Cascade, IA

Accura Healthcare of Cascade LLC

5-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

701 North Johnson Street NW, Cascade, IA

(563) 852-3277

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

46

Certified beds

Average residents

43

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Accura Healthcare

Operator or chain grouping

Approved since

2006-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.88

Registered nurse staffing

LPN hours / resident day

0.63

Licensed practical nurse staffing

Aide hours / resident day

2.98

Nurse aide staffing

Weekend hours

4.08

Weekend nurse staffing

RN turnover

14%

Annual RN turnover

Total nurse turnover

33%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	1.5 About the same	1.9 0.4 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	2.1 0.5 pts better	1.8 0.2 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	83.1%	94.0% 10.9 pts worse	93.4% 10.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.5%	95.2% 2.3 pts better	95.5% 2 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	3.8%	3.7% 0.1 pts worse	3.3% 0.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	1.5%	4.0% 2.5 pts better	11.4% 9.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	2.5%	4.9% 2.4 pts better	5.4% 2.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	41.1%	20.6% 20.5 pts worse	19.6% 21.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	22.4%	19.8% 2.6 pts worse	16.7% 5.7 pts worse	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened	17.8%	18.5% 0.7 pts better	16.3% 1.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	20.8%	18.3% 2.5 pts worse	14.9% 5.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.6%	1.7% 0.1 pts better	1.0% 0.6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	1.3%	2.5% 1.2 pts better	1.7% 0.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.8%	26.0% 2.8 pts worse	19.8% 9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	2.6%	4.3% 1.7 pts better	5.1% 2.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	81.1%	84.3% 3.2 pts worse	81.7% 0.6 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	19.0%	13.1% 5.9 pts worse	12.0% 7 pts worse	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	3.9%	1.9% 2 pts worse	1.6% 2.3 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	52.2%	73.3% 21.1 pts worse	79.7% 27.5 pts worse	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.8%	21.3% 1.5 pts better	23.9% 4.1 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-15 · Fire 2025-05-15

2 health deficiencies

Top issue: Administration (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-07-03 · Fire 2024-07-03

0 health deficiencies

No concentrated health issue counts in this cycle.

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-06-01 · Fire 2023-06-01

1 health deficiencies

Top issue: Environmental (1 deficiency)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-15

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-06-06

E · Potential for more than minimal harm 2025-05-15

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 2025-06-06

E · Potential for more than minimal harm 2025-05-15

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-06-06

F · Potential for more than minimal harm 2024-07-03

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-08-02

F · Potential for more than minimal harm 2024-07-03

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-08-02

F · Potential for more than minimal harm 2024-07-03

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-08-02

E · Potential for more than minimal harm 2024-07-03

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-08-02

E · Potential for more than minimal harm 2024-07-03

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 2024-08-02

E · Potential for more than minimal harm 2024-07-03

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-03

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-03

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-08-02

F · Potential for more than minimal harm 2023-06-01

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-07-03

F · Potential for more than minimal harm 2023-06-01

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-07-03

F · Potential for more than minimal harm 2023-06-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-07-03

E · Potential for more than minimal harm 2023-06-01

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-07-03

E · Potential for more than minimal harm 2023-06-01

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 2023-07-03

D · Potential for more than minimal harm 2023-06-01

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-07-03

D · Potential for more than minimal harm 2023-06-01

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-07-03

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-03

F940 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2025-07-11

E · Potential for more than minimal harm 2025-05-15

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 2025-05-31

E · Potential for more than minimal harm 2023-06-01

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-06-02

Penalties and ownership

What sits behind the stars

Ownership

Accura Healthcare Of The Heartland LLC

5% Or Greater Direct Ownership Interest · Organization

0% 2 facilities 2021-07-01

American Healthcare Associates Inc

5% Or Greater Direct Ownership Interest · Organization

0% 14 facilities 2021-07-01

American Healthcare Management Services LLC

5% Or Greater Direct Ownership Interest · Organization

0% 33 facilities 2021-07-01

Black, Taylor

W-2 Managing Employee · Individual

0% 1 facilities 2021-07-01

Dixon, Kevin

Corporate Director · Individual

0% 1 facilities 2021-07-01

Leneave, Ted

5% Or Greater Indirect Ownership Interest · Individual

0% 38 facilities 2021-07-01

Leneave, Ted

Corporate Officer · Individual

0% 38 facilities 2021-07-01

Toti, Lisa

5% Or Greater Indirect Ownership Interest · Individual

0% 26 facilities 2021-07-01

Toti, Lisa

Corporate Officer · Individual

0% 26 facilities 2021-07-01

Toti, Lisa

W-2 Managing Employee · Individual

0% 26 facilities 2021-07-01

Nearby options

Other facilities in reach

#1

Monticello Nursing & Rehab Center

Monticello, IA

3-star overall rating with 3-star inspections with $4,194 in total fines with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall: 3 / 5
Health: 3 / 5
Staffing: 4 / 5
Fines: $4,194

#2