Federal inspection record · CMS data as of October 1, 2026
Accura Healthcare of Onawa
222 North 15th Street, Onawa, IA · (712) 423-2510
- Certified beds
- 46
- Residents per day
- 39
- Ownership
- For-Profit
- Chain
- Accura Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 1995
1
How this home got 2 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
-
Staffing
★★★★★no change
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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Accura Healthcare of Onawa carries 65 inspection points. That is fewer than 26% 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
28 health citations on record since 2024. 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.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care9E
- E
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights6E
- E
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- 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
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.
Nutrition and Dietary5E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- 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.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Resident Assessment and Care Planning3E
- E
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
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspection history
2026-07-09
10 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2025-05-08
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2024-06-13
13 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 10 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
3 h 10 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 63% 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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 1.3 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.4 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine15.1 pts worse | 79.1% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.3 pts better | 97.1% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.9 pts better | 0.0% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.4 pts better | 0.8% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight7.3 pts worse | 11.7% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.8 pts worse | 23.8% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.2 pts worse | 31.0% | 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 worsened0.7 pts worse | 15.9% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.2 pts worse | 24.8% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts worse | 2.8% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 2.4% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.1 pts worse | 26.1% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts better | 2.8% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine34 pts worse | 50.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication12.9 pts worse | 15.0% | 2.1% | 1.5% |
·
Who owns and runs it
37 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 Management Consulting Services LLC | Operational/Managerial Control · Organization | 0% | 12 facilities |
| Accura Management Consulting Services LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Allen, Brady | Indirect Ownership Interest · Individual | 0% | 12 facilities |
| Allen, Brady | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Allen, Brady | Adp Of The SNF · Individual | 0% | 12 facilities |
| Avenue94 LLC | Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Aviv Financing Ii LLC | Adp Of The SNF · Organization | 0% | 13 facilities |
| Aviv Healthcare Holdings LLC | Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Aviv Healthcare Of The Midwest LLC | Direct Ownership Interest · Organization | 0% | 11 facilities |
| Aviv Healthcare Of The Midwest LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Aviv Healthcare Properties Operating Partnership I LP | Adp Of The SNF · Organization | 0% | 13 facilities |
| Aviv Op Limited Partner LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Dudley, Paul | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Dudley, Paul | Adp Of The SNF · Individual | 0% | 3 facilities |
| Glaser, Kristopher | Indirect Ownership Interest · Individual | 0% | 13 facilities |
| Glaser, Kristopher | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Glaser, Kristopher | Adp Of The SNF · Individual | 0% | 13 facilities |
| Infante, Jordan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Infante, Jordan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Iowa Lincoln County Property LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Kimmons Healthcare Investments LLC | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Kleinsasser, Megan | Indirect Ownership Interest · Individual | 0% | 12 facilities |
| Kleinsasser, Megan | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Kleinsasser, Megan | Adp Of The SNF · Individual | 0% | 12 facilities |
| Ktl Enterprises LLC | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Leneave, Ted | Indirect Ownership Interest · Individual | 0% | 44 facilities |
| Leneave, Ted | Operational/Managerial Control · Individual | 0% | 44 facilities |
| Leneave, Ted | Adp Of The SNF · Individual | 0% | 44 facilities |
| Little River Investments LLC | Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Ohi Healthcare Properties Limited Partnership | Adp Of The SNF · Organization | 0% | 15 facilities |
| Omega Healthcare Investors Inc | Adp Of The SNF · Organization | 0% | 33 facilities |
| Slemp, Jessica | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Slemp, Jessica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Toti, Lisa | Indirect Ownership Interest · Individual | 0% | 33 facilities |
| Toti, Lisa | Operational/Managerial Control · Individual | 0% | 33 facilities |
| Toti, Lisa | Adp Of The SNF · Individual | 0% | 33 facilities |
| Zrr Opco LLC | Indirect Ownership Interest · Organization | 0% | 7 facilities |
·
Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Install corridor and hallway doors that block smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Provide properly protected cooking facilities.
Construction3F
- D
Use approved construction type or materials.
- F
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
- E
Use approved construction type or materials.
Egress3F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
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.
- F
Install proper backup exit lighting.
Gas, Vacuum, and Electrical Systems1D
- D
Meet requirements for the use and maintenance of medical gas equipment.
·
Other homes nearby
-
Pleasant View Care Center
Whiting, IA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 21 min
- Fines
- $0
-
★★★★★
- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 41 min
- Fines
- $0
-
Maple Heights
Mapleton, IA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 25 min
- Fines
- $0