States › Iowa › Dickinson County
Nursing homes in Dickinson County, Iowa
Dickinson County, Iowa, has 2 Medicare-certified nursing homes with 126 certified beds.
50% of them are rated 1 or 2 stars overall, a larger share than the state (38%). Inspectors recorded 31 health deficiencies over three cycles, 24.6 per 100 beds against 31.7 statewide.
Fines in the period covered total $35K across 1 fine.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Dickinson County | Iowa | US |
|---|---|---|---|
| Facilities | 2 | 387 | 14690 |
| Rated 1–2 stars overall | 50% | 38% | 41% |
| Median overall rating | 4 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 24.6 | 31.7 | 26.8 |
| Median nurse hours per resident day | 3.5 | 3.7 | 3.7 |
| Fines listed | $35K | $7.5M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Accura Healthcare of Milford | Milford | 46 | 4 | 5 | 3 | 8 | 17.4 | — | 15 Aug 2024 |
| Accura Healthcare of Spirit Lake | Spirit Lake | 80 | 2 | 2 | 4 | 23 | 28.8 | $35K | 22 Apr 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | 2 |
| F0880 | Provide and implement an infection prevention and control program. | 2 |
| F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | 2 |
| F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | 2 |
| F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | 2 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 2 |
Chains present: Accura Healthcare (2).
Questions and answers
How many nursing homes are in Dickinson County, Iowa?
2 Medicare-certified nursing homes with 126 certified beds.
Which nursing homes in Dickinson County have the highest CMS ratings?
Accura Healthcare of Milford (4 stars), Accura Healthcare of Spirit Lake (2 stars)
How do Dickinson County nursing homes compare with Iowa?
50% are rated 1–2 stars overall against 38% statewide; citations run at 24.6 per 100 beds against 31.7 statewide.