Accura Healthcare of Cascade LLC
701 North Johnson Street NW, Cascade, IA 52033 · Dubuque County · 46 certified beds · avg 42 residents/day · certified since Jan 1, 2006
Abuse citation flag (CMS)
Part of chain: ACCURA HEALTHCARE (41 facilities, chain avg rating 2.5★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · May 28, 2026 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 15, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (5)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 28, 2026 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| May 28, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 4, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Jul 3, 2025 | D · Potential for harm, one-off | The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. · from a complaint |
| May 15, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2025 | 2 | 0 | E |
| 2026 | 3 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.04 | 4.37 | 3.95 | bottom 39% in Iowa; top 38% in the U.S. |
| Registered Nurse hours | 0.53 | 0.85 | 0.69 | bottom 15% in Iowa; bottom 43% in the U.S. |
| Weekend total nurse staffing | 3.58 | 3.86 | 3.50 | bottom 40% in Iowa; top 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.51 | 0.48 | bottom 4% in Iowa; bottom 20% in the U.S. |
| Total nursing staff turnover (%) | 30.6 | 44.0 | 45.8 | top 18% in Iowa; top 15% in the U.S. |
| RN turnover (%) | 37.5 | 42.1 | 42.9 | top 45% in Iowa; top 42% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.26, RN 0.56, weekend 3.77. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Accura Healthcare of the Heartland LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2021 |
| American Healthcare Management Services LLC | Organization | 5% or Greater Direct Ownership Interest | — | 07/01/2021 |
| Black, Taylor | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/01/2021 |
| Dixon, Kevin | Individual | Corporate Director | NOT APPLICABLE | 07/01/2021 |
| Leneave, Ted | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2021 |
| Toti, Lisa | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/01/2021 |
| Toti, Lisa | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What training do new hires get before working with residents, and what ongoing training do all staff receive?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Monticello Nursing & Rehab Center | 9.9 mi | Monticello, IA | ★★★☆☆ | 3/5 | |
| Mercyone Dyersville Senior Care | 13.3 mi | Dyersville, IA | ★★★★★ | 5/5 | |
| Anamosa Care Center | 18.8 mi | Anamosa, IA | ★★★★★ | 4/5 | |
| Hawkeye Care Center Dubuque | 19.0 mi | Asbury, IA | ★★★☆☆ | 3/5 | |
| Grand Meadows Senior Living & Health Care | 19.9 mi | Asbury, IA | ★☆☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 165568.