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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 Shenandoah

Accura Healthcare of Shenandoah

1203 South Elm Street, Shenandoah, IA 516017122464627
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
2/5
Beds
42
certified
1 fine(s) totaling $8,414

Key Findings

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

• Has 42 certified beds with an average of 40 residents per day (95% occupancy)

• Last health inspection found 11 deficiencies (inspected Sep 18, 2025)

• Has been fined a total of $8,414 across 1 fine(s)

• Total nursing staff: 3.87 hours per resident per day

• Staff turnover rate: 66.7% (high)

• Part of the Accura Healthcare chain (38 facilities)

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. The facility scored below average compared to Iowa facilities.

Beds
42
Avg Residents/Day
40
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)

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
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
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
F0880Potential for Harm

Provide and implement an infection prevention and control program.

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
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
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
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
F0658Potential for Harm

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

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
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
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
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
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
F0658Potential for Harm

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

Survey: Jun 29, 2023Corrected: NoCycle: 3
F0684Actual Harm

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

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
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

+ 2 more deficiencies

Total Fines
$8,414
Number of Fines
1
Payment Denials
1
Total Penalties
2

Penalty History

FineDec 6, 2023
$8,414
Payment DenialJun 29, 2023
6 days denied

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

Nurse Aide2.55 hrs
National avg: 2.35 hrs
LPN0.75 hrs
National avg: 0.86 hrs
RN0.57 hrs
National avg: 0.68 hrs
Total Nursing3.87 hrs
National avg: 3.89 hrs
Weekend Total3.32 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
66.7%
RN Turnover
80.0%
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 (13)

NameRoleTypeOwnership %Since
AMERICAN HEALTHCARE ASSOCIATES INC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Aug 1, 2020
ACCURA HEALTHCARE5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AAug 1, 2020
LENEAVE, TED5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AAug 1, 2020
LENEAVE, THOMAS5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AAug 1, 2020
AMERICAN HEALTHCARE MANAGEMENT SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 1, 2020
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
HUMMEL, ASHLEYW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2024
SMITH, TIMOTHYW-2 MANAGING EMPLOYEEIndividualN/AApr 1, 2024
TOTI, LISAW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2021

Nearby Nursing Homes

All Iowa facilities

Garden View Care Center

Shenandoah, IA · 50 beds

Not Rated
For profit$127,384 in finesAbuse
Health
Not Rated
Staffing
Not Rated
Quality
Not Rated
2296 ft

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 2/5. This facility is rated below average.
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 facility has been fined a total of $8,414 across 1 fine(s).
What are the staffing levels at Accura Healthcare of Shenandoah?▾
Accura Healthcare of Shenandoah provides 3.87 total nursing staff hours per resident per day, including 0.57 RN hours, 0.75 LPN hours, and 2.55 nurse aide hours. The total staff turnover rate is 66.7%.
How many beds does Accura Healthcare of Shenandoah have?▾
Accura Healthcare of Shenandoah has 42 certified beds with an average of 40 residents per day, resulting in approximately 95% 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, there are 1 other nursing home in Shenandoah, Iowa with an average rating of 1/5. You can compare all facilities on the Shenandoah nursing homes page.

Part of Accura Healthcare

This chain operates 38 facilities. View all →