Home›Browse›Iowa›Carroll›Accura Healthcare of Carroll

Nursing homeFAID #4343

Accura Healthcare of Carroll

2241 NORTH WEST STREET, CARROLL, IA, 51401

(712) 792-9284

accura.healthcare

65 licensed beds

★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Address

2241 North West Street

Carroll, IA 51401

Get directions

Map facilities in this area

All facilities in Carroll

Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

165455

Care type

Nursing home

County

Carroll

Facility name

Accura Healthcare of Carroll

Street address

2241 NORTH WEST STREET

City / state / ZIP

Carroll, IA 51401

Phone

(712) 792-9284

Website

accura.healthcare

About this facility — Accura Healthcare of Carroll

Accura Healthcare of Carroll is a Medicare/Medicaid-certified skilled nursing facility in Carroll, Iowa. It is licensed for 65 beds — close to the median for skilled nursing facilities in Iowa (57 beds).

It is one of 9 senior care facilities in Carroll and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Accura Healthcare of Carroll 64 times across 15 inspections in the last three years, including 5 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Accura Healthcare

Ownership type

For profit - Corporation

Registered owners & officers

Accura Midwest Healthcare Llc

Indirect owner — since 2017

American Healthcare Management Services Llc

Operational control — since 2017

Leneave, Ted

Director · Officer — since 2017

Leneave, Thomas

Indirect owner · Director · Officer — since 2017

Toti, Lisa

Managing employee · Director — since 2020

Regulatory standing

Federal court records

1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2002-04-15

CMS overall rating

1 of 5 stars

Health deficiencies

19 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-04-02

Nurse staffing

2.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$275 per day (≈ $8,360/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

40% Medicaid · 5% Medicare · 54% private/other

Occupancy

69% (fiscal year 2023)

Vs. state median

20% below the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-08Health inspectionComplaint-triggered2 citations

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-06-17

F-0690

D · No harm foundFrom a complaint

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2026-06-17

2026-04-02Health inspectionComplaint-triggered14 citations

F-0561

D · No harm found

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2026-04-24

F-0584

E · No harm found

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.

Corrected 2026-04-24

F-0607

E · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2026-04-24

F-0640

D · No harm found

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2026-04-24

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-04-24

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-04-24

F-0725

E · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2026-04-24

F-0755

E · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-04-24

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-04-24

F-0760

D · No harm foundFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2026-04-24

F-0804

D · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-04-24

F-0851

F · No harm found

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2026-04-24

F-0865

F · No harm found

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2026-04-24

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-04-24

11 earlier / fire-safety inspections (48 citations)

2025-12-23Health inspectionComplaint-triggered1 citation

F-0725

D · No harm foundFrom a complaint

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2026-01-31

2025-10-15Health inspectionComplaint-triggered2 citations

F-0657

D · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-10-16

F-0725

E · No harm foundFrom a complaint

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-10-16

2025-06-24Health inspectionComplaint-triggered6 citations

F-0550

E · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-06-25

F-0605

D · No harm foundFrom a complaint

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-06-25

F-0607

E · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-06-25

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-06-25

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-06-25

F-0760

D · No harm foundFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2025-06-25

2025-03-13Health inspectionComplaint-triggered14 citations

F-0567

D · No harm foundFrom a complaint

Honor the resident's right to manage his or her financial affairs.

Corrected 2025-03-14

F-0580

D · No harm found

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-03-25

F-0584

D · No harm foundFrom a complaint

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.

Corrected 2025-03-18

F-0640

D · No harm found

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-03-14

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-03-25

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-26

F-0686

G · Actual harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-04-11

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-25

F-0692

G · Actual harm

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-04-11

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-03-24

F-0803

E · No harm foundFood safety

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.

Corrected 2025-03-24

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-03-17

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-03-24

F-0947

E · No harm found

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2025-03-18

2024-12-24Health inspectionComplaint-triggered1 citation

F-0925

E · No harm foundFrom a complaint

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-01-13

2024-05-09Health inspection4 citations

F-0625

C · No harm found

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.

Corrected 2024-05-23

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-05-23

F-0758

D · No harm found

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.

Corrected 2024-05-23

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-23

2024-03-14Health inspectionComplaint-triggered5 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-03-15

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-03-15

F-0725

D · No harm foundFrom a complaint

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-03-15

F-0755

E · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-03-15

F-0761

E · No harm foundFrom a complaint

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.

Corrected 2024-03-15

2023-08-16Health inspectionComplaint-triggered6 citations

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-09-05

F-0584

E · No harm foundFrom a complaint

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.

Corrected 2023-09-05

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2023-09-05

F-0658

D · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-09-05

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-09-05

F-0812

E · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-09-05

2026-04-02Fire-safety inspection1 citation

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-04-30

2025-03-13Fire-safety inspection1 citation

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2025-04-07

2024-05-09Fire-safety inspection7 citations

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-06-10

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-06-10

K-0346

E · No harm found

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-05-14

K-0354

E · No harm found

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-05-14

K-0522

D · No harm found

Have an externally vented heating system.

Corrected 2024-05-14

K-0741

D · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-06-10

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-06-10

Federal penalties

2025-03-13Medicare payment denial — 3 days

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165455.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 64 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

$79 $99 Advanced

Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered