With a score of 18/100, Accura Healthcare Of Shenandoah ranks in the bottom tier of Iowa nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at Accura Healthcare Of Shenandoah is near the national average, with 3.87 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 32 deficiencies at Accura Healthcare Of Shenandoah, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.87 | 3.8 | Average |
| Registered Nurses (RN) | 0.57 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.75 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.55 | 2.4 | Average |
| Weekend Total Nursing | 3.32 | 3.8 | Below Average |
| Weekend RN Hours | 0.18 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0725 Severity EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Sep 17, 2025 · Nursing and Physician Services Deficiencies
- Tag 0803 Severity EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the neeSep 17, 2025 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Sep 17, 2025 · Nutrition and Dietary Deficiencies
- Tag 0865 Severity EHave a plan that describes the process for conducting QAPI and QAA activities.Sep 17, 2025 · Administration Deficiencies
- Tag 0727 Severity EHave 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.Sep 17, 2025 · Nursing and Physician Services Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.4% | 4.5% | Better |
| Falls with major injury | 8.8% | 3.0% | Worse |
| On antipsychotic medication | 12.8% | 14.5% | Better |
| Urinary tract infections | 9.1% | 2.5% | Worse |
| ADL decline (daily activities) | 17.9% | 14.0% | Worse |
| Excessive weight loss | 7.3% | 7.5% | Average |
| New/worsened incontinence | 30.6% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $8,414
How This Grade Was Calculated
This facility's grade of F is based on a score of 18 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in Iowa
- CIowa Jewish Senior Life CenterDes Moines
- FHarmony Cedar RapidsCedar Rapids
- AChautauqua Guest Home #2Charles City
- AOaknoll Retirement ResidenceIowa City
- DHarmony DavenportDavenport