Accura Healthcare of OnawaCMS ratings, inspections and fines
- Address
- 222 North 15th Street, Onawa, IA 51040
- CCN
- 165256
- Ownership type
- For-profit, corporation
- Certified beds
- 46
- Chain
- Accura Healthcare
- Residents per day
- 40
- CMS flags
- None in the CMS record
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 Onawa an overall rating of 2 of 5 stars. The last standard survey was on 8 May 2025. The latest survey cycle has 5 health citations. The median for nursing homes in Iowa is 5. CMS lists no fines for this home in its penalties file.
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 | Monona County median | Iowa median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 5.0 | 4.0 | 2.9 |
| Quality measure rating | 2 | 2.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 3 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) | 8 May 2025 | 5 | 5 |
| Cycle 2 | 13 Jun 2024 | 7 | 5 |
| Cycle 3 | No date | 18 | 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 | C0 |
Survey cycle 1 (latest): 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 May 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. | D | Standard survey | 22 May 2025 |
| 8 May 2025 | 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 | 22 May 2025 |
| 8 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 22 May 2025 |
| 8 May 2025 | F0803 | 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. | E | Standard survey | 22 May 2025 |
| 8 May 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 | 22 May 2025 |
Survey cycle 2: 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Jun 2024 | F0625 | 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. | D | Standard survey | 26 Jun 2024 |
| 13 Jun 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 26 Jun 2024 |
| 13 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 26 Jun 2024 |
| 13 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 26 Jun 2024 |
| 13 Jun 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 26 Jun 2024 |
| 13 Jun 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 | 26 Jun 2024 |
| 13 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 26 Jun 2024 |
Survey cycle 3: 18 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 |
|---|---|---|---|---|---|
| 27 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 12 Aug 2024 |
| 27 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 12 Aug 2024 |
| 27 Jul 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 12 Aug 2024 |
| 12 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 1 Feb 2024 |
| 12 Jan 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 1 Feb 2024 |
| 12 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 11 Jul 2023 |
| 29 Jun 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 11 Aug 2023 |
| 29 Jun 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 11 Aug 2023 |
| 29 Jun 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 11 Aug 2023 |
| 29 Jun 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 11 Aug 2023 |
| 29 Jun 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 11 Aug 2023 |
| 29 Jun 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 11 Aug 2023 |
| 29 Jun 2023 | 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 | 11 Aug 2023 |
| 29 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 11 Aug 2023 |
| 29 Jun 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 11 Aug 2023 |
| 29 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 11 Aug 2023 |
| 29 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 Aug 2023 |
| 29 Jun 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 11 Aug 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.
CMS lists no fine and no payment denial for this home in its penalties file.
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 | 3.22 | 3.70 | 3.82 |
| Registered nurses (RN) | 0.63 | 0.70 | 0.74 |
| Licensed practical nurses (LPN) | 0.39 | 0.56 | |
| Nurse aides | 2.20 | 2.51 | |
| All nurse staff, weekends | 2.62 | 3.30 | 3.37 |
- Nurse staff turnover in a year
- 50.0%
- Nurse staff turnover, Iowa median
- 41.9%
- RN turnover in a year
- 77.8%
- 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 | 28.4% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 11.8% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.3% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.9% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 29.1% | 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 Onawa LLC
- Chain
- Accura Healthcare (41 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Aviv Healthcare of the Midwest LLC | Direct ownership interest | 1 Feb 2025 | |
| Avenue94 LLC | Indirect ownership interest | 1 Feb 2025 | |
| Aviv Healthcare Holdings LLC | Indirect ownership interest | 1 Feb 2025 | |
| Kimmons Healthcare Investments LLC | Indirect ownership interest | 1 Feb 2025 | |
| KTL Enterprises LLC | Indirect ownership interest | 1 Feb 2025 | |
| Little River Investments LLC | Indirect ownership interest | 1 Feb 2025 | |
| ZRR Opco LLC | Indirect ownership interest | 1 Feb 2025 | |
| Accura Management Consulting Services LLC | Operational/managerial control | 1 Feb 2025 | |
| Accura Management Consulting Services LLC | Adp of the snf | 1 Feb 2025 | |
| Aviv Healthcare of the Midwest LLC | Adp of the snf | 12 Jun 2025 | |
| Aviv Healthcare Properties Operating Partnership I LP | Adp of the snf | 1 Feb 2025 | |
| Aviv Op Limited Partner LLC | Adp of the snf | 1 Feb 2025 | |
| Iowa Lincoln County Property LLC | Adp of the snf | 1 Feb 2025 | |
| Ohi Healthcare Properties Limited Partnership | Adp of the snf | 1 Feb 2025 | |
| Omega Healthcare Investors Inc | Adp of the snf | 1 Feb 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Monona County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Pleasant View Care Center | Whiting | 4 of 5 | 3 | $0 | 3 Jul 2025 | |
| Maple Heights | Mapleton | 5 of 5 | 4 | $0 | 18 Dec 2025 |
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 Onawa (CCN 165256). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/accura-healthcare-of-onawa-onawa-ia-165256/
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 Onawa last inspected?
- The latest inspection with a citation in the CMS record was on 8 May 2025. It was a standard survey. It gave 5 citations. The standard survey before the last one was on 13 Jun 2024.
- Who operates Accura Healthcare of Onawa?
- 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 Accura Management Consulting Services LLC for operational or managerial control. This site does not show the names of persons.
- Is Accura Healthcare of Onawa 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.