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No fines or payment denials in the published 3-year window.
3800 Indian Hills Drive, Sioux City, IA 51104 (opens Google Maps) · Woodbury County · (712) 239-5025· 46 certified beds · avg 42 residents/day · certified since Jan 1, 2001 · 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★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · 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.
Showing the latest 3 of 21 inspection findings. Open the full record below to read every finding.
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
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
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. F-0644
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 |
|---|---|---|
| Dec 4, 2025 | 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 |
| Dec 4, 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 |
| Dec 4, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0644 |
| Dec 4, 2025 | 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 |
| Dec 4, 2025 | 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 |
| Dec 4, 2025 | D · Potential for more than minimal harm, isolated | The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care. · F-0710 |
| Jul 25, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0580 |
| Jul 25, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have enough support staff to safely and effectively run its food and nutrition service. · F-0802 |
| Jul 25, 2023 | E · Potential for more than minimal harm, pattern | 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 |
| Jul 25, 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 |
| Jul 25, 2023 | E · Potential for more than minimal harm, pattern | 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 |
| Jul 25, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Jul 25, 2023 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to manage their own money and financial affairs. · F-0567 |
| Jul 25, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0644 |
| Jul 25, 2023 | 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 |
| Jul 25, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0661 |
| Jul 25, 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 |
| Jul 25, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jul 25, 2023 | 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 |
| Jul 25, 2023 | D · Potential for more than minimal harm, isolated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726 |
| Jul 25, 2023 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
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) | 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 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 3.74, RN 0.43, weekend 3.06.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.74 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Accura Healthcare of Sioux City, LLC. CMS inspection and staffing records do not tell us what this home will charge you.
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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 |
|---|---|---|---|---|
| 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 |
All 17 owning or managing parties CMS has on file are shown — none excluded.
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.
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.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 →
CMS records place this facility in Woodbury, IA — 9 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 165435.
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