CMS data shows Accura Healthcare Of Spirit Lake earning a D grade with a score of 43/100, placing it below most facilities in Iowa. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing at Accura Healthcare Of Spirit Lake is near the national average, with 3.88 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 21 deficiencies at Accura Healthcare Of Spirit Lake, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure food and drink is palatable, attractive, and at a safe and appetizing temperature..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.88 | 3.8 | Average |
| Registered Nurses (RN) | 0.59 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.78 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.51 | 2.4 | Average |
| Weekend Total Nursing | 3.42 | 3.8 | Below Average |
| Weekend RN Hours | 0.49 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0804 Severity EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.Oct 1, 2025 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Oct 1, 2025 · Nutrition and Dietary Deficiencies
- Tag 0628 Severity DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Oct 1, 2025 · Resident Rights Deficiencies
- Tag 0690 Severity DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventOct 1, 2025 · Quality of Life and Care Deficiencies
- Tag 0805 Severity DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Oct 1, 2025 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.4% | 4.5% | Worse |
| Falls with major injury | 5.8% | 3.0% | Worse |
| On antipsychotic medication | 15.1% | 14.5% | Average |
| Urinary tract infections | 0.9% | 2.5% | Better |
| ADL decline (daily activities) | 19.3% | 14.0% | Worse |
| Excessive weight loss | 11.8% | 7.5% | Worse |
| New/worsened incontinence | 33.9% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $34,567
How This Grade Was Calculated
This facility's grade of D is based on a score of 43 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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