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Accura Healthcare of Muscatine
3440 Mulberry Avenue, Muscatine, IA 52761 (opens Google Maps) · Muscatine County · (563) 263-2194· 100 certified beds · avg 65 residents/day · certified since Feb 7, 2007 · 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 8, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.31
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: 2/5 · 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.
Inspection findings in the public record
Showing the latest 3 of 28 inspection findings. Open the full record below to read every finding.
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 F-0600
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. F-0640
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. F-0881
View all 28 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 |
|---|---|---|
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0600 |
| May 8, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0640 |
| May 8, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0881 |
| May 8, 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 8, 2025 | 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 8, 2025 | 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 8, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Sep 16, 2024 | D · Potential for more than minimal harm, isolated | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint · F-0660 |
| Aug 1, 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 |
| Aug 1, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0558 |
| Aug 1, 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 |
| Aug 1, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0637 |
| Aug 1, 2024 | 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. · from a complaint · F-0656 |
| Aug 1, 2024 | 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 |
| Aug 1, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Aug 1, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
| Aug 1, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0808 |
| Aug 1, 2024 | 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 |
| Oct 26, 2023 | E · Potential for more than minimal harm, pattern | 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 |
| Oct 26, 2023 | 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 |
| Oct 26, 2023 | 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 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0636 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0638 |
| Oct 26, 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 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Oct 26, 2023 | 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 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 6).
All citationsSerious citations (G–L)
2023
All citations: 10
Serious citations (G–L): 0
2024
All citations: 11
Serious citations (G–L): 0
2025
All citations: 7
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 | 10 | 0 | E |
| 2024 | 11 | 0 | E |
| 2025 | 7 | 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: 3.31
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.61
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.02
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) | 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 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 2.86, RN 0.52, weekend 2.61.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.86 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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: 1/5 · long-stay residents: 1/5 · short-stay residents: 2/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Accura Healthcare of Muscatine. 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 - 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 |
Showing 20 of 35 parties CMS has on file for this facility; 15 are not displayed. The full list is in the CMS Ownership dataset.
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 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
- Accura Healthcare of Pomeroy, LLC — Pomeroy, IA · overall 3/5
- Accura Healthcare of Shenandoah — Shenandoah, IA · overall 1/5
- Accura Healthcare of Sioux City, LLC — Sioux City, IA · overall 4/5
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.
- "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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 35% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 35 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 165578.