Accura Healthcare of Lake City, LLC
1409 West Main Street, Lake City, IA 51449 · CCN 165082
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 46
- Avg residents/day
- 40.4
- Phone
- 7124643106
Inspection history vs Iowa & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Iowa avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-03 | 12 | 6.2 | 9.5 | +5.8 worse |
| 2 | 2024-02-22 | 22 | 7.0 | 9.8 | +15.0 worse |
| 3 | 2023-02-09 | 8 | 7.9 | 9.3 | +0.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.85 | 46.8% |
| RN staffing (reported) | 0.50 | 77.8% |
| Total nurse staffing (adjusted) | 5.17 | — |
Fines & penalties
- Total fines
- $38,610
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- ACCURA HEALTHCARE
- Facilities in chain
- 37
- Chain avg overall
- 2.40 / 5
Inspection citations (42)2 immediate jeopardy2 actual harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2026-01-15 · Health · corrected 2026-02-04
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2026-01-15 · Health · corrected 2026-02-04
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2026-01-15 · Health · corrected 2026-02-04
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-10-30 · Health · corrected 2025-11-14
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-22 · Health
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-04-03 · Health · corrected 2025-04-28
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-03 · Health · corrected 2025-04-28
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-03 · Health · corrected 2025-04-28
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-03 · Health · corrected 2025-04-28
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-03 · Health · corrected 2025-04-28
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-03 · Health · corrected 2025-04-28
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2025-04-03 · Health · corrected 2025-04-28
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-09 · Health · corrected 2025-01-16
Immediate jeopardy
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-01-09 · Health · corrected 2025-01-16
Potential for more than minimal harm
- DF0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.2025-01-09 · Health · corrected 2025-01-16
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-09 · Health · corrected 2024-09-30
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-01-09 · Health · corrected 2025-01-16
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-30 · Health · corrected 2024-06-30
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-04 · Health · corrected 2024-04-27
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-04 · Health · corrected 2024-04-27
Potential for more than minimal harm
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-04-04 · Health · corrected 2024-04-27
Potential for more than minimal harm
- DF0578Honor 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.2024-02-22 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-02-22 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0625Notify 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.2024-02-22 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2024-02-22 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-22 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-22 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-22 · Health · corrected 2024-03-22
Potential for more than minimal harm
- EF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-02-22 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-02-22 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-22 · Health · corrected 2024-03-22
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-22 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-02-22 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-02-22 · Health · corrected 2024-03-22
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-14 · Health · corrected 2023-09-20
Actual harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-09-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-09-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-09-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-15 · Health · corrected 2023-04-07
Immediate jeopardy
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-02-09 · Health · corrected 2023-04-07
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-02-09 · Health · corrected 2023-04-07
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-02-09 · Health · corrected 2023-04-07
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ACCURA HEALTHCARE OF THE HEARTLAND LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-07-01 |
| ACCURA HEALTHCARE | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-07-01 |
| LENEAVE, TED | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-07-01 |
| AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 |
| LENEAVE, TED | Individual | CORPORATE OFFICER | — | 2023-07-01 |
| TOTI, LISA | Individual | CORPORATE OFFICER | — | 2023-07-01 |
| DUNCAN, DEREK | Individual | W-2 MANAGING EMPLOYEE | — | 2024-04-01 |
| LINDGREN, TAESA | Individual | W-2 MANAGING EMPLOYEE | — | 2024-04-01 |
| TOTI, LISA | Individual | W-2 MANAGING EMPLOYEE | — | 2023-07-01 |
Other facilities in Lake City
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.