How to file a complaint about care →
No fines or payment denials in the published 3-year window.
403 Grandview Drive, Toledo, IA 52342 (opens Google Maps) · Tama County · (641) 484-5080· 55 certified beds · avg 54 residents/day · certified since Apr 1, 2002 · 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: 3/5 · 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 16 inspection findings. Open the full record below to read every finding.
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 F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689
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
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 |
|---|---|---|
| Apr 28, 2026 | 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. · from a complaint · F-0689 |
| Jan 8, 2026 | 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 |
| Jan 8, 2026 | 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 |
| Jan 8, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · F-0791 |
| Nov 21, 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 |
| Nov 21, 2024 | 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. · from a complaint · F-0550 |
| Nov 21, 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. · from a complaint · F-0658 |
| Nov 21, 2024 | B · Potential for minimal harm, pattern | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851 |
| Aug 22, 2024 | 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. · from a complaint · F-0684 |
| Aug 22, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0825 |
| Dec 12, 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. · from a complaint · F-0812 |
| Dec 12, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Dec 12, 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 |
| Dec 12, 2023 | 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. · F-0656 |
| Dec 12, 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 |
| Dec 12, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0677 |
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | E |
| 2024 | 6 | 0 | E |
| 2026 | 4 | 0 | 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.
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) | 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 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 2.89, RN 0.29, weekend 2.62.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.89 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
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: 1/5 · long-stay residents: 1/5 · 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 Toledo. 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 |
|---|---|---|---|---|
| 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 |
Showing 20 of 36 parties CMS has on file for this facility; 16 are not displayed. The full list is in the CMS Ownership dataset.
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 |
|---|---|---|---|---|---|
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 165450.
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