Accura Healthcare of Lake City, LLC
1409 West Main Street · Lake City, IA · 51449 · 7124643106
46 certified beds For profit - Corporation Chain: Accura Healthcare
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.68 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.37 | 0.55–0.75 |
| Weekend hours / resident-day | 3.23 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 2 · $38,610 |
Inspection citations (40 in the current record)
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Potential for harm · D April 23, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · E April 23, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 8, 2026 · Nutrition and Dietary
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Potential for harm · E January 15, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 15, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected February 4, 2026 · Nursing and Physician Services
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Potential for harm · E January 15, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 4, 2026 · Nutrition and Dietary
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Potential for harm · D October 30, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 14, 2025 · Nutrition and Dietary
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Potential for harm · D October 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · D April 3, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 28, 2025 · Resident Rights
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Potential for harm · D April 3, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 3, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected April 28, 2025 · Pharmacy Service
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Potential for harm · D April 3, 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 April 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 28, 2025 · Quality of Life and Care
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Immediate jeopardy · J January 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 16, 2025 · Quality of Life and Care
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Potential for harm · D January 9, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 16, 2025 · Nursing and Physician Services
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Potential for harm · D January 9, 2025 · found via complaint
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected January 16, 2025 · Nursing and Physician Services
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Potential for harm · D January 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 September 30, 2024 · Pharmacy Service
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Potential for harm · E January 9, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected January 16, 2025 · Environmental
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Potential for harm · D May 30, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 30, 2024 · Quality of Life and Care
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Potential for harm · D April 4, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 4, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 27, 2024 · Quality of Life and Care
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Potential for harm · D April 4, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 27, 2024 · Nursing and Physician Services
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Potential for harm · D February 22, 2024
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.
Corrected March 22, 2024 · Resident Rights
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Potential for harm · D February 22, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 9, 2025 | Fine | $35,341 |
| September 14, 2023 | Fine | $3,269 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165082 · certified since September 6, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.