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Nursing homeFAID #4232

Accura Healthcare of Le Mars

954 7TH AVENUE SE, LE MARS, IA, 51031

(712) 546-7831

accura.healthcare

46 licensed beds

★★★★★4/5CMS Five-Star overall3/5 health inspections5/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

954 7th Avenue Se

Le Mars, IA 51031

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

165311

Care type

Nursing home

County

Plymouth

Facility name

Accura Healthcare of Le Mars

Street address

954 7TH AVENUE SE

City / state / ZIP

Le Mars, IA 51031

Phone

(712) 546-7831

Website

accura.healthcare

About this facility — Accura Healthcare of Le Mars

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

It is one of 5 senior care facilities in Le Mars 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 Le Mars 27 times across 7 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 - Limited Liability company

Registered owners & officers

Leneave, Thomas

Indirect owner · Director · Officer — 30% stake — since 2018

American Healthcare Management Services Llc

Operational control — since 2018

Leneave, Ted

Director · Officer — since 2018

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

1996-12-01

CMS overall rating

4 of 5 stars

Health deficiencies

5 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-05-29

Nurse staffing

4.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$303 per day (≈ $9,210/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

59% Medicaid · 2% Medicare · 40% private/other

Occupancy

81% (fiscal year 2023)

Vs. state median

11% 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.

2025-05-29Health inspection5 citations

F-0605

D · No harm found

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

Corrected 2025-06-04

F-0628

D · No harm found

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-06-04

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 2025-06-04

F-0804

D · No harm foundFood safety

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

Corrected 2025-06-04

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-06-04

2024-05-30Health inspectionComplaint-triggered10 citations

F-0644

D · No harm found

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

Corrected 2024-06-17

F-0656

E · 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 2024-06-17

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 2024-06-17

F-0689

G · Actual harmFrom a complaint

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

Corrected 2024-01-31

F-0744

D · No harm found

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2024-06-17

F-0803

D · 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 2024-06-17

F-0805

D · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-06-17

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 2024-06-17

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-06-17

F-0909

G · Actual harmFrom a complaint

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2023-12-25

4 earlier / fire-safety inspections (12 citations)

2023-03-15Health inspection2 citations

F-0644

D · No harm found

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

Corrected 2023-03-31

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 2023-03-31

2025-05-29Fire-safety inspection3 citations

K-0345

F · No harm found

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

Corrected 2025-06-06

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-05

K-0918

F · No harm found

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

Corrected 2025-06-05

2024-05-30Fire-safety inspection4 citations

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-07-01

K-0293

F · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2024-07-01

K-0918

F · No harm found

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

Corrected 2024-07-01

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-07-01

2023-03-15Fire-safety inspection3 citations

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-22

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-03-29

K-0926

F · No harm found

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2023-04-07

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 165311.

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 27 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