Accura Healthcare of Cascade LLC

Nursing Home · Cascade, IA

CMS overall rating 2/5 Abuse citation For profit - Limited Liability company

CMS certification number165568
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

701 North Johnson Street NW
Cascade, IA 52033
Dubuque County
Phone
(563) 852-3277
ZIP code
52033 – all care providers

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Facility details

Certified beds
46
Residents per day
41.7 (91% occupied)
Ownership
For profit - Limited Liability company
Chain
Accura Healthcare (41 facilities, avg 2.5★)
Medicare certified since
January 1, 2006
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★★★★★ 4/5
State avg 3.7
Quality measures★★★★★ 4/5
State avg 3.3
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 5/5

Staffing

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

Total nurse staffing
4.26 (state 3.82 · U.S. 3.86)
Registered nurses (RN)
0.56 (state 0.74 · U.S. 0.69)
Licensed practical nurses
0.81 (state 0.56 · U.S. 0.86)
Nurse aides
2.89 (state 2.51 · U.S. 2.32)
Weekend total
3.77 (state 3.37 · U.S. 3.42)
Nursing staff turnover
30.6 (state 44.0 · U.S. 45.8)%
RN turnover
37.5 (state 42.1 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
May 28, 2026
Health deficiencies (last cycle)
3.0 (state 6.5 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
5 health · 14 fire safety · includes actual harm
DateCitationSeverityStatus
2026-05-28 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 2026-06-15
2026-05-28 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 2026-06-15
2026-03-04 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-23
2025-07-03 Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F0940 · Administration Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-11
2025-05-15 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 2025-05-31

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 Healthcare of the Heartland LLC (organization)5%+ Direct Ownership Interest · 100%
American Healthcare Management Services LLC (organization)5%+ Direct Ownership Interest
Dixon, Kevin (individual)Corporate Director · NOT APPLICABLE
Leneave, Ted (individual)Corporate Officer · NOT APPLICABLE
Toti, Lisa (individual)Corporate Officer · NOT APPLICABLE
Black, Taylor (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 Cascade LLC?

Accura Healthcare of Cascade LLC 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 Cascade LLC have?

It has 46 certified beds and cares for about 42 residents per day.

Has Accura Healthcare of Cascade LLC been fined?

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

Who owns Accura Healthcare of Cascade LLC?

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 Cascade LLC?

(563) 852-3277. The facility is located at 701 North Johnson Street NW, Cascade, IA 52033.

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