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 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.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Have a plan that describes the process for conducting QAPI and QAA activities.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
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.
+ 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 |
|---|---|---|---|---|
| LENEAVE, THOMAS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 30% | 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 |
| 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 |
| AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Aug 1, 2020 |
Compare CMS ratings and recorded fines for Accura Healthcare of Shenandoah 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 →