Accura Healthcare of Muscatine — nursing home in Muscatine, IA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 100 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 69.6 CMS, MDS-derived
CMS Certification Number: 165578
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Feb 7, 2007
Ownership type: For profit - Limited Liability company
Operator (legal business name): Accura Healthcare of Muscatine LLC
CMS chain: Accura Healthcare 44 facilities
Phone: (563) 263-2194
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Jul 2, 2026

Citations

35

18 health · 17 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D15	E7	F13
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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 165578
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 100
First approved: Feb 7, 2007
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Iowa.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 2, 2026	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jul 2, 2026	Health	Health Standard	0	No citations	—	Open →
Aug 28, 2025	Health	Health Complaint	1	Potential harm	—	Open →
May 8, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
May 8, 2025	Health	Health Standard	6	Potential harm	—	Open →
Sep 16, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Aug 1, 2024	Fire safety	Fire Safety Standard	11	Potential harm	—	Open →
Aug 1, 2024	Health	Health Complaint, Health Standard	10	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D15	E7	F13
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 2, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 20, 2026
Jul 2, 2026	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 8, 2026
Aug 28, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 22, 2025	Complaint
May 8, 2025	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 23, 2025
May 8, 2025	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 23, 2025
May 8, 2025	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 23, 2025
May 8, 2025	K-0922	Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 23, 2025
May 8, 2025	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 20, 2025
May 8, 2025	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 20, 2025
May 8, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 20, 2025
May 8, 2025	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 20, 2025
May 8, 2025	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 20, 2025
May 8, 2025	F-0881	Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected May 20, 2025
Sep 16, 2024	F-0660	Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 30, 2024	Complaint
Aug 1, 2024	K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 5, 2024
Aug 1, 2024	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	F · Potential harm Widespread	Corrected Aug 21, 2024
Aug 1, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 6, 2024
Aug 1, 2024	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 22, 2024
Aug 1, 2024	K-0347	Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 8, 2024
Aug 1, 2024	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 12, 2024
Aug 1, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 20, 2024
Aug 1, 2024	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 21, 2024
Aug 1, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 22, 2024
Aug 1, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 21, 2024
Aug 1, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 12, 2024
Aug 1, 2024	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 30, 2024
Aug 1, 2024	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 30, 2024
Aug 1, 2024	F-0637	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 30, 2024
Aug 1, 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 Aug 30, 2024	Complaint
Aug 1, 2024	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 30, 2024
Aug 1, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 30, 2024
Aug 1, 2024	F-0758	Implement 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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 30, 2024
Aug 1, 2024	F-0808	Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Aug 30, 2024	Complaint
Aug 1, 2024	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 Aug 30, 2024
Aug 1, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Aug 30, 2024

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.8

Quality measuresstate 3.4

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.18

State avg 3.86US avg 3.90

Registered nurse (RN)0.61

State avg 0.74US avg 0.69

Licensed practical nurse0.56

State avg 0.56US avg 0.86

Nurse aide2.01

State avg 2.56US avg 2.35

Weekend total nurse2.80

State avg 3.38US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.82 (case-mix index 1.16).

Staff turnover

Total nursing staff turnover40.4%

State avg 44.1%US avg 45.3%

Registered nurse turnover63.6%

State avg 42.1%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jul 2, 2026
Cycle 1 health score: 0
Total weighted score: 12

Operating entity

Accura Healthcare of Muscatine LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Accura Healthcare

44 facilities in 4 states. CMS chain ID 8.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.7

Ownership disclosures

Disclosures

35

Organizations

14

Individuals

20

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Aviv Healthcare of the Midwest LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Avenue94 LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Aviv Healthcare Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Kimmons Healthcare Investments LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Ktl Enterprises LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Little River Investments LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Zrr Opco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Brady Allen	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Megan Kleinsasser	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Ted Leneave	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Lisa Toti	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Aviv Healthcare of the Midwest LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Avenue94 LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Aviv Healthcare Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Kimmons Healthcare Investments LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Ktl Enterprises LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Little River Investments LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Zrr Opco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Brady Allen	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Megan Kleinsasser	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Ted Leneave	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Lisa Toti	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Accura Management Consulting Services LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2025
Brady Allen	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2025
Brandy Calveage	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 9, 2020
Kristopher Glaser	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2024
Megan Kleinsasser	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2025
Ted Leneave	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2025
Hamid Sagha	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2025
Lisa Toti	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2025
Amy Young	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2025
Accura Management Consulting Services LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2025
Aviv Financing II LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2025
Aviv Healthcare Properties Operating Partnership I LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2025
Aviv Op Limited Partner LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2025
Muscatine Toledo Properties LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2025
Ohi Healthcare Properties Limited Partnership	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2025
Omega Healthcare Investors Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2025
Brady Allen	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2025
Brandy Calveage	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 9, 2020
Kristopher Glaser	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2024
Megan Kleinsasser	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2024
Ted Leneave	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2025
Hamid Sagha	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2025
Lisa Toti	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2025
Amy Young	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2025

Same chain in Iowa

All 43 in chain →

Facility	Beds	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	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 3440 Mulberry Avenue, Muscatine, IA 52761
ZIP: 52761
County: Muscatine County FIPS 19139
State: Iowa
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Lutheran Living Senior Campus 2421 Lutheran Drive, Muscatine, IA 52761 CCN 165432	3.5 km	155	Jul 21, 2026	556 IJ1 harm	$227k
Wilton Retirement Community 307 Ovesen Drive, Wilton, IA 52778 CCN 165611	17.6 km	34	Dec 31, 2025	10	—
Simpson Memorial Home 1000 North Miller Street, West Liberty, IA 52776 CCN 165418	20.6 km	55	Dec 4, 2025	17	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165578	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165578	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

Record-level source links for CCN 165578

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction