Accura Healthcare of ShenandoahCMS ratings, inspections and fines
- Address
- 1203 South Elm Street, Shenandoah, IA 51601
- CCN
- 165529
- Ownership type
- For-profit, limited liability company
- Certified beds
- 42
- Chain
- Accura Healthcare
- Residents per day
- 41
- 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 Shenandoah an overall rating of 1 of 5 stars. The last standard survey was on 18 Sep 2025. The latest survey cycle has 11 health citations. The median for nursing homes in Iowa is 5. CMS lists 1 fine of $8,414 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 | Page County median | Iowa median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 4.0 | 2.9 |
| Quality measure rating | 1 | 1.0 | 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) | 18 Sep 2025 | 11 | 5 |
| Cycle 2 | 17 Oct 2024 | 8 | 5 |
| Cycle 3 | No date | 13 | 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 | L0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 10 Oct 2025 |
| 18 Sep 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 | 10 Oct 2025 |
| 18 Sep 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 10 Oct 2025 |
| 18 Sep 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 10 Oct 2025 |
| 18 Sep 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Oct 2025 |
| 18 Sep 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 | Standard survey | 10 Oct 2025 |
| 18 Sep 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. | E | Complaint investigation | 10 Oct 2025 |
| 18 Sep 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 | 10 Oct 2025 |
| 18 Sep 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 | 10 Oct 2025 |
| 18 Sep 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard survey | 10 Oct 2025 |
| 18 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Oct 2025 |
Survey cycle 2: 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Oct 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 7 Nov 2024 |
| 17 Oct 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 7 Nov 2024 |
| 17 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 7 Nov 2024 |
| 17 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 7 Nov 2024 |
| 17 Oct 2024 | 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. | E | Standard survey | 7 Nov 2024 |
| 17 Oct 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 | 7 Nov 2024 |
| 17 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 7 Nov 2024 |
| 15 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 19 Sep 2024 |
Survey cycle 3: 13 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 |
|---|---|---|---|---|---|
| 6 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 7 Dec 2023 |
| 6 Dec 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 7 Dec 2023 |
| 6 Dec 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K | Complaint investigation | 7 Dec 2023 |
| 29 Jun 2023 | F0585 | 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. | D | Standard survey | 18 Jul 2023 |
| 29 Jun 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 18 Jul 2023 |
| 29 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 18 Jul 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 | 18 Jul 2023 |
| 29 Jun 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 18 Jul 2023 |
| 29 Jun 2023 | F0801 | 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. | E | Standard survey | 18 Jul 2023 |
| 29 Jun 2023 | 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 | 18 Jul 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 | 18 Jul 2023 |
| 29 Jun 2023 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 18 Jul 2023 |
| 29 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 18 Jul 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 |
|---|---|---|---|
| 6 Dec 2023 | Fine | $8,414 |
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 | 3.63 | 3.70 | 3.82 |
| Registered nurses (RN) | 0.60 | 0.70 | 0.74 |
| Licensed practical nurses (LPN) | 0.54 | 0.56 | |
| Nurse aides | 2.49 | 2.51 | |
| All nurse staff, weekends | 3.21 | 3.30 | 3.37 |
- Nurse staff turnover in a year
- 60.4%
- Nurse staff turnover, Iowa median
- 41.9%
- RN turnover in a year
- 50.0%
- 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 | 17.4% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.1% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 15.5% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.4% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 7.3% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.6% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.9% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.9% | 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, limited liability company
- Legal business name
- Accura Healthcare of Shenandoah
- Chain
- Accura Healthcare (41 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| American Healthcare Management Services LLC | Operational/managerial control | 1 Aug 2020 |
The site shows organisations only. It does not show the names of persons.
Other homes in Page County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Garden View Care CenterSpecial Focus Facility | Shenandoah | Not rated | 51 | $137,835 | 8 Dec 2025 | |
| Azria Health Clarinda | Clarinda | 2 of 5 | 3 | $16,448 | 7 May 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 Shenandoah (CCN 165529). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/accura-healthcare-of-shenandoah-shenandoah-ia-165529/
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 Shenandoah last inspected?
- The latest inspection with a citation in the CMS record was on 18 Sep 2025. It was a standard survey and a complaint investigation. It gave 11 citations. The standard survey before the last one was on 17 Oct 2024.
- Who operates Accura Healthcare of Shenandoah?
- The CMS record gives the ownership type as for-profit, limited liability company. 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 Shenandoah 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.