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C
Below Standard

Azria Health Winterset

1015 West Summit · Winterset, IA 50273

5154621711 · For profit - Limited Liability company

65 beds53.3 residents85 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Azria Health Winterset receives an overall staffing grade of C (Below Standard). With 3.5381 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4743 HPRD, below the recommended 0.75. It is 0.36 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.6% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4743 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.5381hrs/resident/day▼ 0.36
CMS benchmark: 3.48
RN HPRD
0.4743hrs/resident/day▼ 0.21
Recommended: 0.75
Weekend Drop-off
13.6%
3.6795 weekday → 3.1792 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.2495hrs/resident/day
Direct care aides
LPN HPRD
0.6756hrs/resident/day
Licensed practical nurses
Consistency
0.3457std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Madison County Average+0.00 HPRD
3.54
03.54 HPRD
vs. Iowa State Average-0.28 HPRD
3.82
03.54 HPRD
vs. National Average-0.36 HPRD
3.90
03.54 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Azria Health Winterset ★
Winterset · This facility
—
C
3.53810.4743★★☆☆☆
Norwalk Nursing and Rehabilitation Center
Norwalk
19.8 mi
C
3.50470.5188★★☆☆☆
Greenfield Rehabilitation & Health Care Center
Greenfield
22.1 mi
C
3.0780.6194★★★☆☆
Westview of Indianola Care Center
INDIANOLA
22.9 mi
C
3.81850.531★★★★★
Pine Acres Rehabilitation and Care Center
WEST DES MOINES
23.9 mi
D
2.86040.4554☆☆☆☆☆
The Village
INDIANOLA
23.9 mi
A
4.16830.7786★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
24
Total Deficiencies
$0
Fines Assessed
Mar 10, 2025Health
13 deficiencies cited
▼
May 9, 2024Health
7 deficiencies cited· Includes actual harm
▼
Dec 19, 2023Health
1 deficiency cited
▼
Jan 19, 2023Health
3 deficiencies cited
▼

Penalty History

May 9, 2024Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.