How to file a complaint about care →
No fines or payment denials in the published 3-year window.
1600 13th Street, Milford, IA 51351 (opens Google Maps) · Dickinson County · (712) 338-4742· 46 certified beds · avg 44 residents/day · certified since Feb 1, 1999 · 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★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · 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.
Showing the latest 3 of 8 inspection findings. Open the full record below to read every finding.
The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. F-0607
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
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
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 |
|---|---|---|
| Aug 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607 |
| May 18, 2023 | E · Potential for more than minimal harm, pattern | 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 18, 2023 | E · Potential for more than minimal harm, pattern | 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 18, 2023 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| May 18, 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 |
| May 18, 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 |
| May 18, 2023 | 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 |
| May 18, 2023 | 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 |
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | E |
| 2024 | 1 | 0 | D |
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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
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) | 3.73 | 4.37 | 3.95 | bottom 19% in Iowa; bottom 48% in the U.S. |
| Registered Nurse hours | 0.51 | 0.85 | 0.69 | bottom 12% in Iowa; bottom 39% in the U.S. |
| Weekend total nurse staffing | 3.46 | 3.86 | 3.50 | bottom 34% in Iowa; top 44% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.51 | 0.48 | bottom 30% in Iowa; bottom 46% in the U.S. |
| Total nursing staff turnover (%) | 30.2 | 44.0 | 45.8 | top 17% in Iowa; top 14% in the U.S. |
| RN turnover (%) | — | 42.1 | 42.9 | — |
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 3.53, RN 0.48, weekend 3.28.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.53 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Accura Healthcare of Milford. CMS inspection and staffing records do not tell us what this home will charge you.
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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Accura Midwest Healthcare LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 11/01/2017 |
| Leneave, Thomas | Individual | 5% or Greater Indirect Ownership Interest | — | 11/01/2017 |
| American Healthcare Management Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2017 |
| Butcher, Daren | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2023 |
| Leneave, Ted | Individual | Corporate Director | NOT APPLICABLE | 11/01/2017 |
| Leneave, Ted | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2017 |
| Leneave, Thomas | Individual | Corporate Director | NOT APPLICABLE | 11/01/2017 |
| Leneave, Thomas | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2017 |
| Olson, Brett | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2024 |
| Toti, Lisa | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2020 |
| Toti, Lisa | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
All 11 owning or managing parties CMS has on file are shown — none excluded.
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.
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.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Accura Healthcare of Spirit Lake | 6.8 mi | Spirit Lake, IA | ★★☆☆☆ | 2/5 | |
| Spencer Post Acute Rehabilitation Center | 12.4 mi | Spencer, IA | ★☆☆☆☆ | 1/5 | |
| St Luke Lutheran Nursing Home | 14.2 mi | Spencer, IA | ★★☆☆☆ | 1/5 | |
| Good Samaritan - Estherville | 17.8 mi | Estherville, IA | ★★☆☆☆ | 2/5 | |
| Estherville Community Care Center | 18.0 mi | Estherville, IA | ★★☆☆☆ | 2/5 | |
| Ruthven Community Care Center | 18.9 mi | Ruthven, IA | ★★★★☆ | 4/5 | |
| Community Memorial Health Center | 19.3 mi | Hartley, IA | ★★★☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 165402.
May we use Google Analytics cookies to measure visits and pages viewed? Optional — every feature works without them. Privacy details