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Nursing HomeMedicaid Investigative

Azria Health Winterset

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

1015 West Summit, Winterset, IA 5027365 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 17 Google reviews

5
4
3
2
1
Azria Health Winterset Nursing Home in Winterset, 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 (2/5 stars)
  • Above-median deficiencies (13 vs median 5)

Below average in IA · Below recommended RN staffing · Best in AZRIA HEALTH chain

Source: Medicare data

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 details
Food10.0Staff10.0Clean10.0Activities10.0MedsN/AMemoryN/AComms10.0ValueN/A

Strengths

  • 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

2344.02018(1)5.02019(1)4.02021(1)5.02022(5)4.92023(9)5.02026(2)

Distribution · 19 analyzed

5
16
4
3
3
0
2
0
1
0

How They Respond to Reviews

0%response rate

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.

Long-term and rehab family member · 2019★★★★★

Very clean facility, friendly, helpful staff who really care about and for the patients. Always willing to answer any questions i have.

Family member · 2023★★★★★

Thankful for the awesome Thanksgiving luncheon today! What a great turnout and the food was delicious!

Family member · 2022★★★★★
Source: 17 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.37hrs
49%
Registered nurses for medical care
Total Nursing
3.57hrs
87%
All nurses + aides combined
Staff Turnover
42%
Lower is better (< 30% = good)
RN Turnover
50%
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 · 16 measures

Medicare Rating
2/ 5
Better Than Avg

7

measures

Worse Than Avg

6

measures

Mixed Results

3

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility30.7%
Worse than Avg
Here
30.7%
US
14.4%
IA
17.6%
Madison
15.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.7%
Mixed vs Avgs
Here
6.7%
US
12.1%
IA
4.1%
Madison
19.5%

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

🚶

Residents whose walking got worse

↓ Lower is better
This Facility24.7%
Worse than Avg
Here
24.7%
US
15.3%
IA
17.5%
Madison
14.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IA
93.9%
Madison
91.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.3%
Better than Avg
Here
17.3%
US
19.5%
IA
20.7%
Madison
24.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.2%
Better than Avg
Here
15.2%
US
15.5%
IA
19.4%
Madison
17.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.2%
Better than Avg
Here
94.2%
US
81.8%
IA
84.1%
Madison
78.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility5.4%
Worse than Avg
Here
5.4%
US
1.6%
IA
2.0%
Madison
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
1penalties
Above state avg (6.2)
1 complaint-triggered

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, 2026Routine
10
0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0584Potential for harm · IsolatedCorrected

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0725Potential for harm · IsolatedCorrected

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0849Potential for harm · IsolatedCorrected

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, 2025Routine
16
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0271Potential for harm · WidespreadCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0584Potential for harm · PatternCorrected

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.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

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.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

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.

0693Potential for harm · IsolatedCorrected

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.

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.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0761Potential for harm · IsolatedCorrected

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.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

May 9, 2024Routine
10
0689Actual 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.

0801Potential for harm · WidespreadCorrected

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.

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.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0574Minimal · WidespreadCorrected

Resident Rights Deficiencies

The resident has the right to receive notices in a format and a language he or she understands.

Dec 19, 2023Complaint
1
0645Potential for harm · IsolatedCorrected

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

10total
30deficiencies
Apr 15, 2026Inspection
Clean

Fed violations: 0, State violations: 0

Mar 19, 2026Inspection
Clean

Fed violations: 9, State violations: 0

Jan 22, 2026Other
Clean

Fed violations: 0, State violations: 0

Oct 8, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Apr 9, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Mar 10, 2025Inspection
Clean

Fed violations: 13, State violations: 0

Dec 17, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Jun 19, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Azria Health Winterset

Organization Type

for profit

Chain Affiliation

Chain Name

Azria Health

Chain Size

9 facilities nationwide

Chain avg rating: 1.4/5 · Rank 4 of 9 (Best)

Ownership & Management

Owners

Bcp Iowa Opco Holdings LLC

Owner · Organization

100%

Kaminer, Aaron

Owner (parent company)

100%

Key personnel

Oxford Finance LLC5% or Greater Security InterestMerron, KristinW-2 Managing EmployeeKaminer, AaronOfficer / DirectorBcp Iowa Opco Holdings LLCManager
Source: Medicare provider data

Contact

Get in Touch

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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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