Accura Healthcare of Lake City, LLC

1409 West Main Street, Lake City, IA 51449

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Accura Healthcare of Lake City, LLC is a nursing home in Lake City, Iowa. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

CMS overall star rating2 of 5
Last standard health inspectionApril 23, 2026 (6 months ago)
Health citations since February 22, 202436 (Iowa average 21)
Fines in the past three years1, $35,341 in total
CMS flagsNone listed by CMS

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

CMS update of October 28, 2026
- Star rating
  The CMS staffing star rating changed from 3 of 5 to 4 of 5.
CMS update of July 29, 2026
- Star rating
  The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of June 24, 2026
- Star rating
  The CMS overall star rating changed from 1 of 5 to 2 of 5.
- Star rating
  The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
CMS update of April 29, 2026
- Star rating
  The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Health inspection on April 23, 2026
2 citations
CMS lists this as a standard inspection.
Show the 2 citations
- Citation F0812. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  CMS lists it as corrected on May 8, 2026.
  CMS has cited this home for F0812 3 times since 2024.
- Citation F0656. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  CMS lists it as corrected on May 8, 2026.
  CMS has cited this home for F0656 3 times since 2024.
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Fire safety inspection on April 23, 2026
1 citation
CMS lists this as a standard inspection.
Show the 1 citation
- Citation K0222. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: 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.
  CMS lists it as corrected on April 21, 2026.
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CMS update of February 25, 2026
- Star rating
  The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Health inspection on January 15, 2026
3 citations
CMS lists this as a complaint inspection.
Show the 3 citations
- Citation F0658. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.
  CMS lists it as corrected on February 4, 2026.
  CMS has cited this home for F0658 3 times since 2024.
- Citation F0725. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  CMS lists it as corrected on February 4, 2026.
  CMS has cited this home for F0725 3 times since 2024.
- Citation F0804. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  CMS lists it as corrected on February 4, 2026.
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CMS update of November 20, 2025
- Name
  CMS lists a new name for this home. It was ACCURA HEALTHCARE OF LAKE CITY LLC.
- Fine
  CMS changed the fine from February 9, 2023 from $20,092 to $12,649.
Health inspection on October 30, 2025
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0812. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  CMS lists it as corrected on November 14, 2025.
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Health inspection on October 22, 2025
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0689. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS has cited this home for F0689 4 times since 2024.
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CMS update of June 25, 2025
- Health citation
  CMS removed citation F0625 from the health inspection on February 22, 2024.
- Fine
  CMS changed the fine from January 9, 2025 from $54,370 to $35,341.
CMS update of April 30, 2025
- Star rating
  The CMS staffing star rating changed from 2 of 5 to 4 of 5.
- Star rating
  The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
Health inspection on April 3, 2025
7 citations
CMS lists this as a standard inspection and a complaint inspection.
Show the 7 citations
- Citation F0580. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  CMS lists it as corrected on April 28, 2025.
- Citation F0656. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  CMS lists it as corrected on April 28, 2025.
- Citation F0658. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.
  CMS lists it as corrected on April 28, 2025.
- Citation F0677. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.
  CMS lists it as corrected on April 28, 2025.
- Citation F0686. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  CMS lists it as corrected on April 28, 2025.
- Citation F0689. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on April 28, 2025.
- Citation F0758. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  CMS lists it as corrected on April 28, 2025.
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Fire safety inspection on April 3, 2025
2 citations
CMS lists this as a standard inspection.
Show the 2 citations
- Citation K0362. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
  CMS lists it as corrected on April 8, 2025.
- Citation K0363. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Install corridor and hallway doors that block smoke.
  CMS lists it as corrected on April 21, 2025.
  CMS has cited this home for K0363 2 times since 2024.
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CMS update of March 26, 2025
- Star rating
  The CMS overall star rating changed from 2 of 5 to 1 of 5.
- Star rating
  The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
CMS update of February 26, 2025
- Star rating
  The CMS staffing star rating changed from 3 of 5 to 2 of 5.
- Star rating
  The CMS quality measures star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
- Fine
  CMS changed the fine from September 14, 2023 from $3,218 to $3,269.
Health inspection on January 9, 2025
5 citations
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
32 of 387 Iowa homes (8%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $35,341 on January 9, 2025.
Show the 5 citations
- Citation F0689. Severity J: immediate jeopardy, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on January 16, 2025.
- Citation F0925. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  CMS lists it as corrected on January 16, 2025.
- Citation F0725. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  CMS lists it as corrected on January 16, 2025.
- Citation F0728. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
  CMS lists it as corrected on January 16, 2025.
- Citation F0755. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  CMS lists it as corrected on September 30, 2024.
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CMS update of October 30, 2024
- Star rating
  The CMS overall star rating changed from 1 of 5 to 2 of 5.
- Star rating
  The CMS staffing star rating changed from 1 of 5 to 3 of 5.
- Star rating
  The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
- Fine
  CMS changed the fine from September 14, 2023 from $4,950 to $3,218.
CMS update of August 29, 2024
- Changed ownership in the last 12 months
  CMS no longer shows a change of ownership in the past 12 months.
CMS update of July 31, 2024
- Star rating
  The CMS overall star rating changed from 3 of 5 to 1 of 5.
- Star rating
  The CMS staffing star rating changed from 3 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
- Star rating
  The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on May 30, 2024
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0684. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  CMS lists it as corrected on June 30, 2024.
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CMS update of April 25, 2024
- Star rating
  The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Health inspection on April 4, 2024
3 citations
CMS lists this as a complaint inspection.
Show the 3 citations
- Citation F0689. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on April 27, 2024.
- Citation F0609. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  CMS lists it as corrected on April 27, 2024.
- Citation F0725. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  CMS lists it as corrected on April 27, 2024.
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Health inspection on February 22, 2024
13 citations
CMS lists this as a standard inspection.
Show the 13 citations
- Citation F0678. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  CMS lists it as corrected on March 22, 2024.
- Citation F0812. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  CMS lists it as corrected on March 22, 2024.
- Citation F0578. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on March 22, 2024.
- Citation F0607. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  CMS lists it as corrected on March 22, 2024.
- Citation F0625. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on March 22, 2024.
- Citation F0637. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Assess the resident when there is a significant change in condition
  CMS lists it as corrected on March 22, 2024.
- Citation F0656. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  CMS lists it as corrected on March 22, 2024.
- Citation F0657. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  CMS lists it as corrected on March 22, 2024.
- Citation F0658. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.
  CMS lists it as corrected on March 22, 2024.
- Citation F0690. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  CMS lists it as corrected on March 22, 2024.
- Citation F0695. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.
  CMS lists it as corrected on March 22, 2024.
- Citation F0880. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on March 22, 2024.
- Citation F0943. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
  CMS lists it as corrected on March 22, 2024.
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Fire safety inspection on February 22, 2024
6 citations
CMS lists this as a standard inspection.
Show the 6 citations
- Citation E0039. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Conduct testing and exercise requirements.
  CMS lists it as corrected on March 29, 2024.
- Citation K0211. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.
  CMS lists it as corrected on March 29, 2024.
- Citation K0324. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Provide properly protected cooking facilities.
  CMS lists it as corrected on March 29, 2024.
- Citation K0363. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Install corridor and hallway doors that block smoke.
  CMS lists it as corrected on March 29, 2024.
- Citation K0712. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Have simulated fire drills held at unexpected times.
  CMS lists it as corrected on March 29, 2024.
- Citation K0918. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.
  CMS lists it as corrected on March 29, 2024.
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CMS update of January 31, 2024
- Star rating
  The CMS staffing star rating changed from 2 of 5 to 4 of 5.
CMS update of December 21, 2023
- Name
  CMS lists a new legal business name for this home.
- Ownership
  CMS lists this home under a new chain.

