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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D31 | E14 | F5 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| May 21, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 21, 2026 | Health | Health Complaint, Health Standard | 13 | Potential harm | — | Open → |
| May 11, 2026 | Fire safety | Fire Safety Complaint | 5 | Potential harm | — | Open → |
| Jan 29, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jul 31, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jul 31, 2025 | Health | Health Complaint, Health Standard | 8 | Actual harm | — | Open → |
| Apr 3, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Mar 3, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Jan 15, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Aug 28, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Aug 28, 2024 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| May 8, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 31, 2025 | Civil money penalty (fine) | $37,177 | — | 165255|Fine|134747 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D31 | E14 | F5 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 21, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 26, 2026 | |
| May 21, 2026 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 22, 2026 | |
| May 21, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
44 facilities in 4 states. CMS chain ID 8.
Chain average overall rating (CMS): 2.7
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| American Healthcare Management Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2026 |
| Robert Conner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2026 |
| Kaylyn Fisher | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2026 |
| Ted Leneave | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2026 |
| Lisa Toti | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2026 |
| Oxford Finance LLC | Organization |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Accura Healthcare of Lake City, LLC 1409 West Main Street, Lake City, IA 51449 CCN 165082 | 46 | Apr 23, 2026 | 451 IJ | $35k | |
| Accura Healthcare of Onawa 222 North 15th Street, Onawa, IA 51040 CCN 165256 | 46 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Greater Southside Health and Rehabilitation 5608 SW 9th Street, Des Moines, IA 50315 CCN 165175SFF CandidateAbuse icon | 11.8 km | 80 | Jul 22, 2026 | 925 IJ3 harm13 open | $223k | |
| Accura Healthcare of South Des Moines 4911 SW 19th Street, Des Moines, IA 50315 CCN 165273 | 13.3 km | 89 | Sep 18, 2025 | 852 IJ2 harm | $53k | |
| The Village 1203 North E Street, Indianola, IA 50125 CCN 165167 | 15.1 km | 54 | Jan 15, 2026 | 221 harm | — | |
| Regency Care Center 815 High Road, Norwalk, IA 50211 CCN 165399Abuse icon | 15.5 km | 101 | May 12, 2026 | 541 IJ2 harm | $110k | |
| Norwalk Nursing and Rehabilitation Center 921sunset Drive, Norwalk, IA 50211 CCN 165179 | 16.5 km | 45 | Dec 31, 2025 | 18 | — | |
| Good Samaritan - Indianola 708 South Jefferson, Indianola, IA 50125 CCN 165186 | 16.6 km | 105 | May 14, 2026 | 691 IJ3 harm | $20k | |
| Scottish Rite Park Inc 2909 Woodland Avenue, Des Moines, IA 50312 CCN 165593 | 17 km | 51 | Aug 13, 2026 | 153 harm1 open | $47k | |
| Westview of Indianola Care Center 1900 West Third Place, Indianola, IA 50125 CCN 165369 | 17.1 km | 71 | Dec 11, 2025 | No citations in window | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165255 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165255 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect |
| D · Potential harm Isolated |
| Corrected Jun 22, 2026 |
| May 21, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 22, 2026 |
| May 21, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 22, 2026 |
| May 21, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 22, 2026 |
| May 21, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2026 |
| May 21, 2026 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2026 |
| May 21, 2026 | F-0656 | 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 · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2026 |
| May 21, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2026 |
| May 21, 2026 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2026 |
| May 21, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 22, 2026 | Complaint |
| May 21, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 22, 2026 | Complaint |
| May 21, 2026 | F-0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 22, 2026 | Complaint |
| May 11, 2026 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 22, 2026 | Complaint |
| May 11, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 22, 2026 | Complaint |
| May 11, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 22, 2026 | Complaint |
| May 11, 2026 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 13, 2026 | Complaint |
| May 11, 2026 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 13, 2026 | Complaint |
| Jan 29, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 13, 2026 | Complaint |
| Jan 29, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 13, 2026 | Complaint |
| Jan 29, 2026 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 13, 2026 | Complaint |
| Jul 31, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 1, 2025 |
| Jul 31, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 1, 2025 | Complaint |
| Jul 31, 2025 | F-0656 | 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 · Clinical care | D · Potential harm Isolated | Corrected Aug 1, 2025 |
| Jul 31, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 1, 2025 |
| Jul 31, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 1, 2025 |
| Jul 31, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 1, 2025 |
| Jul 31, 2025 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Aug 1, 2025 | Complaint |
| Jul 31, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 1, 2025 |
| Apr 3, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 19, 2025 | Complaint |
| Apr 3, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 19, 2025 | Complaint |
| Apr 3, 2025 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 19, 2025 | Complaint |
| Apr 3, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 19, 2025 | Complaint |
| Mar 3, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 19, 2025 | Complaint |
| Mar 3, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 4, 2025 | Complaint |
| Mar 3, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 4, 2025 | Complaint |
| Jan 15, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 13, 2025 | Complaint |
| Jan 15, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 13, 2025 | Complaint |
| Jan 15, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 13, 2025 | Complaint |
| Jan 15, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 13, 2025 | Complaint |
| Aug 28, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 23, 2024 |
| Aug 28, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 20, 2024 | Complaint |
| Aug 28, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 20, 2024 |
| Aug 28, 2024 | F-0656 | 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 · Clinical care | D · Potential harm Isolated | Corrected Sep 20, 2024 |
| Aug 28, 2024 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 20, 2024 |
| Aug 28, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Sep 20, 2024 | Complaint |
| Aug 28, 2024 | F-0727 | Have 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. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Sep 20, 2024 |
| Aug 28, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 20, 2024 |
| May 8, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 31, 2024 | Complaint |
| May 8, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 31, 2024 | Complaint |
| May 8, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 31, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.01 (case-mix index 1.13).
| Mortgage / security interest |
| 5% OR GREATER MORTGAGE INTEREST |
| not provided |
| Jan 1, 2026 |
| Oxford Finance LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Jan 1, 2026 |
| American Healthcare Associates Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 29, 2025 |
| American Healthcare Management Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 29, 2025 |
| Robert Conner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2026 |
| Kaylyn Fisher | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2026 |
| Ted Leneave | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2026 |
| Lisa Toti | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2026 |
| Jul 9, 2026 |
391 harm |
| — |
| Accura Healthcare of South Des Moines 4911 SW 19th Street, Des Moines, IA 50315 CCN 165273 | 89 | Sep 18, 2025 | 852 IJ2 harm | $53k |
| Accura Healthcare of Creston 1000 East Howard, Creston, IA 50801 CCN 165275 | 31 | Jun 25, 2026 | 401 IJ1 harm | $17k |
| Accura Healthcare of New Hampton 530 South Linn Avenue, New Hampton, IA 50659 CCN 165302 | 52 | Dec 5, 2025 | 35 | — |
| Shell Rock Senior Living 920 North Cherry Street, Shell Rock, IA 50670 CCN 165309 | 41 | Sep 4, 2025 | 401 IJ1 harm | $17k |
| Accura Healthcare of Le Mars 954 7th Avenue SE, Le Mars, IA 51031 CCN 165311 | 46 | Jul 16, 2026 | 402 harm | — |
| Accura Healthcare of Pleasantville, LLC 909 North State Street, Pleasantville, IA 50225 CCN 165324 | 46 | Apr 30, 2026 | 451 IJ1 harm | $29k |