nursing home in Cascade, IA
Accura Healthcare of Cascade LLC
701 North Johnson Street NW, Cascade, IA 52033 · (563) 852-3277
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★4
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Accura Healthcare of Cascade LLC at a glance
Accura Healthcare of Cascade LLC is a 46-bed for-profit nursing home in Cascade, Iowa (Dubuque 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 4.3 hours of nursing care per day (0.6 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (May 28, 2026) found 3 health citations. The Iowa average is 6.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 30.6% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 46
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Accura Healthcare
- Medicare-certified since
- January 1, 2006
- Resident/family council
- Resident
- County
- Dubuque County
- CMS Certification Number
- 165568
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) | 4 / 5 | 3.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 5 / 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) | 4.26 hrs | 3.82 hrs | 3.86 hrs | Better |
| 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) | 2.89 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.77 hrs | 3.37 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 30.6% | 44% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 37.5% | 42.1% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 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) | 3 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 24 | 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 | 42 | 52 | 86 | |
| Occupancy | 90.7% | 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) | 8.8% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 25.2% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.9% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 16.1% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 14.3% | 16.6% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 0.8% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 3.8% | 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) | 37.5% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 28.2% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 97.5% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 92.5% | 94% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.8% | 2.1% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 52.2% | 73.3% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 78.1% | 84% | 82% | Average |
Inspection citations
State inspectors cited this home for 5 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 28, 2026 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected June 26, 2026 |
| May 28, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected June 26, 2026 |
| May 28, 2026 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 June 26, 2026 |
| May 28, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected June 15, 2026 |
| May 28, 2026 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 15, 2026 |
| March 4, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 23, 2026 |
| July 3, 2025 Complaint | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Tag F0940 | D Potential harm, isolated | Corrected July 11, 2025 |
| May 15, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected June 6, 2025 |
| May 15, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected June 6, 2025 |
| May 15, 2025 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 June 6, 2025 |
| May 15, 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 31, 2025 |
| July 3, 2024 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Corrected August 2, 2024 |
| July 3, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 2, 2024 |
| July 3, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected August 2, 2024 |
| July 3, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected August 2, 2024 |
| July 3, 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 2, 2024 |
| July 3, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected August 2, 2024 |
| July 3, 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 August 2, 2024 |
| July 3, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected August 2, 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 HEALTHCARE OF THE HEARTLAND LLC Organization | 5% or greater direct ownership interest | 100% | 07/01/2021 |
| AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC Organization | 5% or greater direct ownership interest | — | 07/01/2021 |
| DIXON, KEVIN Individual | corporate director | NOT APPLICABLE | 07/01/2021 |
| LENEAVE, TED Individual | corporate officer | NOT APPLICABLE | 07/01/2021 |
| TOTI, LISA Individual | corporate officer | NOT APPLICABLE | 07/01/2021 |
| BLACK, TAYLOR Individual | w-2 managing employee | NOT APPLICABLE | 07/01/2021 |
| TOTI, LISA Individual | w-2 managing employee | NOT APPLICABLE | 07/01/2021 |
Other nursing homes near Accura Healthcare of Cascade LLC
Monticello Nursing & Rehab Center
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★★★★★3AverageMercyone Dyersville Senior Care
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- CMS high performer
★★★★★5Much above averageAnamosa Care Center
1209 East Third Street, Anamosa, IA 52205 · 18.8 mi
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★★★★★5Much above average- ★★★★★3Average
Grand Meadows Senior Living & Health Care
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For-profit · 32 beds · Part of Tutera Senior Living & Health Care
★★★★★2Below averageEnnoble Nursing and Rehab
2000 Pasadena Drive, Dubuque, IA 52001 · 20.7 mi
For-profit · 85 beds · Part of Shlomo Hoffman
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Accura Healthcare of Cascade LLC's rating?
Accura Healthcare of Cascade 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 Cascade LLC receive?
Its most recent standard health inspection found 3 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Accura Healthcare of Cascade 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 Cascade LLC?
It is for profit - limited liability company and part of Accura Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Accura Healthcare of Cascade LLC and how do I contact it?
Accura Healthcare of Cascade LLC is at 701 North Johnson Street NW, Cascade, IA 52033. Phone: (563) 852-3277.
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.