Nursing homes › Iowa › Accura Healthcare of Toledo
403 Grandview Drive, Toledo, IA 52342 · 6414845080 · 55 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: 2.89 (Iowa median: 3.69). RN hours: 0.29. Weekend total: 2.62. Nursing staff turnover: 56%.
All-time on record: 18 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-05-22 |
| 2026-01-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-01-30 |
| 2026-01-08 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-01-30 |
| 2026-01-08 | Provide or obtain dental services for each resident. | D | Health | corrected 2026-01-30 |
| 2024-11-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-12-09 |
| 2024-11-21 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-12-09 |
| 2024-11-21 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-12-09 |
| 2024-11-21 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | B | Health | corrected 2024-12-09 |
| 2024-08-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-09-08 |
| 2024-08-22 | Provide or get specialized rehabilitative services as required for a resident. | D | complaint | corrected 2024-09-08 |
| 2023-12-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2024-01-05 |
| 2023-12-12 | 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 2024-01-05 |
| 2023-12-12 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-01-05 |
| 2023-12-12 | 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 2024-01-05 |
| 2023-12-12 | 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 2024-01-05 |
| 2023-12-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-01-05 |
| 2023-07-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2023-07-25 |
| 2023-07-13 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | complaint | corrected 2023-07-25 |
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 04/01/2025 |
| 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 |
| 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 |
| BISHOP, ANDREW | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| GLASER, KRISTOPHER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2024 |
| JONES, BRENDA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/22/2025 |
| KLEINSASSER, MEGAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| LENEAVE, TED | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| TOTI, LISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| ZESCH, CANDACE | 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 165450. Corrections: data@carerecords.org.