nursing home in Pleasantville, IA
Accura Healthcare of Pleasantville, LLC
909 North State Street, Pleasantville, IA 50225 · (515) 848-5718
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- 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 Pleasantville, LLC at a glance
Accura Healthcare of Pleasantville, LLC is a 46-bed for-profit nursing home in Pleasantville, Iowa (Marion County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 3.5 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 (April 30, 2026) found 1 health citation. The Iowa average is 6.5.
Federal regulators fined it 1 time in the past three years, totaling $28,724.
Nursing staff turnover is 53.7% 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
- March 3, 1997
- Resident/family council
- Resident
- County
- Marion County
- CMS Certification Number
- 165324
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 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) | 3 / 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) | 3.45 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.56 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.38 hrs | 2.52 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.93 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 53.7% | 44% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 88.9% | 42.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 1 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 89 | 54.5 | 80.6 | Worse |
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) | $28,724 | $19,286 | $30,972 | Better |
| 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 | 44 | 52 | 86 | |
| Occupancy | 95.4% | 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) | 0.6% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 50% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 4.3% | 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) | 22% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 25% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.5% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 7.6% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0.6% | 0.2% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 41.7% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 19.1% | 25.6% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 88.9% | 95.3% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 89% | 94% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 84.6% | 84% | 82% | Average |
Inspection citations
State inspectors cited this home for 44 health deficiencies and 1 fire safety deficiency in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 30, 2026 Complaint | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected May 7, 2026 |
| May 8, 2025 Fire safety | Establish an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0001 | F Potential harm, widespread | Corrected May 28, 2025 |
| May 8, 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 | F Potential harm, widespread | Corrected May 30, 2025 |
| May 8, 2025 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | E Potential harm, pattern | Corrected May 30, 2025 |
| May 8, 2025 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 | E Potential harm, pattern | Corrected May 30, 2025 |
| May 8, 2025 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 | E Potential harm, pattern | Corrected May 30, 2025 |
| May 8, 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 | E Potential harm, pattern | Corrected May 30, 2025 |
| May 8, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected May 30, 2025 |
| May 8, 2025 Complaint | 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 May 30, 2025 |
| May 8, 2025 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected May 30, 2025 |
| May 8, 2025 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | D Potential harm, isolated | Corrected May 30, 2025 |
| May 8, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected May 30, 2025 |
| May 8, 2025 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 May 30, 2025 |
| May 8, 2025 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 May 30, 2025 |
| May 8, 2025 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 May 30, 2025 |
| May 8, 2025 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 30, 2025 |
| May 8, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 30, 2025 |
| May 8, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 30, 2025 |
| September 30, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | K Immediate jeopardy, pattern | Corrected October 21, 2024 |
| September 30, 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 | G Actual harm, isolated | Corrected October 21, 2024 |
| September 30, 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 | F Potential harm, widespread | Corrected October 21, 2024 |
| September 30, 2024 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | F Potential harm, widespread | Corrected October 21, 2024 |
| September 30, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected October 21, 2024 |
| September 30, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected October 21, 2024 |
| September 30, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected October 21, 2024 |
| September 30, 2024 Complaint | 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 October 21, 2024 |
| September 30, 2024 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected October 21, 2024 |
| September 30, 2024 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 October 21, 2024 |
| September 30, 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 October 21, 2024 |
| September 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 October 21, 2024 |
| June 24, 2024 Standard | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Tag F0680 | F Potential harm, widespread | Corrected June 25, 2024 |
| June 24, 2024 Standard | 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 June 25, 2024 |
| June 24, 2024 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 | E Potential harm, pattern | Corrected June 25, 2024 |
| June 24, 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 25, 2024 |
| June 24, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected June 25, 2024 |
| June 24, 2024 Complaint | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected June 25, 2024 |
| June 24, 2024 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 June 25, 2024 |
| June 24, 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 June 25, 2024 |
| June 24, 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 June 25, 2024 |
| June 24, 2024 Complaint | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Tag F0661 | D Potential harm, isolated | Corrected June 25, 2024 |
| June 24, 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 June 25, 2024 |
| June 24, 2024 Complaint | 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 June 25, 2024 |
| February 26, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected March 6, 2024 |
| February 26, 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 | E Potential harm, pattern | Corrected March 6, 2024 |
| February 26, 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 March 6, 2024 |
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 $28,724 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 30, 2024 | Fine | $28,724 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LENEAVE, THOMAS Individual | 5% or greater indirect ownership interest | 30% | 01/01/2016 |
| TOTI, LISA Individual | corporate director | NOT APPLICABLE | 01/01/2020 |
| LENEAVE, TED Individual | corporate officer | NOT APPLICABLE | 01/01/2016 |
| LENEAVE, THOMAS Individual | corporate officer | NOT APPLICABLE | 01/01/2016 |
| AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2003 |
| FERGUSON, RACHEL Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2024 |
| MILLER, DANIEL Individual | w-2 managing employee | NOT APPLICABLE | 04/01/2024 |
| TOTI, LISA Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2020 |
Other nursing homes near Accura Healthcare of Pleasantville, LLC
West Ridge Specialty Care
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★★★★★4Above averageAccura Healthcare of Knoxville, LLC
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★★★★★2Below average- ★★★★★1Much below average
Good Samaritan - Indianola
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- CMS high performer
★★★★★5Much above averageWestview of Indianola Care Center
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Frequently asked questions
What is Accura Healthcare of Pleasantville, LLC's rating?
Accura Healthcare of Pleasantville, LLC has 1 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 Pleasantville, LLC receive?
Its most recent standard health inspection found 1 citation, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Accura Healthcare of Pleasantville, 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 Pleasantville, 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 Pleasantville, LLC and how do I contact it?
Accura Healthcare of Pleasantville, LLC is at 909 North State Street, Pleasantville, IA 50225. Phone: (515) 848-5718.
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.