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HomeIowaAccura Healthcare of Onawa

Accura Healthcare of Onawa

222 North 15th Street, Onawa, IA 510407124232510WebsiteGoogle Maps
3.6on Google(23 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
3/5
Quality
2/5
Beds
46
certified

How Accura Healthcare of Onawa Compares in Iowa

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.

CMS overall rating
2/5
IA average
3.1/5
Below state average
Health inspection rating
2/5
IA average
2.8/5
Below state average
Staffing rating
3/5
IA average
3.6/5
Below state average
Nursing hours per resident
3.22 hrs/day
IA average
3.81 hrs/day
Below state average
RN hours per resident
0.63 hrs/day
IA average
0.74 hrs/day
Below state average
Staff turnover
50.0%
IA average
44.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Iowa average of 3.1/5.
Its 2/5 health inspection rating is below the Iowa average of 2.8/5.
Reported nursing time is 3.22 hours per resident per day, below the state average of 3.81.
Reported RN time is 0.63 hours per resident per day, below the state average of 0.74.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
13
deficiency citations
Inspected Jun 13, 2024
Most recent cycle
5
deficiency citations
Inspected May 8, 2025
The most recent cycle recorded 8 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$7,148/mo
Iowa median
Private Room
$8,091/mo
Iowa median
Monona County 65+
2,089
24.1% of county
County Population
8,671
Monona County

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.

Beds
46
Avg Residents/Day
40.4
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 1, 1995
Sprinklers
Yes
Council
Resident
County
Monona
Last Inspection
May 8, 2025
Deficiencies (Cycle 1)
5
Weighted Score
48.0
Infection Citations
0

Deficiency Citations (30)

F0727Potential for Harm

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.

Survey: May 8, 2025Corrected: NoCycle: 1
F0803Potential for Harm

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.

Survey: May 8, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: May 8, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: May 8, 2025Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: May 8, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Jul 27, 2024Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Jul 27, 2024Corrected: NoCycle: 2
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Jul 27, 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: Jun 13, 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: Jun 13, 2024Corrected: NoCycle: 2
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Jun 13, 2024Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Jun 13, 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: Jun 13, 2024Corrected: NoCycle: 2
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Jun 13, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 13, 2024Corrected: NoCycle: 2
F0686Actual Harm

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

Survey: Jan 12, 2024Corrected: NoCycle: 3
F0684Potential for Harm

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

Survey: Jan 12, 2024Corrected: NoCycle: 3
F0689Potential for Harm

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

Survey: Jan 12, 2024Corrected: NoCycle: 3
F0812Potential for Harm

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

Survey: Jun 29, 2023Corrected: NoCycle: 3
F0925Potential for Harm

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

Survey: Jun 29, 2023Corrected: NoCycle: 3
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Jun 29, 2023Corrected: NoCycle: 3
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Jun 29, 2023Corrected: NoCycle: 3
F0609Potential for Harm

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

Survey: Jun 29, 2023Corrected: NoCycle: 3
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Jun 29, 2023Corrected: NoCycle: 3
F0677Potential for Harm

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

Survey: Jun 29, 2023Corrected: NoCycle: 3
F0686Potential for Harm

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

Survey: Jun 29, 2023Corrected: NoCycle: 3
F0688Potential for Harm

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.

Survey: Jun 29, 2023Corrected: NoCycle: 3
F0689Potential for Harm

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

Survey: Jun 29, 2023Corrected: NoCycle: 3
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Jun 29, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 29, 2023Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

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

Nurse Aide2.20 hrs
National avg: 2.32 hrs
LPN0.39 hrs
National avg: 0.86 hrs
RN0.63 hrs
National avg: 0.69 hrs
Total Nursing3.22 hrs
National avg: 3.86 hrs
Weekend Total2.62 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
50.0%
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 (37)

