Accura Healthcare of Muscatine

Name: Accura Healthcare of Muscatine
Address: 3440 Mulberry Avenue, Muscatine, IA, 52761, US
Telephone: 5632632194

3440 Mulberry Avenue, Muscatine, IA 52761 · Muscatine County · 100 certified beds · avg 65 residents/day · certified since Feb 7, 2007

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

3.31

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: 2/5

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 (28)

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 28, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
May 8, 2025	E · Potential for harm, repeated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
May 8, 2025	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
May 8, 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 8, 2025	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 8, 2025	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 8, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Sep 16, 2024	D · Potential for harm, one-off	The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint
Aug 1, 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.
Aug 1, 2024	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Aug 1, 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.
Aug 1, 2024	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Aug 1, 2024	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. · from a complaint
Aug 1, 2024	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.
Aug 1, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Aug 1, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Aug 1, 2024	D · Potential for harm, one-off	The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. · from a complaint
Aug 1, 2024	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 26, 2023	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Oct 26, 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.
Oct 26, 2023	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.
Oct 26, 2023	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Oct 26, 2023	D · Potential for harm, one-off	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Oct 26, 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.
Oct 26, 2023	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.
Oct 26, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Oct 26, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Oct 26, 2023	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 6).

Year	Citations	Worst severity that year
2023	10	E
2024	11	E
2025	7	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)	3.31	4.37	3.95	bottom 4% in Iowa; bottom 27% in the U.S.
Registered Nurse hours	0.61	0.85	0.69	bottom 22% in Iowa; top 48% in the U.S.
Weekend total nurse staffing	3.02	3.86	3.50	bottom 8% in Iowa; bottom 32% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.43	0.51	0.48	bottom 43% in Iowa; top 43% in the U.S.
Total nursing staff turnover (%)	34.7	44.0	45.8	top 28% in Iowa; top 23% in the U.S.
RN turnover (%)	60.0	42.1	42.9	bottom 26% in Iowa; bottom 22% 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 2.86, RN 0.52, weekend 2.61. 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: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Allen, Brady	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/01/2025
Avenue94 LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/01/2025
Aviv Healthcare Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/01/2025
Aviv Healthcare of the Midwest LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	02/01/2025
Kimmons Healthcare Investments LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/01/2025
Kleinsasser, Megan	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/01/2025
KTL Enterprises LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/01/2025
Leneave, Ted	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/01/2025
Little River Investments LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/01/2025
Toti, Lisa	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/01/2025
ZRR Opco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/01/2025
Accura Management Consulting Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2025
Accura Management Consulting Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2025
Allen, Brady	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2025
Allen, Brady	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2025
Aviv Financing II LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2025
Aviv Healthcare Properties Operating Partnership I LP	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2025
Aviv Op Limited Partner LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2025
Calveage, Brandy	Individual	Operational/Managerial Control	NOT APPLICABLE	03/09/2020
Calveage, Brandy	Individual	ADP of the SNF	NOT APPLICABLE	03/09/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"How do you prepare residents and families for discharge, and what support do you arrange for after they leave?"
"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
Lutheran Living Senior Campus	2.2 mi	Muscatine, IA	★☆☆☆☆	1/5
Wilton Retirement Community	11.0 mi	Wilton, IA	★★★★★	5/5
Simpson Memorial Home	12.8 mi	West Liberty, IA	★★★☆☆	4/5
Lone Tree Health Care Center INC	17.6 mi	Lone Tree, IA	★★★★★	4/5
Colonial Manors of Columbus Community	19.2 mi	Columbus Junction, IA	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Muscatine →

Facility data as of CMS processing date 2026-08-01. CCN 165578.

The Care File

Visit checklist — Accura Healthcare of Muscatine

3440 Mulberry Avenue, Muscatine, IA 52761 · 5632632194

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How do you prepare residents and families for discharge, and what support do you arrange for after they leave?"
☐ "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 165578 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)