Nursing Care Index

Accura Healthcare Of Toledo

Toledo, Tama County, Iowa · CCN 165450 · For-profit (Corporation) · part of Accura Healthcare (41 facilities, chain average 2.5 stars)

CMS rates Accura Healthcare Of Toledo 3 of 5 overall as of August 2026. 55 certified beds, 54 residents a day on average. 16 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★★★☆☆ 3 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★☆☆☆☆ 1 of 5
Quality: long-stay / short-stay1 / — of 5

Staffing

Total nurse staffing2.89317 hours per resident per day
Registered nurses0.28804 hours per resident per day
Weekend total2.61905 hours per resident per day
Nursing staff turnover56.5% (registered nurses 57.1%)
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
2026-04-28
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 Deficient, Provider has date of correction
2026-05-22
2026-01-08 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
2026-01-30
2026-01-08 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-30
2026-01-08 Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · tag F0791
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
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.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-09
2024-11-21
complaint survey
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-09
2024-11-21
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
2024-12-09
2024-11-21 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · tag F0851
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2024-12-09
2024-08-22
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
2024-09-08
2024-08-22
complaint survey
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · tag F0825
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-08
2023-12-12
complaint survey
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
2024-01-05
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.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-05
2023-12-12 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
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.
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
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.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-05
2023-12-12
complaint survey
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
2024-01-05

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 Management Consulting Services LLC
Organization
adp of the snf2025-02-01
Aviv Financing II LLC
Organization
adp of the snf2025-02-01
Aviv Healthcare Of The Midwest LLC
Organization
adp of the snf2025-07-28
Aviv Healthcare Properties Operating Partnership I Lp
Organization
adp of the snf2025-02-01
Aviv Op Limited Partner LLC
Organization
adp of the snf2025-02-01
Muscatine Toledo Properties LLC
Organization
adp of the snf2025-02-01
Ohi Healthcare Properties Limited Partnership
Organization
adp of the snf2025-02-01
Omega Healthcare Investors Inc.
Organization
adp of the snf2025-02-01
Aviv Healthcare Of The Midwest LLC
Organization
direct ownership interest2025-04-01
Avenue94 LLC
Organization
indirect ownership interest2025-02-01
Aviv Healthcare Holdings LLC
Organization
indirect ownership interest2025-02-01
Kimmons Healthcare Investments LLC
Organization
indirect ownership interest2025-02-01
Ktl Enterprises LLC
Organization
indirect ownership interest2025-02-01
Little River Investments LLC
Organization
indirect ownership interest2025-02-01
Zrr Opco LLC
Organization
indirect ownership interest2025-02-01
Accura Management Consulting Services LLC
Organization
operational/managerial control2025-02-01
Allen, Brady
Individual
adp of the snf2025-02-01
Bishop, Andrew
Individual
adp of the snf2025-02-01
Glaser, Kristopher
Individual
adp of the snf2024-09-01
Jones, Brenda
Individual
adp of the snf2025-06-22
Kleinsasser, Megan
Individual
adp of the snf2025-02-01
Leneave, Ted
Individual
adp of the snf2025-02-01
Toti, Lisa
Individual
adp of the snf2025-02-01
Zesch, Candace
Individual
adp of the snf2025-02-01
Allen, Brady
Individual
indirect ownership interest2025-02-01
Kleinsasser, Megan
Individual
indirect ownership interest2025-02-01
Leneave, Ted
Individual
indirect ownership interest2025-02-01
Toti, Lisa
Individual
indirect ownership interest2025-02-01
Allen, Brady
Individual
operational/managerial control2025-02-01
Bishop, Andrew
Individual
operational/managerial control2025-02-01
Glaser, Kristopher
Individual
operational/managerial control2024-09-01
Jones, Brenda
Individual
operational/managerial control2025-06-22
Kleinsasser, Megan
Individual
operational/managerial control2025-02-01
Leneave, Ted
Individual
operational/managerial control2025-02-01
Toti, Lisa
Individual
operational/managerial control2025-02-01
Zesch, Candace
Individual
operational/managerial control2025-02-01

What changed

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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 Tama County.