Nursing Care Index

Accura Healthcare Of Milford

Milford, Dickinson County, Iowa · CCN 165402 · For-profit (Corporation) · part of Accura Healthcare (41 facilities, chain average 2.5 stars)

CMS rates Accura Healthcare Of Milford 4 of 5 overall as of August 2026. 46 certified beds, 44 residents a day on average. 8 citations on record from the current inspection cycles; 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★★★★☆ 4 of 5
Health inspections★★★★★ 5 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★☆☆☆☆ 1 of 5
Quality: long-stay / short-stay1 / 1 of 5

Staffing

Total nurse staffing3.52617 hours per resident per day
Registered nurses0.47779 hours per resident per day
Weekend total3.27607 hours per resident per day
Nursing staff turnover30.2%
Administrators who left0

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.

SurveyFindingSeverityStatus
2024-08-15 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-15
2023-05-18 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-06-18
2023-05-18 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-06-18
2023-05-18 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-06-18
2023-05-18 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
2023-06-18
2023-05-18 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-06-18
2023-05-18 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
2023-06-18
2023-05-18 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
2023-06-18

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.

NameRoleShareSince
Accura Midwest Healthcare LLC
Organization
5% or greater indirect ownership interest2017-11-01
American Healthcare Management Services LLC
Organization
operational/managerial control2017-11-01
Leneave, Thomas
Individual
5% or greater indirect ownership interest2017-11-01
Leneave, Ted
Individual
corporate director2017-11-01
Leneave, Thomas
Individual
corporate director2017-11-01
Toti, Lisa
Individual
corporate director2020-01-01
Leneave, Ted
Individual
corporate officer2017-11-01
Leneave, Thomas
Individual
corporate officer2017-11-01
Butcher, Daren
Individual
w-2 managing employee2023-01-01
Olson, Brett
Individual
w-2 managing employee2024-01-01
Toti, Lisa
Individual
w-2 managing employee2020-01-01

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

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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 Dickinson County.