Nursing homeActive
Accura Healthcare of Toledo
403 Grandview Drive, Toledo, IA 52342641484508055 certified beds · 54 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
16
● 1● 15● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-28
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 4
Staffing 2
Quality 1
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 |
|---|---|---|---|---|
| 2026-04-28 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-01-08 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-11-21 | Standard | 130 | CMS-2567 (Care Compare) | — |
| 2024-08-22 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-12-12 | Standard | 060 | 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.
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 2026-05-22Record 165450-20260428-F689
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 2026-01-30Record 165450-20260108-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-30Record 165450-20260108-F695
F791Provide or obtain dental services for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-30Record 165450-20260108-F791
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-09Record 165450-20241121-F550
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 2024-12-09Record 165450-20241121-F658
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 2024-12-09Record 165450-20241121-F812
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity BPaperwork
Records
Pattern; potential for minimal harm.Corrected 2024-12-09Record 165450-20241121-F851
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 2024-09-08Record 165450-20240822-F684
F825Provide or get specialized rehabilitative services as required for a resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-08Record 165450-20240822-F825
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-05Record 165450-20231212-F578
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-05Record 165450-20231212-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-05Record 165450-20231212-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-05Record 165450-20231212-F657
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 2024-01-05Record 165450-20231212-F677
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 2024-01-05Record 165450-20231212-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.29
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day2.89
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 turnover57%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover57%
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 | 5.8% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.0% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 23.3% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.7% | 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 | 20.1% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.9% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 28.0% | 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 | — | — |
| Bishop, Andrew Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Glaser, Kristopher Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Jones, Brenda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kleinsasser, Megan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Leneave, Ted Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Toti, Lisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Zesch, Candace 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 | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Aviv Healthcare Of The Midwest LLC Organization | ADP OF THE SNF | 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 | — | — |
| Bishop, Andrew Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Glaser, Kristopher Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jones, Brenda Individual | 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 | — | — |
| Muscatine Toledo Properties LLC Organization | ADP OF THE SNF | 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 | — | — |
| Toti, Lisa Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Toti, Lisa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zesch, Candace 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 Tama.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Sunny Hill Care Center Tama | 0.8 mi | 2026-03-05 | 194 |
| Westbrook Acres Gladbrook | 15.2 mi | 2026-06-03 | 492 |
| Sunrise Hill Care Center Traer | 15.4 mi | 2025-12-04 | 021 |
| St Francis Manor Grinnell | 17.9 mi | 2026-05-14 | 010 |
| Mayflower Home Grinnell | 18.5 mi | 2026-04-09 | 060 |
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 |