Accura Healthcare Of Cascade LLC
Cascade, Dubuque County, Iowa · CCN 165568 · For-profit (LLC) · part of Accura Healthcare (41 facilities, chain average 2.5 stars)
CMS rates Accura Healthcare Of Cascade LLC 2 of 5 overall as of August 2026. 46 certified beds, 42 residents a day on average. 5 citations on record from the current inspection cycles, 1 involving actual harm; no fines on record.
On record
- Abuse icon. CMS marks this facility for a citation of abuse that led to harm, or a repeated potential for it, within the recent inspection cycles.
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 | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 2 / 5 of 5 |
Staffing
| Total nurse staffing | 4.26056 hours per resident per day |
|---|---|
| Registered nurses | 0.56245 hours per resident per day |
| Weekend total | 3.7724 hours per resident per day |
| Nursing staff turnover | 30.6% (registered nurses 37.5%) |
| Administrators who left | 1 |
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 |
|---|---|---|---|
| 2026-05-28 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-06-15 |
| 2026-05-28 | 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 2026-06-15 |
| 2026-03-04 complaint survey |
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 2026-03-23 |
| 2025-07-03 complaint survey |
Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · tag F0940 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-11 |
| 2025-05-15 | 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 2025-05-31 |
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 Healthcare Of The Heartland LLC Organization | 5% or greater direct ownership interest | 100% | 2021-07-01 |
| American Healthcare Management Services LLC Organization | 5% or greater direct ownership interest | — | 2021-07-01 |
| Dixon, Kevin Individual | corporate director | — | 2021-07-01 |
| Leneave, Ted Individual | corporate officer | — | 2021-07-01 |
| Toti, Lisa Individual | corporate officer | — | 2021-07-01 |
| Black, Taylor Individual | w-2 managing employee | — | 2021-07-01 |
| Toti, Lisa Individual | w-2 managing employee | — | 2021-07-01 |
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 Cascade LLC.
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 Dubuque County.