• 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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Ensure each resident receives an accurate assessment.
PASARR screening for Mental disorders or Intellectual Disabilities
Provide safe and appropriate respiratory care for a resident when needed.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Have a plan that describes the process for conducting QAPI and QAA activities.
Provide and implement an infection prevention and control program.
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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Ensure each resident receives an accurate assessment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Observe each nurse aide's job performance and give regular training.
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.
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.
+ 2 more deficiencies
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 |
|---|---|---|---|---|
| AMERICAN HEALTHCARE ASSOCIATES INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Aug 1, 2020 |
| ACCURA HEALTHCARE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Aug 1, 2020 |
| LENEAVE, TED | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Aug 1, 2020 |
| LENEAVE, THOMAS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Aug 1, 2020 |
| AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Aug 1, 2020 |
| LENEAVE, TED | CORPORATE DIRECTOR | Individual | N/A | Aug 1, 2020 |
| LENEAVE, THOMAS | CORPORATE DIRECTOR | Individual | N/A | Aug 1, 2020 |
| TOTI, LISA | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2021 |
| LENEAVE, TED | CORPORATE OFFICER | Individual | N/A | Aug 1, 2020 |
| LENEAVE, THOMAS | CORPORATE OFFICER | Individual | N/A | Aug 1, 2020 |
| HUMMEL, ASHLEY | W-2 MANAGING EMPLOYEE | Individual | N/A | Jan 1, 2024 |
| SMITH, TIMOTHY | W-2 MANAGING EMPLOYEE | Individual | N/A | Apr 1, 2024 |
| TOTI, LISA | W-2 MANAGING EMPLOYEE | Individual | N/A | Jan 1, 2021 |
This chain operates 38 facilities. View all →