Iowa ›Onawa

Accura Healthcare of Onawa

222 North 15th Street, Onawa, IA 51040 · Monona County · 46 certified beds · avg 40 residents/day · certified since Jun 1, 1995

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

2/5
Health inspection rating (on-site)
1
Serious findings on record
$0
Fines, last 3 years
3.70
Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · 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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jan 12, 2024 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Feb 1, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (30)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
May 8, 2025F · Potential for harm, facility-wideThe facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
May 8, 2025E · Potential for harm, repeatedThe 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.
May 8, 2025E · Potential for harm, repeatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 8, 2025D · Potential for harm, one-offThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
May 8, 2025D · Potential for harm, one-offThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jul 27, 2024D · Potential for harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Jul 27, 2024D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jul 27, 2024D · Potential for harm, one-offThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint
Jun 13, 2024E · Potential for harm, repeatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 13, 2024D · Potential for harm, one-offThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Jun 13, 2024D · Potential for harm, one-offThe 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.
Jun 13, 2024D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 13, 2024D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 13, 2024D · Potential for harm, one-offThe 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.
Jun 13, 2024D · Potential for harm, one-offThe 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.
Jan 12, 2024▲ G · Actual harm, one-offThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Jan 12, 2024D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 12, 2024D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jun 29, 2023E · Potential for harm, repeatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 29, 2023E · Potential for harm, repeatedThe facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Jun 29, 2023D · Potential for harm, one-offThe facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Jun 29, 2023D · Potential for harm, one-offThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Jun 29, 2023D · Potential for harm, one-offThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Jun 29, 2023D · Potential for harm, one-offThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Jun 29, 2023D · Potential for harm, one-offThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jun 29, 2023D · Potential for harm, one-offThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jun 29, 2023D · Potential for harm, one-offThe facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jun 29, 2023D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 29, 2023D · Potential for harm, one-offThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jun 29, 2023D · Potential for harm, one-offThe 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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 5).

YearCitationsSerious (G–L)Worst severity that year
2023120E
2024131G ▲
202550F

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)

MeasureThis facilityIowa avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.704.373.95bottom 18% in Iowa; bottom 47% in the U.S.
Registered Nurse hours0.720.850.69bottom 39% in Iowa; top 34% in the U.S.
Weekend total nurse staffing3.013.863.50bottom 7% in Iowa; bottom 31% in the U.S.
Weekend RN hours (not acuity-adjusted)0.430.510.48bottom 45% in Iowa; top 42% in the U.S.
Total nursing staff turnover (%)50.044.045.8bottom 32% in Iowa; bottom 38% in the U.S.
RN turnover (%)77.842.142.9bottom 10% in Iowa; bottom 7% 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 3.22, RN 0.63, weekend 2.62. 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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / managerTypeRoleStakeSince
Allen, BradyIndividualIndirect Ownership InterestNOT APPLICABLE02/01/2025
Avenue94 LLCOrganizationIndirect Ownership InterestNOT APPLICABLE02/01/2025
Aviv Healthcare Holdings LLCOrganizationIndirect Ownership InterestNOT APPLICABLE02/01/2025
Aviv Healthcare of the Midwest LLCOrganizationDirect Ownership InterestNOT APPLICABLE02/01/2025
Glaser, KristopherIndividualIndirect Ownership InterestNOT APPLICABLE02/01/2025
Kimmons Healthcare Investments LLCOrganizationIndirect Ownership InterestNOT APPLICABLE02/01/2025
Kleinsasser, MeganIndividualIndirect Ownership InterestNOT APPLICABLE02/01/2025
KTL Enterprises LLCOrganizationIndirect Ownership InterestNOT APPLICABLE02/01/2025
Leneave, TedIndividualIndirect Ownership InterestNOT APPLICABLE02/01/2025
Little River Investments LLCOrganizationIndirect Ownership InterestNOT APPLICABLE02/01/2025
Toti, LisaIndividualIndirect Ownership InterestNOT APPLICABLE02/01/2025
ZRR Opco LLCOrganizationIndirect Ownership InterestNOT APPLICABLE02/01/2025
Accura Management Consulting Services LLCOrganizationOperational/Managerial ControlNOT APPLICABLE02/01/2025
Accura Management Consulting Services LLCOrganizationADP of the SNFNOT APPLICABLE02/01/2025
Allen, BradyIndividualOperational/Managerial ControlNOT APPLICABLE02/01/2025
Allen, BradyIndividualADP of the SNFNOT APPLICABLE02/01/2025
Aviv Financing II LLCOrganizationADP of the SNFNOT APPLICABLE02/01/2025
Aviv Healthcare of the Midwest LLCOrganizationADP of the SNFNOT APPLICABLE06/12/2025
Aviv Healthcare Properties Operating Partnership I LPOrganizationADP of the SNFNOT APPLICABLE02/01/2025
Aviv Op Limited Partner LLCOrganizationADP of the SNFNOT APPLICABLE02/01/2025

Questions to ask on your visit

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

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Pleasant View Care Center6.7 miWhiting, IA★★★★☆3/5
Carl T Curtis Health Education Center Nursing Home14.3 miMacy, NE★★★★☆3/5
Maple Heights17.5 miMapleton, IA★★★★★4/5
Accura Healthcare of Tekamah18.7 miTekamah, NE★☆☆☆☆2/5

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Facility data as of CMS processing date 2026-08-01. CCN 165256.