Nursing HomeInspections

Accura Healthcare of Shenandoah

Nursing home in Shenandoah, IA

Medicare & Medicaid certified1★ overall (CMS)

Call (712) 246-4627Send a messageMap ↗

Public-record details

Address
1203 South Elm Street, Shenandoah, IA 51601
Phone
(712) 246-4627
Listed under
For-profit
Medicare CCN
165529
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
1 of 5
Certified beds
42
Average residents per day
41
Ownership
For-profit, limited Liability company
Legal business name
Accura Healthcare of Shenandoah
Chain
Accura Healthcare (41 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 2004
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165529. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 18, 2025. CMS lists 32 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 29, 2023 to Sep 18, 2025): 5 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Sep 18, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Sep 18, 2025Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Sep 18, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 18, 2025PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 18, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Sep 18, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Sep 18, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services		E
Potential for more than minimal harm, pattern
Sep 18, 2025Have 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.
Nursing and Physician Services · complaint inspection		E
Potential for more than minimal harm, pattern
Sep 18, 2025Ensure 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.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Sep 18, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Sep 18, 2025Have a plan that describes the process for conducting QAPI and QAA activities.
Administration		E
Potential for more than minimal harm, pattern
Oct 17, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 32. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,414 in the last three years.

Dec 6, 2023Fine: $8,414

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.63 hours
Registered nurse (RN) time per resident per day
0.60 hours
Nurse aide time per resident per day
2.49 hours
Total nurse staffing on weekends
3.21 hours
Nursing staff turnover (yearly)
60%
RN turnover (yearly)
50%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Shenandoah

Garden View Care Center1200 West Nishna Road · Shenandoah, IA 51601 · (712) 246-4515 · For-profit111 health citations in 3 inspection cycles · last standard inspection Dec 8, 2025 · $137,835 in CMS fines (3 yrs)Medicare & Medicaid certifiedSpecial Focus Facility (CMS)CMS abuse icon

All 2 in Shenandoah →