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Nursing homeFAID #4186

Accura Healthcare of Onawa

222 NORTH 15TH STREET, ONAWA, IA, 51040
(712) 423-2510
accura.healthcare
46 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing2/5 quality measuresSource: CMS Care Compare

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Public record summary

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Bed capacity
46
CMS facility ID
165256
Care type
Nursing home
County
Monona
Facility name
Accura Healthcare of Onawa
Street address
222 NORTH 15TH STREET
City / state / ZIP
Onawa, IA 51040
Phone
(712) 423-2510
Website
accura.healthcare

About this facility — Accura Healthcare of Onawa

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

It is one of 6 senior care facilities in Onawa 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 Onawa 45 times across 8 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 - 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 · Additional disclosable party — since 2025
Aviv Healthcare Properties Operating Partnership I Lp
Additional disclosable party — since 2025
Aviv Op Limited Partner Llc
Additional disclosable party — since 2025
Dudley, Paul
Operational control · Additional disclosable party — since 2025
Glaser, Kristopher
Indirect owner · Operational control · Additional disclosable party — since 2025
Infante, Jordan
Operational control · Additional disclosable party — since 2025
Iowa Lincoln County Property Llc
Additional disclosable party — since 2025
Kimmons Healthcare Investments Llc
Indirect owner — since 2025
Kleinsasser, Megan
Indirect owner · Operational control · Additional disclosable party — since 2025
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
Ohi Healthcare Properties Limited Partnership
Additional disclosable party — since 2025
Omega Healthcare Investors Inc
Additional disclosable party — since 2025
Slemp, Jessica
Operational control · Additional disclosable party — since 2025
Toti, Lisa
Indirect owner · 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
1995-06-01
CMS overall rating
2 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-05-08
Nurse staffing
3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$327 per day (≈ $9,940/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
67% Medicaid · 6% Medicare · 28% private/other
Occupancy
77% (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 5 food-safety citations on its three-year record — flagged below among the inspections.
2025-05-08Health inspection5 citations
F-0584
D · No harm found
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 2025-05-22
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 2025-05-22
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-22
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 2025-05-22
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 2025-05-22
2024-07-27Health inspectionComplaint-triggered3 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-12
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-12
F-0698
D · No harm foundFrom a complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-08-12
6 earlier / fire-safety inspections (37 citations)
2024-06-13Health inspection7 citations
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 2024-06-26
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-06-26
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-26
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-26
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 2024-06-26
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 2024-06-26
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-06-26
2024-01-12Health inspectionComplaint-triggered3 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-01
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-01
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 2023-07-11
2023-06-29Health inspection12 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-08-11
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-08-11
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-11
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2023-08-11
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-11
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-11
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 2023-08-11
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-11
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-08-11
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 2023-08-11
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-08-11
F-0925
E · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-08-11
2025-05-08Fire-safety inspection1 citation
K-0161
D · No harm found
Use approved construction type or materials.
Corrected 2025-05-15
2024-06-13Fire-safety inspection10 citations
K-0132
F · No harm found
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Corrected 2024-07-18
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2024-06-26
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-07-18
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 2024-07-17
K-0281
F · No harm found
Install proper backup exit lighting.
Corrected 2024-07-17
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 2024-07-17
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2024-06-18
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-07-18
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-06-17
K-0922
D · No harm found
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2024-06-17
2023-06-29Fire-safety inspection4 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2023-08-03
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-15
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-07-15
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-07-15
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 165256.

Inside your report

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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 45 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