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Nursing HomeMedicaid Investigative

Azria Health Longview

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

1010 Longview Road, Missouri Valley, IA 51555100 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 20 Google reviews

5
4
3
2
1
Azria Health Longview Nursing Home in Missouri Valley, IA — Street View
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6/ 10
high Risk

Quality Concerns Identified

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

  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (15 vs median 5)
  • High staff turnover (55%)
  • High RN turnover (69%)

Bottom 25% in IA · Below recommended RN staffing · Above average staffing · Worst in AZRIA HEALTH chain

Source: Medicare data

What this means for your family

Azria Health Longview is highly regarded for its physical therapy and friendly, attentive staff, making it a strong candidate for short-term rehab. However, because there are historical reports of sanitation and training concerns, we recommend scheduling a tour specifically to observe the cleanliness of the rooms and asking management how they ensure consistent CNA training and staffing levels.

Google Reviews

Google Reviews

20 reviews on Google
Azria Health Longview receives high praise from many residents and family members for its friendly, compassionate staff and clean environment. While some reviewers highlight excellent physical therapy and attentive care, there are historical concerns regarding staffing levels and sanitation procedures that prospective families should investigate.

Quality Themes

Tap a score for details
Food9.0Staff8.0Clean8.0Activities7.0MedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Friendly and compassionate nursing staff
  • Clean, well-maintained facility
  • Effective physical therapy services
  • Responsive and helpful office staff

Concerns

  • Inconsistent sanitation and poor CNA training (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.0'17(1)5.05.0'19(1)3.05.0'22(6)4.95.0'24(2)4.0'25(1)

Distribution · 23 analyzed

5
19
4
2
3
0
2
0
1
2

How They Respond to Reviews

5%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I've heard wonderful things about how friendly and compassionate the nursing staff is here; how do you ensure that level of care remains consistent across all shifts?
  • 2With the recent state inspections, what specific steps is the facility taking to address and resolve the noted deficiencies?
  • 3Since some visitors have mentioned concerns regarding sanitation, what are your current protocols for maintaining cleanliness in the resident rooms and common areas?
  • 4Could you tell me more about the training programs available for your CNAs to ensure they are fully prepared for resident care?
  • 5What does a typical day look like for residents in terms of social activities and engagement with the community?
  • 6How does the nursing team coordinate with doctors and handle medical emergencies during the overnight hours?

Personalized based on this facility's data


Key Review Excerpts

I can honestly say that the staff is amazing! The hallways and rooms are always clean. The food is delicious. And the physical therapists are wonderful & professional.

Rehab patient · 2023★★★★★

I just came home today from Azra health nursing home four physical therapy when I first got there, they all came in, shook my hand and told me their names thank you Jesse and the nursing staff they were all great.

Rehab patient · 2024★★★★★

Staff are friendly and attentive even when stretched thin by the demands of the work they perform.

Family member · 2022★★★★★
Source: 20 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.54hrs
72%
Registered nurses for medical care
Total Nursing
3.98hrs
97%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
73%
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
1/ 5
Better Than Avg

5

measures

Worse Than Avg

12

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility34.4%
Worse than Avg
Here
34.4%
US
15.3%
IA
17.5%
Harrison
18.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility30.8%
Worse than Avg
Here
30.8%
US
14.4%
IA
17.6%
Harrison
17.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility31.1%
Worse than Avg
Here
31.1%
US
15.5%
IA
19.4%
Harrison
17.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.2%
Worse than Avg
Here
29.2%
US
19.4%
IA
25.9%
Harrison
21.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility87.3%
Worse than Avg
Here
87.3%
US
93.4%
IA
93.9%
Harrison
96.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.9%
Better than Avg
Here
3.9%
US
12.1%
IA
4.1%
Harrison
8.1%

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

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility32.2%
Worse than Avg
Here
32.2%
US
81.8%
IA
84.1%
Harrison
84.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility39.1%
Worse than Avg
Here
39.1%
US
79.8%
IA
73.3%
Harrison
80.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.4%
Worse than Avg
Here
3.4%
US
1.6%
IA
2.0%
Harrison
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
1penalties
Well above state avg (6.2)
14 complaint-triggered

This facility has a concerning pattern of 61 deficiencies across 8 surveys, with 19 triggered by family complaints about poor care. Recurring problems include inadequate nursing staff levels, wound and skin care issues, and basic safety concerns. Many issues persist across multiple surveys from 2023-2025, suggesting ongoing quality problems despite reported corrections.

Nov 25, 2025Complaint
2
0602Potential for harm · PatternResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0865Potential for harm · PatternCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

Oct 1, 2025Complaint
1
0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Jul 16, 2025Complaint
1
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.

Jun 12, 2025Complaint
4
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Jun 12, 2025Routine
14
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0865Potential for harm · PatternCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0161Potential for harm · PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0522Potential for harm · PatternCorrected

Services Deficiencies

Have an externally vented heating system.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

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.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jan 16, 2025Complaint
3
0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

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.

Federal Penalties

Payment Denial

Jul 18, 2024

8-day denial

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
23deficiencies
Jun 11, 2026Complaint
Clean

Fed violations: 4, State violations: 0

Feb 3, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Dec 30, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Nov 25, 2025Complaint
Clean

Fed violations: 2, State violations: 0

Oct 1, 2025Complaint
Clean

Fed violations: 1, State violations: 0

Aug 6, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Jul 16, 2025Inspection
Clean

Fed violations: 1, State violations: 0

Jun 12, 2025Inspection
Clean

Fed violations: 11, State violations: 1

Ownership & Operations

Who Operates This Facility

Owner / Operator

Azria Health Longview

Organization Type

for profit

Chain Affiliation

Chain Name

Azria Health

Chain Size

9 facilities nationwide

Chain avg rating: 1.4/5 · Rank 8 of 9 (Worst)

Ownership & Management

Owners

Dovetail Opco Holdings LLC

Owner · Organization

100%

Azria Ventures LLC

Owner (parent company) · Organization

Hornung, Steven

Owner (parent company)

Kaminer, Aaron

Owner (parent company)

Key personnel

Williams, DouglasW-2 Managing EmployeeHornung, StevenOfficer / DirectorKaminer, AaronOfficer / 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 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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