Accura Healthcare of Shenandoah

1203 South Elm Street, Shenandoah, IA 51601 · CCN 165529 · 42 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 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.

32 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

2023-12-06 — IMMEDIATE JEOPARDY (tag F0609, severity K)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2023-12-06 — IMMEDIATE JEOPARDY (tag F0600, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2023-06-29 — ACTUAL HARM (tag F0684, severity G)

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

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Staffing, from payroll records

Nursing hours / resident / day

3.01

state median 3.10

Weekend staffing gap

−5%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.27

registered nurses only

Contract (agency) staff

22%

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

60%

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

1 enforcement action(s), totaling $8,414 in fines.

Date	Type	Amount
2023-12-06	Fine	$8,414

Ownership

Ownership type: For profit - Limited Liability company. 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: Actual harm: 1 · Potential for more than minimal harm: 29 · Immediate jeopardy: 2

Survey date	Tag	Category	Severity	Corrected
2025-09-18	F0550	Resident Rights Deficiencies	D	not recorded
2025-09-18	F0584	Resident Rights Deficiencies	D	not recorded
2025-09-18	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-09-18	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-09-18	F0695	Quality of Life and Care Deficiencies	D	not recorded
2025-09-18	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2025-09-18	F0727	Nursing and Physician Services Deficiencies	E	not recorded
2025-09-18	F0803	Nutrition and Dietary Deficiencies	E	not recorded
2025-09-18	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-09-18	F0865	Administration Deficiencies	E	not recorded
2025-09-18	F0880	Infection Control Deficiencies	D	not recorded
2024-10-17	F0582	Resident Rights Deficiencies	D	not recorded
2024-10-17	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-10-17	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-10-17	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-10-17	F0727	Nursing and Physician Services Deficiencies	E	not recorded
2024-10-17	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2024-10-17	F0880	Infection Control Deficiencies	E	not recorded
2024-09-15	F0689	Quality of Life and Care Deficiencies	D	not recorded
2023-12-06	F0550	Resident Rights Deficiencies	D	not recorded
2023-12-06	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2023-12-06	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	K	not recorded
2023-06-29	F0585	Resident Rights Deficiencies	D	not recorded
2023-06-29	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-06-29	F0684	Quality of Life and Care Deficiencies	G	not recorded
2023-06-29	F0689	Quality of Life and Care Deficiencies	D	not recorded
2023-06-29	F0730	Nursing and Physician Services Deficiencies	E	not recorded
2023-06-29	F0801	Nutrition and Dietary Deficiencies	E	not recorded
2023-06-29	F0803	Nutrition and Dietary Deficiencies	E	not recorded
2023-06-29	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2023-06-29	F0814	Nutrition and Dietary Deficiencies	E	not recorded
2023-06-29	F0880	Infection Control 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 Shenandoah, Shenandoah” at medicare.gov/care-compare.