Federal inspection record · CMS data as of October 1, 2026
Accura Healthcare of Pomeroy, LLC
303 East 7th Street, Pomeroy, IA · (712) 468-2241
- Certified beds
- 30
- Residents per day
- 23
- Ownership
- For-Profit
- Chain
- Accura Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1999
1
How this home got 3 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.
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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.
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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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Accura Healthcare of Pomeroy, LLC carries 30 inspection points. That is fewer than 53% 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
19 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning6D
- D
Assess the resident when there is a significant change in condition
- 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
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.
Quality of Life and Care5D
- 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.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
Resident Rights4D
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- 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
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nursing and Physician Services1D
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Administration1F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspection history
2026-05-14
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2025-05-01
9 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-05-22
5 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 33 min of nursing staff time a day, 59 min of it from a registered nurse.
This home
4 h 33 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 67% 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 vaccine16.3 pts worse | 77.9% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better | 96.4% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.8 pts better | 1.1% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.3 pts worse | 12.5% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.1 pts better | 2.3% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13 pts better | 8.0% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.5 pts worse | 23.3% | 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 worsened1.3 pts worse | 16.5% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.9 pts worse | 19.5% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder4.4 pts worse | 5.8% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts worse | 4.2% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.8 pts worse | 29.8% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts worse | 5.1% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.4 pts worse | 83.6% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
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Who owns and runs it
15 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 |
| Accura Healthcare Of Pomeroy LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Accura Healthcare Of Pomeroy LLC | Adp Of The SNF · Organization | 0% | 1 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 |
| Boevers, Jennifer | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Boevers, Jennifer | Adp Of The SNF · Individual | 0% | 3 facilities |
| Gemino Healthcare Finance LLC | 5% Or Greater Security Interest · Organization | 0% | 9 facilities |
| Leneave, Ted | Adp Of The SNF · Individual | 0% | 44 facilities |
| Lindgren, Taesa | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Lindgren, Taesa | Adp Of The SNF · Individual | 0% | 2 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 | Operational/Managerial Control · Individual | 0% | 33 facilities |
| Toti, Lisa | Adp Of The SNF · Individual | 0% | 33 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Provide a written emergency evacuation plan.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Smoke3F
- F
Install corridor and hallway doors that block smoke.
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Emergency Preparedness2F
- F
Establish roles under a Waiver declared by secretary.
- F
Develop and maintain an Emergency Preparedness Program (EP).
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