Accura Healthcare of Toledo
403 Grandview Drive · Toledo, IA · 52342 · 6414845080
55 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.
Total nurse staffing below 3.0 hours per resident-day
2.97 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 2.97 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 2.72 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 1 · $8,193 |
Inspection citations (18 in the current record)
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Potential for harm · D April 28, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 22, 2026 · Quality of Life and Care
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Potential for harm · D January 8, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 30, 2026 · Quality of Life and Care
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Potential for harm · D January 8, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 30, 2026 · Quality of Life and Care
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Potential for harm · D January 8, 2026
Provide or obtain dental services for each resident.
Corrected January 30, 2026 · Quality of Life and Care
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Potential for harm · E November 21, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 9, 2024 · Nutrition and Dietary
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Potential for harm · D November 21, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 9, 2024 · Resident Rights
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Potential for harm · D November 21, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 9, 2024 · Resident Assessment and Care Planning
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No harm found · B November 21, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected December 9, 2024 · Administration
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Potential for harm · D August 22, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 8, 2024 · Quality of Life and Care
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Potential for harm · D August 22, 2024 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected September 8, 2024 · Quality of Life and Care
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Potential for harm · D December 12, 2023
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 January 5, 2024 · Resident Rights
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Potential for harm · D December 12, 2023
Ensure each resident receives an accurate assessment.
Corrected January 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 12, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 12, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 12, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 5, 2024 · Quality of Life and Care
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Potential for harm · E December 12, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 5, 2024 · Nutrition and Dietary
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Immediate jeopardy · J July 13, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 25, 2023 · Quality of Life and Care
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Potential for harm · E July 13, 2023 · found via complaint
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.
Corrected July 25, 2023 · Nursing and Physician Services
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 13, 2023 | Fine | $8,193 |
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 165450 · 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.