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Complaint Investigation

Accura Healthcare Of Spirit Lake

October 2, 2025 · Spirit Lake, IA · 1912 Zenith Avenue
Citations 5
CMS Rating 2/5
Beds 80
Provider ID 165528
Healthcare Facility
Accura Healthcare Of Spirit Lake
Spirit Lake, IA  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF0628
Resident Rights Deficiencies
Potential for More Than Minimal Harm

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 REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/02/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Accura Healthcare of Spirit Lake

1912 Zenith Avenue Spirit Lake, IA 51360

SUMMARY STATEMENT OF DEFICIENCIES

touching everything with their gloves on and should have performed hand hygiene right away after removing their gloves.

The staff received education yesterday after the completion of cares.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/02/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Accura Healthcare of Spirit Lake

1912 Zenith Avenue Spirit Lake, IA 51360

SUMMARY STATEMENT OF DEFICIENCIES

Based on observations, staff interviews and policy review the facility failed to ensure proper temperatures for foods served to residents.

The facility reported a census of 66 residents.

Finding Include: During observation on 10/1/2025 at 11:19 a.m., Staff D, [NAME] checked the temperature of the food in the steam table.

Staff D checked the temperature of the mashed potatoes which tempted at 131.9 degrees fahrenheit (F).

Staff D proceeded with meal service and served the residents the mashed potatoes out of the steam table and did not reheat the potatoes to an appropriate safe temperature.

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.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/02/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Accura Healthcare of Spirit Lake

1912 Zenith Avenue Spirit Lake, IA 51360

SUMMARY STATEMENT OF DEFICIENCIES

Based on observation, staff interviews and facility policy review the facility failed to ensure residents received the proper diet texture to meet the residents needs.The facility reported a census of 66 residents.

Findings Include: During an observation on 10/1/2025 at 11:37 a.m., during meal service Staff D, cook dished up a puree meal for Resident #17.

Staff D placed mashed potatoes on the plate and placed serving of puree beef tips with gravy over the potatoes.

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.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/02/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Accura Healthcare of Spirit Lake

1912 Zenith Avenue Spirit Lake, IA 51360

SUMMARY STATEMENT OF DEFICIENCIES

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Based on observations, staff interviews, and facility policy reviews the facility failed to ensure food was stored and prepared under sanitary conditions.

The facility identified a census of 66 residents.

Findings include: On 09/29/2025 11:21 a.m., during the initial walkthrough in the kitchen was conducted and following concerns were noted.

Observations of the kitchen sinks labeled prep sinks were noted to have food debris in the bottom of the sinks and the far left sink was noted to have approximately 1/4 inch of water with food debris sitting in the bottom of the water.

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.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Spirit Lake, IA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Accura Healthcare of Spirit Lake or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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