Accura Healthcare of Cherokee, LLC
921 Riverview Drive, Cherokee, IA 51012 · Cherokee County · 44 certified beds · avg 38 residents/day · certified since Aug 25, 2000
Part of chain: ACCURA HEALTHCARE (41 facilities, chain avg rating 2.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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)
▲ Immediate jeopardy, one-off · Dec 17, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 18, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (11)
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 |
|---|---|---|
| Jan 8, 2026 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jan 8, 2026 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jan 8, 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. |
| Oct 30, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Dec 17, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Oct 10, 2024 | F · Potential for harm, facility-wide | 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. |
| Oct 10, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Oct 10, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 13, 2023 | 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. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jul 13, 2023 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | E |
| 2024 | 4 | 1 | J ▲ |
| 2025 | 1 | 0 | D |
| 2026 | 3 | 0 | E |
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)
1 fine totaling $8,021.
| Date | Type | Amount / length |
|---|---|---|
| Dec 17, 2024 | Fine | $8,021 |
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) | 4.25 | 4.37 | 3.95 | top 49% in Iowa; top 30% in the U.S. |
| Registered Nurse hours | 0.70 | 0.85 | 0.69 | bottom 35% in Iowa; top 37% in the U.S. |
| Weekend total nurse staffing | 3.81 | 3.86 | 3.50 | top 47% in Iowa; top 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.39 | 0.51 | 0.48 | bottom 34% in Iowa; top 50% in the U.S. |
| Total nursing staff turnover (%) | 42.9 | 44.0 | 45.8 | bottom 49% in Iowa; top 44% in the U.S. |
| RN turnover (%) | 20.0 | 42.1 | 42.9 | top 18% in Iowa; top 13% 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 3.69, RN 0.60, weekend 3.31. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Accura Healthcare | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2016 |
| American Healthcare Management Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2016 |
| American Healthcare Management Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/13/2025 |
| Cherokee Care LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2016 |
| Cherokee Care LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/13/2025 |
| Dewitt, Samantha | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/22/2024 |
| Dewitt, Samantha | Individual | ADP of the SNF | NOT APPLICABLE | 07/22/2024 |
| Gemino Healthcare Finance LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 01/09/2025 |
| Leneave, Ted | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2016 |
| Leneave, Ted | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2016 |
| PH Pomeroy LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/13/2025 |
| PH Pomeroy LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/13/2025 |
| Toti, Lisa | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2016 |
| Toti, Lisa | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2016 |
| Vandelune, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Vandelune, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "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 |
|---|---|---|---|---|---|
| Cherokee Specialty Care | 0.6 mi | Cherokee, IA | ★★★☆☆ | 3/5 | |
| Careage Hills Rehabilitation and Healthcare | 0.8 mi | Cherokee, IA | ★★☆☆☆ | 2/5 | |
| Accura Healthcare of Aurelia, LLC | 5.7 mi | Aurelia, IA | ★★★☆☆ | 3/5 | |
| Heartland Care Center | 14.3 mi | Marcus, IA | ★★★★★ | 3/5 | |
| Methodist Manor Retirement Community | 18.1 mi | Storm Lake, IA | ★★★★☆ | 3/5 | |
| Good Samaritan - Holstein | 18.7 mi | Holstein, IA | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 165425.