Toledo, IA

Accura Healthcare of Toledo

3-star overall rating with 3-star inspections with $8,193 in total fines with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

403 Grandview Drive, Toledo, IA

(641) 484-5080

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

55

Certified beds

Average residents

52

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Accura Healthcare

Operator or chain grouping

Approved since

2002-04-01

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

No

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

0.41

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.34

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.52

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.27

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

0.75

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

2.97

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.30

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.49

CMS adjusted RN staffing hours

Adjusted total hours

3.89

CMS adjusted total nurse staffing hours

Case-mix index

1.15

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.31%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 37 · Observed rate 8.11% · Lower 95% interval 6.27%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.78	1.02 0.2 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 9 · 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 9 · 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 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	1.69%	8.2% 6.5 pts worse	Numerator 1 · Denominator 59
Staff flu vaccination coverage	4.84%	42% 37.2 pts worse	Numerator 3 · Denominator 62
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 1 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
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
Number of hospitalizations per 1000 long-stay resident days	1.1	1.5 0.4 pts better	1.9 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.8	2.1 0.7 pts worse	1.8 1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.5 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	71.0%	94.0% 23 pts worse	93.4% 22.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 61.0% · Q2 61.0% · Q3 81.1% · Q4 81.4% · 4Q avg 71.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	90.9%	95.2% 4.3 pts worse	95.5% 4.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 90.9%
Percentage of long-stay residents experiencing one or more falls with major injury	6.2%	3.7% 2.5 pts worse	3.3% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 7.3% · Q3 5.4% · Q4 7.0% · 4Q avg 6.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.4%	4.0% 2.4 pts worse	11.4% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 5.6% · Q3 3.1% · Q4 5.4% · 4Q avg 6.4%
Percentage of long-stay residents who lose too much weight	4.4%	4.9% 0.5 pts better	5.4% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 0.0% · Q3 6.1% · Q4 5.1% · 4Q avg 4.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.9%	20.6% 5.3 pts worse	19.6% 6.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 24.2% · Q3 21.2% · Q4 30.0% · 4Q avg 25.9%
Percentage of long-stay residents who received an antipsychotic medication	23.4%	19.8% 3.6 pts worse	16.7% 6.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 28.0% · Q3 23.1% · Q4 16.7% · 4Q avg 23.4% · 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	19.8%	18.5% 1.3 pts worse	16.3% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 19.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.8%	18.3% 3.5 pts worse	14.9% 6.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 25.0% · Q3 19.4% · Q4 31.6% · 4Q avg 21.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.3%	1.7% 0.4 pts better	1.0% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.5% · Q3 3.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	2.5% 1.9 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.4% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	21.0%	26.0% 5 pts better	19.8% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 21.3% · Q3 6.1% · Q4 25.3% · 4Q avg 21.0%
Percentage of long-stay residents with pressure ulcers	5.9%	4.3% 1.6 pts worse	5.1% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 4.6% · Q3 4.8% · Q4 11.5% · 4Q avg 5.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	68.6%	84.3% 15.7 pts worse	81.7% 13.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 52.4% · Q2 47.6% · Q3 67.7% · Q4 96.6% · 4Q avg 68.6%
Percentage of short-stay residents who newly received an antipsychotic medication	2.4%	1.9% 0.5 pts worse	1.6% 0.8 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	68.2%	73.3% 5.1 pts worse	79.7% 11.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 68.2%

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-08 · Fire 2026-01-08

3 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

6 fire-safety deficiencies

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

Cycle 2 Health 2024-11-21 · Fire 2024-11-21

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

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

Cycle 3 Health 2023-12-12 · Fire 2023-12-12

8 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2026-01-08

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2026-01-15

E · Potential for more than minimal harm 2026-01-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2026-01-19

E · Potential for more than minimal harm 2026-01-08

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2026-01-07

D · Potential for more than minimal harm 2026-01-08

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-01-07

D · Potential for more than minimal harm 2026-01-08

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2026-01-15

D · Potential for more than minimal harm 2026-01-08

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2026-01-19

F · Potential for more than minimal harm 2024-11-21

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-12-25

F · Potential for more than minimal harm 2024-11-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-12-04

D · Potential for more than minimal harm 2024-11-21

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-11-26

D · Potential for more than minimal harm 2024-11-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-12-02

D · Potential for more than minimal harm 2024-11-21

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-12-02

F · Potential for more than minimal harm 2023-12-12

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2023-12-29

F · Potential for more than minimal harm 2023-12-12

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-12-16

F · Potential for more than minimal harm 2023-12-12

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-12-16

F · Potential for more than minimal harm 2023-12-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-12-12

F · Potential for more than minimal harm 2023-12-12

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-01-03

E · Potential for more than minimal harm 2023-12-12

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-12-12

E · Potential for more than minimal harm 2023-12-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-12-16

E · Potential for more than minimal harm 2023-12-12

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-12-13

E · Potential for more than minimal harm 2023-12-12

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-12-12

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-08

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 2026-01-30

D · Potential for more than minimal harm 2026-01-08

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-08

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2026-01-30

E · Potential for more than minimal harm 2024-11-21

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 2024-12-09

D · Potential for more than minimal harm 2024-11-21

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 2024-12-09

D · Potential for more than minimal harm 2024-11-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-12-09

B · Minimal harm 2024-11-21

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-12-09

D · Potential for more than minimal harm 2024-08-22

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-08

D · Potential for more than minimal harm 2024-08-22

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2024-09-08

E · Potential for more than minimal harm 2023-12-12

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 2024-01-05

D · Potential for more than minimal harm 2023-12-12

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-12-12

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-12-12

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 2024-01-05

D · Potential for more than minimal harm 2023-12-12

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 2024-01-05

D · Potential for more than minimal harm 2023-12-12

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 2024-01-05

J · Immediate jeopardy 2023-07-13

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 2023-07-25

E · Potential for more than minimal harm 2023-07-13

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-07-25

Penalties and ownership

What sits behind the stars

$8,193 2023-07-13

Fine

Fine · fine $8,193

Fine

Ownership

Accura Management Consulting Services LLC

Operational/Managerial Control · Organization

0% 5 facilities 2025-02-01

Allen, Brady