Nursing HomeInspections

Accura Healthcare of Cascade LLC

Nursing home in Cascade, IA

Medicare & Medicaid certified2★ overall (CMS)CMS abuse icon

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Public-record details

Address
701 North Johnson Street NW, Cascade, IA 52033
Phone
(563) 852-3277
Listed under
For-profit, No fines in 3 years
Medicare CCN
165568
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
4 of 5
Certified beds
46
Average residents per day
42
Ownership
For-profit, limited Liability company
Legal business name
Accura Healthcare of Cascade LLC
Chain
Accura Healthcare (41 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 2006
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 165568. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 28, 2026. CMS lists 5 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 15, 2025 to May 28, 2026): 3 from complaint inspections, 1 at the “actual harm” level or higher. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
May 28, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 28, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		G
Actual harm, isolated
Mar 4, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 3, 2025Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration · complaint inspection		D
Potential for more than minimal harm, isolated
May 15, 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

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 no fines or payment denials for this facility in the last three years.

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
4.26 hours
Registered nurse (RN) time per resident per day
0.56 hours
Nurse aide time per resident per day
2.89 hours
Total nurse staffing on weekends
3.77 hours
Nursing staff turnover (yearly)
31%
RN turnover (yearly)
38%
Administrators who left in the past year
1

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.