Accura Healthcare of Sioux City, LLC

Name: Accura Healthcare of Sioux City, LLC
Address: 3800 Indian Hills Drive, Sioux City, IA, 51104, US
Telephone: 7122395025

3800 Indian Hills Drive, Sioux City, IA 51104 · Woodbury County · 46 certified beds · avg 42 residents/day · certified since Jan 1, 2001

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

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.79

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · 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 (21)

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
Dec 4, 2025	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.
Dec 4, 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).
Dec 4, 2025	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.
Dec 4, 2025	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.
Dec 4, 2025	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.
Dec 4, 2025	D · Potential for harm, one-off	The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care.
Jul 25, 2023	E · Potential for harm, repeated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Jul 25, 2023	E · Potential for harm, repeated	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Jul 25, 2023	E · Potential for harm, repeated	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.
Jul 25, 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.
Jul 25, 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.
Jul 25, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jul 25, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to manage their own money and financial affairs.
Jul 25, 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.
Jul 25, 2023	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.
Jul 25, 2023	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Jul 25, 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.
Jul 25, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 25, 2023	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.
Jul 25, 2023	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Jul 25, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2023	15	0	E
2025	6	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)

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)	4.79	4.37	3.95	top 26% in Iowa; top 17% in the U.S.
Registered Nurse hours	0.55	0.85	0.69	bottom 16% in Iowa; bottom 45% in the U.S.
Weekend total nurse staffing	3.92	3.86	3.50	top 43% in Iowa; top 25% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.27	0.51	0.48	bottom 11% in Iowa; bottom 26% in the U.S.
Total nursing staff turnover (%)	37.0	44.0	45.8	top 34% in Iowa; top 29% in the U.S.
RN turnover (%)	62.5	42.1	42.9	bottom 22% in Iowa; bottom 19% 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 3.74, RN 0.43, weekend 3.06. Staffing rating: 4/5.

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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Accura Healthcare	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2016
American Healthcare Associates INC	Organization	Direct Ownership Interest	NOT APPLICABLE	01/01/2016
Leneave, Ted	Individual	Indirect Ownership Interest	NOT APPLICABLE	01/01/2016
American Healthcare Management Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2016
American Healthcare Management Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/14/2025
Gemino Healthcare Finance LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	01/09/2025
Hallmark Care LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2016
Hallmark Care LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/14/2025
Leneave, Ted	Individual	Corporate Officer	NOT APPLICABLE	01/01/2016
Leneave, Ted	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2016
Menno, Tara	Individual	Operational/Managerial Control	NOT APPLICABLE	08/22/2022
Menno, Tara	Individual	ADP of the SNF	NOT APPLICABLE	08/22/2022
Miller, Daniel	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Miller, Daniel	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2024
PH Pomeroy LLC	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	06/13/2025
Toti, Lisa	Individual	Corporate Officer	NOT APPLICABLE	01/01/2016
Toti, Lisa	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2016

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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"Who would be my family member's attending doctor here, and how often would they be seen?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How is your kitchen staffed, and have meals ever been delayed because of staffing?"
"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	Flags
St Luke's Regional Medical Center SNF	3.1 mi	Sioux City, IA	★★★★★	5/5
Holy Spirit Retirement Home	3.1 mi	Sioux City, IA	★★★☆☆	2/5
Casa de Paz Health Care Center	3.6 mi	Sioux City, IA	★★☆☆☆	2/5
Sunrise Retirement Community	4.6 mi	Sioux City, IA	★★★★★	4/5
Westwood Specialty Care	4.9 mi	Sioux City, IA	★☆☆☆☆	1/5
Continental Falls	5.5 mi	South Sioux City, NE	★★☆☆☆	2/5
Adept Nursing & Rehab of South Sioux City	5.8 mi	South Sioux City, NE	★☆☆☆☆	2/5
Embassy Rehab and Care Center	9.7 mi	Sergeant Bluff, IA	★☆☆☆☆	2/5	abuse
Pioneer Valley Living and Rehab	9.9 mi	Sergeant Bluff, IA	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Sioux City →

Facility data as of CMS processing date 2026-08-01. CCN 165435.

The Care File

Visit checklist — Accura Healthcare of Sioux City, LLC

3800 Indian Hills Drive, Sioux City, IA 51104 · 7122395025

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

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "Who would be my family member's attending doctor here, and how often would they be seen?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
☐ "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 165435 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)