Nursing homes › Iowa › Accura Healthcare of Shenandoah
1203 South Elm Street, Shenandoah, IA 51601 · 7122464627 · 42 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: 3.63 (Iowa median: 3.69). RN hours: 0.60. Weekend total: 3.21. Nursing staff turnover: 60%.
All-time on record: 32 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-09-18 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Health | corrected 2025-10-10 |
| 2025-09-18 | 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. | E | complaint | corrected 2025-10-10 |
| 2025-09-18 | 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 2025-10-10 |
| 2025-09-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-10-10 |
| 2025-09-18 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Health | corrected 2025-10-10 |
| 2025-09-18 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-10-10 |
| 2025-09-18 | 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 2025-10-10 |
| 2025-09-18 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-10-10 |
| 2025-09-18 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-10-10 |
| 2025-09-18 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-10-10 |
| 2025-09-18 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-10-10 |
| 2024-10-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-11-07 |
| 2024-10-17 | 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. | E | Health | corrected 2024-11-07 |
| 2024-10-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-11-07 |
| 2024-10-17 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-11-07 |
| 2024-10-17 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2024-11-07 |
| 2024-10-17 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-11-07 |
| 2024-10-17 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-11-07 |
| 2024-09-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-09-19 |
| 2023-12-06 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K | complaint | corrected 2023-12-07 |
| 2023-12-06 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2023-12-07 |
| 2023-12-06 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2023-12-07 |
| 2023-06-29 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Health | corrected 2023-07-18 |
| 2023-06-29 | Observe each nurse aide's job performance and give regular training. | E | Health | corrected 2023-07-18 |
| 2023-06-29 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Health | corrected 2023-07-18 |
| 2023-06-29 | 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 2023-07-18 |
| 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 2023-07-18 |
| 2023-06-29 | Dispose of garbage and refuse properly. | E | Health | corrected 2023-07-18 |
| 2023-06-29 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-07-18 |
| 2023-06-29 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Health | corrected 2023-07-18 |
| 2023-06-29 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2023-07-18 |
| 2023-06-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-07-18 |
| Date | Type | Amount |
|---|---|---|
| 2023-12-06 | Fine | $8,414 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LENEAVE, THOMAS | 5% Or Greater Indirect Ownership Interest | Individual | 30% | since 08/01/2020 |
| LENEAVE, TED | Corporate Director | Individual | NOT APPLICABLE | since 08/01/2020 |
| LENEAVE, THOMAS | Corporate Director | Individual | NOT APPLICABLE | since 08/01/2020 |
| TOTI, LISA | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2021 |
| LENEAVE, TED | Corporate Officer | Individual | NOT APPLICABLE | since 08/01/2020 |
| LENEAVE, THOMAS | Corporate Officer | Individual | NOT APPLICABLE | since 08/01/2020 |
| AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/01/2020 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165529. Corrections: data@carerecords.org.