ElderGrade
D

49.5/100

Below average

Azria Health Longview

1010 Longview Road, Missouri Valley, IA 51555

CMS 1/5 stars #3 of 3 in Harrison County (712) 642-2264
Certified beds
100
Occupancy
81%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • Nursing staff turnover of 61%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

14.5/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -12 for 3 actual-harm citation(s) in the last 3 years
  • -3.5 for 27 total citations against a national median of 17

Staffing

20/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.21 total nurse hours per resident per day (national median 3.77)
  • 0.59 RN hours per resident per day
  • Weekend staffing drops 11% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 61% of nursing staff left in the last year

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record
  • -2 for 1 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.81 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.59 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.39 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 60.90%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 42 citations

Last standard health inspection: June 12, 2025 (1 year ago).

E Nov 25, 2025 F0602 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

No actual harm, potential for more than minimal harm

E Nov 25, 2025 F0865 From a complaint

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

No actual harm, potential for more than minimal harm

D Oct 1, 2025 F0602 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

No actual harm, potential for more than minimal harm

D Jul 16, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

G Jun 12, 2025 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm to a resident

E Jun 12, 2025 F0725 From a complaint

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

No actual harm, potential for more than minimal harm

E Jun 12, 2025 F0865

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

No actual harm, potential for more than minimal harm

E Jun 12, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of AZRIA HEALTH, which operates 9 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
WILLIAMS, DOUGLAS Individual W-2 MANAGING EMPLOYEE
HORNUNG, STEVEN Individual CORPORATE OFFICER
KAMINER, AARON Individual CORPORATE OFFICER
AZRIA VENTURES LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
HORNUNG, STEVEN Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
KAMINER, AARON Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
DOVETAIL OPCO HOLDINGS LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Azria Health Longview

What is the ElderGrade for Azria Health Longview? +

Azria Health Longview holds an ElderGrade of D (49.5 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Azria Health Longview? +

Residents receive an average of 3.81 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Azria Health Longview been cited for harming residents? +

Yes. 3 of the 42 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Azria Health Longview accept Medicaid? +

Yes, Azria Health Longview is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.