Accura Healthcare of Marshalltown
2401 South Second Street · Marshalltown, IA · 50158 · 6417521553
84 certified beds For profit - Corporation Chain: Accura Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- 3 citations involved actual harm to residents.
- 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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.14 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
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-day | 3.57 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.14 | 0.55–0.75 |
| Weekend hours / resident-day | 3.30 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 1 · $9,350 |
Inspection citations (42 in the current record)
-
Potential for harm · D March 12, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 12, 2026
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected March 18, 2026 · Resident Rights
-
Potential for harm · D March 12, 2026
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected March 18, 2026 · Quality of Life and Care
-
Potential for harm · F March 12, 2026
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 March 18, 2026 · Nursing and Physician Services
-
Potential for harm · D November 24, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 9, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D November 24, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 9, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D November 24, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 9, 2025 · Quality of Life and Care
-
Actual harm · G October 9, 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 October 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D October 9, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D October 9, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D October 9, 2025 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected October 10, 2025 · Pharmacy Service
-
Potential for harm · D April 24, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 7, 2025 · Quality of Life and Care
-
Potential for harm · D April 24, 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 May 7, 2025 · Pharmacy Service
-
Potential for harm · E April 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 7, 2025 · Nutrition and Dietary
-
Potential for harm · D April 24, 2025
Provide and implement an infection prevention and control program.
Corrected May 7, 2025 · Infection Control
-
Potential for harm · D April 24, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 7, 2025 · Infection Control
-
Potential for harm · E April 24, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 7, 2025 · Resident Rights
-
Potential for harm · D April 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 26, 2025 · Quality of Life and Care
-
Potential for harm · E April 24, 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 May 7, 2025 · Nursing and Physician Services
-
Potential for harm · D April 24, 2025 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected May 7, 2025 · Quality of Life and Care
-
Potential for harm · F April 24, 2025 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected May 7, 2025 · Administration
-
Potential for harm · D January 15, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 21, 2025 · Resident Rights
-
Potential for harm · E January 15, 2025 · found via complaint
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.
Corrected January 21, 2025 · Resident Rights
-
Potential for harm · D January 15, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 21, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E January 15, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 21, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 2, 2023 | Fine | $9,350 |
| November 2, 2023 | Payment Denial | 7 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165451 · certified since April 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.