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Nursing homeFAID #4340

Accura Healthcare of Marshalltown

2401 SOUTH SECOND STREET, MARSHALLTOWN, IA, 50158

(641) 752-1553

accura.healthcare

84 licensed beds

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing1/5 quality measuresSource: CMS Care Compare

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Address

2401 South Second Street

Marshalltown, IA 50158

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

165451

Care type

Nursing home

County

Marshall

Facility name

Accura Healthcare of Marshalltown

Street address

2401 SOUTH SECOND STREET

City / state / ZIP

Marshalltown, IA 50158

Phone

(641) 752-1553

Website

accura.healthcare

About this facility — Accura Healthcare of Marshalltown

Accura Healthcare of Marshalltown is a Medicare/Medicaid-certified skilled nursing facility in Marshalltown, Iowa. It is licensed for 84 beds — above the median for skilled nursing facilities in Iowa (57 beds).

It is one of 10 senior care facilities in Marshalltown 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 Marshalltown 48 times across 12 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $9,350 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 Midwest Healthcare Llc

Direct owner — 100% stake — since 2017

Leneave, Thomas

Indirect owner · Director · Officer — 30% stake — since 2017

American Healthcare Management Services Llc

Operational control — since 2017

Conner, Robert

Managing employee — since 2024

Elliott, Corey

Managing employee — since 2023

Leneave, Ted

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

2002-04-01

CMS overall rating

1 of 5 stars

Health deficiencies

11 at the last standard inspection

Federal fines

$9,350 total

Last standard inspection

2026-03-12

Nurse staffing

3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$331 per day (≈ $10,060/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

56% Medicaid · 5% Medicare · 39% private/other

Occupancy

62% (fiscal year 2023)

Vs. state median

3% 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 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-03-12Health inspection4 citations

F-0609

D · No harm found

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

Corrected 2026-03-18

F-0627

D · No harm found

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2026-03-18

F-0688

D · No harm found

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2026-03-18

F-0727

F · No harm found

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.

Corrected 2026-03-18

2025-11-24Health inspectionComplaint-triggered3 citations

F-0655

D · No harm foundFrom a complaint

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-12-09

F-0658

D · No harm foundFrom a complaint

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

Corrected 2025-12-09

F-0695

D · No harm foundFrom a complaint

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

Corrected 2025-12-09

8 earlier / fire-safety inspections (41 citations)

2025-10-09Health inspectionComplaint-triggered4 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 2025-10-10

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 2025-10-10

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-10-10

F-0761

D · 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 2025-10-10

2025-04-24Health inspectionComplaint-triggered10 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 2025-05-07

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 2025-03-26

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 2025-05-07

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 2025-05-07

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 2025-05-07

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 2025-05-07

F-0825

D · No harm foundFrom a complaint

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2025-05-07

F-0865

F · No harm foundFrom a complaint

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

Corrected 2025-05-07

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-05-07

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-05-07

2025-01-15Health inspectionComplaint-triggered6 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 2025-01-21

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 2025-01-21

F-0658

D · No harm foundFrom a complaint

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

Corrected 2025-01-21

F-0677

E · No harm foundFrom a complaint

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

Corrected 2025-01-21

F-0688

E · No harm foundFrom a complaint

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-01-21

F-0908

D · No harm foundFrom a complaint

Keep all essential equipment working safely.

Corrected 2025-01-21

2024-11-05Health inspectionComplaint-triggered1 citation

F-0839

D · No harm foundFrom a complaint

Employ staff that are licensed, certified, or registered in accordance with state laws.

Corrected 2024-11-25

2024-07-25Health inspection8 citations

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-08-16

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 2024-08-16

F-0676

D · No harm found

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-08-16

F-0692

D · No harm found

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

Corrected 2024-08-16

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2024-08-16

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 2024-08-16

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-08-16

F-0887

E · No harm found

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2024-08-16

2023-11-02Health inspectionComplaint-triggered4 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 2023-11-21

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 2023-11-21

F-0637

D · No harm foundFrom a complaint

Assess the resident when there is a significant change in condition

Corrected 2023-11-21

F-0760

G · Actual harmFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2023-11-21

2026-03-12Fire-safety inspection3 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2026-04-08

K-0222

D · 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 2026-04-08

K-0712

D · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-04-08

2025-04-24Fire-safety inspection5 citations

E-0007

F · No harm found

Address patient/client population and determine types of services needed.

Corrected 2025-05-12

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2025-05-12

K-0222

D · 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 2025-05-12

K-0325

E · No harm found

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2025-05-12

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-12

Federal penalties

2023-11-02Fine$9,350

2023-11-02Medicare payment denial — 7 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 165451.

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 48 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