nursing home in Lake City, IA
Accura Healthcare of Lake City, LLC
1409 West Main Street, Lake City, IA 51449 · (712) 464-3106
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Accura Healthcare of Lake City, LLC at a glance
Accura Healthcare of Lake City, LLC is a 46-bed for-profit nursing home in Lake City, Iowa (Calhoun County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 3.7 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (April 23, 2026) found 7 health citations. The Iowa average is 6.5.
Federal regulators fined it 1 time in the past three years, totaling $35,341.
Nursing staff turnover is 37% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 46
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Accura Healthcare
- Medicare-certified since
- September 6, 1968
- Resident/family council
- Resident
- County
- Calhoun County
- CMS Certification Number
- 165082
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.69 hrs | 3.82 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.35 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.51 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.25 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 37% | 44% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 77.8% | 42.1% | 42.9% | Worse |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 78.8 | 54.5 | 80.6 | Average |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $35,341 | $19,286 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 46 | 65 | 107 | |
| Average residents per day | 41 | 52 | 86 | |
| Occupancy | 89.1% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 11.8% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1.5% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 16.8% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 6.1% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 27.8% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 26.8% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.3% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 6.8% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 16.3% | 20.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 30% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 97.7% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.7% | 94% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.1% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 44% | 73.3% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 82.6% | 84% | 82% | Average |
Inspection citations
State inspectors cited this home for 40 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 23, 2026 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. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected April 21, 2026 |
| April 23, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected May 8, 2026 |
| April 23, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected May 8, 2026 |
| January 15, 2026 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected February 4, 2026 |
| January 15, 2026 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected February 4, 2026 |
| January 15, 2026 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected February 4, 2026 |
| October 30, 2025 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected November 14, 2025 |
| October 22, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Past Non-Compliance |
| April 3, 2025 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | E Potential harm, pattern | Corrected April 8, 2025 |
| April 3, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected April 21, 2025 |
| April 3, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected April 28, 2025 |
| April 3, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 28, 2025 |
| April 3, 2025 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected April 28, 2025 |
| April 3, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected April 28, 2025 |
| April 3, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected April 28, 2025 |
| April 3, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected April 28, 2025 |
| April 3, 2025 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 28, 2025 |
| January 9, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected January 16, 2025 |
| January 9, 2025 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected January 16, 2025 |
| January 9, 2025 Complaint | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Nursing and Physician Services Deficiencies · Tag F0728 | D Potential harm, isolated | Corrected January 16, 2025 |
| January 9, 2025 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | D Potential harm, isolated | Corrected January 16, 2025 |
| January 9, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 30, 2024 |
| May 30, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected June 30, 2024 |
| April 4, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected April 27, 2024 |
| April 4, 2024 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | D Potential harm, isolated | Corrected April 27, 2024 |
| April 4, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected April 27, 2024 |
| February 22, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected March 29, 2024 |
| February 22, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected March 29, 2024 |
| February 22, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected March 29, 2024 |
| February 22, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected March 29, 2024 |
| February 22, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected March 29, 2024 |
| February 22, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 29, 2024 |
| February 22, 2024 Standard | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | E Potential harm, pattern | Corrected March 22, 2024 |
| February 22, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected March 22, 2024 |
| February 22, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 22, 2024 |
| February 22, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected March 22, 2024 |
| February 22, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 22, 2024 |
| February 22, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected March 22, 2024 |
| February 22, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 22, 2024 |
| February 22, 2024 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected March 22, 2024 |
| February 22, 2024 Standard | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected March 22, 2024 |
| February 22, 2024 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected March 22, 2024 |
| February 22, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected March 22, 2024 |
| February 22, 2024 Standard | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943 | D Potential harm, isolated | Corrected March 22, 2024 |
| February 22, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 22, 2024 |
| September 14, 2023 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected September 20, 2023 |
| September 14, 2023 Complaint | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected September 20, 2023 |
| September 14, 2023 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected September 20, 2023 |
| September 14, 2023 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected September 20, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $35,341 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 9, 2025 | Fine | $35,341 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ACCURA HEALTHCARE OF THE HEARTLAND LLC Organization | 5% or greater direct ownership interest | 100% | 07/01/2023 |
| LENEAVE, TED Individual | corporate officer | NOT APPLICABLE | 07/01/2023 |
| TOTI, LISA Individual | corporate officer | NOT APPLICABLE | 07/01/2023 |
| AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 07/01/2023 |
| DUNCAN, DEREK Individual | w-2 managing employee | NOT APPLICABLE | 04/01/2024 |
| LINDGREN, TAESA Individual | w-2 managing employee | NOT APPLICABLE | 04/01/2024 |
| TOTI, LISA Individual | w-2 managing employee | NOT APPLICABLE | 07/01/2023 |
Other nursing homes near Accura Healthcare of Lake City, LLC
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★★★★★5Much above averageTwilight Acres
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★★★★★5Much above averageAccura Healthcare of Pomeroy, LLC
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For-profit · 30 beds · Part of Accura Healthcare
★★★★★3Average
Frequently asked questions
What is Accura Healthcare of Lake City, LLC's rating?
Accura Healthcare of Lake City, LLC has 2 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Accura Healthcare of Lake City, LLC receive?
Its most recent standard health inspection found 7 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Accura Healthcare of Lake City, LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Accura Healthcare of Lake City, LLC?
It is for profit - corporation and part of Accura Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Accura Healthcare of Lake City, LLC and how do I contact it?
Accura Healthcare of Lake City, LLC is at 1409 West Main Street, Lake City, IA 51449. Phone: (712) 464-3106.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.