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Data / Nursing homes / Iowa / Accura Healthcare of Onawa

Accura Healthcare of Onawa, Onawa, IA: 2 star rating, no fines

Accura Healthcare of Onawa in Onawa, IA is owned by Aviv Healthcare of the Midwest LLC, is rated 2 of 5 stars by Medicare, and had no fines in the three years to October 1, 2026. CMS lists 28 health citations from inspections in that time, the latest survey on July 9, 2026, and 1 of them found actual harm or immediate jeopardy.

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Address
222 North 15th Street, Onawa, IA 51040
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measure rating
3 of 5
Certified beds
46
Residents per day
38 on average
Ownership type
For profit, corporation
Legal business name
Accura Healthcare of Onawa LLC
Chain
Accura Healthcare, 44 facilities
Fines
$0 across 0 fines, three years to October 1, 2026
Payment denials
0
Health citations
28, of which 1 with actual harm or immediate jeopardy
Latest survey
July 9, 2026
CMS Certification Number
165256
On Care Compare
Medicare Care Compare

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 9, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 28, 2026data.cms.gov
July 9, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 28, 2026data.cms.gov
July 9, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 28, 2026data.cms.gov
July 9, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 28, 2026data.cms.gov
July 9, 2026F688Provide 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 28, 2026data.cms.gov
July 9, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 28, 2026data.cms.gov
July 9, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 28, 2026data.cms.gov
July 9, 2026F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 28, 2026data.cms.gov
July 9, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 28, 2026data.cms.gov
July 9, 2026F575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 28, 2026data.cms.gov
May 8, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 22, 2025data.cms.gov
May 8, 2025F803Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 22, 2025data.cms.gov
May 8, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2025data.cms.gov
May 8, 2025F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 22, 2025data.cms.gov
May 8, 2025F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2025data.cms.gov
July 27, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 12, 2024data.cms.gov
July 27, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 12, 2024data.cms.gov
July 27, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 12, 2024data.cms.gov
June 13, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2024data.cms.gov
June 13, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 26, 2024data.cms.gov
June 13, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2024data.cms.gov
June 13, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2024data.cms.gov
June 13, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2024data.cms.gov
June 13, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2024data.cms.gov
June 13, 2024F625Notify 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2024data.cms.gov
January 12, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedFebruary 1, 2024data.cms.gov
January 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceJuly 11, 2023data.cms.gov
January 12, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 1, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 21 individual or personal trusts (5 owners, 8 managers, 8 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Aviv Healthcare of the Midwest LLCDirect ownerNot listedFebruary 1, 2025data.cms.gov
Avenue94 LLCIndirect ownerNot listedFebruary 1, 2025data.cms.gov
Aviv Healthcare Holdings LLCIndirect ownerNot listedFebruary 1, 2025data.cms.gov
Kimmons Healthcare Investments LLCIndirect ownerNot listedFebruary 1, 2025data.cms.gov
KTL Enterprises LLCIndirect ownerNot listedFebruary 1, 2025data.cms.gov
Little River Investments LLCIndirect ownerNot listedFebruary 1, 2025data.cms.gov
ZRR OPCO LLCIndirect ownerNot listedFebruary 1, 2025data.cms.gov
Accura Management Consulting Services LLCOperational or managerial controlNot listedFebruary 1, 2025data.cms.gov
Accura Management Consulting Services LLCAdditional disclosable partyNot listedFebruary 1, 2025data.cms.gov
Aviv Financing II LLCAdditional disclosable partyNot listedFebruary 1, 2025data.cms.gov
Aviv Healthcare of the Midwest LLCAdditional disclosable partyNot listedJune 12, 2025data.cms.gov
Aviv Healthcare Properties Operating Partnership I LPAdditional disclosable partyNot listedFebruary 1, 2025data.cms.gov
Aviv OP Limited Partner LLCAdditional disclosable partyNot listedFebruary 1, 2025data.cms.gov
Iowa Lincoln County Property LLCAdditional disclosable partyNot listedFebruary 1, 2025data.cms.gov
Ohi Healthcare Properties Limited PartnershipAdditional disclosable partyNot listedFebruary 1, 2025data.cms.gov
Omega Healthcare Investors IncAdditional disclosable partyNot listedFebruary 1, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.