Accura Healthcare of Marshalltown

Nursing Home · Marshalltown, IA

CMS overall rating 1/5 Abuse citation For profit - Corporation

CMS certification number165451
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

2401 South Second Street
Marshalltown, IA 50158
Marshall County
Phone
(641) 752-1553
ZIP code
50158 – all care providers

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Facility details

Certified beds
84
Residents per day
58.4 (70% occupied)
Ownership
For profit - Corporation
Legal name
Accura Healthcare of Marshalltown LLC
Chain
Accura Healthcare (41 facilities, avg 2.5★)
Medicare certified since
April 1, 2002
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 3.7
Quality measures★★★★★ 1/5
State avg 3.3
Long-stay quality★★★★★ 1/5
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
3.60 (state 3.82 · U.S. 3.86)
Registered nurses (RN)
0.15 (state 0.74 · U.S. 0.69)
Licensed practical nurses
0.87 (state 0.56 · U.S. 0.86)
Nurse aides
2.59 (state 2.51 · U.S. 2.32)
Weekend total
3.26 (state 3.37 · U.S. 3.42)
Nursing staff turnover
42.3 (state 44.0 · U.S. 45.8)%
RN turnover
83.3 (state 42.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
March 12, 2026
Health deficiencies (last cycle)
11.0 (state 6.5 · U.S. 9.3)
From complaints
7
Citations on record (3 years)
40 health · 8 fire safety · includes actual harm
DateCitationSeverityStatus
2026-03-12 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 2026-03-18
2026-03-12 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 2026-03-18
2026-03-12 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
F0627 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-18
2026-03-12 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 2026-03-18
2025-11-24 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-09
2025-11-24 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 2025-12-09
2025-11-24 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-09
2025-10-09 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-10-10
2025-10-09 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 · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-10
2025-10-09 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-10
2025-10-09 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-10
2025-04-24 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-05-07
2025-04-24 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-07
2025-04-24 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-07
2025-04-24 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 2025-05-07
2025-04-24 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 2025-03-26
2025-04-24 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-07
2025-04-24 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-07
2025-04-24 Provide or get specialized rehabilitative services as required for a resident.
F0825 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-07
2025-04-24 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-07
2025-04-24 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-07
2025-01-15 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 · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-01-21
2025-01-15 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-01-21
2025-01-15 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 · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-01-21
2025-01-15 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-21
2025-01-15 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 2025-01-21
2025-01-15 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-21
2024-11-05 Employ staff that are licensed, certified, or registered in accordance with state laws.
F0839 · Administration Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-25
2024-07-25 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 2024-08-16
2024-07-25 Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
F0887 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-08-16
2024-07-25 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-16
2024-07-25 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-16
2024-07-25 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-16
2024-07-25 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-16
2024-07-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-16
2024-07-25 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2024-08-16
2023-11-02 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
G
Actual harm
Corrected 2023-11-21
2023-11-02 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-21
2023-11-02 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 · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-21
2023-11-02 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-21

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

2 penalties in the last three years, including $9,350 in fines.

DateTypeAmount
2023-11-02Payment Denial7 days payment denial
2023-11-02Fine$9,350

Ownership & management

NameRoleSince
Accura Midwest Healthcare LLC (organization)5%+ Direct Ownership Interest · 100%
Leneave, Thomas (individual)5%+ Indirect Ownership Interest · 30%
Leneave, Ted (individual)Corporate Director · NOT APPLICABLE
Leneave, Thomas (individual)Corporate Director · NOT APPLICABLE
Toti, Lisa (individual)Corporate Director · NOT APPLICABLE
Leneave, Ted (individual)Corporate Officer · NOT APPLICABLE
Leneave, Thomas (individual)Corporate Officer · NOT APPLICABLE
American Healthcare Management Services LLC (organization)Operational/managerial Control · NOT APPLICABLE
Conner, Robert (individual)W-2 Managing Employee · NOT APPLICABLE
Elliott, Corey (individual)W-2 Managing Employee · NOT APPLICABLE
Toti, Lisa (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Accura Healthcare of Marshalltown?

Accura Healthcare of Marshalltown has a 1-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 Marshalltown have?

It has 84 certified beds and cares for about 58 residents per day.

Has Accura Healthcare of Marshalltown been fined?

Yes. CMS lists 2 penalties totaling $9,350 in the last three years.

Who owns Accura Healthcare of Marshalltown?

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 Marshalltown?

(641) 752-1553. The facility is located at 2401 South Second Street, Marshalltown, IA 50158.

Other nursing homes in Marshalltown

Compare all nursing homes in Marshalltown, IA →

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