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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D5 | E8 | 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 28, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 28, 2026 | Health | Health Complaint, Health Standard | 2 | Actual harm | — | Open → |
| Mar 4, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 3, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 15, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 15, 2025 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Jul 3, 2024 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jul 3, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D5 | E8 | F5 |
| Minimal | A· | B· | C· |
“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.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.07 (case-mix index 1.20).
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 |
|---|---|---|---|---|---|
| Accura Healthcare of the Heartland LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 1, 2021 |
| American Healthcare Management Services LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Accura Healthcare of the Heartland LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 1, 2021 |
| American Healthcare Management Services LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2021 |
| Kevin Dixon | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2021 |
| Ted Leneave | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2021 |
| Lisa Toti | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2021 |
| Taylor Black | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jul 1, 2021 |
| Lisa Toti | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jul 1, 2021 |
| 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 Carlisle 680 Cole Street, Carlisle, IA 50047 CCN 165255 | 80 | May 21, 2026 | 522 harm | $37k | |
| Accura Healthcare of Onawa 222 North 15th Street, Onawa, IA 51040 CCN 165256 | 46 | 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 | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Monticello Nursing & Rehab Center 500 Pinehaven Drive, Monticello, IA 52310 CCN 165279 | 15.9 km | 75 | Jun 24, 2026 | 37 | — | |
| Mercyone Dyersville Senior Care 1111 Third Street SW, Dyersville, IA 52040 CCN 16E638 | 21.4 km | 40 | Nov 6, 2025 | 12 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165568 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165568 | 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