Accura Healthcare Of Onawa
Onawa, Monona County, Iowa · CCN 165256 · For-profit (Corporation) · part of Accura Healthcare (41 facilities, chain average 2.5 stars)
CMS rates Accura Healthcare Of Onawa 2 of 5 overall as of August 2026. 46 certified beds, 40 residents a day on average. 30 citations on record from the current inspection cycles, 1 involving actual harm; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / — of 5 |
Staffing
| Total nurse staffing | 3.22464 hours per resident per day |
|---|---|
| Registered nurses | 0.63126 hours per resident per day |
| Weekend total | 2.62177 hours per resident per day |
| Nursing staff turnover | 50% (registered nurses 77.8%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | 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. Nursing and Physician Services Deficiencies · tag F0727 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0803 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-22 |
| 2024-07-27 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-12 |
| 2024-07-27 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-12 |
| 2024-07-27 complaint survey |
Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-26 |
| 2024-06-13 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-26 |
| 2024-06-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-26 |
| 2024-06-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-26 |
| 2024-06-13 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · tag F0805 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-26 |
| 2024-06-13 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-26 |
| 2024-01-12 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-02-01 |
| 2024-01-12 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-01 |
| 2024-01-12 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 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. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-08-11 |
| 2023-06-29 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · tag F0925 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-08-11 |
| 2023-06-29 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-06-29 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-06-29 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-06-29 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-06-29 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-06-29 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-06-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-06-29 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-06-29 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Accura Management Consulting Services LLC Organization | adp of the snf | — | 2025-02-01 |
| Aviv Financing II LLC Organization | adp of the snf | — | 2025-02-01 |
| Aviv Healthcare Of The Midwest LLC Organization | adp of the snf | — | 2025-06-12 |
| Aviv Healthcare Properties Operating Partnership I Lp Organization | adp of the snf | — | 2025-02-01 |
| Aviv Op Limited Partner LLC Organization | adp of the snf | — | 2025-02-01 |
| Iowa Lincoln County Property LLC Organization | adp of the snf | — | 2025-02-01 |
| Ohi Healthcare Properties Limited Partnership Organization | adp of the snf | — | 2025-02-01 |
| Omega Healthcare Investors Inc. Organization | adp of the snf | — | 2025-02-01 |
| Aviv Healthcare Of The Midwest LLC Organization | direct ownership interest | — | 2025-02-01 |
| Avenue94 LLC Organization | indirect ownership interest | — | 2025-02-01 |
| Aviv Healthcare Holdings LLC Organization | indirect ownership interest | — | 2025-02-01 |
| Kimmons Healthcare Investments LLC Organization | indirect ownership interest | — | 2025-02-01 |
| Ktl Enterprises LLC Organization | indirect ownership interest | — | 2025-02-01 |
| Little River Investments LLC Organization | indirect ownership interest | — | 2025-02-01 |
| Zrr Opco LLC Organization | indirect ownership interest | — | 2025-02-01 |
| Accura Management Consulting Services LLC Organization | operational/managerial control | — | 2025-02-01 |
| Allen, Brady Individual | adp of the snf | — | 2025-02-01 |
| Dudley, Paul Individual | adp of the snf | — | 2025-02-01 |
| Glaser, Kristopher Individual | adp of the snf | — | 2025-02-01 |
| Infante, Jordan Individual | adp of the snf | — | 2025-02-01 |
| Kleinsasser, Megan Individual | adp of the snf | — | 2025-02-01 |
| Leneave, Ted Individual | adp of the snf | — | 2025-02-01 |
| Slemp, Jessica Individual | adp of the snf | — | 2025-02-01 |
| Toti, Lisa Individual | adp of the snf | — | 2025-02-01 |
| Allen, Brady Individual | indirect ownership interest | — | 2025-02-01 |
| Glaser, Kristopher Individual | indirect ownership interest | — | 2025-02-01 |
| Kleinsasser, Megan Individual | indirect ownership interest | — | 2025-02-01 |
| Leneave, Ted Individual | indirect ownership interest | — | 2025-02-01 |
| Toti, Lisa Individual | indirect ownership interest | — | 2025-02-01 |
| Allen, Brady Individual | operational/managerial control | — | 2025-02-01 |
| Dudley, Paul Individual | operational/managerial control | — | 2025-02-01 |
| Glaser, Kristopher Individual | operational/managerial control | — | 2025-02-01 |
| Infante, Jordan Individual | operational/managerial control | — | 2025-02-01 |
| Kleinsasser, Megan Individual | operational/managerial control | — | 2025-02-01 |
| Leneave, Ted Individual | operational/managerial control | — | 2025-02-01 |
| Slemp, Jessica Individual | operational/managerial control | — | 2025-02-01 |
| Toti, Lisa Individual | operational/managerial control | — | 2025-02-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Accura Healthcare Of Onawa.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Monona County.