Accura Healthcare of MarshalltownCMS ratings, inspections and fines
- Address
- 2401 South Second Street, Marshalltown, IA 50158
- CCN
- 165451
- Ownership type
- For-profit, corporation
- Certified beds
- 84
- Chain
- Accura Healthcare
- Residents per day
- 58
- CMS flags
- CMS abuse icon
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Accura Healthcare of Marshalltown an overall rating of 1 of 5 stars. The last standard survey was on 12 Mar 2026. The latest survey cycle has 11 health citations. The median for nursing homes in Iowa is 5. CMS lists 1 fine of $9,350 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Marshall County median | Iowa median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 1 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 5 homes in the county, 387 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Iowa median |
|---|---|---|---|
| Cycle 1 (latest) | 12 Mar 2026 | 11 | 5 |
| Cycle 2 | 24 Apr 2025 | 17 | 5 |
| Cycle 3 | No date | 12 | 5 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 18 Mar 2026 |
| 12 Mar 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Standard survey | 18 Mar 2026 |
| 12 Mar 2026 | F0688 | 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. | D | Standard survey | 18 Mar 2026 |
| 12 Mar 2026 | F0727 | 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. | F | Standard survey | 18 Mar 2026 |
| 24 Nov 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 9 Dec 2025 |
| 24 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 9 Dec 2025 |
| 24 Nov 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 9 Dec 2025 |
| 9 Oct 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 10 Oct 2025 |
| 9 Oct 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 10 Oct 2025 |
| 9 Oct 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 10 Oct 2025 |
| 9 Oct 2025 | F0761 | 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. | D | Complaint investigation | 10 Oct 2025 |
Survey cycle 2: 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Apr 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 7 May 2025 |
| 24 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 26 Mar 2025 |
| 24 Apr 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 7 May 2025 |
| 24 Apr 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 7 May 2025 |
| 24 Apr 2025 | F0758 | 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. | D | Standard survey | 7 May 2025 |
| 24 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 7 May 2025 |
| 24 Apr 2025 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 7 May 2025 |
| 24 Apr 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint investigation | 7 May 2025 |
| 24 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 7 May 2025 |
| 24 Apr 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 7 May 2025 |
| 15 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 21 Jan 2025 |
| 15 Jan 2025 | F0584 | 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. | E | Complaint investigation | 21 Jan 2025 |
| 15 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 21 Jan 2025 |
| 15 Jan 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 21 Jan 2025 |
| 15 Jan 2025 | F0688 | 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. | E | Complaint investigation | 21 Jan 2025 |
| 15 Jan 2025 | F0908 | Keep all essential equipment working safely. | D | Complaint investigation | 21 Jan 2025 |
| 5 Nov 2024 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | Complaint investigation | 25 Nov 2024 |
Survey cycle 3: 12 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 Aug 2024 |
| 25 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 16 Aug 2024 |
| 25 Jul 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 16 Aug 2024 |
| 25 Jul 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 16 Aug 2024 |
| 25 Jul 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 16 Aug 2024 |
| 25 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 16 Aug 2024 |
| 25 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Aug 2024 |
| 25 Jul 2024 | F0887 | 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. | E | Standard survey | 16 Aug 2024 |
| 2 Nov 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 21 Nov 2023 |
| 2 Nov 2023 | F0584 | 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. | D | Complaint investigation | 21 Nov 2023 |
| 2 Nov 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Complaint investigation | 21 Nov 2023 |
| 2 Nov 2023 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 21 Nov 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 2 Nov 2023 | Fine | $9,350 | |
| 2 Nov 2023 | Payment denial | 7 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Iowa median | Iowa average (CMS) |
|---|---|---|---|
| All nurse staff | 3.60 | 3.70 | 3.82 |
| Registered nurses (RN) | 0.15 | 0.70 | 0.74 |
| Licensed practical nurses (LPN) | 0.87 | 0.56 | |
| Nurse aides | 2.59 | 2.51 | |
| All nurse staff, weekends | 3.26 | 3.30 | 3.37 |
- Nurse staff turnover in a year
- 42.3%
- Nurse staff turnover, Iowa median
- 41.9%
- RN turnover in a year
- 83.3%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.6% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.9% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.8% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 31.6% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.1% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 33.9% | 18.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Accura Healthcare of Marshalltown LLC
- Chain
- Accura Healthcare (41 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Accura Midwest Healthcare LLC | 5% or greater direct ownership interest | 100% | 1 Nov 2017 |
| American Healthcare Management Services LLC | Operational/managerial control | 1 Nov 2017 |
The site shows organisations only. It does not show the names of persons.
Other homes in Marshall County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Southridge Specialty Care | Marshalltown | 2 of 5 | 6 | $45,406 | 29 May 2025 | |
| Harmony Marshalltown | Marshalltown | 1 of 5 | 13 | $78,878 | 14 Jan 2026 | |
| Iowa Veterans Home | Marshalltown | 5 of 5 | 1 | $0 | 16 Apr 2026 | |
| State Center Specialty Care | State Center | 5 of 5 | 5 | $0 | 22 Jan 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Accura Healthcare of Marshalltown (CCN 165451). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/accura-healthcare-of-marshalltown-marshalltown-ia-165451/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Accura Healthcare of Marshalltown last inspected?
- The latest inspection with a citation in the CMS record was on 12 Mar 2026. It was a standard survey. It gave 4 citations. The standard survey before the last one was on 24 Apr 2025.
- Who operates Accura Healthcare of Marshalltown?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Accura Healthcare. The CMS ownership file names American Healthcare Management Services LLC for operational or managerial control. This site does not show the names of persons.
- Is Accura Healthcare of Marshalltown a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Iowa as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.