Accura Healthcare of Onawa
222 North 15th Street · Onawa, IA · 51040 · 7124232510
46 certified beds For profit - Corporation Chain: Accura Healthcare
- No federal fines or payment denials in CMS’s 3-year window.
- 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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
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: 2 of 5 Staffing: 3 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.74 | 0.55–0.75 |
| Weekend hours / resident-day | 2.89 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (30 in the current record)
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Potential for harm · D May 8, 2025
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 May 22, 2025 · Resident Rights
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Potential for harm · F May 8, 2025
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 May 22, 2025 · Nursing and Physician Services
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Potential for harm · D May 8, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 22, 2025 · Pharmacy Service
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Potential for harm · E May 8, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected May 22, 2025 · Nutrition and Dietary
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Potential for harm · E May 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 22, 2025 · Nutrition and Dietary
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Potential for harm · D July 27, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 27, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 12, 2024 · Quality of Life and Care
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Potential for harm · D July 27, 2024 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected August 12, 2024 · Quality of Life and Care
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Potential for harm · D June 13, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected June 26, 2024 · Resident Rights
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Potential for harm · D June 13, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 13, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 26, 2024 · Quality of Life and Care
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Potential for harm · D June 13, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 26, 2024 · Quality of Life and Care
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Potential for harm · D June 13, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected June 26, 2024 · Nutrition and Dietary
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Potential for harm · E June 13, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 26, 2024 · Nutrition and Dietary
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Potential for harm · D June 13, 2024
Provide and implement an infection prevention and control program.
Corrected June 26, 2024 · Infection Control
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Actual harm · G January 12, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 1, 2024 · Quality of Life and Care
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Potential for harm · D January 12, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 1, 2024 · Quality of Life and Care
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Potential for harm · D January 12, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 11, 2023 · Quality of Life and Care
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Potential for harm · D June 29, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected August 11, 2023 · Resident Rights
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Potential for harm · D June 29, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected August 11, 2023 · Resident Rights
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Potential for harm · D June 29, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 11, 2023 · Quality of Life and Care
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Potential for harm · D June 29, 2023
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 August 11, 2023 · Quality of Life and Care
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Potential for harm · D June 29, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 11, 2023 · Quality of Life and Care
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Potential for harm · D June 29, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected August 11, 2023 · Pharmacy Service
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Potential for harm · E June 29, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 11, 2023 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 165256 · certified since June 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.