Accura Healthcare of Milford

Name: Accura Healthcare of Milford
Address: 1600 13th Street, Milford, IA, 51351, US
Telephone: 7123384742

1600 13th Street, Milford, IA 51351 · Dickinson County · 46 certified beds · avg 44 residents/day · certified since Feb 1, 1999

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

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.73

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★★5/5 · 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.

All citations in the current public record (8)

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
Aug 15, 2024	D · Potential for harm, one-off	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.
May 18, 2023	E · Potential for harm, repeated	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 18, 2023	E · Potential for harm, repeated	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 18, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 18, 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.
May 18, 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.
May 18, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
May 18, 2023	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.

Inspection trend by year

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.

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)	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 (%)	0.0	42.1	42.9	—

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 3.53, RN 0.48, weekend 3.28. Staffing rating: 3/5.

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: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5

Who owns this facility

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

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 specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
"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
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

Compare this facility with the 3 closest →

All facilities in Milford →

Facility data as of CMS processing date 2026-08-01. CCN 165402.

The Care File

Visit checklist — Accura Healthcare of Milford

1600 13th Street, Milford, IA 51351 · 7123384742

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

Questions for the administrator:

☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
☐ "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 165402 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)