Accura Healthcare of Toledo

403 Grandview Drive, Toledo, IA 52342 · CCN 165450 · 55 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections2 of 5CMS staffing2 of 5CMS quality1 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.

18 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.

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Serious inspection findings

2023-07-13 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

1.85

state median 3.10

Weekend staffing gap

−0%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.26

registered nurses only

Contract (agency) staff

25%

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

57%

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:

Accura Healthcare of Lake City, LLC (Lake City, IA) — CMS overall2 of 5
Accura Healthcare of Carlisle (Carlisle, IA) — CMS overall1 of 5
Accura Healthcare of Onawa (Onawa, IA) — CMS overall2 of 5
Accura Healthcare of South Des Moines (Des Moines, IA) — CMS overall1 of 5
Accura Healthcare of Creston (Creston, IA) — CMS overall2 of 5
Accura Healthcare of New Hampton (New Hampton, IA) — CMS overall4 of 5
Shell Rock Senior Living (Shell Rock, IA) — CMS overall1 of 5
Accura Healthcare of Le Mars (Le Mars, IA) — CMS overall4 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Potential for more than minimal harm: 16 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-04-28	F0689	Quality of Life and Care Deficiencies	D	not recorded
2026-01-08	F0689	Quality of Life and Care Deficiencies	D	not recorded
2026-01-08	F0695	Quality of Life and Care Deficiencies	D	not recorded
2026-01-08	F0791	Quality of Life and Care Deficiencies	D	not recorded
2024-11-21	F0550	Resident Rights Deficiencies	D	not recorded
2024-11-21	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-11-21	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2024-11-21	F0851	Administration Deficiencies	B	not recorded
2024-08-22	F0684	Quality of Life and Care Deficiencies	D	not recorded
2024-08-22	F0825	Quality of Life and Care Deficiencies	D	not recorded
2023-12-12	F0578	Resident Rights Deficiencies	D	not recorded
2023-12-12	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-12-12	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-12-12	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-12-12	F0677	Quality of Life and Care Deficiencies	D	not recorded
2023-12-12	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2023-07-13	F0689	Quality of Life and Care Deficiencies	J	not recorded
2023-07-13	F0726	Nursing and Physician Services Deficiencies	E	not 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 Toledo, Toledo” at medicare.gov/care-compare.