Nursing homes › Iowa › Accura Healthcare of Lake City, LLC
1409 West Main Street, Lake City, IA 51449 · 7124643106 · 46 certified beds
Per CMS filings, this facility is affiliated with Accura Healthcare, a group operating 43 facilities in 4 states. Group record: average rating 2.3/5, 2 abuse citation icons, 0 facilities on the Special Focus list, $519,199 in federal fines. This facility rates below its group average (2.3/5).
Total nurse staffing: 3.69 (Iowa median: 3.69). RN hours: 0.35. Weekend total: 3.25. Nursing staff turnover: 37%.
All-time on record: 40 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-05-08 |
| 2026-04-23 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-05-08 |
| 2026-01-15 | Ensure services provided by the nursing facility meet professional standards of quality. | E | complaint | corrected 2026-02-04 |
| 2026-01-15 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2026-02-04 |
| 2026-01-15 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2026-02-04 |
| 2025-10-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | complaint | corrected 2025-11-14 |
| 2025-10-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | Past Non-Compliance |
| 2025-04-03 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2025-04-28 |
| 2025-04-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-04-28 |
| 2025-04-03 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-04-28 |
| 2025-04-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-04-28 |
| 2025-04-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-04-28 |
| 2025-04-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-04-28 |
| 2025-04-03 | 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. | D | Health | corrected 2025-04-28 |
| 2025-01-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-01-16 |
| 2025-01-09 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | complaint | corrected 2025-01-16 |
| 2025-01-09 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | complaint | corrected 2025-01-16 |
| 2025-01-09 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | complaint | corrected 2025-01-16 |
| 2025-01-09 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-09-30 |
| 2024-05-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-06-30 |
| 2024-04-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2024-04-27 |
| 2024-04-04 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-04-27 |
| 2024-04-04 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | complaint | corrected 2024-04-27 |
| 2024-02-22 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Health | corrected 2024-03-22 |
| 2024-02-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-03-22 |
| 2024-02-22 | 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. | D | Health | corrected 2024-03-22 |
| 2024-02-22 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Health | corrected 2024-03-22 |
| 2024-02-22 | 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. | D | Health | corrected 2024-03-22 |
| 2024-02-22 | Assess the resident when there is a significant change in condition | D | Health | corrected 2024-03-22 |
| 2024-02-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-03-22 |
| 2024-02-22 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-03-22 |
| 2024-02-22 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-03-22 |
| 2024-02-22 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2024-03-22 |
| 2024-02-22 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-03-22 |
| 2024-02-22 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-03-22 |
| 2024-02-22 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Health | corrected 2024-03-22 |
| 2023-09-14 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2023-09-20 |
| 2023-09-14 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2023-09-20 |
| 2023-09-14 | 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. | E | complaint | corrected 2023-09-20 |
| 2023-09-14 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2023-09-20 |
| Date | Type | Amount |
|---|---|---|
| 2025-01-09 | Fine | $35,341 |
| 2023-09-14 | Fine | $3,269 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ACCURA HEALTHCARE OF THE HEARTLAND LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 07/01/2023 |
| LENEAVE, TED | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2023 |
| TOTI, LISA | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2023 |
| AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165082. Corrections: data@carerecords.org.