nursing home in Milford, IA
Accura Healthcare of Milford
1600 13th Street, Milford, IA 51351 · (712) 338-4742
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★3
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Accura Healthcare of Milford at a glance
Accura Healthcare of Milford is a 46-bed for-profit nursing home in Milford, Iowa (Dickinson County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Iowa average of 3.1.
Residents receive about 3.5 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (July 31, 2025) found 0 health citations. The Iowa average is 6.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 30.2% 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
- February 1, 1999
- Resident/family council
- Resident
- County
- Dickinson County
- CMS Certification Number
- 165402
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.1 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 1 / 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) | 1 / 5 | 3.3 / 5 | 3.3 / 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) | 3.53 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.48 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.23 hrs | 2.52 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.28 hrs | 3.37 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 30.2% | 44% | 45.8% | Better |
| 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) | 0 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 1 | 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 | 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) | 3.8% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.7% | 4.2% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 8.4% | 19.5% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3.2% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.3% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 29.5% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 35.5% | 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) | 5.8% | 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) | 31.6% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 31.7% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 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) | 100% | 73.3% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 8 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 31, 2025 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 August 1, 2025 |
| July 31, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 30, 2025 |
| August 15, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected September 20, 2024 |
| August 15, 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 | E Potential harm, pattern | Corrected August 26, 2024 |
| August 15, 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 September 15, 2024 |
| May 18, 2023 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 June 16, 2023 |
| May 18, 2023 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected June 16, 2023 |
| May 18, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 16, 2023 |
| May 18, 2023 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected June 16, 2023 |
| May 18, 2023 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | F Potential harm, widespread | Corrected June 16, 2023 |
| May 18, 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 June 16, 2023 |
| May 18, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected June 16, 2023 |
| May 18, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 18, 2023 |
| May 18, 2023 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 | E Potential harm, pattern | Corrected June 18, 2023 |
| May 18, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected June 18, 2023 |
| May 18, 2023 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 18, 2023 |
| May 18, 2023 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 18, 2023 |
| May 18, 2023 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 18, 2023 |
| May 18, 2023 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 June 18, 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 MIDWEST HEALTHCARE LLC Organization | 5% or greater indirect ownership interest | — | 11/01/2017 |
| LENEAVE, THOMAS Individual | 5% or greater indirect ownership interest | — | 11/01/2017 |
| LENEAVE, TED Individual | corporate director | NOT APPLICABLE | 11/01/2017 |
| LENEAVE, THOMAS Individual | corporate director | NOT APPLICABLE | 11/01/2017 |
| TOTI, LISA Individual | corporate director | NOT APPLICABLE | 01/01/2020 |
| LENEAVE, TED Individual | corporate officer | NOT APPLICABLE | 11/01/2017 |
| LENEAVE, THOMAS Individual | corporate officer | NOT APPLICABLE | 11/01/2017 |
| AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 11/01/2017 |
| BUTCHER, DAREN Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2023 |
| OLSON, BRETT Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2024 |
| TOTI, LISA Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2020 |
Other nursing homes near Accura Healthcare of Milford
Accura Healthcare of Spirit Lake
1912 Zenith Avenue, Spirit Lake, IA 51360 · 6.8 mi
For-profit · 80 beds · Part of Accura Healthcare
★★★★★2Below averageSpencer Post Acute Rehabilitation Center
711 West 11th Street, Spencer, IA 51301 · 12.4 mi
For-profit · 82 beds · Part of The Ensign Group
★★★★★1Much below average- ★★★★★2Below average
Good Samaritan - Estherville
1646 Fifth Avenue North, Estherville, IA 51334 · 17.8 mi
Non-profit · 62 beds · Part of Good Samaritan Society
★★★★★3AverageEstherville Community Care Center
2001 First Avenue North, Estherville, IA 51334 · 18 mi
For-profit · 46 beds
- New owner (last 12 months)
★★★★★2Below averageRuthven Community Care Center
2701 Mitchell Street Box 0, Ruthven, IA 51358 · 18.9 mi
Non-profit · 46 beds
★★★★★4Above average
Frequently asked questions
What is Accura Healthcare of Milford's rating?
Accura Healthcare of Milford has 4 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 Milford receive?
Its most recent standard health inspection found 0 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Accura Healthcare of Milford 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 Milford?
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 Milford and how do I contact it?
Accura Healthcare of Milford is at 1600 13th Street, Milford, IA 51351. Phone: (712) 338-4742.
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.