Nursing homes › Iowa › Accura Healthcare of Onawa
222 North 15Th Street, Onawa, IA 51040 · 7124232510 · 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: 3.22 (Iowa median: 3.69). RN hours: 0.63. Weekend total: 2.62. Nursing staff turnover: 50%.
All-time on record: 30 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-05-08 | 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 2025-05-22 |
| 2025-05-08 | Ensure 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. | E | Health | corrected 2025-05-22 |
| 2025-05-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-05-22 |
| 2025-05-08 | 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 | Health | corrected 2025-05-22 |
| 2025-05-08 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-05-22 |
| 2024-07-27 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-08-12 |
| 2024-07-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-08-12 |
| 2024-07-27 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | complaint | corrected 2024-08-12 |
| 2024-06-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-06-26 |
| 2024-06-13 | 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 2024-06-26 |
| 2024-06-13 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2024-06-26 |
| 2024-06-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-06-26 |
| 2024-06-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-06-26 |
| 2024-06-13 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Health | corrected 2024-06-26 |
| 2024-06-13 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-06-26 |
| 2024-01-12 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2024-02-01 |
| 2024-01-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-02-01 |
| 2024-01-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2023-07-11 |
| 2023-06-29 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-08-11 |
| 2023-06-29 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Health | corrected 2023-08-11 |
| 2023-06-29 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2023-08-11 |
| 2023-06-29 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2023-08-11 |
| 2023-06-29 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2023-08-11 |
| 2023-06-29 | Respond appropriately to all alleged violations. | D | Health | corrected 2023-08-11 |
| 2023-06-29 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-08-11 |
| 2023-06-29 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2023-08-11 |
| 2023-06-29 | 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 2023-08-11 |
| 2023-06-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-08-11 |
| 2023-06-29 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2023-08-11 |
| 2023-06-29 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-08-11 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| AVIV HEALTHCARE OF THE MIDWEST LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2025 |
| AVENUE94 LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2025 |
| AVIV HEALTHCARE HOLDINGS LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2025 |
| KIMMONS HEALTHCARE INVESTMENTS LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2025 |
| KTL ENTERPRISES LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2025 |
| LITTLE RIVER INVESTMENTS LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2025 |
| ZRR OPCO LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2025 |
| ALLEN, BRADY | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 02/01/2025 |
| GLASER, KRISTOPHER | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 02/01/2025 |
| KLEINSASSER, MEGAN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 02/01/2025 |
| LENEAVE, TED | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 02/01/2025 |
| TOTI, LISA | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 02/01/2025 |
| ACCURA MANAGEMENT CONSULTING SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2025 |
| ALLEN, BRADY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| DUDLEY, PAUL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| GLASER, KRISTOPHER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| INFANTE, JORDAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| KLEINSASSER, MEGAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| LENEAVE, TED | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| SLEMP, JESSICA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| TOTI, LISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165256. Corrections: data@carerecords.org.