Accura Healthcare of Onawa

222 North 15th Street, Onawa, IA 51040 · CCN 165256 · 46 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing3 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.

Serious inspection findings

2024-01-12 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Staffing, from payroll records

Nursing hours / resident / day

2.15

state median 3.10

Weekend staffing gap

−7%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.39

registered nurses only

Contract (agency) staff

2%

share of all nursing hours

Nursing staff turnover

50%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Corporation. Part of the ACCURA HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 29

Survey dateTagCategorySeverityCorrected
2025-05-08F0584Resident Rights DeficienciesDnot recorded
2025-05-08F0727Nursing and Physician Services DeficienciesFnot recorded
2025-05-08F0755Pharmacy Service DeficienciesDnot recorded
2025-05-08F0803Nutrition and Dietary DeficienciesEnot recorded
2025-05-08F0812Nutrition and Dietary DeficienciesEnot recorded
2024-07-27F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-27F0684Quality of Life and Care DeficienciesDnot recorded
2024-07-27F0698Quality of Life and Care DeficienciesDnot recorded
2024-06-13F0625Resident Rights DeficienciesDnot recorded
2024-06-13F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2024-06-13F0684Quality of Life and Care DeficienciesDnot recorded
2024-06-13F0689Quality of Life and Care DeficienciesDnot recorded
2024-06-13F0805Nutrition and Dietary DeficienciesDnot recorded
2024-06-13F0812Nutrition and Dietary DeficienciesEnot recorded
2024-06-13F0880Infection Control DeficienciesDnot recorded
2024-01-12F0684Quality of Life and Care DeficienciesDnot recorded
2024-01-12F0686Quality of Life and Care DeficienciesGnot recorded
2024-01-12F0689Quality of Life and Care DeficienciesDnot recorded
2023-06-29F0554Resident Rights DeficienciesDnot recorded
2023-06-29F0582Resident Rights DeficienciesDnot recorded
2023-06-29F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-06-29F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-06-29F0677Quality of Life and Care DeficienciesDnot recorded
2023-06-29F0686Quality of Life and Care DeficienciesDnot recorded
2023-06-29F0688Quality of Life and Care DeficienciesDnot recorded
2023-06-29F0689Quality of Life and Care DeficienciesDnot recorded
2023-06-29F0759Pharmacy Service DeficienciesDnot recorded
2023-06-29F0812Nutrition and Dietary DeficienciesEnot recorded
2023-06-29F0880Infection Control DeficienciesDnot recorded
2023-06-29F0925Environmental DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Accura Healthcare of Onawa, Onawa” at medicare.gov/care-compare.