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Nursing homeFAID #4427

Accura Healthcare of Cascade

701 NORTH JOHNSON STREET NW, CASCADE, IA, 52033
(563) 852-3277
accura.healthcare
46 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

701 North Johnson Street Nw
Cascade, IA 52033
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Public record summary

What we can show you for free.
Bed capacity
46
CMS facility ID
165568
Care type
Nursing home
County
Dubuque
Facility name
Accura Healthcare of Cascade
Street address
701 NORTH JOHNSON STREET NW
City / state / ZIP
Cascade, IA 52033
Phone
(563) 852-3277
Website
accura.healthcare

About this facility — Accura Healthcare of Cascade

Accura Healthcare of Cascade is a Medicare/Medicaid-certified skilled nursing facility in Cascade, Iowa. It is licensed for 46 beds — below the median for skilled nursing facilities in Iowa (57 beds).

It is one of 3 senior care facilities in Cascade 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 Cascade 19 times across 9 inspections in the last three years, including 1 food-safety citation; 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 - Limited Liability company

Registered owners & officers

Accura Healthcare of the Heartland Llc
Direct owner — 100% stake — since 2021
American Healthcare Management Services Llc
Direct owner — since 2021
Black, Taylor
Managing employee — since 2021
Dixon, Kevin
Director — since 2021
Leneave, Ted
Officer — since 2021
Toti, Lisa
Managing employee · Officer — since 2021

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
2006-01-01
CMS overall rating
2 of 5 stars
Health deficiencies
3 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-05-28
Nurse staffing
4.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$328 per day (≈ $9,970/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
44% Medicaid · 8% Medicare · 48% private/other
Occupancy
81% (fiscal year 2023)
Vs. state median
4% below the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
46
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 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-05-28Health inspectionComplaint-triggered2 citations
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-06-15
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-06-15
2026-03-04Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-03-23
5 earlier / fire-safety inspections (16 citations)
2025-07-03Health inspectionComplaint-triggered1 citation
F-0940
D · No harm foundFrom a complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2025-07-11
2025-05-15Health inspection1 citation
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 2025-05-31
2026-05-28Fire-safety inspection3 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2026-06-26
K-0321
E · 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 2026-06-26
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-06-26
2025-05-15Fire-safety inspection3 citations
K-0321
E · 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 2025-06-06
K-0345
E · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-06
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-06-06
2024-07-03Fire-safety inspection8 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-08-02
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2024-08-02
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-08-02
K-0321
E · 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 2024-08-02
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-02
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-08-02
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-08-02
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-08-02
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 165568.

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 19 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
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Citations, owner history, lawsuits — decoded into one PDF.
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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