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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeIowaAccura Healthcare of Lake City, LLC

Accura Healthcare of Lake City, LLC

1409 West Main Street, Lake City, IA 514497124643106
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
4/5
Quality
2/5
Beds
46
certified
2 fine(s) totaling $38,610

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 46 certified beds with an average of 40.4 residents per day (88% occupancy)

• Last health inspection found 9 deficiencies (inspected Apr 3, 2025)

• Has been fined a total of $38,610 across 2 fine(s)

• Total nursing staff: 3.85 hours per resident per day

• Staff turnover rate: 46.8%

• Part of the Accura Healthcare chain (38 facilities)

Accura Healthcare of Lake City, LLC is a 1-star Medicare and Medicaid certified nursing home in Lake City, Iowa with 46 certified beds. It has been operating since 1968. The facility scored below average compared to Iowa facilities.

Beds
46
Avg Residents/Day
40.4
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 6, 1968
Sprinklers
Yes
Council
Resident
County
Calhoun
Last Inspection
Apr 3, 2025
Deficiencies (Cycle 1)
9
Weighted Score
105.5
Infection Citations
0

Deficiency Citations (39)

F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Oct 22, 2025Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Apr 3, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Apr 3, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Apr 3, 2025Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Apr 3, 2025Corrected: NoCycle: 1
F0758Potential for Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey: Apr 3, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Apr 3, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 3, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jan 9, 2025Corrected: NoCycle: 2
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Jan 9, 2025Corrected: NoCycle: 2
F0728Potential for Harm

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Survey: Jan 9, 2025Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jan 9, 2025Corrected: NoCycle: 2
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Jan 9, 2025Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: May 30, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0578Potential for Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey: Feb 22, 2024Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Feb 22, 2024Corrected: NoCycle: 2
F0625Potential for Harm

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey: Feb 22, 2024Corrected: NoCycle: 2
F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: Feb 22, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Feb 22, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Feb 22, 2024Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Feb 22, 2024Corrected: NoCycle: 2
F0678Potential for Harm

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey: Feb 22, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Feb 22, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Feb 22, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Feb 22, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 22, 2024Corrected: NoCycle: 2

+ 9 more deficiencies

Total Fines
$38,610
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineSep 14, 2023
$3,269
FineJan 9, 2025
$35,341

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.54 hrs
National avg: 2.35 hrs
LPN0.81 hrs
National avg: 0.86 hrs
RN0.50 hrs
National avg: 0.68 hrs
Total Nursing3.85 hrs
National avg: 3.89 hrs
Weekend Total3.33 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
46.8%
RN Turnover
77.8%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (9)

NameRoleTypeOwnership %Since
ACCURA HEALTHCARE OF THE HEARTLAND LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jul 1, 2023
ACCURA HEALTHCARE5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJul 1, 2023
LENEAVE, TED5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AJul 1, 2023
AMERICAN HEALTHCARE MANAGEMENT SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 1, 2023
LENEAVE, TEDCORPORATE OFFICERIndividualN/AJul 1, 2023
TOTI, LISACORPORATE OFFICERIndividualN/AJul 1, 2023
DUNCAN, DEREKW-2 MANAGING EMPLOYEEIndividualN/AApr 1, 2024
LINDGREN, TAESAW-2 MANAGING EMPLOYEEIndividualN/AApr 1, 2024
TOTI, LISAW-2 MANAGING EMPLOYEEIndividualN/AJul 1, 2023

Frequently Asked Questions

What is the CMS rating for Accura Healthcare of Lake City, LLC?▾
Accura Healthcare of Lake City, LLC has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 4/5, and quality measures rating of 2/5. This facility is rated below average.
Has Accura Healthcare of Lake City, LLC had any health inspection violations?▾
Accura Healthcare of Lake City, LLC had 9 deficiency citations in its most recent health inspection (Apr 3, 2025). The facility has been fined a total of $38,610 across 2 fine(s).
What are the staffing levels at Accura Healthcare of Lake City, LLC?▾
Accura Healthcare of Lake City, LLC provides 3.85 total nursing staff hours per resident per day, including 0.50 RN hours, 0.81 LPN hours, and 2.54 nurse aide hours. The total staff turnover rate is 46.8%.
How many beds does Accura Healthcare of Lake City, LLC have?▾
Accura Healthcare of Lake City, LLC has 46 certified beds with an average of 40.4 residents per day, resulting in approximately 88% occupancy. The facility is For profit - Corporation owned and is part of the Accura Healthcare chain.

Part of Accura Healthcare

This chain operates 38 facilities. View all →