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HomeIowaAccura Healthcare of Shenandoah

Accura Healthcare of Shenandoah

1203 South Elm Street, Shenandoah, IA 516017122464627WebsiteGoogle Maps
4.2on Google(29 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
1/5
Quality
1/5
Beds
42
certified
1 fine(s) totaling $8,414

How Accura Healthcare of Shenandoah 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
1/5
IA average
3.1/5
Below state average
Health inspection rating
1/5
IA average
2.8/5
Below state average
Staffing rating
1/5
IA average
3.6/5
Below state average
Nursing hours per resident
3.63 hrs/day
IA average
3.81 hrs/day
Below state average
RN hours per resident
0.60 hrs/day
IA average
0.74 hrs/day
Below state average
Staff turnover
60.4%
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 1/5 overall CMS rating is below the Iowa average of 3.1/5.
Its 1/5 health inspection rating is below the Iowa average of 2.8/5.
Reported RN time is 0.60 hours per resident per day, below the state average of 0.74.
Staff turnover is 60.4%, higher than the Iowa average of 44.1%.

Health Inspection Trend

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

Previous cycle
11
deficiency citations
Inspected Oct 17, 2024
Most recent cycle
11
deficiency citations
Inspected Sep 18, 2025
The two inspection cycles recorded the same number of deficiency citations.

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
Page County 65+
3,583
23.5% of county
County Population
15,225
Page 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 Shenandoah is a 1-star Medicare and Medicaid certified nursing home in Shenandoah, Iowa with 42 certified beds. It has been operating since 2004. Its overall CMS rating is 1 out of 5.

Beds
42
Avg Residents/Day
41.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 1, 2004
Sprinklers
Yes
Council
Resident
County
Page
Last Inspection
Sep 18, 2025
Deficiencies (Cycle 1)
11
Weighted Score
111.0
Infection Citations
0

Deficiency Citations (32)

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: Sep 18, 2025Corrected: NoCycle: 1
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: Sep 18, 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: Sep 18, 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: Sep 18, 2025Corrected: NoCycle: 1
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: Sep 18, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Sep 18, 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: Sep 18, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Sep 18, 2025Corrected: NoCycle: 1
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Sep 18, 2025Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: Sep 18, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 18, 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: Oct 17, 2024Corrected: NoCycle: 2
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: Oct 17, 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: Oct 17, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 17, 2024Corrected: NoCycle: 2
F0582Potential for Harm

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

Survey: Oct 17, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Oct 17, 2024Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Oct 17, 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: Sep 15, 2024Corrected: NoCycle: 2
F0609Immediate Jeopardy

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

Survey: Dec 6, 2023Corrected: NoCycle: 3
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Dec 6, 2023Corrected: NoCycle: 3
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Dec 6, 2023Corrected: NoCycle: 3
F0684Actual Harm

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

Survey: Jun 29, 2023Corrected: NoCycle: 3
F0730Potential for Harm

Observe each nurse aide's job performance and give regular training.

Survey: Jun 29, 2023Corrected: NoCycle: 3
F0801Potential for Harm

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Survey: Jun 29, 2023Corrected: NoCycle: 3
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: Jun 29, 2023Corrected: 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
F0814Potential for Harm

Dispose of garbage and refuse properly.

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

Provide and implement an infection prevention and control program.

Survey: Jun 29, 2023Corrected: NoCycle: 3
F0585Potential for Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey: Jun 29, 2023Corrected: NoCycle: 3

+ 2 more deficiencies

Total Fines
$8,414
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineDec 6, 2023
$8,414

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

Nurse Aide2.49 hrs
National avg: 2.32 hrs
LPN0.54 hrs
National avg: 0.86 hrs
RN0.60 hrs
National avg: 0.69 hrs
Total Nursing3.63 hrs
National avg: 3.86 hrs
Weekend Total3.21 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
60.4%
RN Turnover
50.0%
Administrators Left
0

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (10)

NameRoleTypeOwnership %Since
LENEAVE, THOMAS5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual30%Aug 1, 2020
HUMMEL, ASHLEYW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2024
SMITH, TIMOTHYW-2 MANAGING EMPLOYEEIndividualN/AApr 1, 2024
TOTI, LISAW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2021
LENEAVE, TEDCORPORATE DIRECTORIndividualN/AAug 1, 2020
LENEAVE, THOMASCORPORATE DIRECTORIndividualN/AAug 1, 2020
TOTI, LISACORPORATE DIRECTORIndividualN/AJan 1, 2021
LENEAVE, TEDCORPORATE OFFICERIndividualN/AAug 1, 2020
LENEAVE, THOMASCORPORATE OFFICERIndividualN/AAug 1, 2020
AMERICAN HEALTHCARE MANAGEMENT SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 1, 2020

Compare Nearby Nursing Homes

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

All Iowa facilities
Accura Healthcare of Shenandoah
Shenandoah, IACurrent facility
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $8,414
Garden View Care Center
Shenandoah, IA2,112 ftAbuse flag
CMS
N/A
Health
N/A
Staffing
N/A
Recorded fines: $168,858
The Ambassador Sidney Inc
Sidney, IA14.3 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Azria Health Clarinda
Clarinda, IA17.3 mi
CMS
2/5
Health
3/5
Staffing
2/5
Recorded fines: $16,448
Tabor Manor Care Center
Tabor, IA18.4 mi
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $17,996
Red Oak Rehab and Care Center
Red Oak, IA19.9 mi
CMS
3/5
Health
3/5
Staffing
4/5
Recorded fines: None
Good Samaritan - Red Oak
Red Oak, IA20.0 mi
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: $29,894
FacilityDistanceCMSHealthStaffingRecorded fines
Accura Healthcare of Shenandoah
Shenandoah, IA · Current facility
—1/51/51/5$8,414
Garden View Care Center
Shenandoah, IA
2,112 ftN/AN/AN/A$168,858
The Ambassador Sidney Inc
Sidney, IA
14.3 mi4/54/53/5None recorded
Azria Health Clarinda
Clarinda, IA
17.3 mi2/53/52/5$16,448
Tabor Manor Care Center
Tabor, IA
18.4 mi1/51/53/5$17,996
Red Oak Rehab and Care Center
Red Oak, IA
19.9 mi3/53/54/5None recorded
Good Samaritan - Red Oak
Red Oak, IA
20.0 mi1/51/54/5$29,894

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 Shenandoah?▾
Accura Healthcare of Shenandoah has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 1/5. This facility is rated below average.
How much does Accura Healthcare of Shenandoah 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 Shenandoah participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Accura Healthcare of Shenandoah had any health inspection violations?▾
Accura Healthcare of Shenandoah had 11 deficiency citations in its most recent health inspection (Sep 18, 2025). The current CMS dataset records 1 fine(s) totaling $8,414.
What are the staffing levels at Accura Healthcare of Shenandoah?▾
Accura Healthcare of Shenandoah provides 3.63 total nursing staff hours per resident per day, including 0.60 RN hours, 0.54 LPN hours, and 2.49 nurse aide hours. The total staff turnover rate is 60.4%.
How many beds does Accura Healthcare of Shenandoah have?▾
Accura Healthcare of Shenandoah has 42 certified beds with an average of 41.1 residents per day, resulting in approximately 98% occupancy. The facility is For profit - Limited Liability company owned and is part of the Accura Healthcare chain.
Are there other nursing homes near Accura Healthcare of Shenandoah?▾
Yes. This page lists 6 nearby nursing homes in Iowa, including 1 in Shenandoah. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Accura Healthcare of Shenandoah?▾
On Google Maps, Accura Healthcare of Shenandoah has a rating of 4.2 out of 5 based on 29 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Accura Healthcare

This chain operates 43 facilities. View all →