Accura Healthcare Of Spirit Lake
Accura Healthcare of Spirit Lake in Spirit Lake, IA — inspection on October 2, 2025.
Found 5 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of Resident #10's census tab revealed:10/31/2024- hospital leave-unpaid11/1/24- active2/4/25- hospital leave-unpaid2/6/25- active Review of Resident #10's Progress Notes revealed; 10/31/24 at 5:21 p.m., resident being transferred to a larger hospital with diagnosis of Urinary Tract Infection (UTI) and tear in colon. 11/5/24 at 12:05 p.m., resident arrives back to facility. 2/4/25 at 1:30 p.m., Resident sent to the emergency department from doctor appointment to be evaluated for lethargy and UTI symptoms. 2/6/25 at 11:03 a.m., Resident arrived back to the facility.
Review of the facility document titled Notice of Transfer Form to Long Term Care Ombudsman dated October, November and February lacked Resident #10's name.
The facility does not have a policy regarding reporting to the LTCO office.
The facility follows the federal guidelines.
Interview on 10/02/2025 8:47 a.m., with Staff H, Social Worker revealed if a resident goes to the hospital then she would report that to the LTCO office.
Staff H verified Resident #10 should have been reported to the LTCO office when she went to the hospital in October and February.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
165528 10/02/2025
Accura Healthcare of Spirit Lake 1912 Zenith Avenue Spirit Lake, IA 51360
their gloves.
The staff received education yesterday after the completion of cares.
165528 10/02/2025
Accura Healthcare of Spirit Lake 1912 Zenith Avenue Spirit Lake, IA 51360
Review of facility provided policy titled Food Temperatures dated 2013 revealed the following information:All hot foods items must be cooked to appropriate internal temperatures, held and served at a temperature of at least 135 degrees F.
Temperatures should be taken periodically to ensure hot foods stay above 135 degrees F.
Interview on 10/1/2025 at 1:16 p.m., with the Dietary Manager (DM) revealed food in the steam table should be kept at least 135 degrees F if it falls below then should be reheated to ensure proper temperatures at meal service.
The DM further revealed mashed potatoes should have been reheated prior to serving them to the residents.
165528 10/02/2025
Accura Healthcare of Spirit Lake 1912 Zenith Avenue Spirit Lake, IA 51360
Observation of the puree beef tips revealed chunks of beef on the plate.
Asked Staff D if that was a puree meal and was she serving that portion to Resident #17, Staff D replied yes.
Asked the Dietary Manager (DM) if the plate can be served to Resident #17 and the DM replied no not with the chunks of beef like that.
The DM removed the plate from service and remaining portion of puree beef tips from the steam table and pureed new portions for the residents. Resident #24 requested cottage cheese. Resident #24 is a puree diet and Staff D served regular consistency cottage cheese to the resident.
Staff D stated the resident has an order for regular cottage cheese.
Requested order from DM for Resident #24 to have regular cottage cheese consistency and not pureed consistency.
Review of the facility provided policy titled Dysphagia Diets dated 2013 revealed the food service department will be responsible for prepping and serving the diet and fluid consistency as ordered.
Interview on 10/1/1025 at 2:38 p.m., with Staff E, Dietician revealed if a resident is a puree diet then the food needs to be pureed properly when serving it to the resident.
Staff E explained unless the facility had an order for the cottage to be regular consistency it should have been pureed prior to giving it to the resident.
Interview on 10/1/2025 at 1:16 p.m., with the DM revealed she knows that the puree consistency during meal service was a concern and should not have been served.
The DM explained the facility was unable to find an order for Resident #24 to have regular cottage cheese and she should not have served it.
165528 10/02/2025
Accura Healthcare of Spirit Lake 1912 Zenith Avenue Spirit Lake, IA 51360
Observation of the floor by storage area was noted to have 3 straw wrappers laying on the floor in the walking path.Puree food preparation area noted to have dried food debris on the wall behind the food blender.
Observation in the refrigerator of a flat of eggs ready for use with a cracked and empty egg shell on the flat of unused eggs.
Observation in the refrigerator of a cart with meat thawing noted to have raw chicken on the bottom of the cart with a date of 9/23.
Above the raw chicken was ham with a date of 9/25 and above the ham was raw ground beef with a date of 9/27.
Review of the facility provided policy titled Food Storage Dated 2013 revealed food is stored in an area that is clean, dry and free from contamination.
Food is stored, prepared and transported at appropriate temperatures and by methods designed to prevent contamination or cross contamination.
Interview with the Dietary Manager at the conclusion of the initial walkthrough revealed the egg shell should not have been in the carton and should have been thrown away after the egg was used and the meat should not have been thawing in that order in the refrigerator and should have been in the correct order.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.