Accura Healthcare of Le Mars

Name: Accura Healthcare of Le Mars
Address: 954 7th Avenue SE, Le Mars, IA, 51031, US
Telephone: 7125467831

954 7th Avenue SE, Le Mars, IA 51031 · Plymouth County · 46 certified beds · avg 39 residents/day · certified since Dec 1, 1996

Part of chain: ACCURA HEALTHCARE (41 facilities, chain avg rating 2.5★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.28

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

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 30, 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jan 31, 2024 (Past Non-Compliance)

▲ Actual harm, one-off · May 30, 2024 · F-0909 · triggered by a complaint

The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.

Why it matters: Poorly maintained beds and rails can trap or injure residents, sometimes fatally.

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: Dec 25, 2023 (Past Non-Compliance)

All citations in the current public record (17)

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 29, 2025	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
May 29, 2025	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
May 29, 2025	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
May 29, 2025	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
May 29, 2025	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.
May 30, 2024	▲ G · Actual harm, 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
May 30, 2024	▲ G · Actual harm, one-off	The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. · from a complaint
May 30, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 30, 2024	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.
May 30, 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.
May 30, 2024	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.
May 30, 2024	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
May 30, 2024	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
May 30, 2024	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
May 30, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Mar 15, 2023	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.
Mar 15, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2023	2	0	D
2024	10	2	G ▲
2025	5	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)

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)	5.28	4.37	3.95	top 12% in Iowa; top 9% in the U.S.
Registered Nurse hours	0.89	0.85	0.69	top 37% in Iowa; top 21% in the U.S.
Weekend total nurse staffing	4.82	3.86	3.50	top 7% in Iowa; top 8% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.63	0.51	0.48	top 24% in Iowa; top 21% in the U.S.
Total nursing staff turnover (%)	26.1	44.0	45.8	top 8% in Iowa; top 8% in the U.S.
RN turnover (%)	25.0	42.1	42.9	top 27% in Iowa; top 20% 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 4.51, RN 0.76, weekend 4.12. Staffing rating: 5/5.

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: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Leneave, Thomas	Individual	5% or Greater Indirect Ownership Interest	30%	12/17/2018
American Healthcare Management Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/17/2018
Leneave, Ted	Individual	Corporate Director	NOT APPLICABLE	12/17/2018
Leneave, Ted	Individual	Corporate Officer	NOT APPLICABLE	12/17/2018
Leneave, Thomas	Individual	Corporate Director	NOT APPLICABLE	12/17/2018
Leneave, Thomas	Individual	Corporate Officer	NOT APPLICABLE	12/17/2018
Toti, Lisa	Individual	W-2 Managing Employee	NOT APPLICABLE	01/01/2020
Toti, Lisa	Individual	Corporate Director	NOT APPLICABLE	01/01/2020

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?"
"How often are beds and bed rails inspected, and who does those checks?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"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
Good Samaritan - Lemars	1.3 mi	Le Mars, IA	★★★★☆	4/5
Happy Siesta Health Care Center	9.7 mi	Remsen, IA	★★★★☆	4/5
Kingsley Specialty Care	16.2 mi	Kingsley, IA	★☆☆☆☆	1/5
Prairie Ridge Care Center	16.9 mi	Orange City, IA	★★★★★	4/5
Heartland Care Center	18.0 mi	Marcus, IA	★★★★★	3/5
Crown Pointe Estates Care Center	19.4 mi	Sioux Center, IA	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Le Mars →

Facility data as of CMS processing date 2026-08-01. CCN 165311.

The Care File

Visit checklist — Accura Healthcare of Le Mars

954 7th Avenue SE, Le Mars, IA 51031 · 7125467831

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Most serious findings on record:

▲ May 30, 2024 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ May 30, 2024 (F-0909, Actual harm, one-off): The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How often are beds and bed rails inspected, and who does those checks?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165311 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)