Nursing homes › Iowa › Accura Healthcare of Marshalltown
2401 South Second Street, Marshalltown, IA 50158 · (641) 752-1553 · 84 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 385 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Accura Healthcare, a group operating 41 facilities in 4 states. Group record: average rating 2.5/5, 2 abuse citation icons, 0 facilities on the Special Focus list, $364,261 in federal fines. This facility rates below its group average (2.5/5).
Total nurse staffing: 3.60 (Iowa median: 3.68). RN hours: 0.15. Weekend total: 3.26. Nursing staff turnover: 42%.
In the downloaded CMS dataset: 40 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-12 | 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. | F | Health | corrected 2026-03-18 |
| 2026-03-12 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2026-03-18 |
| 2026-03-12 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Health | corrected 2026-03-18 |
| 2026-03-12 | 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. | D | Health | corrected 2026-03-18 |
| 2025-11-24 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | complaint | corrected 2025-12-09 |
| 2025-11-24 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-12-09 |
| 2025-11-24 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2025-12-09 |
| 2025-10-09 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-10-10 |
| 2025-10-09 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-10-10 |
| 2025-10-09 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-10-10 |
| 2025-10-09 | 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. | D | complaint | corrected 2025-10-10 |
| 2025-04-24 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | complaint | corrected 2025-05-07 |
| 2025-04-24 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2025-05-07 |
| 2025-04-24 | 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 2025-05-07 |
| 2025-04-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-05-07 |
| 2025-04-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-03-26 |
| 2025-04-24 | 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 2025-05-07 |
| 2025-04-24 | 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 2025-05-07 |
| 2025-04-24 | Provide or get specialized rehabilitative services as required for a resident. | D | complaint | corrected 2025-05-07 |
| 2025-04-24 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-05-07 |
| 2025-04-24 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2025-05-07 |
| 2025-01-15 | 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. | E | complaint | corrected 2025-01-21 |
| 2025-01-15 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2025-01-21 |
| 2025-01-15 | 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. | E | complaint | corrected 2025-01-21 |
| 2025-01-15 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-01-21 |
| 2025-01-15 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-01-21 |
| 2025-01-15 | Keep all essential equipment working safely. | D | complaint | corrected 2025-01-21 |
| 2024-11-05 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | complaint | corrected 2024-11-25 |
| 2024-07-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-08-16 |
| 2024-07-25 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Health | corrected 2024-08-16 |
| 2024-07-25 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-08-16 |
| 2024-07-25 | 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 2024-08-16 |
| 2024-07-25 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2024-08-16 |
| 2024-07-25 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2024-08-16 |
| 2024-07-25 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-08-16 |
| 2024-07-25 | Post nurse staffing information every day. | C | Health | corrected 2024-08-16 |
| 2023-11-02 | Ensure that residents are free from significant medication errors. | G | complaint | corrected 2023-11-21 |
| 2023-11-02 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2023-11-21 |
| 2023-11-02 | 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. | D | complaint | corrected 2023-11-21 |
| 2023-11-02 | Assess the resident when there is a significant change in condition | D | complaint | corrected 2023-11-21 |
| Date | Type | Amount |
|---|---|---|
| 2023-11-02 | Fine | $9,350 |
| 2023-11-02 | Payment Denial | 7 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ACCURA MIDWEST HEALTHCARE LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 11/01/2017 |
| LENEAVE, THOMAS | 5% Or Greater Indirect Ownership Interest | Individual | 30% | since 11/01/2017 |
| LENEAVE, TED | Corporate Director | Individual | NOT APPLICABLE | since 11/01/2017 |
| LENEAVE, THOMAS | Corporate Director | Individual | NOT APPLICABLE | since 11/01/2017 |
| TOTI, LISA | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2020 |
| LENEAVE, TED | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2017 |
| LENEAVE, THOMAS | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2017 |
| AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 11/01/2017 |
How to cite this page: CareRecords, “Accura Healthcare of Marshalltown — compliance, penalty and ownership record” (CCN 165451), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/accura-healthcare-of-marshalltown-marshalltown-ia/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165451. Corrections: data@carerecords.org.