Lake City, IA

Accura Healthcare of Lake City, LLC

1-star overall rating with 1-star inspections with $38,610 in total fines with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1409 West Main Street, Lake City, IA

(712) 464-3106

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 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

1968-09-06

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

0.50

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.81

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.54

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.85

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.31

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.33

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.36

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

0.67

CMS adjusted RN staffing hours

Adjusted total hours

5.17

CMS adjusted total nurse staffing hours

Case-mix index

1.02

Higher values indicate more complex resident acuity

RN turnover

78%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

47%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,017

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

Performance score

52.28

Composite VBP score used to determine payment impact.

Payment multiplier

1.0068

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

Not reported

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

Total nurse turnover

4.92

Baseline 60.00% · Performance 43.59% · Measure score 4.92 · Achievement 4.92 · Improvement 4.17

Adjusted total nurse staffing

5.54

Baseline 4.88 hours · Performance 4.65 hours · Measure score 5.54 · Achievement 5.54 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.82%	10.72% 1.1 pts worse	No Different than the National Rate · Eligible stays 45 · Observed rate 13.33% · Lower 95% interval 7.77%
Discharge to community	49.25%	50.57% 1.3 pts worse	No Different than the National Rate · Eligible stays 39 · Observed rate 48.72% · Lower 95% interval 39.83%
Medicare spending per beneficiary	0.89	1.02 0.1 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 17 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 60
Staff flu vaccination coverage	16.44%	42% 25.6 pts worse	Numerator 12 · Denominator 73
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	1.5 0.7 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.5 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.5	2.1 1.4 pts worse	1.8 1.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 2.7 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	80.5%	94.0% 13.5 pts worse	93.4% 12.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 44.7% · Q2 78.0% · Q3 100.0% · Q4 100.0% · 4Q avg 80.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.7%	95.2% 2.5 pts better	95.5% 2.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7%
Percentage of long-stay residents experiencing one or more falls with major injury	12.3%	3.7% 8.6 pts worse	3.3% 9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 17.1% · Q3 15.8% · Q4 5.4% · 4Q avg 12.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.8%	4.0% 2.8 pts worse	11.4% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 10.5% · Q3 5.6% · Q4 2.9% · 4Q avg 6.8%
Percentage of long-stay residents who lose too much weight	5.3%	4.9% 0.4 pts worse	5.4% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 6.2% · Q3 3.0% · Q4 2.9% · 4Q avg 5.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.8%	20.6% 2.8 pts better	19.6% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 21.2% · Q3 8.8% · Q4 20.0% · 4Q avg 17.8%
Percentage of long-stay residents who received an antipsychotic medication	15.8%	19.8% 4 pts better	16.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 13.8% · Q3 17.9% · Q4 17.9% · 4Q avg 15.8% · 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	25.4%	18.5% 6.9 pts worse	16.3% 9.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.2% · Q2 22.1% · Q3 26.1% · Q4 26.3% · 4Q avg 25.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	24.4%	18.3% 6.1 pts worse	14.9% 9.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 21.9% · Q3 27.3% · Q4 23.5% · 4Q avg 24.4% · Used in QM five-star
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 · Q1 6.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6% · 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 2.7% · Q4 5.6% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.8%	26.0% 0.8 pts worse	19.8% 7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 29.3% · Q3 7.5% · Q4 44.5% · 4Q avg 26.8%
Percentage of long-stay residents with pressure ulcers	5.2%	4.3% 0.9 pts worse	5.1% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 5.6% · Q3 5.9% · Q4 0.0% · 4Q avg 5.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	68.9%	84.3% 15.4 pts worse	81.7% 12.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 42.3% · Q2 72.0% · Q3 90.5% · 4Q avg 68.9%
Percentage of short-stay residents who had an outpatient emergency department visit	20.9%	13.1% 7.8 pts worse	12.0% 8.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 20.9% · Observed 21.7% · Expected 11.6% · 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 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	44.0%	73.3% 29.3 pts worse	79.7% 35.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 44.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	14.1%	21.3% 7.2 pts better	23.9% 9.8 pts better	Short Stay · 20240701-20250630 · Adjusted 14.1% · Observed 13.0% · Expected 22.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-03 · Fire 2025-04-03

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-02-22 · Fire 2024-02-22

22 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-02-09 · Fire 2023-02-09

8 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-04-03

K362 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-08

E · Potential for more than minimal harm 2025-04-03

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-04-21

F · Potential for more than minimal harm 2024-02-22

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-03-29

F · Potential for more than minimal harm 2024-02-22

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-03-29

F · Potential for more than minimal harm 2024-02-22

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-03-29

F · Potential for more than minimal harm 2024-02-22

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-03-29

F · Potential for more than minimal harm 2024-02-22

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-03-29

F · Potential for more than minimal harm 2024-02-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-03-29

F · Potential for more than minimal harm 2023-02-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-02-21

E · Potential for more than minimal harm 2023-02-09

K362 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-03-08

E · Potential for more than minimal harm 2023-02-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-02-17

D · Potential for more than minimal harm 2023-02-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-02-17

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-15

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2026-02-04

E · Potential for more than minimal harm 2026-01-15

F725 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2026-02-04

E · Potential for more than minimal harm 2026-01-15

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2026-02-04

D · Potential for more than minimal harm 2025-10-30

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 2025-11-14

D · Potential for more than minimal harm 2025-10-22

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.

Not marked corrected

D · Potential for more than minimal harm 2025-04-03

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-04-03

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-04-03

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-04-03

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-04-03

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-04-03

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 2025-04-28

D · Potential for more than minimal harm 2025-04-03

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2025-04-28

J · Immediate jeopardy 2025-01-09

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 2025-01-16

E · Potential for more than minimal harm 2025-01-09

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-01-16

D · Potential for more than minimal harm 2025-01-09

F725 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2025-01-16

D · Potential for more than minimal harm 2025-01-09

F728 · Nursing and Physician Services Deficiencies

Health

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Corrected 2025-01-16

D · Potential for more than minimal harm 2025-01-09

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-05-30

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-30

E · Potential for more than minimal harm 2024-04-04

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 2024-04-27

D · Potential for more than minimal harm 2024-04-04

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-04-27

D · Potential for more than minimal harm 2024-04-04

F725 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2024-04-27

E · Potential for more than minimal harm 2024-02-22

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-03-22

E · Potential for more than minimal harm 2024-02-22

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 2024-03-22