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 Toledo is a 1-star Medicare and Medicaid certified nursing home in Toledo, Iowa with 55 certified beds. It has been operating since 2002. Its overall CMS rating is 1 out of 5.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure services provided by the nursing facility meet professional standards of quality.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide or get specialized rehabilitative services as required for a 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
No penalties on record.
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 |
|---|---|---|---|---|
| AVIV HEALTHCARE OF THE MIDWEST LLC | DIRECT OWNERSHIP INTEREST | Organization | N/A | Apr 1, 2025 |
| AVENUE94 LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| AVIV HEALTHCARE HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| KIMMONS HEALTHCARE INVESTMENTS LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| KTL ENTERPRISES LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| LITTLE RIVER INVESTMENTS LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| ZRR OPCO LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| ALLEN, BRADY | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Feb 1, 2025 |
| KLEINSASSER, MEGAN | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Feb 1, 2025 |
| LENEAVE, TED | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Feb 1, 2025 |
| TOTI, LISA | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Feb 1, 2025 |
| ACCURA MANAGEMENT CONSULTING SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Feb 1, 2025 |
| ALLEN, BRADY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| BISHOP, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| GLASER, KRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 1, 2024 |
| JONES, BRENDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 22, 2025 |
| KLEINSASSER, MEGAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| LENEAVE, TED | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| TOTI, LISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| ZESCH, CANDACE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| ACCURA MANAGEMENT CONSULTING SERVICES LLC | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| AVIV FINANCING II LLC | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| AVIV HEALTHCARE OF THE MIDWEST LLC | ADP OF THE SNF | Organization | N/A | Jul 28, 2025 |
| AVIV HEALTHCARE PROPERTIES OPERATING PARTNERSHIP I LP | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| AVIV OP LIMITED PARTNER LLC | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| MUSCATINE TOLEDO PROPERTIES LLC | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| OMEGA HEALTHCARE INVESTORS INC | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| ALLEN, BRADY | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| BISHOP, ANDREW | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| GLASER, KRISTOPHER | ADP OF THE SNF | Individual | N/A | Sep 1, 2024 |
| JONES, BRENDA | ADP OF THE SNF | Individual | N/A | Jun 22, 2025 |
| KLEINSASSER, MEGAN | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| LENEAVE, TED | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| TOTI, LISA | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| ZESCH, CANDACE | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
Compare CMS ratings and recorded fines for Accura Healthcare of Toledo 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 →