Accura Healthcare of Shenandoah
Nursing Home · Shenandoah, IA
CMS certification number165529
Contact & location
1203 South Elm StreetShenandoah, IA 51601
Page County
- Phone
- (712) 246-4627
- ZIP code
- 51601 – all care providers
Facility details
- Certified beds
- 42
- Residents per day
- 41.1 (98% occupied)
- Ownership
- For profit - Limited Liability company
- Chain
- Accura Healthcare (41 facilities, avg 2.5★)
- Medicare certified since
- April 1, 2004
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.63 (state 3.82 · U.S. 3.86)
- Registered nurses (RN)
- 0.60 (state 0.74 · U.S. 0.69)
- Licensed practical nurses
- 0.54 (state 0.56 · U.S. 0.86)
- Nurse aides
- 2.49 (state 2.51 · U.S. 2.32)
- Weekend total
- 3.21 (state 3.37 · U.S. 3.42)
- Nursing staff turnover
- 60.4 (state 44.0 · U.S. 45.8)%
- RN turnover
- 50.0 (state 42.1 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- September 18, 2025
- Health deficiencies (last cycle)
- 11.0 (state 6.5 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 32 health · 17 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-09-18 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-10 |
| 2025-09-18 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-10 |
| 2025-09-18 | 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 2025-10-10 |
| 2025-09-18 | 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 2025-10-10 |
| 2025-09-18 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-10 |
| 2025-09-18 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-10 |
| 2025-09-18 | 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 2025-10-10 |
| 2025-09-18 | 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 2025-10-10 |
| 2025-09-18 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-10 |
| 2025-09-18 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-10 |
| 2025-09-18 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-10 |
| 2024-10-17 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-07 |
| 2024-10-17 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-07 |
| 2024-10-17 | 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 2024-11-07 |
| 2024-10-17 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-07 |
| 2024-10-17 | 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 2024-11-07 |
| 2024-10-17 | 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 2024-11-07 |
| 2024-10-17 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-07 |
| 2024-09-15 | 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 2024-09-19 |
| 2023-12-06 | 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 |
K Immediate jeopardy to resident health or safety |
Corrected 2023-12-07 |
| 2023-12-06 | 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 |
J Immediate jeopardy to resident health or safety |
Corrected 2023-12-07 |
| 2023-12-06 | 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 2023-12-07 |
| 2023-06-29 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2023-07-18 |
| 2023-06-29 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-18 |
| 2023-06-29 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-18 |
| 2023-06-29 | 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 2023-07-18 |
| 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 2023-07-18 |
| 2023-06-29 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-18 |
| 2023-06-29 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-18 |
| 2023-06-29 | 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. F0585 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-18 |
| 2023-06-29 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-18 |
| 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 2023-07-18 |
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
1 penalty in the last three years, including $8,414 in fines.
| Date | Type | Amount |
|---|---|---|
| 2023-12-06 | Fine | $8,414 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| 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 | |
| Hummel, Ashley (individual) | W-2 Managing Employee · NOT APPLICABLE | |
| Smith, Timothy (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 Shenandoah?
Accura Healthcare of Shenandoah 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 Shenandoah have?
It has 42 certified beds and cares for about 41 residents per day.
Has Accura Healthcare of Shenandoah been fined?
Yes. CMS lists 1 penalty totaling $8,414 in the last three years.
Who owns Accura Healthcare of Shenandoah?
It is part of Accura Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Accura Healthcare of Shenandoah?
(712) 246-4627. The facility is located at 1203 South Elm Street, Shenandoah, IA 51601.
Other nursing homes in Shenandoah
-
Garden View Care Center
Nursing Home · Shenandoah, IA · 50 beds
—
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.