CMS star ratings

2 of 5CMS overall star rating
2 of 5CMS health inspection star rating
4 of 5CMS staffing star rating
3 of 5CMS quality measures star rating

Facts from CMS

Phone: (712) 464-3106
Last standard health inspection: April 23, 2026 (6 months ago)
Certified beds: 46
Residents per day, on average: 38.9
Ownership type: For profit - Corporation
Legal business name: Accura Healthcare of Lake City LLC
Chain: Accura Healthcare
Takes part in: Medicare and Medicaid

More health citations than the Iowa average (36 vs 21).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

ACCURA HEALTHCARE OF THE HEARTLAND LLC5% or greater direct ownership interest · 100% · since 07/01/2023
AMERICAN HEALTHCARE MANAGEMENT SERVICES LLCOperational/managerial control · not applicable · since 07/01/2023

Questions

When was Accura Healthcare of Lake City, LLC last inspected?

CMS lists April 23, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Accura Healthcare of Lake City, LLC have?

CMS lists 36 health citations since February 22, 2024. CMS also calls these deficiencies.

Has Accura Healthcare of Lake City, LLC been fined?

CMS lists 1 fine in the past three years, $35,341 in total.

What is the CMS star rating of Accura Healthcare of Lake City, LLC?

Its CMS overall star rating is 2 of 5.

Is Accura Healthcare of Lake City, LLC a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

At a glance

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CMS flags

Inspections, fines and changes

CMS update of October 28, 2026

CMS update of July 29, 2026

CMS update of June 24, 2026

CMS update of April 29, 2026

Health inspection on April 23, 2026

Fire safety inspection on April 23, 2026

CMS update of February 25, 2026

Health inspection on January 15, 2026

CMS update of November 20, 2025

Health inspection on October 30, 2025

Health inspection on October 22, 2025

CMS update of June 25, 2025

CMS update of April 30, 2025

Health inspection on April 3, 2025

Fire safety inspection on April 3, 2025

CMS update of March 26, 2025

CMS update of February 26, 2025

Health inspection on January 9, 2025

CMS update of October 30, 2024

CMS update of August 29, 2024

CMS update of July 31, 2024

Health inspection on May 30, 2024

CMS update of April 25, 2024

Health inspection on April 4, 2024

Health inspection on February 22, 2024

Fire safety inspection on February 22, 2024

CMS update of January 31, 2024

CMS update of December 21, 2023

CMS star ratings

Facts from CMS

Owners and managers

Questions