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Accura Healthcare of Cascade LLC
701 North Johnson Street NW, Cascade, IA 52033 (opens Google Maps) · Dubuque County · (563) 852-3277· 46 certified beds · avg 42 residents/day · certified since Jan 1, 2006 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
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.
2/5
Health inspection rating (on-site)
inspected May 28, 2026
1
Serious findings on record
most recent May 28, 2026
$0
Fines, last 3 years
4.04
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jun 15, 2026 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 5 inspection findings. Open the full record below to read every finding.
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 F-0600
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. F-0658
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 F-0880
View all 5 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 28, 2026 | ▲ G · Actual harm, isolated | 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 · F-0600 |
| May 28, 2026 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Mar 4, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
| Jul 3, 2025 | D · Potential for more than minimal harm, isolated | The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. · from a complaint · F-0940 |
| May 15, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 2).
All citationsSerious citations (G–L)
2025
All citations: 2
Serious citations (G–L): 0
2026
All citations: 3
Serious citations (G–L): 1
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.04
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.53
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.58
Iowa average: 3.86
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.26 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Accura Healthcare of Cascade LLC. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 7 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Accura Healthcare — 41 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Accura Healthcare of Cherokee, LLC — Cherokee, IA · overall 3/5
- Accura Healthcare of Creston — Creston, IA · overall 2/5
- Accura Healthcare of Knoxville, LLC — Knoxville, IA · overall 2/5
- Accura Healthcare of Lake City, LLC — Lake City, IA · overall 2/5
- Accura Healthcare of Le Mars — Le Mars, IA · overall 4/5
- Accura Healthcare of Marshalltown — Marshalltown, IA · overall 1/5abuse
- Accura Healthcare of Milford — Milford, IA · overall 4/5
- Accura Healthcare of Muscatine — Muscatine, IA · overall 2/5
Listed by state, then facility name — not a ranking. Showing 8 of the 40 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 31% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Dubuque, IA — 12 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Bethany Home — Dubuque, IA · overall 5/5
- Dubuque Specialty Care — Dubuque, IA · overall 2/5
- Ennoble Nursing and Rehab — Dubuque, IA · overall 5/5
- Harmony Dubuque — Dubuque, IA · overall 2/5
- Luther Manor at Hillcrest — Dubuque, IA · overall 1/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 165568.