Sioux City, IA

Accura Healthcare of Sioux City, LLC

3-star overall rating with 3-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

3800 Indian Hills Drive, Sioux City, IA

(712) 239-5025

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 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

2001-01-01

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

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.55

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.77

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.82

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

4.14

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.31

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.22

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.24

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.67

CMS adjusted RN staffing hours

Adjusted total hours

5.05

CMS adjusted total nurse staffing hours

Case-mix index

1.12

Higher values indicate more complex resident acuity

RN turnover

56%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

30%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

208

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

Performance score

77.92

Composite VBP score used to determine payment impact.

Payment multiplier

1.0253

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 18.42% · Measure score 10 · Achievement 10 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

5.58

Baseline 4.40 hours · Performance 4.67 hours · Measure score 5.58 · Achievement 5.58 · Improvement 1.44

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 23 · 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 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 10 · 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 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	6.67%	8.2% 1.5 pts worse	Numerator 4 · Denominator 60
Staff flu vaccination coverage	6.67%	42% 35.3 pts worse	Numerator 4 · Denominator 60
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 4 · 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	82.4%	94.0% 11.6 pts worse	93.4% 11 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 85.4% · Q2 87.5% · Q3 89.7% · Q4 66.7% · 4Q avg 82.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.5%	95.2% 2.3 pts better	95.5% 2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5%
Percentage of long-stay residents experiencing one or more falls with major injury	1.3%	3.7% 2.4 pts better	3.3% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.6% · Q4 2.6% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.0%	4.0% 2 pts worse	11.4% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 5.4% · Q3 5.4% · Q4 2.6% · 4Q avg 6.0%
Percentage of long-stay residents who lose too much weight	3.6%	4.9% 1.3 pts better	5.4% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 6.1% · Q4 5.7% · 4Q avg 3.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.8%	20.6% 7.8 pts better	19.6% 6.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 11.1% · Q3 13.9% · Q4 10.8% · 4Q avg 12.8%
Percentage of long-stay residents who received an antipsychotic medication	29.6%	19.8% 9.8 pts worse	16.7% 12.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 34.6% · Q3 26.9% · Q4 26.9% · 4Q avg 29.6% · 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	14.5%	18.5% 4 pts better	16.3% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 14.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.3%	18.3% About the same	14.9% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 25.7% · Q3 8.6% · Q4 11.4% · 4Q avg 18.3% · 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	0.7%	2.5% 1.8 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.0%	26.0% 1 pts better	19.8% 5.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 28.4% · Q3 11.7% · Q4 32.1% · 4Q avg 25.0%
Percentage of long-stay residents with pressure ulcers	2.0%	4.3% 2.3 pts better	5.1% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 3.3% · Q4 2.7% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	72.5%	84.3% 11.8 pts worse	81.7% 9.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q4 65.0% · 4Q avg 72.5%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-04 · Fire 2025-12-04

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-10-24 · Fire 2024-10-24

0 health deficiencies

No concentrated health issue counts in this cycle.

9 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 3 Health 2023-07-25 · Fire 2023-07-25

15 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-04

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-12-29

F · Potential for more than minimal harm 2025-12-04

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-12-29

F · Potential for more than minimal harm 2025-12-04

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-12-29

F · Potential for more than minimal harm 2025-12-04

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-12-29

F · Potential for more than minimal harm 2024-10-24

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-11-27

F · Potential for more than minimal harm 2024-10-24

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-11-27

F · Potential for more than minimal harm 2024-10-24

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-11-27

F · Potential for more than minimal harm 2024-10-24

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-11-27

F · Potential for more than minimal harm 2024-10-24

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-11-27

F · Potential for more than minimal harm 2024-10-24

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-11-27

F · Potential for more than minimal harm 2024-10-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-11-27

F · Potential for more than minimal harm 2024-10-24

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-11-27

E · Potential for more than minimal harm 2024-10-24

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-11-27

F · Potential for more than minimal harm 2023-07-25

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-08-18

F · Potential for more than minimal harm 2023-07-25

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-08-18

E · Potential for more than minimal harm 2023-07-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-18

E · Potential for more than minimal harm 2023-07-25

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-08-18

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-04

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 2025-12-05

D · Potential for more than minimal harm 2025-12-04

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-12-05

D · Potential for more than minimal harm 2025-12-04

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-12-05

D · Potential for more than minimal harm 2025-12-04

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-12-05

D · Potential for more than minimal harm 2025-12-04

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-12-05

D · Potential for more than minimal harm 2025-12-04

F710 · Nursing and Physician Services Deficiencies

Health

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2025-12-05

E · Potential for more than minimal harm 2023-07-25

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 2023-08-24

E · Potential for more than minimal harm 2023-07-25

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2023-08-24

E · Potential for more than minimal harm 2023-07-25

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 2023-08-24

E · Potential for more than minimal harm 2023-07-25

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 2023-08-24

E · Potential for more than minimal harm 2023-07-25