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HomeIowaAccura Healthcare of Toledo

Accura Healthcare of Toledo

403 Grandview Drive, Toledo, IA 523426414845080WebsiteGoogle Maps
4.0on Google(8 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
2/5
Quality
1/5
Beds
55
certified

How Accura Healthcare of Toledo 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
2/5
IA average
2.8/5
Below state average
Staffing rating
2/5
IA average
3.6/5
Below state average
Nursing hours per resident
2.89 hrs/day
IA average
3.81 hrs/day
Below state average
RN hours per resident
0.29 hrs/day
IA average
0.74 hrs/day
Below state average
Staff turnover
56.5%
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 2/5 health inspection rating is below the Iowa average of 2.8/5.
Reported nursing time is 2.89 hours per resident per day, below the state average of 3.81.
Reported RN time is 0.29 hours per resident per day, below the state average of 0.74.

Health Inspection Trend

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

Previous cycle
10
deficiency citations
Inspected Nov 21, 2024
Most recent cycle
4
deficiency citations
Inspected Jan 8, 2026
The most recent cycle recorded 6 fewer deficiency citations than the previous cycle.

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
Tama County 65+
3,373
19.8% of county
County Population
17,017
Tama 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 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.

Beds
55
Avg Residents/Day
53.7
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 1, 2002
Sprinklers
Yes
Council
Resident
County
Tama
Last Inspection
Jan 8, 2026
Deficiencies (Cycle 1)
4
Weighted Score
41.8
Infection Citations
0

Deficiency Citations (18)

F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 28, 2026Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jan 8, 2026Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: Jan 8, 2026Corrected: NoCycle: 1
F0791Potential for Harm

Provide or obtain dental services for each resident.

Survey: Jan 8, 2026Corrected: 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: Nov 21, 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: Nov 21, 2024Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Nov 21, 2024Corrected: NoCycle: 2
F0851Minimal Harm

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Survey: Nov 21, 2024Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0825Potential for Harm

Provide or get specialized rehabilitative services as required for a resident.

Survey: Aug 22, 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: Dec 12, 2023Corrected: NoCycle: 3
F0578Potential for Harm

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.

Survey: Dec 12, 2023Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Dec 12, 2023Corrected: NoCycle: 3
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: Dec 12, 2023Corrected: NoCycle: 3
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Dec 12, 2023Corrected: NoCycle: 3
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Dec 12, 2023Corrected: NoCycle: 3
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jul 13, 2023Corrected: NoCycle: 3
F0726Potential for Harm

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.

Survey: Jul 13, 2023Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

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

Nurse Aide2.31 hrs
National avg: 2.32 hrs
LPN0.30 hrs
National avg: 0.86 hrs
RN0.29 hrs
National avg: 0.69 hrs
Total Nursing2.89 hrs
National avg: 3.86 hrs
Weekend Total2.62 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
56.5%
RN Turnover
57.1%
Administrators Left
0

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

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (36)

