Accura Healthcare of Toledo
403 Grandview Drive, Toledo, IA 52342
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Follow this homeAccura Healthcare of Toledo is a nursing home in Toledo, 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 rating3 of 5
- Last standard health inspectionJanuary 8, 2026 (10 months ago)
- Health citations since December 12, 202316 (Iowa average 21)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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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.
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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 8, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 4 of 5.
CMS update of June 24, 2026
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 3 of 5 to 2 of 5.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
Health inspection on April 28, 2026
1 citationCMS 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 lists it as corrected on May 22, 2026.
CMS has cited this home for F0689 2 times since 2026.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Name
CMS lists a new legal business name for this home.
Ownership
CMS ownership records list new owners for this home.
Health inspection on January 8, 2026
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
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 January 30, 2026.
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 January 30, 2026.
Citation F0791. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide or obtain dental services for each resident.
CMS lists it as corrected on January 30, 2026.
Fire safety inspection on January 8, 2026
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation E0004. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on January 15, 2026.
Citation K0918. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on January 19, 2026.
CMS has cited this home for K0918 3 times since 2023.
Citation K0923. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on January 7, 2026.
CMS has cited this home for K0923 2 times since 2023.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on January 7, 2026.
Citation K0511. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on January 15, 2026.
Citation K0741. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on January 19, 2026.
CMS update of December 15, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Ownership
CMS lists this home under a new chain.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Name
CMS lists a new name for this home. It was ACCURA HEALTHCARE OF TOLEDO, LLC.
CMS update of July 30, 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 update of April 30, 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 2 of 5 to 3 of 5.
CMS update of March 26, 2025
Name
CMS lists a new name for this home. It was PREMIER ESTATES OF TOLEDO.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 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.
Health inspection on November 21, 2024
4 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 4 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 December 9, 2024.
CMS has cited this home for F0812 2 times since 2023.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on December 9, 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 December 9, 2024.
Citation F0851. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS lists it as corrected on December 9, 2024.
Fire safety inspection on November 21, 2024
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on December 25, 2024.
CMS has cited this home for K0345 2 times since 2023.
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 December 4, 2024.
Citation K0291. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on November 26, 2024.
CMS has cited this home for K0291 2 times since 2023.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on December 2, 2024.
Citation K0920. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on December 2, 2024.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of August 29, 2024
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.
Health inspection on August 22, 2024
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
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 September 8, 2024.
Citation F0825. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide or get specialized rehabilitative services as required for a resident.
CMS lists it as corrected on September 8, 2024.
CMS update of July 31, 2024
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.
CMS update of May 29, 2024
Fine
CMS changed the fine from July 13, 2023 from $12,605 to $8,193.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of January 31, 2024
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 2 of 5 to 3 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.1 to 2.7 hours per resident per day.
Health inspection on December 12, 2023
6 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 6 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 January 5, 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 January 5, 2024.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on January 5, 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 January 5, 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 January 5, 2024.
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 January 5, 2024.
Fire safety inspection on December 12, 2023
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
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 December 29, 2023.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on December 16, 2023.
Citation K0347. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly provide smoke detection systems in areas open to corridors.
CMS lists it as corrected on December 16, 2023.
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 December 12, 2023.
Citation K0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on January 3, 2024.
Citation K0291. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on December 12, 2023.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on December 16, 2023.
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 December 13, 2023.
Citation K0923. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on December 12, 2023.
CMS star ratings
- 3 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 1 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (641) 484-5080
- Last standard health inspection
- January 8, 2026 (10 months ago)
- Certified beds
- 55
- Residents per day, on average
- 53.5
- Ownership type
- For profit - Corporation
- Legal business name
- Accura Healthcare of Toledo LLC
- Chain
- Accura Healthcare
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Iowa average (16 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 04/01/2025
- 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 15 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
- 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
- BISHOP, ANDREWOperational/managerial control · not applicable · since 02/01/2025
- GLASER, KRISTOPHEROperational/managerial control · not applicable · since 09/01/2024
- JONES, BRENDAOperational/managerial control · not applicable · since 06/22/2025
- KLEINSASSER, MEGANOperational/managerial control · not applicable · since 02/01/2025
- LENEAVE, TEDOperational/managerial control · not applicable · since 02/01/2025
- TOTI, LISAOperational/managerial control · not applicable · since 02/01/2025
- ZESCH, CANDACEOperational/managerial control · not applicable · since 02/01/2025
Questions
When was Accura Healthcare of Toledo last inspected?
CMS lists January 8, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Accura Healthcare of Toledo have?
CMS lists 16 health citations since December 12, 2023. CMS also calls these deficiencies.
Has Accura Healthcare of Toledo been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Accura Healthcare of Toledo?
Its CMS overall star rating is 3 of 5.
Is Accura Healthcare of Toledo a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.