Accura Healthcare of Toledo

Name: Accura Healthcare of Toledo
Address: 403 Grandview Drive, Toledo, IA, 52342, US
Telephone: 6414845080

403 Grandview Drive, Toledo, IA 52342 · Tama County · 55 certified beds · avg 54 residents/day · certified since Apr 1, 2002

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

3.55

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: 3/5

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 (16)

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
Apr 28, 2026	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. · from a complaint
Jan 8, 2026	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.
Jan 8, 2026	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.
Jan 8, 2026	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Nov 21, 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.
Nov 21, 2024	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. · from a complaint
Nov 21, 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. · from a complaint
Nov 21, 2024	B · Minimal risk, repeated	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Aug 22, 2024	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. · from a complaint
Aug 22, 2024	D · Potential for harm, one-off	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint
Dec 12, 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. · from a complaint
Dec 12, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Dec 12, 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.
Dec 12, 2023	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.
Dec 12, 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.
Dec 12, 2023	D · Potential for harm, one-off	The 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. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).

Year	Citations	Worst severity that year
2023	6	E
2024	6	E
2026	4	D

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)	3.55	4.37	3.95	bottom 10% in Iowa; bottom 39% in the U.S.
Registered Nurse hours	0.35	0.85	0.69	bottom 2% in Iowa; bottom 16% in the U.S.
Weekend total nurse staffing	3.22	3.86	3.50	bottom 18% in Iowa; bottom 43% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.26	0.51	0.48	bottom 9% in Iowa; bottom 24% in the U.S.
Total nursing staff turnover (%)	56.5	44.0	45.8	bottom 17% in Iowa; bottom 22% in the U.S.
RN turnover (%)	57.1	42.1	42.9	bottom 30% in Iowa; bottom 26% 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 2.89, RN 0.29, weekend 2.62. Staffing rating: 2/5.

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: —/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	04/01/2025
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 of the Midwest LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/28/2025
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
Bishop, Andrew	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2025

Questions to ask on your visit

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

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"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
Sunny Hill Care Center	0.8 mi	Tama, IA	★☆☆☆☆	1/5
Westbrook Acres	15.2 mi	Gladbrook, IA	★★☆☆☆	3/5
Sunrise Hill Care Center	15.4 mi	Traer, IA	★★★★☆	4/5
Harmony Marshalltown	16.2 mi	Marshalltown, IA	★☆☆☆☆	1/5
Accura Healthcare of Marshalltown	17.0 mi	Marshalltown, IA	★☆☆☆☆	1/5	abuse
Southridge Specialty Care	17.0 mi	Marshalltown, IA	★★☆☆☆	2/5
Belle Plaine Specialty Care	17.6 mi	Belle Plaine, IA	★★★★☆	3/5
St Francis Manor	17.9 mi	Grinnell, IA	★★★★★	5/5
Iowa Veterans Home	18.4 mi	Marshalltown, IA	★★★★★	5/5
Mayflower Home	18.5 mi	Grinnell, IA	★★★★★	4/5
Brooklyn Community Estates	18.7 mi	Brooklyn, IA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Toledo →

Facility data as of CMS processing date 2026-08-01. CCN 165450.

The Care File

Visit checklist — Accura Healthcare of Toledo

403 Grandview Drive, Toledo, IA 52342 · 6414845080

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

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "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 165450 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)