All states › Iowa › Spirit Lake › Accura Healthcare of Spirit Lake
1912 Zenith Avenue Spirit Lake, IA 51360 · Dickinson County
CMS certification number 165528 · See this home on Medicare Care Compare
Is Accura Healthcare of Spirit Lake a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Accura Healthcare of Spirit Lake as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Iowa average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.58 hours per resident per day at Accura Healthcare of Spirit Lake, below the Iowa median of 3.76 (US median: 3.72). About 0.58 of those hours are from registered nurses. On weekends it falls to 3.07 hours, 14% below its all-week average. 42.7% of nursing staff left within a year (Iowa median 41.7%).
About this nursing home
Paying for care at Accura Healthcare of Spirit Lake: Medicare and Medicaid
Accura Healthcare of Spirit Lake is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on October 2, 2025 and found 0 deficiencies, plus 7 from complaint inspections in the same period. In total, inspectors issued 23 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 23 citations at Accura Healthcare of Spirit Lake across 4 inspection dates, 13 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 22, 2024 (complaint inspection). The most common areas cited were nutrition and dietary (7) and quality of life and care (6). The most serious was cited under the CMS rule to "respond appropriately to all alleged violations" (tag F0610, level K, August 22, 2024). 3 citations were under CMS's abuse, neglect and exploitation rules.
April 22, 2026 · 2 citations · includes complaint inspection
EHonor 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.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
October 2, 2025 · 5 citations · includes complaint inspection
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
August 22, 2024 · 12 citations, includes immediate jeopardy · includes complaint inspection
KRespond appropriately to all alleged violations.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
EProvide and implement an infection prevention and control program.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DEnsure 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
August 3, 2023 · 4 citations
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Questions to ask on a tour of Accura Healthcare of Spirit Lake
- Inspectors cited the home at the immediate-jeopardy level on August 22, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 22, 2024. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $34,567 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 22, 2024 | Fine | $34,567 |
| Aug 22, 2024 | Payment Denial | 31 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 3/5 | 3/5 |
| August 2026 | 2/5 | 2/5 | 4/5 | 3/5 |
Add this rating badge to your websiteFree. Shows Accura Healthcare of Spirit Lake's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Accura Healthcare of Spirit Lake
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
0.3 mi
Lakes Regional Healthcare Spirit LakeEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 5m for patients treated and sent home
-
14.5 mi
Avera Holy Family Health EsthervilleEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 1h 50m for patients treated and sent home
-
15.2 mi
Sanford Jackson Medical Center JacksonEmergency roomMedian ER visit 2h 4m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Accura Healthcare of Spirit Lake › All nursing homes in Spirit Lake ›
Compare Accura Healthcare of Spirit Lake with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Accura Healthcare of Milford · Milford · 5 stars · 6.8 mi
Other Accura Healthcare nursing homes in Iowa
- Accura Healthcare of New Hampton · New Hampton · 5 stars
- Accura Healthcare of Bancroft · Bancroft · 5 stars
- Accura Healthcare of Sioux City · Sioux City · 5 stars
- Accura Healthcare of Milford · Milford · 5 stars
- Accura Healthcare of Stanton · Stanton · 4 stars
- Accura Healthcare of Ogden · Ogden · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 44 Accura Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.