Federal inspection record · CMS data as of October 1, 2026
Accura Healthcare of Ogden, LLC
625 East Oak Street, Ogden, IA · (515) 275-2481
- Certified beds
- 46
- Residents per day
- 45
- Ownership
- For-Profit
- Chain
- Accura Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 26, 2001
1
How this home got 4 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.
-
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.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Accura Healthcare of Ogden, LLC carries 35 inspection points. That is fewer than 49% 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
22 health citations on record since 2023. 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
Resident Assessment and Care Planning6D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights6D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Quality of Life and Care4D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service2D
- D
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.
- D
Ensure that residents are free from significant medication errors.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Environmental1E
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspection history
2025-09-04
9 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-10-24
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-07-31
7 health deficiencies · 11 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 8 min of nursing staff time a day, 1 h 4 min of it from a registered nurse.
This home
3 h 8 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 27% of nursing staff and 20% 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 vaccine0.4 pts worse | 93.8% | 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 injury0.2 pts better | 3.7% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.5 pts better | 0.7% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.6 pts better | 2.8% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.6 pts worse | 28.6% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12.3 pts worse | 32.1% | 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 worsened0.1 pts better | 15.1% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.8 pts worse | 22.4% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 1.7% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts worse | 3.8% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.6 pts better | 18.4% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.5 pts better | 0.6% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.6 pts worse | 77.4% | 84.0% | 82.3% |
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Who owns and runs it
18 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 Healthcare | Indirect Ownership Interest · Organization | 0% | 4 facilities |
| American Healthcare Associates Inc | Direct Ownership Interest · Organization | 0% | 4 facilities |
| American Healthcare Management Services LLC | Operational/Managerial Control · Organization | 0% | 32 facilities |
| American Healthcare Management Services LLC | Adp Of The SNF · Organization | 0% | 32 facilities |
| Conner, Robert | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Conner, Robert | Adp Of The SNF · Individual | 0% | 13 facilities |
| Gemino Healthcare Finance LLC | 5% Or Greater Security Interest · Organization | 0% | 9 facilities |
| Leneave, Ted | Indirect Ownership Interest · Individual | 0% | 44 facilities |
| Leneave, Ted | Corporate Officer · Individual | 0% | 44 facilities |
| Leneave, Ted | Adp Of The SNF · Individual | 0% | 44 facilities |
| Ogden Manor LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Ogden Manor LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ph Pomeroy LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 4 facilities |
| Ph Pomeroy LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Toti, Lisa | Corporate Officer · Individual | 0% | 33 facilities |
| Toti, Lisa | Adp Of The SNF · Individual | 0% | 33 facilities |
| Walsh, Leslie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Walsh, Leslie | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Miscellaneous4F
- E
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems2E
- E
Have proper medical gas storage and administration areas.
- D
Ensure proper usage of power strips and extension cords.
Egress2F
- F
Install proper backup exit lighting.
- E
Have properly located and lighted "Exit" signs.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Construction1E
- E
Use approved construction type or materials.
·
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