Federal inspection record · CMS data as of October 1, 2026
Accura Healthcare of Pleasantville, LLC
909 North State Street, Pleasantville, IA · (515) 848-5718
- Certified beds
- 46
- Residents per day
- 43
- Ownership
- For-Profit
- Chain
- Accura Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 3, 1997
1
How this home got 1 star
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.
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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.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Accura Healthcare of Pleasantville, LLC carries 89 inspection points. That is fewer than 18% 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
44 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 (2)
-
K
Provide and implement an infection prevention and control program.
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G
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Everything else, by area of care
Quality of Life and Care10F
- 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
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- F
Ensure the activities program is directed by a qualified professional.
- E
Provide activities to meet all resident's needs.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning10E
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- 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 necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Rights7E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
Freedom from Abuse, Neglect, and Exploitation4E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary4E
- 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
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services3F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Administration2F
- E
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Infection Control2F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Inspection history
2026-04-30
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (1 deficiency)
2025-05-08
16 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2024-06-24
27 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 39 min of nursing staff time a day, 31 min of it from a registered nurse.
This home
3 h 39 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 64% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$28,724 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-30 | Fine | $28,724 |
6
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 vaccine1 pts worse | 93.2% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.2 pts worse | 95.6% | 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 symptoms0.9 pts worse | 5.1% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts better | 4.3% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication18.9 pts worse | 39.9% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication28.1 pts worse | 47.9% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.4 pts worse | 0.6% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.7 pts worse | 18.9% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.3 pts worse | 20.9% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 1.2% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.4 pts better | 18.6% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.1 pts better | 0.0% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better | 88.6% | 84.0% | 82.3% |
·
Who owns and runs it
8 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 |
|---|---|---|---|
| Leneave, Thomas | 5% Or Greater Indirect Ownership Interest · Individual | 30% | 11 facilities |
| American Healthcare Management Services LLC | Operational/Managerial Control · Organization | 0% | 32 facilities |
| Ferguson, Rachel | W-2 Managing Employee · Individual | 0% | 3 facilities |
| Leneave, Ted | Corporate Officer · Individual | 0% | 44 facilities |
| Leneave, Thomas | Corporate Officer · Individual | 0% | 11 facilities |
| Miller, Daniel | W-2 Managing Employee · Individual | 0% | 18 facilities |
| Toti, Lisa | W-2 Managing Employee · Individual | 0% | 33 facilities |
| Toti, Lisa | Corporate Director · Individual | 0% | 33 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness1F
- F
Establish an Emergency Preparedness Program (EP).
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Other homes nearby
-
West Ridge Specialty Care
Knoxville, IA · Care Initiatives
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 53 min
- Fines
- $0
-
Accura Healthcare of Knoxville, LLC
Knoxville, IA · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 27 min
- Fines
- $16,153
-
Accura Healthcare of Carlisle
Carlisle, IA · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 15 min
- Fines
- $37,177