Azria Health Winterset
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 17 Google reviews

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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)
- Above-median deficiencies (13 vs median 5)
Below average in IA · Below recommended RN staffing · Best in AZRIA HEALTH chain
What this means for your family
This facility maintains a strong reputation for a caring, clean, and helpful environment, making it a reliable option for both short-term rehab and long-term care. Because there are no negative patterns identified in the reviews, families should feel comfortable scheduling a tour to observe the staff-resident interactions firsthand.
Google Reviews
Google Reviews
17 reviews on Google“Azria Health Winterset is consistently praised by families for its kind, attentive staff and welcoming atmosphere. Reviewers frequently highlight the facility's cleanliness and the helpfulness of the team in answering questions and supporting residents during both short-term rehab and long-term stays.”
Quality Themes
Tap a score for detailsStrengths
- Kind and attentive nursing staff
- Clean and well-maintained facility
- Helpful communication with family members
- Positive environment for both rehab and long-term care
Rating Trends
Tap a year to see what changed
Distribution · 19 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about how kind and attentive the nursing staff is; how do you ensure that level of personal care remains consistent for every resident?
- 2Since we value clear communication, what is your preferred method for keeping family members updated on their loved one's daily well-being?
- 3We noticed the facility is very well-maintained; what does your routine look like for ensuring the resident rooms and common areas stay clean and comfortable?
- 4With the recent inspections, what specific steps has the facility taken to address past deficiencies and improve the overall care environment?
- 5How do you manage medical emergencies or changes in health status during the overnight hours?
- 6What kind of daily activities or social programs do you have planned to keep residents engaged and part of a positive community?
Personalized based on this facility's data
Key Review Excerpts
“I have had family stay at Azria Health Winterset both long term and for a short stay to get stronger to go home. The staff was very kind and worked hard to care for my family.”
“Very clean facility, friendly, helpful staff who really care about and for the patients. Always willing to answer any questions i have.”
“Thankful for the awesome Thanksgiving luncheon today! What a great turnout and the food was delicious!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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 · 16 measures
7
measures
6
measures
3
measures
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Azria Health Winterset has 36 deficiencies across multiple surveys, with one family complaint regarding resident screening procedures. The facility shows recurring problems with fire safety systems, accident prevention, and medication management across all inspection periods. While all violations have correction dates, the persistence of similar issues—particularly smoke door installations and safety hazards—across three separate surveys suggests ongoing operational challenges that families should discuss during visits.
Mar 19, 2026Routine10
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
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 Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Mar 10, 2025Routine16
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Have exits that are accessible at all times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Resident Rights Deficiencies
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 Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
May 9, 2024Routine10
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
The resident has the right to receive notices in a format and a language he or she understands.
Dec 19, 2023Complaint1
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Federal Penalties
Payment Denial
May 9, 2024
2-day denial
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Apr 15, 2026InspectionClean
Fed violations: 0, State violations: 0
Mar 19, 2026InspectionClean
Fed violations: 9, State violations: 0
Jan 22, 2026OtherClean
Fed violations: 0, State violations: 0
Oct 8, 2025ComplaintClean
Fed violations: 0, State violations: 0
Apr 9, 2025InspectionClean
Fed violations: 0, State violations: 0
Mar 10, 2025InspectionClean
Fed violations: 13, State violations: 0
Dec 17, 2024ComplaintClean
Fed violations: 0, State violations: 0
Jun 19, 2024InspectionClean
Fed violations: 0, State violations: 0
Ownership & Operations
Who Operates This Facility
Azria Health Winterset
for profit
Chain Affiliation
Azria Health
9 facilities nationwide
Chain avg rating: 1.4/5 · Rank 4 of 9 (Best)
Ownership & Management
Owners
Bcp Iowa Opco Holdings LLC
Owner · Organization
Kaminer, Aaron
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
17 reviews from families & visitors
Official Website
Visit azriahealth.com
Medicare data downloads
Original nursing home datasets
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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.