States › Iowa › Madison County
Nursing homes in Madison County, Iowa
There are 1 certified nursing home in Madison County, Iowa, with 65 beds between them.
100% of them are rated 1 or 2 stars overall, a larger share than the state (38%). Inspectors recorded 30 health deficiencies over three cycles, 46.2 per 100 beds against 31.7 statewide.
No fines are listed for facilities in the county in the period covered.
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 | Madison County | Iowa | US |
|---|---|---|---|
| Facilities | 1 | 387 | 14690 |
| Rated 1–2 stars overall | 100% | 38% | 41% |
| Median overall rating | 2 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 46.2 | 31.7 | 26.8 |
| Median nurse hours per resident day | 3.4 | 3.7 | 3.7 |
| Fines listed | $0 | $7.5M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Azria Health Winterset | Winterset | 65 | 2 | 2 | 2 | 30 | 46.2 | — | 19 Mar 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 |
|---|---|---|
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 3 |
| F0880 | Provide and implement an infection prevention and control program. | 2 |
| F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | 2 |
| F0641 | Ensure each resident receives an accurate assessment. | 2 |
| F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | 2 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 1 |
Chains present: Azria Health (1).
Questions and answers
How many nursing homes are in Madison County, Iowa?
1 Medicare-certified nursing home with 65 certified beds.
Which nursing homes in Madison County have the highest CMS ratings?
Azria Health Winterset (2 stars)
How do Madison County nursing homes compare with Iowa?
100% are rated 1–2 stars overall against 38% statewide; citations run at 46.2 per 100 beds against 31.7 statewide.