Accura Healthcare of Onawa
222 North 15th Street, Onawa, IA 51040
Accura Healthcare of Onawa is a nursing home in Onawa, 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 inspectionJuly 9, 2026 (4 months ago)
- Health citations since January 12, 202428 (Iowa average 21)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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.
Email alerts for this home open soon.
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 quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Health inspection on July 9, 2026
10 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 10 citations
Citation F0575. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
CMS lists it as corrected on July 28, 2026.
Citation F0585. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
CMS lists it as corrected on July 28, 2026.
Citation F0657. Severity E: potential for more than minimal harm, pattern.
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 July 28, 2026.
Citation F0688. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on July 28, 2026.
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 July 28, 2026.
CMS has cited this home for F0812 3 times since 2024.
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 July 28, 2026.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on July 28, 2026.
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 July 28, 2026.
CMS has cited this home for F0689 3 times since 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 July 28, 2026.
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 July 28, 2026.
CMS has cited this home for F0880 2 times since 2024.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from not rated by CMS to 3 of 5.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to not rated by CMS.
Name
CMS lists a new legal business name for this home.
Ownership
CMS ownership records list new owners for this home.
CMS update of January 14, 2026
Name
CMS lists a new name for this home. It was Accura Healthcare of Onawa, LLC.
CMS update of December 15, 2025
Ownership
CMS lists this home under a new chain.
CMS update of June 25, 2025
Health citation
CMS removed citation F0625 from the health inspection on June 13, 2024.
Health inspection on May 8, 2025
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation F0727. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
CMS lists it as corrected on May 22, 2025.
Citation F0803. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on May 22, 2025.
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 22, 2025.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on May 22, 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 May 22, 2025.
Fire safety inspection on May 8, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0161. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on May 15, 2025.
CMS has cited this home for K0161 2 times since 2024.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 1 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of March 26, 2025
Name
CMS lists a new name for this home. It was ELMWOOD CARE CENTRE.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 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.
CMS update of July 31, 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 2 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on July 27, 2024
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
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 August 12, 2024.
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 August 12, 2024.
CMS has cited this home for F0684 3 times since 2024.
Citation F0698. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS lists it as corrected on August 12, 2024.
Health inspection on June 13, 2024
7 citationsCMS lists this as a standard inspection.
Show the 7 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 June 26, 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 June 26, 2024.
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on June 26, 2024.
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 26, 2024.
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 June 26, 2024.
Citation F0805. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS lists it as corrected on June 26, 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 June 26, 2024.
Fire safety inspection on June 13, 2024
10 citationsCMS lists this as a standard inspection.
Show the 10 citations
Citation K0132. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
CMS lists it as corrected on July 18, 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 July 18, 2024.
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 July 17, 2024.
Citation K0281. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install proper backup exit lighting.
CMS lists it as corrected on July 17, 2024.
Citation K0321. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on July 17, 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 July 18, 2024.
Citation K0161. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on June 26, 2024.
Citation K0374. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on June 17, 2024.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on June 18, 2024.
Citation K0922. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet requirements for the use and maintenance of medical gas equipment.
CMS lists it as corrected on June 17, 2024.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Health inspection on January 12, 2024
3 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
91 of 387 Iowa homes (24%) got a citation at the actual harm level in 2024.
Show the 3 citations
Citation F0686. Severity G: actual harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on February 1, 2024.
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 February 1, 2024.
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 July 11, 2023.
CMS star ratings
- 2 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (712) 423-2510
- Last standard health inspection
- July 9, 2026 (4 months ago)
- Certified beds
- 46
- Residents per day, on average
- 38.5
- Ownership type
- For profit - Corporation
- Legal business name
- Accura Healthcare of Onawa LLC
- Chain
- Accura Healthcare
- Takes part in
- Medicare and Medicaid
More health citations than the Iowa average (28 vs 21).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- AVIV HEALTHCARE OF THE MIDWEST LLCDirect ownership interest · not applicable · since 02/01/2025
- AVENUE94 LLCIndirect ownership interest · not applicable · since 02/01/2025
- AVIV HEALTHCARE HOLDINGS LLCIndirect ownership interest · not applicable · since 02/01/2025
- KIMMONS HEALTHCARE INVESTMENTS LLCIndirect ownership interest · not applicable · since 02/01/2025
- KTL ENTERPRISES LLCIndirect ownership interest · not applicable · since 02/01/2025
Show 16 more
- LITTLE RIVER INVESTMENTS LLCIndirect ownership interest · not applicable · since 02/01/2025
- ZRR OPCO LLCIndirect ownership interest · not applicable · since 02/01/2025
- ALLEN, BRADYIndirect ownership interest · not applicable · since 02/01/2025
- GLASER, KRISTOPHERIndirect ownership interest · not applicable · since 02/01/2025
- KLEINSASSER, MEGANIndirect ownership interest · not applicable · since 02/01/2025
- LENEAVE, TEDIndirect ownership interest · not applicable · since 02/01/2025
- TOTI, LISAIndirect ownership interest · not applicable · since 02/01/2025
- ACCURA MANAGEMENT CONSULTING SERVICES LLCOperational/managerial control · not applicable · since 02/01/2025
- ALLEN, BRADYOperational/managerial control · not applicable · since 02/01/2025
- DUDLEY, PAULOperational/managerial control · not applicable · since 02/01/2025
- GLASER, KRISTOPHEROperational/managerial control · not applicable · since 02/01/2025
- INFANTE, JORDANOperational/managerial control · not applicable · since 02/01/2025
- KLEINSASSER, MEGANOperational/managerial control · not applicable · since 02/01/2025
- LENEAVE, TEDOperational/managerial control · not applicable · since 02/01/2025
- SLEMP, JESSICAOperational/managerial control · not applicable · since 02/01/2025
- TOTI, LISAOperational/managerial control · not applicable · since 02/01/2025
Questions
When was Accura Healthcare of Onawa last inspected?
CMS lists July 9, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Accura Healthcare of Onawa have?
CMS lists 28 health citations since January 12, 2024. CMS also calls these deficiencies.
Has Accura Healthcare of Onawa been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Accura Healthcare of Onawa?
Its CMS overall star rating is 2 of 5.
Is Accura Healthcare of Onawa a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.