Federal inspection record · CMS data as of October 1, 2026
Azria Health Prairie Ridge
608 Prairie Street, Mediapolis, IA · (319) 394-3991
- Certified beds
- 62
- Residents per day
- 57
- Ownership
- For-Profit
- Chain
- Azria Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 1994
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Azria Health Prairie Ridge carries 151 inspection points. That is fewer than 5% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
62 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Rights18F
- F
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- B
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning14E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care10E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Infection Control6D
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Nutrition and Dietary5E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Freedom from Abuse, Neglect, and Exploitation4F
- F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Pharmacy Service3D
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
Environmental1F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-08-06
29 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Rights (9 deficiencies)
2024-08-29
4 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-12-06
29 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (9 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 32 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 32 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 60% of nursing staff and 58% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 0.7 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.8 pts worse | 4.7 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.8 pts better | 99.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better | 96.4% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.2 pts worse | 6.1% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.9 pts better | 2.3% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight6.8 pts worse | 11.2% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.6 pts worse | 23.6% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.2 pts better | 9.6% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.1 pts better | 10.1% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.8 pts better | 9.8% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts better | 0.3% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection5.3 pts worse | 7.7% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.2 pts worse | 32.2% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.4 pts worse | 7.5% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.2 pts worse | 73.8% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.8 pts worse | 13.8% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2 pts worse | 4.1% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.4 pts worse | 64.0% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.4 pts better | 20.3% | 20.7% | 23.4% |
·
Who owns and runs it
6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bcp Iowa Opco Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 6 facilities |
| Kaminer, Aaron | 5% Or Greater Indirect Ownership Interest · Individual | 100% | 13 facilities |
| Bauder, Pearl | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Bcp Iowa Opco Holdings LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Kaminer, Aaron | Corporate Officer · Individual | 0% | 13 facilities |
| Oxford Finance LLC | 5% Or Greater Security Interest · Organization | 0% | 11 facilities |
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Fire safety
22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Gas, Vacuum, and Electrical Systems6F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Emergency Preparedness4F
- F
List the names and contact information of those in the facility.
- F
Conduct testing and exercise requirements.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Construction1F
- F
Use approved construction type or materials.
Egress1F
- F
Install emergency lighting that can last at least 1 1/2 hours.
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