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Nursing homeFAID #4434

Accura Healthcare of Muscatine

3440 MULBERRY AVENUE, MUSCATINE, IA, 52761

(563) 263-2194

accura.healthcare

100 licensed beds

★★★★★2/5CMS Five-Star overall3/5 health inspections3/5 staffing1/5 quality measuresSource: CMS Care Compare

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Photo via Google · Accura HealthCare of Muscatine

Address

3440 Mulberry Avenue

Muscatine, IA 52761

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Public record summary

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Bed capacity

100

CMS facility ID

165578

Care type

Nursing home

County

Muscatine

Facility name

Accura Healthcare of Muscatine

Street address

3440 MULBERRY AVENUE

City / state / ZIP

Muscatine, IA 52761

Phone

(563) 263-2194

Website

accura.healthcare

About this facility — Accura Healthcare of Muscatine

Accura Healthcare of Muscatine is a Medicare/Medicaid-certified skilled nursing facility in Muscatine, Iowa. It is licensed for 100 beds — well above the median for skilled nursing facilities in Iowa (57 beds).

It is one of 7 senior care facilities in Muscatine 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 Muscatine 52 times across 9 inspections in the last three years, including 4 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 Management Consulting Services Llc

Operational control · Additional disclosable party — since 2025

Allen, Brady

Indirect owner · Operational control · Additional disclosable party — since 2025

Avenue94 Llc

Indirect owner — since 2025

Aviv Financing Ii Llc

Additional disclosable party — since 2025

Aviv Healthcare Holdings Llc

Indirect owner — since 2025

Aviv Healthcare of the Midwest Llc

Direct owner — since 2025

Aviv Healthcare Properties Operating Partnership I Lp

Additional disclosable party — since 2025

Aviv Op Limited Partner Llc

Additional disclosable party — since 2025

Calveage, Brandy

Operational control · Additional disclosable party — since 2020

Glaser, Kristopher

Operational control · Additional disclosable party — since 2024

Kimmons Healthcare Investments Llc

Indirect owner — since 2025

Kleinsasser, Megan

Indirect owner · Operational control · Additional disclosable party — since 2024

Ktl Enterprises Llc

Indirect owner — since 2025

Leneave, Ted

Indirect owner · Operational control · Additional disclosable party — since 2025

Little River Investments Llc

Indirect owner — since 2025

Muscatine Toledo Properties Llc

Additional disclosable party — since 2025

Ohi Healthcare Properties Limited Partnership

Additional disclosable party — since 2025

Omega Healthcare Investors Inc

Additional disclosable party — since 2025

Sagha, Hamid

Operational control · Additional disclosable party — since 2025

Toti, Lisa

Indirect owner · Operational control · Additional disclosable party — since 2025

Young, Amy

Operational control · Additional disclosable party — since 2025

Zrr Opco Llc

Indirect owner — since 2025

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

2007-02-07

CMS overall rating

2 of 5 stars

Health deficiencies

7 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-05-08

Nurse staffing

2.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$372 per day (≈ $11,310/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

69% Medicaid · 4% Medicare · 27% private/other

Occupancy

56% (fiscal year 2023)

Vs. state median

9% above the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds

100

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · 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.

2025-08-28Health inspectionComplaint-triggered1 citation

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-09-22

2025-05-08Health inspection6 citations

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 2025-05-20

F-0640

E · No harm found

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

Corrected 2025-05-20

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-05-20

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 2025-05-20

F-0692

D · No harm found

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

Corrected 2025-05-20

F-0881

E · No harm found

Implement a program that monitors antibiotic use.

Corrected 2025-05-20

6 earlier / fire-safety inspections (45 citations)

2024-09-16Health inspectionComplaint-triggered1 citation

F-0660

D · No harm foundFrom a complaint

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2024-09-30

2024-08-01Health inspectionComplaint-triggered10 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-08-30

F-0607

D · No harm found

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

Corrected 2024-08-30

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2024-08-30

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 2024-08-30

F-0658

D · No harm found

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

Corrected 2024-08-30

F-0695

D · No harm found

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

Corrected 2024-08-30

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 2024-08-30

F-0808

D · No harm foundFood safetyFrom a complaint

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2024-08-30

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 2024-08-30

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-08-30

2023-10-26Health inspection10 citations

F-0607

D · No harm found

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

Corrected 2023-11-16

F-0636

D · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2023-11-16

F-0638

D · No harm found

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2023-11-16

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-11-16

F-0658

E · No harm found

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

Corrected 2023-11-16

F-0684

D · No harm found

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

Corrected 2023-11-16

F-0692

D · No harm found

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

Corrected 2023-11-16

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-11-16

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 2023-11-16

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 2023-11-16

2025-05-08Fire-safety inspection4 citations

K-0161

F · No harm found

Use approved construction type or materials.

Corrected 2025-05-23

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 2025-05-23

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-05-23

K-0922

E · No harm found

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2025-05-23

2024-08-01Fire-safety inspection11 citations

K-0232

E · No harm found

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2024-08-05

K-0321

F · 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 2024-08-21

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2024-08-06

K-0341

F · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-08-22

K-0347

F · No harm found

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-08-08

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-08-12

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-08-20

K-0711

F · No harm found

Provide a written emergency evacuation plan.

Corrected 2024-08-21

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-08-22

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-08-21

K-0918

F · No harm found

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

Corrected 2024-08-12

2023-10-26Fire-safety inspection9 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 2023-11-30

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2023-11-30

K-0345

F · No harm found

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

Corrected 2023-11-30

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-06

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-11-30

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-11-30

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-12-06

K-0918

F · No harm found

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

Corrected 2023-11-30

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-11-30

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 165578.

Visitor reviews

What people say on Google.

2.718 ratings on Google

★★★★★Tammy Jensen · 2022-11-21 · via Google
“My father was a resident here recently. Even though he only spent about a week at Premier, he was treated with care and dignity by much of the staff. They were very caring and personable to all of my family. We wanted to send a “Thank You “ to all of them for the love they show their patients! Especially to ‘Penny’ one of the night nurses who was one of the sweetest, caring health care workers I’v…”

★Gregory Anderson · 2014-05-23 · via Google
“My situation forced me to live there for over a year. So, it is my very well informed opinion that this place is an absolute dump run by an uncaring, maniacal, and what one would almost have to call a cruel administrative staff. Some of the nurses and CNA's are decent people, but they are so overworked and under appreciated that any degree of individualized attention is next to impossible and ve…”

★★★★★Deana Dawson · 2016-03-29 · via Google
“Premier Estates is one of the best facilities there is! The staff are motivated and caring. They not only want you to feel welcome and at home. They want to help you reach your fullest potential and succeed. Whether it be for rehabilitation or long term care, I highly recommend this facility. From the administration, to the top notch nursing care and rehabilitation this is the place to be.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

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 52 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

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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

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

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