Pleasantville, IA

Accura Healthcare of Pleasantville, LLC

1-star overall rating with 1-star inspections with $121,050 in total fines with 16 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

909 North State Street, Pleasantville, IA

(515) 848-5718

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 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

1997-03-03

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

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.51

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.43

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.79

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.72

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

0.94

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.44

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.50

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.62

CMS adjusted RN staffing hours

Adjusted total hours

4.53

CMS adjusted total nurse staffing hours

Case-mix index

1.12

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

64%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,707

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

Performance score

15.66

Composite VBP score used to determine payment impact.

Payment multiplier

0.9815

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

Performance 63.64% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

3.13

Baseline 3.89 hours · Performance 3.97 hours · Measure score 3.13 · Achievement 3.13 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 7 · 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 7 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	2.5%	8.2% 5.7 pts worse	Numerator 1 · Denominator 40
Staff flu vaccination coverage	2.5%	42% 39.5 pts worse	Numerator 1 · Denominator 40
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	86.1%	94.0% 7.9 pts worse	93.4% 7.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 97.7% · Q2 76.9% · Q3 83.7% · Q4 85.0% · 4Q avg 86.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	88.9%	95.2% 6.3 pts worse	95.5% 6.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 88.9%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.7% 3.7 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.4%	4.0% 1.4 pts worse	11.4% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 12.9% · Q4 7.5% · 4Q avg 5.4%
Percentage of long-stay residents who lose too much weight	4.3%	4.9% 0.6 pts better	5.4% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 0.0% · Q3 2.6% · Q4 5.6% · 4Q avg 4.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	39.0%	20.6% 18.4 pts worse	19.6% 19.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.0% · Q2 34.4% · Q3 36.8% · Q4 44.4% · 4Q avg 39.0%
Percentage of long-stay residents who received an antipsychotic medication	52.9%	19.8% 33.1 pts worse	16.7% 36.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 54.2% · Q2 56.5% · Q3 53.6% · Q4 48.1% · 4Q avg 52.9% · 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	40.7%	18.5% 22.2 pts worse	16.3% 24.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 41.1% · Q2 57.8% · 4Q avg 40.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	29.4%	18.3% 11.1 pts worse	14.9% 14.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.0% · Q2 44.4% · Q3 22.6% · Q4 12.9% · 4Q avg 29.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.7% 1.7 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	4.8%	2.5% 2.3 pts worse	1.7% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 11.6% · Q4 5.0% · 4Q avg 4.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.6%	26.0% 0.6 pts worse	19.8% 6.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.3% · Q2 31.5% · Q3 21.5% · Q4 28.7% · 4Q avg 26.6%
Percentage of long-stay residents with pressure ulcers	1.7%	4.3% 2.6 pts better	5.1% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.5% · Q3 2.3% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	70.3%	84.3% 14 pts worse	81.7% 11.4 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 70.3%

Survey summary

Recent inspection cycles

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

16 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-06-24 · Fire 2024-06-24

24 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-03-30 · Fire 2023-03-30

21 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

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

E1 · Emergency Preparedness Deficiencies

Fire Safety

Establish an Emergency Preparedness Program (EP).

Corrected 2025-05-28

F · Potential for more than minimal harm 2023-03-30

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-04-21

Inspection history

Recent health citations

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

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 2025-05-30

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

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 2025-05-30

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

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2025-05-30

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

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 2025-05-30

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

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-05-30

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

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-05-30

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

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-05-30

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

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-05-30

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

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-05-30

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

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-05-30

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 2025-05-30

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

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 2025-05-30

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 2025-05-30

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

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-30

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-30

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

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2025-05-30

K · Immediate jeopardy 2024-09-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-21

G · Actual harm 2024-09-30

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 2024-10-21

F · Potential for more than minimal harm 2024-09-30

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 2024-10-21

F · Potential for more than minimal harm 2024-09-30

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-10-21

E · Potential for more than minimal harm 2024-09-30

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-10-21

E · Potential for more than minimal harm 2024-09-30

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 2024-10-21

E · Potential for more than minimal harm 2024-09-30

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-30

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-30

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 2024-10-21

D · Potential for more than minimal harm 2024-09-30

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-30

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-30

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-10-21

F · Potential for more than minimal harm 2024-06-24

F680 · Quality of Life and Care Deficiencies

Health

Ensure the activities program is directed by a qualified professional.

Corrected 2024-06-25

E · Potential for more than minimal harm 2024-06-24

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-06-25

E · Potential for more than minimal harm 2024-06-24

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-06-25

E · Potential for more than minimal harm 2024-06-24

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-06-25

E · Potential for more than minimal harm 2024-06-24

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2024-06-25

E · Potential for more than minimal harm 2024-06-24

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-06-25

E · Potential for more than minimal harm 2024-06-24

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 2024-06-25

D · Potential for more than minimal harm 2024-06-24

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 2024-06-25

D · Potential for more than minimal harm 2024-06-24

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 2024-06-25

D · Potential for more than minimal harm 2024-06-24

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-06-25

D · Potential for more than minimal harm 2024-06-24

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2024-06-25

D · Potential for more than minimal harm 2024-06-24

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-06-25

F · Potential for more than minimal harm 2024-02-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-06

E · Potential for more than minimal harm 2024-02-26

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 2024-03-06

D · Potential for more than minimal harm 2024-02-26

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-06

J · Immediate jeopardy 2023-08-01

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 2023-08-02

G · Actual harm 2023-06-01

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 2023-08-02

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

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 2023-06-02

E · Potential for more than minimal harm 2023-03-30

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 2023-04-20

E · Potential for more than minimal harm 2023-03-30