Muscatine, IA

Accura Healthcare of Muscatine

3-star overall rating with 3-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

3440 Mulberry Avenue, Muscatine, IA

(563) 263-2194

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Accura Healthcare

Operator or chain grouping

Approved since

2007-02-07

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

0.71

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

1.87

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.12

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.24

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

2.77

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

0.04

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.63

CMS adjusted RN staffing hours

Adjusted total hours

3.76

CMS adjusted total nurse staffing hours

Case-mix index

1.13

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.5%	10.72% 1.2 pts better	No Different than the National Rate · Eligible stays 26 · Observed rate 0% · Lower 95% interval 6.27%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.95	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 32 · Denominator 32
Falls with major injury	3.13%	0.77% 2.4 pts worse	Numerator 1 · Denominator 32
Discharge self-care score	26.09%	53.69% 27.6 pts worse	Numerator 6 · Denominator 23
Discharge mobility score	13.04%	50.94% 37.9 pts worse	Numerator 3 · Denominator 23
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 32 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 13 · 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 78
Staff flu vaccination coverage	28.42%	42% 13.6 pts worse	Numerator 27 · Denominator 95
Discharge function score	39.13%	56.45% 17.3 pts worse	Numerator 9 · Denominator 23
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 17 · 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	3.7	1.5 2.2 pts worse	1.9 1.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 2.5 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	5.0	2.1 2.9 pts worse	1.8 3.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 5.0 · Observed 4.2 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	94.0% 6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.2% 4.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	11.3%	3.7% 7.6 pts worse	3.3% 8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 7.8% · Q3 14.0% · Q4 17.3% · 4Q avg 11.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.0%	4.0% 3 pts better	11.4% 10.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 2.0% · Q4 0.0% · 4Q avg 1.0%
Percentage of long-stay residents who lose too much weight	5.4%	4.9% 0.5 pts worse	5.4% About the same	Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 7.0% · Q3 5.0% · Q4 2.3% · 4Q avg 5.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.3%	20.6% 4.7 pts worse	19.6% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 22.2% · Q3 31.1% · Q4 28.3% · 4Q avg 25.3%
Percentage of long-stay residents who received an antipsychotic medication	10.7%	19.8% 9.1 pts better	16.7% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 5.9% · Q3 12.5% · Q4 12.5% · 4Q avg 10.7% · 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	14.2%	18.5% 4.3 pts better	16.3% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 14.5% · Q3 15.8% · Q4 12.5% · 4Q avg 14.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	19.3%	18.3% 1 pts worse	14.9% 4.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 16.3% · Q3 18.2% · Q4 22.2% · 4Q avg 19.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.5%	1.7% 0.8 pts worse	1.0% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 4.1% · Q3 1.8% · Q4 2.0% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.6%	2.5% 1.1 pts worse	1.7% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 2.0% · Q3 2.2% · Q4 2.0% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.1%	26.0% 1.9 pts better	19.8% 4.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 36.8% · Q3 20.8% · Q4 13.4% · 4Q avg 24.1%
Percentage of long-stay residents with pressure ulcers	6.3%	4.3% 2 pts worse	5.1% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 7.9% · Q3 7.5% · Q4 1.7% · 4Q avg 6.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	86.6%	84.3% 2.3 pts better	81.7% 4.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 88.5% · Q2 72.0% · Q3 88.0% · Q4 100.0% · 4Q avg 86.6%
Percentage of short-stay residents who had an outpatient emergency department visit	28.0%	13.1% 14.9 pts worse	12.0% 16 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.0% · Observed 30.8% · Expected 12.3% · 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 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	80.0%	73.3% 6.7 pts better	79.7% 0.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 80.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.9%	21.3% 6.6 pts worse	23.9% 4 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.9% · Observed 28.2% · Expected 24.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-08 · Fire 2025-05-08

7 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

4 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 2 Health 2024-08-01 · Fire 2024-08-01

11 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2023-10-26 · Fire 2023-10-26

10 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-08

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-05-23

F · Potential for more than minimal harm 2025-05-08

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-05-23

F · Potential for more than minimal harm 2025-05-08

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-23

E · Potential for more than minimal harm 2025-05-08

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2025-05-23

F · Potential for more than minimal harm 2024-08-01

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 2024-08-21

F · Potential for more than minimal harm 2024-08-01

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-08-22

F · Potential for more than minimal harm 2024-08-01

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-08-08

F · Potential for more than minimal harm 2024-08-01

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-08-12

F · Potential for more than minimal harm 2024-08-01

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-08-01

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-22

F · Potential for more than minimal harm 2024-08-01

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-08-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-08-12

E · Potential for more than minimal harm 2024-08-01

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2024-08-05

E · Potential for more than minimal harm 2024-08-01

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-08-06

E · Potential for more than minimal harm 2024-08-01

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-08-20

F · Potential for more than minimal harm 2023-10-26

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-11-30

F · Potential for more than minimal harm 2023-10-26

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-11-30

F · Potential for more than minimal harm 2023-10-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-06

F · Potential for more than minimal harm 2023-10-26

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-11-30

F · Potential for more than minimal harm 2023-10-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-11-30

F · Potential for more than minimal harm 2023-10-26

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-12-06

F · Potential for more than minimal harm 2023-10-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-11-30

F · Potential for more than minimal harm 2023-10-26

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-11-30

E · Potential for more than minimal harm 2023-10-26

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 2023-11-30

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-28

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-09-22

E · Potential for more than minimal harm 2025-05-08

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-05-20

E · Potential for more than minimal harm 2025-05-08

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-05-20

D · Potential for more than minimal harm 2025-05-08

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-05-20

D · Potential for more than minimal harm 2025-05-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-05-20

D · Potential for more than minimal harm 2025-05-08

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-05-20

D · Potential for more than minimal harm 2025-05-08

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-05-20

D · Potential for more than minimal harm 2024-09-16

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2024-09-30

E · Potential for more than minimal harm 2024-08-01

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 2024-08-30