Nursing homeActive
Accura Healthcare of Onawa
222 North 15th Street, Onawa, IA 51040712423251046 certified beds · 40 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
30
● 0● 29● 1
Penalties · 3 yrs
—
none on file
Last survey
2025-05-08
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-05-08 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-07-27 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2024-06-13 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2024-01-12 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2023-06-29 | Standard | 0120 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 165256-20250508-F584
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 165256-20250508-F727
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 165256-20250508-F755
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 165256-20250508-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 165256-20250508-F812
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-12Record 165256-20240727-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-12Record 165256-20240727-F684
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-12Record 165256-20240727-F698
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-26Record 165256-20240613-F625
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-26Record 165256-20240613-F644
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-26Record 165256-20240613-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-26Record 165256-20240613-F689
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-26Record 165256-20240613-F805
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-26Record 165256-20240613-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-26Record 165256-20240613-F880
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-02-01Record 165256-20240112-F686
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-01Record 165256-20240112-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-11Record 165256-20240112-F689
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 165256-20230629-F554
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 165256-20230629-F582
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 165256-20230629-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 165256-20230629-F610
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 165256-20230629-F677
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 165256-20230629-F686
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 165256-20230629-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 165256-20230629-F689
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 165256-20230629-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 165256-20230629-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 165256-20230629-F880
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 165256-20230629-F925
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.63
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.22
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours2.62
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover50%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover78%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.9% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.0% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 29.1% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.9% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 28.4% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 11.0% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 19.8% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Accura Management Consulting Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Allen, Brady Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dudley, Paul Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Glaser, Kristopher Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Infante, Jordan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kleinsasser, Megan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Leneave, Ted Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Slemp, Jessica Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Toti, Lisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Accura Management Consulting Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Allen, Brady Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Allen, Brady Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Avenue94 LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Aviv Financing II LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aviv Healthcare Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Aviv Healthcare Of The Midwest LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aviv Healthcare Of The Midwest LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Aviv Healthcare Properties Operating Partnership I LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aviv Op Limited Partner LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dudley, Paul Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Glaser, Kristopher Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Glaser, Kristopher Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Infante, Jordan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Iowa Lincoln County Property LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kimmons Healthcare Investments LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kleinsasser, Megan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kleinsasser, Megan Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Ktl Enterprises LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Leneave, Ted Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Leneave, Ted Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Little River Investments LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Ohi Healthcare Properties Limited Partnership Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Omega Healthcare Investors Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Slemp, Jessica Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Toti, Lisa Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Toti, Lisa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zrr Opco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Accura Healthcare — 41 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Monona.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Pleasant View Care Center Whiting | 6.7 mi | 2025-07-03 | 0120 |
| Carl T Curtis Health Education Center Nursing Home Macy | 14.3 mi | 2026-01-29 | 0110 |
| Accura HealthCare of Tekamah Tekamah | 18.7 mi | 2026-02-12 | 0150 |
| Maple Heights Mapleton | 17.5 mi | 2025-12-18 | 0110 |
| Oakland Heights Oakland | 23.1 mi | 2025-06-12 | 010 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |