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Nursing HomeMedicaid Investigative

Azria Health Rose Vista

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

1109 Normal Street, Woodbine, IA 5157976 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 35 Google reviews

5
4
3
2
1
Azria Health Rose Vista Nursing Home in Woodbine, IA — Street View
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3/ 10
moderate 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)
  • Above-median deficiencies (8 vs median 5)

Bottom 25% in IA · Below recommended RN staffing · Worst in AZRIA HEALTH chain · No penalties on record

Source: Medicare data

What this means for your family

While many families report a very positive, clean, and caring environment, the severity of the allegations regarding medication management is concerning. We strongly recommend that you ask the administration directly about their medication administration protocols and oversight procedures to ensure your peace of mind.

Google Reviews

Google Reviews

35 reviews on Google
Azria Health Rose Vista receives high praise from many families for its compassionate, helpful staff and clean, welcoming environment. However, there are serious, isolated reports of medication errors and neglect that contrast sharply with the majority of positive feedback. Families should be aware of these conflicting experiences when evaluating the facility for their loved ones.

Quality Themes

Tap a score for details
FoodN/AStaff8.0Clean9.0Activities8.0Meds1.0MemoryN/AComms8.0ValueN/A

Strengths

  • Compassionate and friendly nursing staff
  • Clean and odor-free facility
  • Helpful communication regarding resident visits
  • Active daily engagement and activities

Concerns

  • Serious allegations of neglect and medication errors (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02019(1)5.02022(2)4.82023(11)4.72024(26)4.62025(5)3.42026(5)

Distribution · 50 analyzed

5
42
4
4
3
0
2
0
1
4

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the facility's focus on active daily engagement, could you walk me through the current activity calendar and how you tailor these programs to residents with different levels of mobility?
  • 2I noticed the facility has a strong reputation for a friendly and compassionate nursing team; how do you foster that culture while managing the complexities of daily care?
  • 3With medication management being a critical part of resident health, what specific protocols and double-check systems do you have in place to ensure accuracy and prevent errors?
  • 4How does your team handle communication with families when there is a change in a resident's health status or a medical emergency?
  • 5The facility has a 1-star CMS overall rating; what specific steps are you currently taking to address the underlying issues identified in recent inspections and improve the quality of care?
  • 6How do you ensure consistent oversight and accountability for the care provided during night and weekend shifts?

Personalized based on this facility's data


Key Review Excerpts

The staff is extremely caring and some of them have gone above and beyond what is needed. My father now shares a room with her there and they have a spacious double room with a private bath and shower.

Long-term resident's family · 2024★★★★★

The staff are friendly and helpful. I brought Homemade Chili for my Cousin and the staff had no problem with that. The place is clean and it doesn't smell.

Long-term resident's family · 2024★★★★★

My dad has been here for about 3 months now, unexpectedly, the staff has been absolutely amazing with him! Have made him feel right at home!

Long-term resident's family · 2025★★★★
Source: 35 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
60%
Registered nurses for medical care
Total Nursing
3.55hrs
87%
All nurses + aides combined
Staff Turnover
44%
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

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility32.9%
Worse than Avg
Here
32.9%
US
15.5%
IA
19.4%
Harrison
17.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility30.1%
Worse than Avg
Here
30.1%
US
14.4%
IA
17.6%
Harrison
17.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
12.1%
IA
4.1%
Harrison
8.2%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.6%
Better than Avg
Here
14.6%
US
19.5%
IA
20.7%
Harrison
25.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility23.4%
Worse than Avg
Here
23.4%
US
15.3%
IA
17.5%
Harrison
18.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.1%
Better than Avg
Here
98.1%
US
93.4%
IA
93.9%
Harrison
96.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility47.7%
Worse than Avg
Here
47.7%
US
79.8%
IA
73.3%
Harrison
80.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility58.6%
Worse than Avg
Here
58.6%
US
81.8%
IA
84.1%
Harrison
83.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility11.7%
Worse than Avg
Here
11.7%
US
1.6%
IA
2.0%
Harrison
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
Above state avg (6.2)
5 complaint-triggered

Azria Health Rose Vista has ongoing compliance issues with 34 deficiencies across five surveys, including five complaint-triggered violations where families filed reports about care concerns. The facility repeatedly struggles with infection control, fire safety protocols, and electrical system maintenance, with some problems persisting across multiple years. While all deficiencies show correction dates, the pattern of recurring issues in essential safety areas warrants careful consideration during your visit.

Nov 20, 2025Routine
12
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0919Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0688Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0914Potential for harm · PatternCorrected

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.

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.

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.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

Nov 7, 2024Routine
10
0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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.

0914Potential for harm · PatternCorrected

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

May 22, 2024Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Mar 28, 2024Complaint
3
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.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 28, 2023Routine
7
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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.

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Sep 28, 2023Complaint
1
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
23deficiencies
Jan 2, 2026Inspection
Clean

Fed violations: 0, State violations: 0

Nov 20, 2025Inspection
Clean

Fed violations: 8, State violations: 1

Nov 23, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Nov 7, 2024Inspection
Clean

Fed violations: 4, State violations: 0

Jun 4, 2024Complaint
Clean

Fed violations: 0, State violations: 0

May 22, 2024Complaint
Clean

Fed violations: 1, State violations: 0

Apr 17, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Mar 28, 2024Complaint
Clean

Fed violations: 3, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Azria Health Rose Vista

Organization Type

for profit

Chain Affiliation

Chain Name

Azria Health

Chain Size

9 facilities nationwide

Chain avg rating: 1.4/5 · Rank 9 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

Behrendt, KaraW-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 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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