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Nursing homeFAID #4103

Accura Healthcare of Lake City

1409 WEST MAIN STREET, LAKE CITY, IA, 51449

(712) 464-3106

accura.healthcare

46 licensed beds

★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

1409 West Main Street

Lake City, IA 51449

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

165082

Care type

Nursing home

County

Calhoun

Facility name

Accura Healthcare of Lake City

Street address

1409 WEST MAIN STREET

City / state / ZIP

Lake City, IA 51449

Phone

(712) 464-3106

Website

accura.healthcare

About this facility — Accura Healthcare of Lake City

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

It is one of 1 senior care facility in Lake City 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 Lake City 49 times across 14 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $38,610 in fines. 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 Healthcare of the Heartland Llc

Direct owner — 100% stake — since 2023

American Healthcare Management Services Llc

Operational control — since 2023

Duncan, Derek

Managing employee — since 2024

Leneave, Ted

Officer — since 2023

Lindgren, Taesa

Managing employee — since 2024

Toti, Lisa

Managing employee · Officer — since 2023

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

1968-09-06

CMS overall rating

2 of 5 stars

Health deficiencies

7 at the last standard inspection

Federal fines

$38,610 total

Last standard inspection

2026-04-23

Nurse staffing

3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$343 per day (≈ $10,430/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

33% Medicaid · 8% Medicare · 59% private/other

Occupancy

70% (fiscal year 2023)

Vs. state median

right at 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 4 food-safety citations on its three-year record — flagged below among the inspections.

2026-04-23Health inspection2 citations

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-05-08

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 2026-05-08

2026-01-15Health inspectionComplaint-triggered3 citations

F-0658

E · No harm foundFrom a complaint

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

Corrected 2026-02-04

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 2026-02-04

F-0804

E · No harm foundFood safetyFrom a complaint

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

Corrected 2026-02-04

11 earlier / fire-safety inspections (44 citations)

2025-10-30Health inspectionComplaint-triggered1 citation

F-0812

D · 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 2025-11-14

2025-10-22Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

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

2025-04-03Health inspectionComplaint-triggered7 citations

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 2025-04-28

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-04-28

F-0658

D · No harm found

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

Corrected 2025-04-28

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-28

F-0686

D · No harm found

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

Corrected 2025-04-28

F-0689

D · No harm foundFrom a complaint

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

Corrected 2025-04-28

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 2025-04-28

2025-01-09Health inspectionComplaint-triggered5 citations

F-0689

J · Immediate jeopardyFrom a complaint

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

Corrected 2025-01-16

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 2025-01-16

F-0728

D · No harm foundFrom a complaint

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Corrected 2025-01-16

F-0755

D · 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 2024-09-30

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 2025-01-16

2024-05-30Health inspectionComplaint-triggered1 citation

F-0684

D · No harm foundFrom a complaint

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

Corrected 2024-06-30

2024-04-04Health inspectionComplaint-triggered3 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 2024-04-27

F-0689

E · No harm foundFrom a complaint

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

Corrected 2024-04-27

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 2024-04-27

2024-02-22Health inspection13 citations

F-0578

D · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-03-22

F-0607

D · No harm found

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

Corrected 2024-03-22

F-0625

D · 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 2024-03-22

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2024-03-22

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-03-22

F-0657

D · No harm found

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

Corrected 2024-03-22

F-0658

D · No harm found

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

Corrected 2024-03-22

F-0678

E · No harm found

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-03-22

F-0690

D · No harm found

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 2024-03-22

F-0695

D · No harm found

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

Corrected 2024-03-22

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 2024-03-22

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-03-22

F-0943

D · No harm found

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2024-03-22

2023-09-14Health inspectionComplaint-triggered4 citations

F-0686

G · Actual harmFrom a complaint

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

Corrected 2023-09-20

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 2023-09-20

F-0760

D · No harm foundFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2023-09-20

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 2023-09-20

2026-04-23Fire-safety inspection1 citation

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2026-04-21

2025-04-03Fire-safety inspection2 citations

K-0362

E · No harm found

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2025-04-08

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-04-21

2024-02-22Fire-safety inspection6 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-03-29

K-0211

F · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-03-29

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2024-03-29

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-03-29

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-03-29

K-0918

F · No harm found

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

Corrected 2024-03-29

Federal penalties

2025-01-09Fine$35,341

2023-09-14Fine$3,269

Total fines$38,610

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 165082.

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 49 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