Accura Healthcare of Spirit Lake

In the surveyor’s words

From the most serious findings on record at Accura Healthcare of Spirit Lake, in the surveyor’s own words.

• Immediate jeopardy, patternF610Aug 22, 2024

  Based on clinical record review, staff interviews, and facility investigation record review, the facility failed to protect residents from further potential abuse after receiving an allegation of abuse alleging a CNA treated Resident #71 roughly and threw her into her wheelchair. Staff reported Resident #71 had feared the staff member would answer her call light on 5/3/24. The resident reported the concern to a staff member who reported it to the charge nurse who reported it to the Assistant Director of Nursing (ADON). The ADON denied being aware of the situation. The situation occurred before breakfast and the facility didn ' t start to investigate until after 3:00 PM. […]

• No harm, potential for more than minimal, widespreadF812Aug 22, 2024

  Based on temperature log review, observations, policy review, and staff interview, the facility failed to ensure food is stored, prepared, and served in a sanitary manner as well ensuring dishes and utensils cleaned in a sanitary manner to prevent foodborne illness. The facility reported a census of 67. Findings include: 1.Initial kitchen tour completed on 8/19/24 at 11:15 AM. The dry storage room had a container of oil sitting on the floor next to a storage rack. An unlabeled/dated container of what appeared to be sunflower seeds found on a storage rack. […]

• No harm, potential for more than minimal, patternF584Apr 22, 2026

  Based on observation, and staff interview, the facility failed to ensure a safe, clean, comfortable, and homelike environment for 8 residents (Resident #2, #4, #10, #12, #13, #14, #15, and #16). The facility reported a census of 72 residents.Environmental observations:On 4/14/26 at 2:12 p.m. Resident #4 upset her bedside table was sticky. Verified it felt sticky. Resident #4 unsure how long it had been that way. On 4/15/26 at 9:03 a.m. Resident #4 again complained of her table being sticky. The center of the table felt sticky. The toilet seat in the resident's bathroom had large areas discolored brown. On 4/20/26 at 8:56 a.m. Staff A Certified Nursing Assistant (CNA) and Staff B CNA assisted Resident #4 with cares. Staff B thought the toilet seat was stained due to loose stools. […]

• No harm, potential for more than minimal, patternF804Oct 2, 2025

  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. […]

• No harm, potential for more than minimal, patternF812Oct 2, 2025

  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. […]