Federal inspection record · CMS data as of October 1, 2026
Accura Healthcare of Bancroft
546 East Ramsey Street, Bancroft, IA · (515) 885-2463
- CMS high-performer trophy
- Certified beds
- 25
- Residents per day
- 21
- Ownership
- For-Profit
- Chain
- Accura Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1999
1
How this home got 5 stars
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
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Accura Healthcare of Bancroft carries 10 inspection points. That is fewer than 83% 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
5 health citations on record since 2025. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary3E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Administration1F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Resident Rights1D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspection history
2026-05-28
0 health deficiencies · 2 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2025-06-05
5 health deficiencies · 8 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2024-06-13
0 health deficiencies · 4 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 4 h 12 min of nursing staff time a day, 1 h 36 min of it from a registered nurse.
This home
4 h 12 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 41% of nursing staff and 22% of registered nurses left in the past year.
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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.8 pts better | 96.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury9.4 pts worse | 13.3% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 0.0% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.4 pts better | 0.0% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.2 pts worse | 22.2% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication19.8 pts better | 0.0% | 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 worsened7.4 pts better | 7.8% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.3 pts worse | 16.9% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.7 pts worse | 3.1% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.1 pts worse | 5.5% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.2 pts worse | 30.2% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.3 pts better | 1.8% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.2 pts better | 89.2% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
·
Who owns and runs it
11 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 |
|---|---|---|---|
| Accura Midwest Healthcare LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 5 facilities |
| American Healthcare Management Services LLC | Operational/Managerial Control · Organization | 0% | 32 facilities |
| Hjelle, Alan | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Leneave, Ted | Corporate Director · Individual | 0% | 44 facilities |
| Leneave, Ted | Corporate Officer · Individual | 0% | 44 facilities |
| Leneave, Thomas | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 11 facilities |
| Leneave, Thomas | Corporate Director · Individual | 0% | 11 facilities |
| Leneave, Thomas | Corporate Officer · Individual | 0% | 11 facilities |
| Morphew, Autumn | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Toti, Lisa | W-2 Managing Employee · Individual | 0% | 33 facilities |
| Toti, Lisa | Corporate Director · Individual | 0% | 33 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- E
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Egress4F
- F
Have exits that are accessible at all times.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
- D
Have properly located and lighted "Exit" signs.
Miscellaneous2F
- E
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- F
Conduct testing and exercise requirements.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
-
Titonka Care Center
Titonka, IA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 13 min
- Fines
- $0
-
Timely Mission Nursing Home
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 2 h 53 min
- Fines
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-
Algona Manor Care Center
Algona, IA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 24 min
- Fines
- $0