NameRoleTypeOwnership %Since
AVIV HEALTHCARE OF THE MIDWEST LLCDIRECT OWNERSHIP INTERESTOrganizationN/AApr 1, 2025
AVENUE94 LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
AVIV HEALTHCARE HOLDINGS LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
KIMMONS HEALTHCARE INVESTMENTS LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
KTL ENTERPRISES LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
LITTLE RIVER INVESTMENTS LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
ZRR OPCO LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
ALLEN, BRADYINDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2025
KLEINSASSER, MEGANINDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2025
LENEAVE, TEDINDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2025
TOTI, LISAINDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2025
ACCURA MANAGEMENT CONSULTING SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AFeb 1, 2025
ALLEN, BRADYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
BISHOP, ANDREWOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
GLASER, KRISTOPHEROPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 1, 2024
JONES, BRENDAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 22, 2025
KLEINSASSER, MEGANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
LENEAVE, TEDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
TOTI, LISAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
ZESCH, CANDACEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
ACCURA MANAGEMENT CONSULTING SERVICES LLCADP OF THE SNFOrganizationN/AFeb 1, 2025
AVIV FINANCING II LLCADP OF THE SNFOrganizationN/AFeb 1, 2025
AVIV HEALTHCARE OF THE MIDWEST LLCADP OF THE SNFOrganizationN/AJul 28, 2025
AVIV HEALTHCARE PROPERTIES OPERATING PARTNERSHIP I LPADP OF THE SNFOrganizationN/AFeb 1, 2025
AVIV OP LIMITED PARTNER LLCADP OF THE SNFOrganizationN/AFeb 1, 2025
MUSCATINE TOLEDO PROPERTIES LLCADP OF THE SNFOrganizationN/AFeb 1, 2025
OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIPADP OF THE SNFOrganizationN/AFeb 1, 2025
OMEGA HEALTHCARE INVESTORS INCADP OF THE SNFOrganizationN/AFeb 1, 2025
ALLEN, BRADYADP OF THE SNFIndividualN/AFeb 1, 2025
BISHOP, ANDREWADP OF THE SNFIndividualN/AFeb 1, 2025
GLASER, KRISTOPHERADP OF THE SNFIndividualN/ASep 1, 2024
JONES, BRENDAADP OF THE SNFIndividualN/AJun 22, 2025
KLEINSASSER, MEGANADP OF THE SNFIndividualN/AFeb 1, 2025
LENEAVE, TEDADP OF THE SNFIndividualN/AFeb 1, 2025
TOTI, LISAADP OF THE SNFIndividualN/AFeb 1, 2025
ZESCH, CANDACEADP OF THE SNFIndividualN/AFeb 1, 2025

Compare Nearby Nursing Homes

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

All Iowa facilities
Accura Healthcare of Toledo
Toledo, IACurrent facility
CMS
1/5
Health
2/5
Staffing
2/5
Recorded fines: None
Sunny Hill Care Center
Tama, IA4,224 ft
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $24,756
Westbrook Acres
Gladbrook, IA15.2 mi
CMS
3/5
Health
4/5
Staffing
4/5
Recorded fines: None
Sunrise Hill Care Center
Traer, IA15.4 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Harmony Marshalltown
Marshalltown, IA16.2 mi
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $78,878
Accura Healthcare of Marshalltown
Marshalltown, IA17.0 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $9,350
Southridge Specialty Care
Marshalltown, IA17.0 mi
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: $45,406
FacilityDistanceCMSHealthStaffingRecorded fines
Accura Healthcare of Toledo
Toledo, IA · Current facility
—1/52/52/5None recorded
Sunny Hill Care Center
Tama, IA
4,224 ft1/51/53/5$24,756
Westbrook Acres
Gladbrook, IA
15.2 mi3/54/54/5None recorded
Sunrise Hill Care Center
Traer, IA
15.4 mi4/54/53/5None recorded
Harmony Marshalltown
Marshalltown, IA
16.2 mi1/51/53/5$78,878
Accura Healthcare of Marshalltown
Marshalltown, IA
17.0 mi1/51/51/5$9,350
Southridge Specialty Care
Marshalltown, IA
17.0 mi2/52/54/5$45,406

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 Toledo?▾
Accura Healthcare of Toledo has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 1/5. This facility is rated below average.
How much does Accura Healthcare of Toledo 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 Toledo participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Accura Healthcare of Toledo had any health inspection violations?▾
Accura Healthcare of Toledo had 4 deficiency citations in its most recent health inspection (Jan 8, 2026). The current CMS dataset records no fines for this facility.
What are the staffing levels at Accura Healthcare of Toledo?▾
Accura Healthcare of Toledo provides 2.89 total nursing staff hours per resident per day, including 0.29 RN hours, 0.30 LPN hours, and 2.31 nurse aide hours. The total staff turnover rate is 56.5%.
How many beds does Accura Healthcare of Toledo have?▾
Accura Healthcare of Toledo has 55 certified beds with an average of 53.7 residents per day, resulting in approximately 98% occupancy. The facility is For profit - Corporation owned and is part of the Accura Healthcare chain.
Are there other nursing homes near Accura Healthcare of Toledo?▾
Yes. This page lists 6 nearby nursing homes in Iowa. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Accura Healthcare of Toledo?▾
On Google Maps, Accura Healthcare of Toledo has a rating of 4.0 out of 5 based on 8 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 →