Accura Healthcare of Spirit Lake: Staffing, Turnover, and Inspection Record
Accura Healthcare of Spirit Lake is a 80-bed for-profit nursing home in Spirit Lake, Iowa, part of Accura Healthcare. In the CMS August 2026 release it reported 2.27 nurse aide hours per resident per day, 10% below the Iowa average of 2.51, and 40.8% nursing staff turnover (Iowa average 44.0%).
Accura Healthcare of Spirit Lake
1912 Zenith AvenueSpirit Lake, IA 51360
Dickinson County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Accura Healthcare of Spirit Lake, nurse aides logged 2.27 hours per resident per day, 10% below the Iowa average. With about 71 residents a day, that works out to roughly 161 aide hours a day, or about 20 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.27 | 2.51 | 2.32 |
| Licensed practical nurses | 0.72 | 0.56 | 0.86 |
| Registered nurses | 0.55 | 0.74 | 0.69 |
| All nursing staff | 3.54 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.04 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
40.8% of nursing staff at Accura Healthcare of Spirit Lake left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 44.4%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Oct 2, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $34,567 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 22, 2024 | Fine | $34,567 |
| Aug 22, 2024 | Payment Denial | 31 days from Sep 19, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Accura Healthcare of Spirit Lake holds 2 of 5 overall; the Iowa average is 3.1.
About Accura Healthcare of Spirit Lake
- Ownership: For profit - Corporation
- Chain: Accura Healthcare, 41 homes
- Legal name: Accura Healthcare of Spirit Lake LLC
- Medicare and Medicaid certified since: Apr 22, 2004
- Area: rural
Nursing homes near Accura Healthcare of Spirit Lake
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Accura Healthcare of Milford Milford | 6.8 | 46 | 2.23 | 3.53 | 30.2% | 4 | None |
| Good Samaritan - Estherville Estherville | 15.0 | 62 | 2.18 | 3.57 | 49.1% | 2 | None |
| Good Samaritan Society - Jackson Jackson | 15.1 | 46 | 2.29 | 4.07 | 30.8% | 4 | None |
| Estherville Community Care Center Estherville | 15.4 | 46 | 1.88 | 3.38 | 46.2% | 2 | None |
| Colonial Manor Nursing Home Lakefield | 18.4 | 37 | 4.46 | 6.37 | 60.5% | 1 | None |
| Spencer Post Acute Rehabilitation Center Spencer | 19.0 | 82 | 2.26 | 3.38 | — | 1 | $24,706 |
| St Luke Lutheran Nursing Home Spencer | 20.6 | 79 | 2.50 | 3.71 | 44.1% | 2 | $90,076 |
| Ruthven Community Care Center Ruthven | 23.0 | 46 | 2.23 | 3.33 | 35.0% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.