Accura Healthcare of Spirit Lake
1912 Zenith Avenue · Spirit Lake, IA · 51360 · 7123363300
80 certified beds For profit - Corporation Chain: Accura Healthcare
Why this verdict
- Federal penalties on record: $34,567 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.70 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 3.19 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | 1 · $34,567 |
Inspection citations (23 in the current record)
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Potential for harm · E April 22, 2026 · found via complaint
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.
Corrected May 16, 2026 · Resident Rights
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Potential for harm · D April 22, 2026 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 16, 2026 · Quality of Life and Care
-
Potential for harm · D October 2, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected November 26, 2025 · Resident Rights
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Potential for harm · D October 2, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 26, 2025 · Quality of Life and Care
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Potential for harm · E October 2, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 26, 2025 · Nutrition and Dietary
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Potential for harm · D October 2, 2025 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected November 26, 2025 · Nutrition and Dietary
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Potential for harm · E October 2, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 26, 2025 · Nutrition and Dietary
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Immediate jeopardy · K August 22, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 22, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 22, 2024
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected September 14, 2024 · Nutrition and Dietary
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Potential for harm · D August 22, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 14, 2024 · Nutrition and Dietary
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Potential for harm · D August 22, 2024
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.
Corrected September 14, 2024 · Nutrition and Dietary
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Potential for harm · F August 22, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 14, 2024 · Nutrition and Dietary
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Potential for harm · E August 22, 2024
Provide and implement an infection prevention and control program.
Corrected August 23, 2024 · Infection Control
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Potential for harm · D August 22, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 27, 2024 · Resident Rights
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Potential for harm · D August 22, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 22, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 22, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 27, 2024 · Quality of Life and Care
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Potential for harm · D August 22, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 3, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 21, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 3, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 21, 2023 · Quality of Life and Care
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Potential for harm · D August 3, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 21, 2023 · Quality of Life and Care
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Potential for harm · D August 3, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 21, 2023 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 22, 2024 | Fine | $34,567 |
| August 22, 2024 | Payment Denial | 31 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165528 · certified since April 22, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.