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Accura Healthcare of Le Mars
954 7th Avenue SE, Le Mars, IA 51031 (opens Google Maps) · Plymouth County · (712) 546-7831· 46 certified beds · avg 39 residents/day · certified since Dec 1, 1996 · 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 →
Part of chain: ACCURA HEALTHCARE (41 facilities, chain avg rating 2.5★)
3/5
Health inspection rating (on-site)
inspected May 29, 2025
2
Serious findings on record
most recent May 30, 2024
$0
Fines, last 3 years
5.28
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: ★★★☆☆3/5 · CMS overall rating: 4/5 · 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 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.
▲ Actual harm, isolated · 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): 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: Jan 31, 2024 (Past Non-Compliance)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): 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: Dec 25, 2023 (Past Non-Compliance)
Inspection findings in the public record
Showing the latest 3 of 17 inspection findings. Open the full record below to read every finding.
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. F-0803
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. F-0605
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). F-0628
View all 17 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 29, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0803 |
| May 29, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0605 |
| May 29, 2025 | D · Potential for more than minimal harm, isolated | 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). · F-0628 |
| May 29, 2025 | D · Potential for more than minimal harm, isolated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| May 29, 2025 | 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. · F-0880 |
| May 30, 2024 | ▲ G · Actual harm, isolated | 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 · F-0689 |
| May 30, 2024 | ▲ G · Actual harm, isolated | 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 · F-0909 |
| May 30, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0656 |
| May 30, 2024 | 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 |
| May 30, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0644 |
| May 30, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| May 30, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0744 |
| May 30, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0803 |
| May 30, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0805 |
| May 30, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Mar 15, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0644 |
| Mar 15, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 5).
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 10
Serious citations (G–L): 2
2025
All citations: 5
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
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: 5.28
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.89
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.82
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) | 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 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 4.51, RN 0.76, weekend 4.12.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.51 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
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: 4/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Accura Healthcare of Le Mars. 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 |
|---|---|---|---|---|
| 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 |
All 8 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 Marshalltown — Marshalltown, IA · overall 1/5abuse
- Accura Healthcare of Milford — Milford, IA · overall 4/5
- Accura Healthcare of Muscatine — Muscatine, IA · overall 2/5
- Accura Healthcare of New Hampton — New Hampton, IA · overall 4/5
- Accura Healthcare of Newton East, LLC — Newton, IA · overall 1/5
- Accura Healthcare of Ogden, LLC — Ogden, IA · overall 4/5
- Accura Healthcare of Onawa — Onawa, IA · overall 2/5
- Accura Healthcare of Pleasantville, LLC — Pleasantville, IA · overall 1/5
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.
- "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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 26% 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 |
|---|---|---|---|---|---|
| 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 →
Other facilities in the same county
CMS records place this facility in Plymouth, IA — 5 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Akron Care Center, INC — Akron, IA · overall 4/5
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 165311.
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