CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Accura Healthcare of Cascade LLC is a 2-star Medicare and Medicaid certified nursing home in Cascade, Iowa with 46 certified beds. It has been operating since 2006. Its overall CMS rating is 2 out of 5.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| ACCURA HEALTHCARE OF THE HEARTLAND LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Jul 1, 2021 |
| AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | N/A | Jul 1, 2021 |
| BLACK, TAYLOR | W-2 MANAGING EMPLOYEE | Individual | N/A | Jul 1, 2021 |
| TOTI, LISA | W-2 MANAGING EMPLOYEE | Individual | N/A | Jul 1, 2021 |
| DIXON, KEVIN | CORPORATE DIRECTOR | Individual | N/A | Jul 1, 2021 |
| LENEAVE, TED | CORPORATE OFFICER | Individual | N/A | Jul 1, 2021 |
| TOTI, LISA | CORPORATE OFFICER | Individual | N/A | Jul 1, 2021 |
Compare CMS ratings and recorded fines for Accura Healthcare of Cascade LLC and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 43 facilities. View all →