nursing home in Onawa, IA
Accura Healthcare of Onawa
222 North 15th Street, Onawa, IA 51040 · (712) 423-2510
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Accura Healthcare of Onawa at a glance
Accura Healthcare of Onawa is a 46-bed for-profit nursing home in Onawa, Iowa (Monona 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 3.2 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (May 8, 2025) found 9 health citations. The Iowa average is 6.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 50% 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
- June 1, 1995
- Resident/family council
- Resident
- County
- Monona County
- CMS Certification Number
- 165256
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) | 2 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.22 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.63 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.20 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.62 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 50% | 44% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 77.8% | 42.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 6 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 69 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 46 | 65 | 107 | |
| Average residents per day | 40 | 52 | 86 | |
| Occupancy | 87.8% | 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) | 0% | 3.8% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.9% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 29.1% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.9% | 2.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 3% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 28.4% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 18.3% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 11% | 4.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0.9% | 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) | 19.8% | 20.8% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 20.6% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 87.9% | 95.3% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 81.7% | 94% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 11.8% | 2.1% | 1.6% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 57.4% | 84% | 82% | Worse |
Inspection citations
State inspectors cited this home for 34 health deficiencies and 15 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 9, 2026 Complaint | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected July 28, 2026 |
| July 9, 2026 Complaint | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Resident Rights Deficiencies · Tag F0575 | E Potential harm, pattern | Corrected July 28, 2026 |
| July 9, 2026 Complaint | 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 | E Potential harm, pattern | Corrected July 28, 2026 |
| July 9, 2026 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 July 28, 2026 |
| May 8, 2025 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected May 15, 2025 |
| May 8, 2025 Standard | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected May 22, 2025 |
| May 8, 2025 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 22, 2025 |
| May 8, 2025 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected May 22, 2025 |
| May 8, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected May 22, 2025 |
| May 8, 2025 Standard | 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 May 22, 2025 |
| July 27, 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 August 12, 2024 |
| July 27, 2024 Complaint | 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 August 12, 2024 |
| July 27, 2024 Complaint | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected August 12, 2024 |
| June 13, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected July 17, 2024 |
| June 13, 2024 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | F Potential harm, widespread | Corrected July 17, 2024 |
| June 13, 2024 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 July 17, 2024 |
| June 13, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected July 18, 2024 |
| June 13, 2024 Fire safety | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Construction Deficiencies · Tag K0132 | F Potential harm, widespread | Corrected July 18, 2024 |
| June 13, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected July 18, 2024 |
| June 13, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected June 17, 2024 |
| June 13, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | E Potential harm, pattern | Corrected June 26, 2024 |
| June 13, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected June 18, 2024 |
| June 13, 2024 Fire safety | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0922 | D Potential harm, isolated | Corrected June 17, 2024 |
| June 13, 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 June 26, 2024 |
| June 13, 2024 Standard | 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 June 26, 2024 |
| June 13, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 26, 2024 |
| June 13, 2024 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected June 26, 2024 |
| June 13, 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 June 26, 2024 |
| June 13, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected June 26, 2024 |
| June 13, 2024 Standard | 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 26, 2024 |
| January 12, 2024 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 February 1, 2024 |
| January 12, 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 February 1, 2024 |
| January 12, 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 | D Potential harm, isolated | Corrected July 11, 2023 |
| June 29, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected July 15, 2023 |
| June 29, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected August 3, 2023 |
| June 29, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 15, 2023 |
| June 29, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected July 15, 2023 |
| June 29, 2023 Standard | 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 August 11, 2023 |
| June 29, 2023 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 August 11, 2023 |
| June 29, 2023 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected August 11, 2023 |
| June 29, 2023 Standard | 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 August 11, 2023 |
| June 29, 2023 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected August 11, 2023 |
| June 29, 2023 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected August 11, 2023 |
| June 29, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected August 11, 2023 |
| June 29, 2023 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected August 11, 2023 |
| June 29, 2023 Standard | 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 August 11, 2023 |
| June 29, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 11, 2023 |
| June 29, 2023 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 August 11, 2023 |
| June 29, 2023 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 August 11, 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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ACCURA MANAGEMENT CONSULTING SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| ALLEN, BRADY Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| AVIV FINANCING II LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| AVIV HEALTHCARE OF THE MIDWEST LLC Organization | adp of the snf | NOT APPLICABLE | 06/12/2025 |
| AVIV HEALTHCARE PROPERTIES OPERATING PARTNERSHIP I LP Organization | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| AVIV OP LIMITED PARTNER LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| DUDLEY, PAUL Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| GLASER, KRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| INFANTE, JORDAN Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| IOWA LINCOLN COUNTY PROPERTY LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| KLEINSASSER, MEGAN Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| LENEAVE, TED Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP Organization | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| OMEGA HEALTHCARE INVESTORS INC Organization | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| SLEMP, JESSICA Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| TOTI, LISA Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| AVIV HEALTHCARE OF THE MIDWEST LLC Organization | direct ownership interest | NOT APPLICABLE | 02/01/2025 |
| ALLEN, BRADY Individual | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| AVENUE94 LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| AVIV HEALTHCARE HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| GLASER, KRISTOPHER Individual | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| KIMMONS HEALTHCARE INVESTMENTS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| KLEINSASSER, MEGAN Individual | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| KTL ENTERPRISES LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| LENEAVE, TED Individual | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| LITTLE RIVER INVESTMENTS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| TOTI, LISA Individual | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| ZRR OPCO LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| ACCURA MANAGEMENT CONSULTING SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| ALLEN, BRADY Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| DUDLEY, PAUL Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| GLASER, KRISTOPHER Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| INFANTE, JORDAN Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| KLEINSASSER, MEGAN Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| LENEAVE, TED Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| SLEMP, JESSICA Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| TOTI, LISA Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
Other nursing homes near Accura Healthcare of Onawa
- ★★★★★4Above average
Carl T Curtis Health Education Center Nursing Home
923 Senior Circle, Macy, NE 68039 · 14.3 mi
Government · 25 beds
★★★★★4Above average- ★★★★★5Much above average
Accura Healthcare of Tekamah
823 M Street, Tekamah, NE 68061 · 18.7 mi
For-profit · 44 beds · Part of Accura Healthcare
★★★★★1Much below averageOakland Heights
207 South Engdahl Avenue, Oakland, NE 68045 · 23.1 mi
Government · 45 beds
- CMS high performer
★★★★★5Much above averagePioneer Valley Living and Rehab
400 Sergeant Square Drive, Sergeant Bluff, IA 51054 · 28 mi
For-profit · 66 beds
★★★★★1Much below average
Frequently asked questions
What is Accura Healthcare of Onawa's rating?
Accura Healthcare of Onawa 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 Onawa receive?
Its most recent standard health inspection found 9 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Accura Healthcare of Onawa 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 Onawa?
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 Onawa and how do I contact it?
Accura Healthcare of Onawa is at 222 North 15th Street, Onawa, IA 51040. Phone: (712) 423-2510.
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.