nursing home in Toledo, IA
Accura Healthcare of Toledo
403 Grandview Drive, Toledo, IA 52342 · (641) 484-5080
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- 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 Toledo at a glance
Accura Healthcare of Toledo is a 55-bed for-profit nursing home in Toledo, Iowa (Tama County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Iowa average of 3.1.
Residents receive about 2.9 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (January 8, 2026) found 4 health citations. The Iowa average is 6.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 56.5% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 55
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Accura Healthcare
- Medicare-certified since
- April 1, 2002
- Resident/family council
- Resident
- County
- Tama County
- CMS Certification Number
- 165450
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.7 / 5 | 2.9 / 5 | Worse |
| 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 |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.89 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.29 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.31 hrs | 2.52 hrs | 2.32 hrs | Average |
| 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) | 56.5% | 44% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 57.1% | 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) | 4 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 21 | 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 | 55 | 65 | 107 | |
| Average residents per day | 54 | 52 | 86 | |
| Occupancy | 97.6% | 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) | 5% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.8% | 4.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 23.3% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.7% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 20.1% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 17.4% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.9% | 4.6% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 5.2% | 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) | 28% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 14.2% | 25.6% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 90.9% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 84% | 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) | 2.1% | 2.1% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 68.2% | 73.3% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 84.3% | 84% | 82% | Average |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 20 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 28, 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 May 22, 2026 |
| January 8, 2026 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected January 15, 2026 |
| January 8, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected January 19, 2026 |
| January 8, 2026 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected January 7, 2026 |
| January 8, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected January 15, 2026 |
| January 8, 2026 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected January 19, 2026 |
| January 8, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected January 7, 2026 |
| January 8, 2026 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 January 30, 2026 |
| January 8, 2026 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected January 30, 2026 |
| January 8, 2026 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 January 30, 2026 |
| November 21, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 25, 2024 |
| November 21, 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 December 4, 2024 |
| November 21, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected December 2, 2024 |
| November 21, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected December 2, 2024 |
| November 21, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected November 26, 2024 |
| November 21, 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 December 9, 2024 |
| November 21, 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 | D Potential harm, isolated | Corrected December 9, 2024 |
| November 21, 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 December 9, 2024 |
| November 21, 2024 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | B No harm, pattern | Corrected December 9, 2024 |
| August 22, 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 September 8, 2024 |
| August 22, 2024 Complaint | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | D Potential harm, isolated | Corrected September 8, 2024 |
| December 12, 2023 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | F Potential harm, widespread | Corrected December 16, 2023 |
| December 12, 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 December 12, 2023 |
| December 12, 2023 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected January 3, 2024 |
| December 12, 2023 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 December 29, 2023 |
| December 12, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 16, 2023 |
| December 12, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | E Potential harm, pattern | Corrected December 12, 2023 |
| December 12, 2023 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected December 13, 2023 |
| December 12, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected December 12, 2023 |
| December 12, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected December 16, 2023 |
| December 12, 2023 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 January 5, 2024 |
| December 12, 2023 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 January 5, 2024 |
| December 12, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected January 5, 2024 |
| December 12, 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 January 5, 2024 |
| December 12, 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 | D Potential harm, isolated | Corrected January 5, 2024 |
| December 12, 2023 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 | D Potential harm, isolated | Corrected January 5, 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 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 | 07/28/2025 |
| 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 |
| BISHOP, ANDREW Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| GLASER, KRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 09/01/2024 |
| JONES, BRENDA Individual | adp of the snf | NOT APPLICABLE | 06/22/2025 |
| KLEINSASSER, MEGAN Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| LENEAVE, TED Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| MUSCATINE TOLEDO PROPERTIES LLC Organization | 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 |
| TOTI, LISA Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| ZESCH, CANDACE Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| AVIV HEALTHCARE OF THE MIDWEST LLC Organization | direct ownership interest | NOT APPLICABLE | 04/01/2025 |
| 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 |
| 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 |
| BISHOP, ANDREW Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| GLASER, KRISTOPHER Individual | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| JONES, BRENDA Individual | operational/managerial control | NOT APPLICABLE | 06/22/2025 |
| KLEINSASSER, MEGAN Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| LENEAVE, TED Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| TOTI, LISA Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| ZESCH, CANDACE Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
Other nursing homes near Accura Healthcare of Toledo
- ★★★★★1Much below average
- ★★★★★2Below average
- ★★★★★4Above average
Harmony Marshalltown
910 East Olive, Marshalltown, IA 50158 · 16.2 mi
For-profit · 72 beds · Part of Legacy Healthcare
★★★★★1Much below averageAccura Healthcare of Marshalltown
2401 South Second Street, Marshalltown, IA 50158 · 17 mi
For-profit · 84 beds · Part of Accura Healthcare
- Abuse citation
★★★★★1Much below averageSouthridge Specialty Care
309 West Merle Hibbs Blvd., Marshalltown, IA 50158 · 17 mi
Non-profit · 82 beds · Part of Care Initiatives
★★★★★2Below average
Frequently asked questions
What is Accura Healthcare of Toledo's rating?
Accura Healthcare of Toledo has 3 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 Toledo receive?
Its most recent standard health inspection found 4 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Accura Healthcare of Toledo 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 Toledo?
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 Toledo and how do I contact it?
Accura Healthcare of Toledo is at 403 Grandview Drive, Toledo, IA 52342. Phone: (641) 484-5080.
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.