Spirit Lake, Iowa · CCN 165528 · Phone: 7123363300 · 80 beds · Ownership: For Profit - Corporation
Accura Healthcare Of Spirit Lake is a Medicare-certified skilled nursing facility (CCN 165528) in Spirit Lake, Iowa. It holds a CMS overall Five-Star rating of 2 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 47/100 (High Risk).
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Accura Healthcare Of Spirit Lake is a Medicare- and Medicaid-certified skilled nursing facility in Spirit Lake, Iowa, operating under CMS Certification Number (CCN) 165528. 80-bed facility. For Profit - Corporation. Part of the Accura Healthcare chain. The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.
Accura Healthcare Of Spirit Lake has held its Medicare/Medicaid certification for approximately 22 years (certification date on file: 2004-04-22). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.
CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.
Long-Stay Quality Measure rating: ★★☆☆☆ (2 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.
Short-Stay Quality Measure rating: ★★★★☆ (4 of 5). Short-stay measures cover post-acute residents discharged within 100 days and include rehospitalization within 30 days, successful return to community, and improvement in function.
Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.
Accura Healthcare Of Spirit Lake has none of the four CMS-published red-flag indicators active at the most recent publish: not on the Special Focus Facility list, no Abuse Icon on Care Compare, no overdue inspection flag, and no recent change-of-ownership flag. Absence of these flags does not mean the facility is deficiency-free — see the survey history below.
Recent health deficiencies cited at last standard survey: 5. National average for facilities of this size is approximately 8 deficiencies per cycle. In its most recent reporting cycle, Accura Healthcare Of Spirit Lake received 1 CMS fine totaling $34,567. Last documented standard health survey: 2025-10-02. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.
CMS health survey weighted score: 68.25. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.
Payment denials for new admissions in the most recent CMS reporting window: 1. Denial-of-payment-for-new-admissions (DPNA) is one of the enforcement remedies CMS uses under 42 CFR 488.417. It is typically imposed when a facility has been cited at scope and severity levels of F or higher and fails to substantially comply by the date specified in the certification notice.
Total enforcement penalties assessed in the most recent reporting window: $2. This figure aggregates Civil Money Penalties (CMPs), DPNA-equivalent revenue impacts, and other monetary remedies under 42 CFR Part 488 Subpart F.
At today's staffing levels, Accura Healthcare Of Spirit Lake would not meet the cadre-specific minimums scheduled to take effect on the May 2029 timeline under 89 FR 40876: nurse-aide HPRD is 2.357 vs the 2.45 floor, a 0.09-hour gap. Closing this gap typically requires either net new hires at the specific cadre, shifted scheduling that reallocates existing FTEs to direct-care hours, or a hardship exemption application under 42 CFR 483.35.
Total nurse staffing: 3.701 hours per resident day (HPRD), which is 0.22 hours above the 3.48 total HPRD floor that the CMS Minimum Staffing Standards rule (89 FR 40876, May 2024) phases in for rural-facility facilities by May 2029.
Staffing mix: RN 0.615 HPRD, LPN 0.728 HPRD, CNA 2.357 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2029 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.
Weekend RN staffing: 0.522 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.
Total nurse staff turnover: 33.3% annualized — moderate.
RN-specific turnover: 33.3% annualized. RN turnover above 50% is the single strongest correlate with QM rating decline in CMS's own internal analyses.
Accura Healthcare Of Spirit Lake is operated as part of Accura Healthcare, a chain operating 38 Medicare-certified facilities (CMS chain identifier 8). Chain-operated facilities tend to share corporate compliance staff, standard operating procedures, and survey-prep resources — but also share enforcement exposure when CMS designates a chain-wide issue under the system-wide quality assurance framework.
Provider type designation: Medicare And Medicaid.
The facility is classified by CMS as rural (outside metropolitan statistical areas). Rural SNFs face different challenges — referral pipeline depth, RN availability, ambulance distance for transfers — and CMS applies certain modifiers to the staffing minimums under hardship exemption pathways for rural facilities.
Peer comparisons use a same-state cohort of 200 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.
FileFlo's compliance indicator for Accura Healthcare Of Spirit Lake is 47/100 (High Risk). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.
FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.
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Accura Healthcare Of Spirit Lake (CCN 165528) holds a CMS overall Five-Star rating of 2 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.
Accura Healthcare Of Spirit Lake is a Medicare-certified skilled nursing facility (CMS Certification Number 165528) in Spirit Lake, Iowa.
FileFlo scores Accura Healthcare Of Spirit Lake's CMS survey-readiness at 47/100 (High Risk). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.
As a Medicare-certified skilled nursing facility, Accura Healthcare Of Spirit Lake is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.
Run FileFlo's free CMS survey-readiness audit for Accura Healthcare Of Spirit Lake — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.
The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:
Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →
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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile