62hrs
82%
Registered nurses for medical care
Total Nursing
3.70hrs
90%
All nurses + aides combined
Staff Turnover
33%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

7

measures

Worse Than Avg

5

measures

Mixed Results

5

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility35.7%
Worse than Avg
Here
35.7%
US
19.4%
IA
25.9%
Dickinson
21.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility9.5%
Better than Avg
Here
9.5%
US
19.5%
IA
20.7%
Dickinson
24.2%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility10.7%
Worse than Avg
Here
10.7%
US
5.3%
IA
4.9%
Dickinson
3.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.9%
Mixed vs Avgs
Here
5.9%
US
12.1%
IA
4.1%
Dickinson
2.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
93.4%
IA
93.9%
Dickinson
97.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility20.6%
Worse than Avg
Here
20.6%
US
15.3%
IA
17.5%
Dickinson
19.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility90.9%
Better than Avg
Here
90.9%
US
79.7%
IA
73.3%
Dickinson
89.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.5%
Better than Avg
Here
98.5%
US
81.8%
IA
84.0%
Dickinson
88.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.1%
Worse than Avg
Here
2.1%
US
1.6%
IA
2.0%
Dickinson
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
2penalties
Near state avg (6.2)
11 complaint-triggered
$34,567 in fines

This facility has concerning patterns with families filing multiple complaints that triggered 11 deficiencies, including serious issues around abuse prevention and resident protection. The most recurring problems involve nutrition and dietary services, fire safety systems, and quality of care, with nutrition issues persisting across multiple surveys including recent complaints in 2025. While the facility has corrected each identified deficiency, the high volume of complaints and repeated issues in core care areas suggest ongoing operational challenges that families should carefully evaluate.

Oct 2, 2025Routine
2
0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Oct 2, 2025Complaint
5
0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Aug 22, 2024Complaint
6
0610Immediate jeopardy · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Aug 22, 2024Routine
10
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0800Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0811Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

Aug 3, 2023Routine
7
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Federal Penalties

Fine

Aug 22, 2024

$34,567

Payment Denial

Aug 22, 2024

31-day denial

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
25deficiencies
May 18, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Apr 22, 2026Complaint
Clean

Fed violations: 2, State violations: 0

Nov 29, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Oct 2, 2025Inspection
Clean

Fed violations: 5, State violations: 0

Sep 30, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Aug 22, 2024Inspection
Clean

Fed violations: 12, State violations: 2

Mar 7, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Aug 21, 2023Inspection
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Accura Healthcare of Spirit Lake

Organization Type

for profit

Chain Affiliation

Chain Name

Accura Healthcare

Chain Size

41 facilities nationwide

Chain avg rating: 2.4/5 · Rank 19 of 37

Ownership & Management

Owners

Accura Midwest Healthcare LLC

Owner (parent company) · Organization

100%

Key personnel

Butcher, DarenW-2 Managing EmployeeOlson, BrettW-2 Managing EmployeeToti, LisaW-2 Managing EmployeeLeneave, TedOfficer / DirectorToti, LisaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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