Ames, IA

Accura Healthcare of Ames, LLC

3-star overall rating with 3-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

3440 Grand Avenue, Ames, IA

(515) 232-3426

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Accura Healthcare

Operator or chain grouping

Approved since

2000-09-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

37 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.53

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.55

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.21

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.30

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.08

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

2.85

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.33

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.62

CMS adjusted RN staffing hours

Adjusted total hours

3.85

CMS adjusted total nurse staffing hours

Case-mix index

1.17

Higher values indicate more complex resident acuity

RN turnover

46%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

40%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,373

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

23.84

Composite VBP score used to determine payment impact.

Payment multiplier

0.9833

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

2.13

Baseline 5.42% · Performance 7.20% · Measure score 2.13 · Achievement 2.13 · Improvement 0

Total nurse turnover

3.35

Performance 50.00% · Measure score 3.35 · Achievement 3.35 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

1.67

Baseline 3.38 hours · Performance 3.55 hours · Measure score 1.67 · Achievement 1.67 · Improvement 0.22

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.06%	10.72% 0.3 pts worse	No Different than the National Rate · Eligible stays 53 · Observed rate 11.32% · Lower 95% interval 7.1%
Discharge to community	51.16%	50.57% 0.6 pts better	No Different than the National Rate · Eligible stays 43 · Observed rate 48.84% · Lower 95% interval 39%
Medicare spending per beneficiary	0.73	1.02 0.3 pts better
Drug regimen review with follow-up	92%	95.27% 3.3 pts worse	Numerator 23 · Denominator 25
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 25
Discharge self-care score	54.55%	53.69% 0.9 pts better	Numerator 12 · Denominator 22
Discharge mobility score	59.09%	50.94% 8.2 pts better	Numerator 13 · Denominator 22
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 25 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.2%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 26 · Observed rate 7.69% · Lower 95% interval 4.25%
Staff COVID-19 vaccination coverage	8.64%	8.2% 0.4 pts better	Numerator 7 · Denominator 81
Staff flu vaccination coverage	39.36%	42% 2.6 pts worse	Numerator 37 · Denominator 94
Discharge function score	72.73%	56.45% 16.3 pts better	Numerator 16 · Denominator 22
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.1%	94.0% 3.1 pts better	93.4% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 93.2% · Q3 95.1% · Q4 100.0% · 4Q avg 97.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.5%	95.2% 3.3 pts better	95.5% 3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5%
Percentage of long-stay residents experiencing one or more falls with major injury	4.1%	3.7% 0.4 pts worse	3.3% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 5.1% · Q3 3.3% · Q4 4.9% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.5%	4.0% 3.5 pts better	11.4% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5%
Percentage of long-stay residents who lose too much weight	8.1%	4.9% 3.2 pts worse	5.4% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 8.8% · Q3 11.9% · Q4 3.8% · 4Q avg 8.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.8%	20.6% 1.8 pts better	19.6% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 21.1% · Q3 20.3% · Q4 18.9% · 4Q avg 18.8%
Percentage of long-stay residents who received an antipsychotic medication	13.6%	19.8% 6.2 pts better	16.7% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 16.7% · Q3 10.3% · Q4 11.8% · 4Q avg 13.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	27.2%	18.5% 8.7 pts worse	16.3% 10.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 30.1% · Q3 28.0% · Q4 28.8% · 4Q avg 27.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.4%	18.3% 0.1 pts worse	14.9% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 23.2% · Q3 10.2% · Q4 26.4% · 4Q avg 18.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.9%	1.7% 0.8 pts better	1.0% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.3%	2.5% 0.8 pts worse	1.7% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.1% · Q3 3.3% · Q4 5.0% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.7%	26.0% 2.3 pts better	19.8% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 31.8% · Q3 21.4% · Q4 18.4% · 4Q avg 23.7%
Percentage of long-stay residents with pressure ulcers	2.2%	4.3% 2.1 pts better	5.1% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 3.3% · Q3 1.6% · Q4 2.7% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.1%	84.3% 9.8 pts better	81.7% 12.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 90.2% · Q2 92.9% · Q3 94.4% · Q4 100.0% · 4Q avg 94.1%
Percentage of short-stay residents who had an outpatient emergency department visit	15.5%	13.1% 2.4 pts worse	12.0% 3.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.5% · Observed 14.3% · Expected 10.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.3%	73.3% 22 pts better	79.7% 15.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.6%	21.3% 4.3 pts worse	23.9% 1.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.6% · Observed 21.4% · Expected 19.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-26 · Fire 2025-03-26

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-05-22 · Fire 2024-05-22

9 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-01-26 · Fire 2023-01-26

13 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

4 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-03-28

E · Potential for more than minimal harm 2025-03-26

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2025-03-28

E · Potential for more than minimal harm 2025-03-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-03-28

F · Potential for more than minimal harm 2024-05-22

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-05-23

E · Potential for more than minimal harm 2024-05-22

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2024-05-23

E · Potential for more than minimal harm 2024-05-22

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-06-04

E · Potential for more than minimal harm 2024-05-22

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-05-23

E · Potential for more than minimal harm 2024-05-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-05-23

F · Potential for more than minimal harm 2023-01-26

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-02-27

F · Potential for more than minimal harm 2023-01-26

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-02-27

F · Potential for more than minimal harm 2023-01-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-02-27

E · Potential for more than minimal harm 2023-01-26

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-02-08

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-03-26

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-26

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-26

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-26

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-26

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-04-17

G · Actual harm 2024-09-18

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-11

E · Potential for more than minimal harm 2024-05-22

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-21

E · Potential for more than minimal harm 2024-05-22

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-06-21

E · Potential for more than minimal harm 2024-05-22

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-05-22

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-05-22

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-05-22

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-05-22

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-05-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-02-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-03-15

G · Actual harm 2023-01-26

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-02-26

G · Actual harm 2023-01-26

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-02-26

E · Potential for more than minimal harm 2023-01-26

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-02-26