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 Onawa is a 2-star Medicare and Medicaid certified nursing home in Onawa, Iowa with 46 certified beds. It has been operating since 1995. Its overall CMS rating is 2 out of 5.
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Allow residents to self-administer drugs if determined clinically appropriate.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 |
|---|---|---|---|---|
| AVIV HEALTHCARE OF THE MIDWEST LLC | DIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| AVENUE94 LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| AVIV HEALTHCARE HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| KIMMONS HEALTHCARE INVESTMENTS LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| KTL ENTERPRISES LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| LITTLE RIVER INVESTMENTS LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| ZRR OPCO LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| ALLEN, BRADY | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Feb 1, 2025 |
| GLASER, KRISTOPHER | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Feb 1, 2025 |
| KLEINSASSER, MEGAN | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Feb 1, 2025 |
| LENEAVE, TED | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Feb 1, 2025 |
| TOTI, LISA | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Feb 1, 2025 |
| ACCURA MANAGEMENT CONSULTING SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Feb 1, 2025 |
| ALLEN, BRADY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| DUDLEY, PAUL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| GLASER, KRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| INFANTE, JORDAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| KLEINSASSER, MEGAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| LENEAVE, TED | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| SLEMP, JESSICA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| TOTI, LISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| ACCURA MANAGEMENT CONSULTING SERVICES LLC | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| AVIV FINANCING II LLC | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| AVIV HEALTHCARE OF THE MIDWEST LLC | ADP OF THE SNF | Organization | N/A | Jun 12, 2025 |
| AVIV HEALTHCARE PROPERTIES OPERATING PARTNERSHIP I LP | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| AVIV OP LIMITED PARTNER LLC | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| IOWA LINCOLN COUNTY PROPERTY LLC | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| OMEGA HEALTHCARE INVESTORS INC | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| ALLEN, BRADY | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| DUDLEY, PAUL | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| GLASER, KRISTOPHER | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| INFANTE, JORDAN | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| KLEINSASSER, MEGAN | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| LENEAVE, TED | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| SLEMP, JESSICA | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| TOTI, LISA | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
Compare CMS ratings and recorded fines for Accura Healthcare of Onawa 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 →