Accura Healthcare of Shenandoah
1203 South Elm Street, Shenandoah, IA 51601 · CCN 165529
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 42
- Avg residents/day
- 40.0
- Phone
- 7122464627
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 | 2025-09-18 | 11 | 6.2 | 9.5 | +4.8 worse |
| 2 | 2024-10-17 | 8 | 7.0 | 9.8 | +1.0 worse |
| 3 | 2023-06-29 | 13 | 7.9 | 9.3 | +5.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 2 |
| Resident rights | 2 |
| Nutrition and dietary | 2 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.87 | 66.7% |
| RN staffing (reported) | 0.57 | 80.0% |
| Total nurse staffing (adjusted) | 4.39 | — |
Fines & penalties
- Total fines
- $8,414
- Number of fines
- 1
- Number of penalties
- 2
- Payment denials
- 1
Chain
- Chain
- ACCURA HEALTHCARE
- Facilities in chain
- 37
- Chain avg overall
- 2.40 / 5
Inspection citations (32)2 immediate jeopardy1 actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-18 · Health · corrected 2025-10-10
Potential for more than minimal harm
- DF0584Honor 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.2025-09-18 · Health · corrected 2025-10-10
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-09-18 · Health · corrected 2025-10-10
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-09-18 · Health · corrected 2025-10-10
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-09-18 · Health · corrected 2025-10-10
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.2025-09-18 · Health · corrected 2025-10-10
Potential for more than minimal harm
- EF0727Have 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.2025-09-18 · Health · corrected 2025-10-10
Potential for more than minimal harm
- EF0803Ensure 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.2025-09-18 · Health · corrected 2025-10-10
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.2025-09-18 · Health · corrected 2025-10-10
Potential for more than minimal harm
- EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-09-18 · Health · corrected 2025-10-10
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-09-18 · Health · corrected 2025-10-10
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-10-17 · Health · corrected 2024-11-07
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-10-17 · Health · corrected 2024-11-07
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-17 · Health · corrected 2024-11-07
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-17 · Health · corrected 2024-11-07
Potential for more than minimal harm
- EF0727Have 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.2024-10-17 · Health · corrected 2024-11-07
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.2024-10-17 · Health · corrected 2024-11-07
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-10-17 · Health · corrected 2024-11-07
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-15 · Health · corrected 2024-09-19
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-12-06 · Health · corrected 2023-12-07
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-06 · Health · corrected 2023-12-07
Immediate jeopardy
- KF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-06 · Health · corrected 2023-12-07
Immediate jeopardy
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-06-29 · Health · corrected 2023-07-18
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-06-29 · Health · corrected 2023-07-18
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-29 · Health · corrected 2023-07-18
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-29 · Health · corrected 2023-07-18
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2023-06-29 · Health · corrected 2023-07-18
Potential for more than minimal harm
- EF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-06-29 · Health · corrected 2023-07-18
Potential for more than minimal harm
- EF0803Ensure 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.2023-06-29 · Health · corrected 2023-07-18
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.2023-06-29 · Health · corrected 2023-07-18
Potential for more than minimal harm
- EF0814Dispose of garbage and refuse properly.2023-06-29 · Health · corrected 2023-07-18
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-06-29 · Health · corrected 2023-07-18
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| AMERICAN HEALTHCARE ASSOCIATES INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-08-01 |
| ACCURA HEALTHCARE | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-08-01 |
| LENEAVE, TED | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-08-01 |
| LENEAVE, THOMAS | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-08-01 |
| AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-08-01 |
| LENEAVE, TED | Individual | CORPORATE DIRECTOR | — | 2020-08-01 |
| LENEAVE, THOMAS | Individual | CORPORATE DIRECTOR | — | 2020-08-01 |
| TOTI, LISA | Individual | CORPORATE DIRECTOR | — | 2021-01-01 |
| LENEAVE, TED | Individual | CORPORATE OFFICER | — | 2020-08-01 |
| LENEAVE, THOMAS | Individual | CORPORATE OFFICER | — | 2020-08-01 |
| HUMMEL, ASHLEY | Individual | W-2 MANAGING EMPLOYEE | — | 2024-01-01 |
| SMITH, TIMOTHY | Individual | W-2 MANAGING EMPLOYEE | — | 2024-04-01 |
| TOTI, LISA | Individual | W-2 MANAGING EMPLOYEE | — | 2021-01-01 |
Other facilities in Shenandoah
| Name | Overall | Beds |
|---|---|---|
| Garden View Care Center | — | 50 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.