NameRoleTypeOwnership %Since
AVIV HEALTHCARE OF THE MIDWEST LLCDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
AVENUE94 LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
AVIV HEALTHCARE HOLDINGS LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
KIMMONS HEALTHCARE INVESTMENTS LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
KTL ENTERPRISES LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
LITTLE RIVER INVESTMENTS LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
ZRR OPCO LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
ALLEN, BRADYINDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2025
GLASER, KRISTOPHERINDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2025
KLEINSASSER, MEGANINDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2025
LENEAVE, TEDINDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2025
TOTI, LISAINDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2025
ACCURA MANAGEMENT CONSULTING SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AFeb 1, 2025
ALLEN, BRADYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
DUDLEY, PAULOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
GLASER, KRISTOPHEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
INFANTE, JORDANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
KLEINSASSER, MEGANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
LENEAVE, TEDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
SLEMP, JESSICAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
TOTI, LISAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
ACCURA MANAGEMENT CONSULTING SERVICES LLCADP OF THE SNFOrganizationN/AFeb 1, 2025
AVIV FINANCING II LLCADP OF THE SNFOrganizationN/AFeb 1, 2025
AVIV HEALTHCARE OF THE MIDWEST LLCADP OF THE SNFOrganizationN/AJun 12, 2025
AVIV HEALTHCARE PROPERTIES OPERATING PARTNERSHIP I LPADP OF THE SNFOrganizationN/AFeb 1, 2025
AVIV OP LIMITED PARTNER LLCADP OF THE SNFOrganizationN/AFeb 1, 2025
IOWA LINCOLN COUNTY PROPERTY LLCADP OF THE SNFOrganizationN/AFeb 1, 2025
OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIPADP OF THE SNFOrganizationN/AFeb 1, 2025
OMEGA HEALTHCARE INVESTORS INCADP OF THE SNFOrganizationN/AFeb 1, 2025
ALLEN, BRADYADP OF THE SNFIndividualN/AFeb 1, 2025
DUDLEY, PAULADP OF THE SNFIndividualN/AFeb 1, 2025
GLASER, KRISTOPHERADP OF THE SNFIndividualN/AFeb 1, 2025
INFANTE, JORDANADP OF THE SNFIndividualN/AFeb 1, 2025
KLEINSASSER, MEGANADP OF THE SNFIndividualN/AFeb 1, 2025
LENEAVE, TEDADP OF THE SNFIndividualN/AFeb 1, 2025
SLEMP, JESSICAADP OF THE SNFIndividualN/AFeb 1, 2025
TOTI, LISAADP OF THE SNFIndividualN/AFeb 1, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Accura Healthcare of Onawa and nearby alternatives.

All Iowa facilities
Accura Healthcare of Onawa
Onawa, IACurrent facility
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: None
Pleasant View Care Center
Whiting, IA6.7 mi
CMS
4/5
Health
3/5
Staffing
5/5
Recorded fines: None
Maple Heights
Mapleton, IA17.5 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Pioneer Valley Living And Rehab
Sergeant Bluff, IA28.0 mi
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: None
Embassy Rehab and Care Center
Sergeant Bluff, IA28.0 miAbuse flag
CMS
1/5
Health
2/5
Staffing
4/5
Recorded fines: None
Azria Health Rose Vista
Woodbine, IA28.7 mi
CMS
1/5
Health
2/5
Staffing
4/5
Recorded fines: None
Dunlap Specialty Care
Dunlap, IA29.5 mi
CMS
4/5
Health
2/5
Staffing
5/5
Recorded fines: $10,062
FacilityDistanceCMSHealthStaffingRecorded fines
Accura Healthcare of Onawa
Onawa, IA · Current facility
—2/52/53/5None recorded
Pleasant View Care Center
Whiting, IA
6.7 mi4/53/55/5None recorded
Maple Heights
Mapleton, IA
17.5 mi5/54/55/5None recorded
Pioneer Valley Living And Rehab
Sergeant Bluff, IA
28.0 mi1/51/54/5None recorded
Embassy Rehab and Care Center
Sergeant Bluff, IA
28.0 mi1/52/54/5None recorded
Azria Health Rose Vista
Woodbine, IA
28.7 mi1/52/54/5None recorded
Dunlap Specialty Care
Dunlap, IA
29.5 mi4/52/55/5$10,062

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.

Frequently Asked Questions

What is the CMS rating for Accura Healthcare of Onawa?▾
Accura Healthcare of Onawa has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 3/5, and quality measures rating of 2/5. This facility is rated below average.
How much does Accura Healthcare of Onawa cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Iowa is $7,148/month for a semi-private room and $8,091/month for a private room (Genworth/CareScout 2024). Accura Healthcare of Onawa participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Accura Healthcare of Onawa had any health inspection violations?▾
Accura Healthcare of Onawa had 5 deficiency citations in its most recent health inspection (May 8, 2025). The current CMS dataset records no fines for this facility.
What are the staffing levels at Accura Healthcare of Onawa?▾
Accura Healthcare of Onawa provides 3.22 total nursing staff hours per resident per day, including 0.63 RN hours, 0.39 LPN hours, and 2.20 nurse aide hours. The total staff turnover rate is 50.0%.
How many beds does Accura Healthcare of Onawa have?▾
Accura Healthcare of Onawa 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.
Are there other nursing homes near Accura Healthcare of Onawa?▾
Yes. This page lists 6 nearby nursing homes in Iowa. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Accura Healthcare of Onawa?▾
On Google Maps, Accura Healthcare of Onawa has a rating of 3.6 out of 5 based on 23 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Accura Healthcare

This chain operates 43 facilities. View all →