Total health inspections
2
Iowa average 4.9
Last Health inspection on Jul 2024
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Nora Springs Care Center
Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Nora Springs Care Center
Nora Springs Care Center focuses on healing, wellness, and enriching lives through compassionate care. It offers a welcoming atmosphere where expert caregivers deliver personalized treatments, aiding in physical recovery and enhancing overall quality of life. The facility specializes in a full spectrum of rehabilitation services and amenities.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
50
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
89.8%
Residents per day (avg)
43
Occupancy rate
89.8%
Residents per day (avg)
43
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
27% of new residents, usually for short-term rehab.
Typical stay
13 days
Private pay
53% of new residents, often for short stays.
Typical stay
4 - 5 months
Medicaid
20% of new residents, often for long-term daily care.
Typical stay
10 - 11 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$5.1M
Profit
$811.2K
Privately-owned community
Operated by a business corporation.
Home revenue
$5,082,685.00
Profit
$811,187.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.5M
About this community
Care Services
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Independent & Assisted Living, Rehab-to-Home, Outpatient Therapy
Health Inspection History
Inspections
Total health citations
5
Iowa average 21.7
Citations per inspection
2.5
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 5 citations resulted from standard inspections; and 1 of 5 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
5 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 03, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 03, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
May 18, 2023
Issues related to food quality, meal service, and resident's nutritional needs.
May 18, 2023
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
May 18, 2023
Issues related to medication management, including how drugs are stored, administered, and monitored.
May 18, 2023
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
May 18, 2023
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
May 18, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
Nora Springs Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Nora Springs
50
89.8%
+19%
4.16
-3%
0
5
2.5
0
43
-
$5.1M
$2.3M
44.7%
165347
Akron Care Center, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
2.0
0
42
City Of Akron
$4.7M
$2.1M
46.1%
165595
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
5.7
2
39
American Healthcare Associates Inc
$4.1M
$2.5M
59.9%
165311
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
7.0
1
65
-
$7.1M
$3.0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
3.9
4
40
Accura Healthcare Of The Heartland Llc
$2.0M
$1.0M
47.4%
165082
Places of interest near Nora Springs Care Center
Nora Springs, IA 504580366
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
89
Employees
85
Contractors
4
Staff to resident ratio
1.98:1
0% compared with Iowa averageIowa average ratio: 2.00:1
Avg staff/day
26
Average shift
6.9 hours
7% worse than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
16,388
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
39
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
1.1%
175 contractor hours this quarter
Occupational Therapy Aide: 1
Feeding Assistant: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 39 | 0 | 39 | 8,547 | 91 | 100% | 6.8 |
| Licensed Practical Nurse | 8 | 0 | 8 | 2,886 | 91 | 100% | 8.5 |
| Registered Nurse | 8 | 0 | 8 | 960 | 84 | 92% | 6.8 |
| Medication Aide/Technician | 8 | 0 | 8 | 859 | 79 | 87% | 8.1 |
| Administrator | 1 | 0 | 1 | 466 | 59 | 65% | 7.9 |
| Dietitian | 1 | 0 | 1 | 445 | 56 | 62% | 7.9 |
| Dental Services Staff | 1 | 0 | 1 | 410 | 63 | 69% | 6.5 |
| RN Director of Nursing | 1 | 0 | 1 | 403 | 51 | 56% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 320 | 40 | 44% | 8 |
| Speech Language Pathologist | 6 | 0 | 6 | 276 | 59 | 65% | 3.1 |
| Physical Therapy Aide | 1 | 0 | 1 | 189 | 48 | 53% | 3.9 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 178 | 41 | 45% | 4.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 154 | 20 | 22% | 7.7 |
| Occupational Therapy Aide | 1 | 1 | 2 | 109 | 16 | 18% | 6.8 |
| Physical Therapy Assistant | 4 | 0 | 4 | 70 | 33 | 36% | 2.1 |
| Feeding Assistant | 0 | 1 | 1 | 56 | 18 | 20% | 3.1 |
| Qualified Social Worker | 2 | 0 | 2 | 44 | 19 | 21% | 2.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 13 | 3 | 3% | 4.3 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
39 Certified Nursing Assistant
% of Days
100%
8 Licensed Practical Nurse
% of Days
100%
8 Registered Nurse
% of Days
92%
8 Medication Aide/Technician
% of Days
87%
1 Administrator
% of Days
65%
1 Dietitian
% of Days
62%
1 Dental Services Staff
% of Days
69%
1 RN Director of Nursing
% of Days
56%
1 Nurse Practitioner
% of Days
44%
6 Speech Language Pathologist
% of Days
65%
1 Physical Therapy Aide
% of Days
53%
1 Respiratory Therapy Technician
% of Days
45%
2 Other Dietary Services Staff
% of Days
22%
2 Occupational Therapy Aide
% of Days
18%
4 Physical Therapy Assistant
% of Days
36%
1 Feeding Assistant
% of Days
20%
2 Qualified Social Worker
% of Days
21%
1 Occupational Therapy Assistant
% of Days
3%
1 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
45 residents
Residents by payment source
Medicare
2 residents (4.4%)
Medicaid
18 residents (40%)
Private pay or other
25 residents (55.6%)
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.2
11% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.0
26% better than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
14.9%
Percent of long-stay residents whose need for help with daily activities has increased
14.9%
21% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.9%
Percent of long-stay residents whose ability to move independently worsened
11.9%
40% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.2%
19% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.6%
Percent of long-stay residents experiencing one or more falls with major injury
6.6%
83% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.6%
Percent of long-stay high risk residents with pressure ulcers
4.6%
6% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.0%
Percent of long-stay residents with a urinary tract infection
4.0%
60% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.8%
Percent of long-stay residents who lose too much weight
7.8%
55% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.3%
Percent of long-stay residents who received an antipsychotic medication
19.3%
In line with Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.7%
In line with Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
22% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
78.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
78.4%
7% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Nora Springs Care Center based on CMS SNF Cost Reports.
Occupancy Rate
89.8%
↑ 0.9pp vs 2023
Net Income
$811,187
↑ ~$218K vs 2023
Total Payroll
$2,625,931
↑ ~$53K vs 2023
Profit Margin
16.0%
↑ 3.8pp vs 2023
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Guides for Better Senior Living
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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