Accura Healthcare of Cresco

701 Vernon Road Sw · Cresco, IA · 52136 · 5635473580

46 certified beds For profit - Corporation Chain: Accura Healthcare

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

64% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 35
Serious harm & abuse 20% 94
Staffing 20% 61
Federal penalties 15% 100
Trend 10% 78
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.673.48 min · 4.1 strong
RN hours / resident-day0.540.55–0.75
Weekend hours / resident-day3.07≈ weekday level
Nursing turnover / year64%median 45%
Fines (3-yr window)none

Inspection citations (57 in the current record)

  • Potential for harm · D January 29, 2026

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected February 6, 2026 · Resident Rights

  • Potential for harm · D January 29, 2026

    Ensure each resident receives an accurate assessment.

    Corrected February 6, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 29, 2026

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected February 6, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 29, 2026

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

    Corrected February 6, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 29, 2026

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

    Corrected February 6, 2026 · Quality of Life and Care

  • Potential for harm · E January 29, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 6, 2026 · Nutrition and Dietary

  • Potential for harm · E January 29, 2026

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected February 6, 2026 · Administration

  • Potential for harm · D January 29, 2026

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected February 6, 2026 · Administration

  • Potential for harm · D January 29, 2026

    Provide and implement an infection prevention and control program.

    Corrected February 6, 2026 · Infection Control

  • Potential for harm · F January 29, 2026

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected February 6, 2026 · Infection Control

  • Potential for harm · D January 29, 2026 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected February 6, 2026 · Quality of Life and Care

  • Potential for harm · F January 29, 2026 · found via complaint

    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.

    Corrected February 6, 2026 · Nursing and Physician Services

  • Potential for harm · D November 17, 2025 · found via complaint

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected November 24, 2025 · Resident Rights

  • Potential for harm · D November 17, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 24, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 17, 2025 · found via complaint

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected November 24, 2025 · Quality of Life and Care

  • Potential for harm · D October 9, 2025 · found via complaint

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Corrected October 23, 2025 · Resident Rights

  • Potential for harm · D October 9, 2025 · found via complaint

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected October 23, 2025 · Quality of Life and Care

  • Potential for harm · D October 9, 2025 · found via complaint

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

    Corrected October 23, 2025 · Quality of Life and Care

  • Potential for harm · D October 9, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected October 23, 2025 · Pharmacy Service

  • Actual harm · G May 14, 2025 · found via complaint

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

    Corrected May 12, 2025 · Quality of Life and Care

  • Potential for harm · D May 14, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected May 20, 2025 · Resident Rights

  • Potential for harm · D May 14, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 14, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 14, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected May 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E May 14, 2025 · found via complaint

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Corrected May 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165490 · certified since May 1, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.