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Nursing homeFAID #4397

Accura Healthcare of Shenandoah

1203 SOUTH ELM STREET, SHENANDOAH, IA, 51601

(712) 246-4627

accura.healthcare

42 licensed beds

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

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Address

1203 South Elm Street

Shenandoah, IA 51601

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

165529

Care type

Nursing home

County

Page

Facility name

Accura Healthcare of Shenandoah

Street address

1203 SOUTH ELM STREET

City / state / ZIP

Shenandoah, IA 51601

Phone

(712) 246-4627

Website

accura.healthcare

About this facility — Accura Healthcare of Shenandoah

Accura Healthcare of Shenandoah is a Medicare/Medicaid-certified skilled nursing facility in Shenandoah, Iowa. It is licensed for 42 beds — below the median for skilled nursing facilities in Iowa (57 beds).

It is one of 4 senior care facilities in Shenandoah 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 Shenandoah 49 times across 9 inspections in the last three years, including 7 food-safety citations, and CMS has imposed $8,414 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 - Limited Liability company

Registered owners & officers

Leneave, Thomas

Indirect owner · Director · Officer — 30% stake — since 2020

American Healthcare Management Services Llc

Operational control — since 2020

Hummel, Ashley

Managing employee — since 2024

Leneave, Ted

Director · Officer — since 2020

Smith, Timothy

Managing employee — since 2024

Toti, Lisa

Managing employee · Director — since 2021

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

2004-04-01

CMS overall rating

1 of 5 stars

Health deficiencies

11 at the last standard inspection

Federal fines

$8,414 total

Last standard inspection

2025-09-18

Nurse staffing

3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$323 per day (≈ $9,820/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

53% Medicaid · 6% Medicare · 42% private/other

Occupancy

89% (fiscal year 2023)

Vs. state median

6% 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 7 food-safety citations on its three-year record — flagged below among the inspections.

2025-09-18Health inspectionComplaint-triggered11 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-10-10

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 2025-10-10

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-10-10

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-10-10

F-0695

D · No harm found

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

Corrected 2025-10-10

F-0725

E · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-10-10

F-0727

E · No harm foundFrom a complaint

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 2025-10-10

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 2025-10-10

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 2025-10-10

F-0865

E · No harm found

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

Corrected 2025-10-10

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-10-10

2024-10-17Health inspection7 citations

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-11-07

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-11-07

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 2024-11-07

F-0658

D · No harm found

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

Corrected 2024-11-07

F-0727

E · 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 2024-11-07

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 2024-11-07

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-11-07

6 earlier / fire-safety inspections (31 citations)

2024-09-15Health 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.

Corrected 2024-09-19

2023-12-06Health inspectionComplaint-triggered3 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 2023-12-07

F-0600

J · Immediate jeopardyFrom a complaint

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

Corrected 2023-12-07

F-0609

K · Immediate jeopardyFrom a complaint

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

Corrected 2023-12-07

2023-06-29Health inspection10 citations

F-0585

D · No harm found

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2023-07-18

F-0658

D · No harm found

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

Corrected 2023-07-18

F-0684

G · Actual harm

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

Corrected 2023-07-18

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 2023-07-18

F-0730

E · No harm found

Observe each nurse aide's job performance and give regular training.

Corrected 2023-07-18

F-0801

E · No harm foundFood safety

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2023-07-18

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 2023-07-18

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 2023-07-18

F-0814

E · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2023-07-18

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-07-18

2025-09-18Fire-safety inspection5 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2025-09-25

K-0355

E · No harm found

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

Corrected 2025-09-17

K-0522

E · No harm found

Have an externally vented heating system.

Corrected 2025-09-17

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-09-17

K-0761

E · No harm found

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

Corrected 2025-10-16

2024-10-17Fire-safety inspection6 citations

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2024-11-20

K-0345

F · No harm found

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

Corrected 2024-11-20

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-20

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-11-20

K-0918

F · No harm found

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

Corrected 2024-11-20

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-11-20

2023-06-29Fire-safety inspection6 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-08-02

K-0293

E · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2023-08-02

K-0321

D · 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 2023-08-02

K-0346

F · No harm found

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-08-02

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-08-02

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-08-02

Federal penalties

2023-12-06Fine$8,414

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 165529.

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