Accura Healthcare of Onawa

Nursing Home · Onawa, IA

CMS overall rating 2/5 For profit - Corporation

CMS certification number165256

Contact & location

222 North 15th Street
Onawa, IA 51040
Monona County
Phone
(712) 423-2510
ZIP code
51040 – all care providers

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Facility details

Certified beds
46
Residents per day
40.4 (88% occupied)
Ownership
For profit - Corporation
Legal name
Accura Healthcare of Onawa LLC
Chain
Accura Healthcare (41 facilities, avg 2.5★)
Medicare certified since
June 1, 1995
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.1
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.7
Quality measures★★★★★ 2/5
State avg 3.3
Long-stay quality★★★★★ 2/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.22 (state 3.82 · U.S. 3.86)
Registered nurses (RN)
0.63 (state 0.74 · U.S. 0.69)
Licensed practical nurses
0.39 (state 0.56 · U.S. 0.86)
Nurse aides
2.20 (state 2.51 · U.S. 2.32)
Weekend total
2.62 (state 3.37 · U.S. 3.42)
Nursing staff turnover
50.0 (state 44.0 · U.S. 45.8)%
RN turnover
77.8 (state 42.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
May 8, 2025
Health deficiencies (last cycle)
5.0 (state 6.5 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
30 health · 15 fire safety · includes actual harm
DateCitationSeverityStatus
2025-05-08 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.
F0727 · Nursing and Physician Services Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-05-22
2025-05-08 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.
F0803 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-22
2025-05-08 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-22
2025-05-08 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.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-22
2025-05-08 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-22
2024-07-27 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-12
2024-07-27 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-12
2024-07-27 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-12
2024-06-13 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-26
2024-06-13 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.
F0625 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-26
2024-06-13 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-26
2024-06-13 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-26
2024-06-13 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-26
2024-06-13 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-26
2024-06-13 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-26
2024-01-12 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-02-01
2024-01-12 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-01
2024-01-12 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-07-11
2023-06-29 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-08-11
2023-06-29 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-08-11
2023-06-29 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-11
2023-06-29 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-11
2023-06-29 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-11
2023-06-29 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-11
2023-06-29 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-11
2023-06-29 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-11
2023-06-29 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.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-11
2023-06-29 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-11
2023-06-29 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-11
2023-06-29 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-11

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Accura Management Consulting Services LLC (organization)Administrator · NOT APPLICABLE
Allen, Brady (individual)Administrator · NOT APPLICABLE
Aviv Financing II LLC (organization)Administrator · NOT APPLICABLE
Aviv Healthcare of the Midwest LLC (organization)Administrator · NOT APPLICABLE
Aviv Healthcare Properties Operating Partnership I LP (organization)Administrator · NOT APPLICABLE
Aviv Op Limited Partner LLC (organization)Administrator · NOT APPLICABLE
Dudley, Paul (individual)Administrator · NOT APPLICABLE
Glaser, Kristopher (individual)Administrator · NOT APPLICABLE
Infante, Jordan (individual)Administrator · NOT APPLICABLE
Iowa Lincoln County Property LLC (organization)Administrator · NOT APPLICABLE
Kleinsasser, Megan (individual)Administrator · NOT APPLICABLE
Leneave, Ted (individual)Administrator · NOT APPLICABLE
Ohi Healthcare Properties Limited Partnership (organization)Administrator · NOT APPLICABLE
Omega Healthcare Investors INC (organization)Administrator · NOT APPLICABLE
Slemp, Jessica (individual)Administrator · NOT APPLICABLE
Toti, Lisa (individual)Administrator · NOT APPLICABLE
Aviv Healthcare of the Midwest LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Allen, Brady (individual)Indirect Ownership Interest · NOT APPLICABLE
Avenue94 LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Aviv Healthcare Holdings LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Glaser, Kristopher (individual)Indirect Ownership Interest · NOT APPLICABLE
Kimmons Healthcare Investments LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Kleinsasser, Megan (individual)Indirect Ownership Interest · NOT APPLICABLE
KTL Enterprises LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Leneave, Ted (individual)Indirect Ownership Interest · NOT APPLICABLE
Little River Investments LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Toti, Lisa (individual)Indirect Ownership Interest · NOT APPLICABLE
ZRR Opco LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Accura Management Consulting Services LLC (organization)Operational/managerial Control · NOT APPLICABLE
Allen, Brady (individual)Operational/managerial Control · NOT APPLICABLE
Dudley, Paul (individual)Operational/managerial Control · NOT APPLICABLE
Glaser, Kristopher (individual)Operational/managerial Control · NOT APPLICABLE
Infante, Jordan (individual)Operational/managerial Control · NOT APPLICABLE
Kleinsasser, Megan (individual)Operational/managerial Control · NOT APPLICABLE
Leneave, Ted (individual)Operational/managerial Control · NOT APPLICABLE
Slemp, Jessica (individual)Operational/managerial Control · NOT APPLICABLE
Toti, Lisa (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Accura Healthcare of Onawa?

Accura Healthcare of Onawa has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.

How many beds does Accura Healthcare of Onawa have?

It has 46 certified beds and cares for about 40 residents per day.

Has Accura Healthcare of Onawa been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Accura Healthcare of Onawa?

It is part of Accura Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Accura Healthcare of Onawa?

(712) 423-2510. The facility is located at 222 North 15th Street, Onawa, IA 51040.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.