Azria Health Winterset
1015 West Summit · Winterset, IA · 50273 · 5154621711
65 certified beds For profit - Limited Liability company Chain: Azria Health Part of a CCRC
- 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
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.57 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.37 | 0.55–0.75 |
| Weekend hours / resident-day | 3.19 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (30 in the current record)
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Potential for harm · D March 19, 2026
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 March 26, 2026 · Resident Rights
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Potential for harm · D March 19, 2026
Ensure each resident receives an accurate assessment.
Corrected March 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 19, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 26, 2026 · Quality of Life and Care
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Potential for harm · D March 19, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 26, 2026 · Quality of Life and Care
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Potential for harm · D March 19, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 26, 2026 · Quality of Life and Care
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Potential for harm · D March 19, 2026
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 26, 2026 · Nursing and Physician Services
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Potential for harm · D March 19, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 26, 2026 · Nutrition and Dietary
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Potential for harm · D March 19, 2026
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.
Corrected March 26, 2026 · Administration
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Potential for harm · E March 19, 2026
Provide and implement an infection prevention and control program.
Corrected March 26, 2026 · Infection Control
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Potential for harm · D March 10, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 28, 2025 · Resident Rights
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Potential for harm · E March 10, 2025
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 March 28, 2025 · Resident Rights
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Potential for harm · D March 10, 2025
Ensure each resident receives an accurate assessment.
Corrected March 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 10, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 10, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 10, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 28, 2025 · Quality of Life and Care
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Potential for harm · E March 10, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 28, 2025 · Quality of Life and Care
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Potential for harm · D March 10, 2025
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.
Corrected March 28, 2025 · Quality of Life and Care
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Potential for harm · D March 10, 2025
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.
Corrected March 28, 2025 · Pharmacy Service
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Potential for harm · D March 10, 2025
Ensure that residents are free from significant medication errors.
Corrected March 28, 2025 · Pharmacy Service
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Potential for harm · D March 10, 2025
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.
Corrected March 28, 2025 · Pharmacy Service
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Potential for harm · E March 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 28, 2025 · Nutrition and Dietary
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Potential for harm · F March 10, 2025
Provide and implement an infection prevention and control program.
Corrected March 28, 2025 · Infection Control
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Actual harm · G May 9, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 10, 2024 · Quality of Life and Care
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Potential for harm · D May 9, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 9, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 10, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 9, 2024 | Payment Denial | 2 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 165188 · certified since August 16, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.