What is Accura Healthcare of Aurelia, LLC's Medicare star rating?

CMS rates Accura Healthcare of Aurelia, LLC 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Accura Healthcare of Aurelia, LLC get at its last inspection?

4 health deficiencies at the standard inspection on January 29, 2026. The Iowa average is 6.5.

Has Accura Healthcare of Aurelia, LLC been fined?

CMS lists no fines in the last three years.

Does Accura Healthcare of Aurelia, LLC accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Accura Healthcare of Aurelia, LLC?

CMS lists 10 owners and managers, and links the home to Accura Healthcare. Legal business name: ACCURA HEALTHCARE OF AURELIA LLC.

Accura Healthcare of Aurelia, LLC: Inspections & Ratings

The record in brief

At its most recent standard inspection, on January 29, 2026, inspectors cited 4 health deficiencies (the Iowa average is 6.5, the national average 9.2).

Of 14 health citations since February 2024, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.79 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.

37.8% of nursing staff left within the year CMS measured (Iowa average 44.0%).

CMS links it to Accura Healthcare, an affiliated group of 41 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

402/24

403/25

210/25

401/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 14 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

12D

Potential for minimal harm

January 29, 2026Standard inspection · 4 citations

D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 30, 2026

Inspectors wroteBased on a review of the clinical record, facility policy, and staff interviews, the facility failed to notify the physician when a resident with a history of cardiac and pulmonary conditions and oxygen dependence stopped using a Bilevel Positive Airway Pressure (BiPAP) machine at night for 1 of 12 residents reviewed. The facility reported a census of 35 residents.
D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 30, 2026

Inspectors wroteBased on clinical record review and staff interview, the facility failed to refer 1 resident with a negative Level I result for the Preadmission Screening and Resident Review (PASRR), who was later identified with newly evident or possible serious mental disorder, intellectual disability, or other related condition, to the appropriate state-designated authority for Level II PASRR evaluation and determination for 1 out of 2 residents (Resident #27) reviewed for PASRR requirements. The facility reported a census of 35 residents.
D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 30, 2026

Inspectors wroteBased on record review, staff interviews and facility policy review the facility failed to accurately document Bilevel Positive Airway Pressure (BiPAP) machine usage for 1 of 12 residents (Residents #2). The facility reported a census of 34 residents.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 30, 2026

Inspectors wroteBased on observations, record review, staff interviews and policy reviews, the facility failed to provide proper hand hygiene before and after catheter care for 1 of 2 residents reviewed (Resident #31). The facility reported a census of 34 residents.

October 21, 2025Complaint inspection · 2 citations

D

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

F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 22, 2025

Inspectors wroteBased on observation, interview and record review the facility failed to ensure that all residents were free from verbal abuse for 1 of 5 residents reviewed (Resident #2.) Staff reported that on several occasions, a Certified Nurse Aide (CNA) addressed Resident #2 in a disrespectful and derogatory manner. The facility reported a census of 34 residents.
D

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

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 22, 2025

Inspectors wroteBased on interview and policy review the facility failed to report allegations of abuse in a timely manner for 1 of 1 residents reviewed. On 5/1/25, several staff members reported that Staff F was rude and verbally abusive to Resident #2. They did not have dates and times as to when these incidences occurred. The facility reported a census of 34 residents.

March 6, 2025Standard inspection, Complaint inspection · 4 citations

G

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) March 20, 2025

Inspectors wroteBased on observation, interviews and record review the facility failed to monitor and treat skin breakdown to prevent worsening of ulcers for 2 of 3 resident reviewed, (Resident #3 and #21). Resident #3 had an ulcer on his toe, staff failed to contact the doctor when treatment was ineffective. The toe was eventually amputated. Resident #21 had chronic pressure areas on her bottom and found to not have treatment in place. The facility reported a census of 32 residents.
D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 22, 2025

Inspectors wroteBased on observation, interview and record review the facility failed to ensure that staff interacted with residents with dignity and respect for 1 of 13 residents reviewed, (Resident#9). The facility reported a census of 32 residents.
D

Ensure services provided by the nursing facility meet professional standards of quality.

F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2025

Inspectors wroteBased on observation, interview and record review the facility failed to ensure staff followed physicians' orders for 2 of 13 residents reviewed, (Resident #17 and #9). Resident #17 had an order for International Normalized Ratio (INR) blood test to be conducted on 2/13/25, staff failed to complete the blood draw. Staff were directed to report to the doctor if/when the Blood Glucose (BG) levels were out of parameters for Resident #9. The facility failed to follow through according to physician's orders. The facility reported a census of 32 residents.
D

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

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2025

Inspectors wroteBased on observation, interview and record review the facility failed to ensure safe transfer techniques with the use of a Gait Belt (GB) for 1 of 3 residents reviewed, (Resident #17). The facility reported a census of 32 residents.

February 8, 2024Standard inspection · 4 citations

E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 21, 2024

Inspectors wroteBased on observations, facility policy, 2022 Food Code, and staff interview, the facility failed to store kitchenware and utensils in a manner to prevent contamination; failed to store a measuring scoop in a clean manner; bulk foods did not have an open date labeled; provide covered trash cans; cover food stored in a freezer. The facility reported a census of 36 residents.
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 21, 2024

Inspectors wroteBased on clinical record, facility policy, and staff interview, the facility failed to develop care plans to reflect side effects of high risk medications insulin and melatonin or an Urinary Tract Infection (UTI) for 2 of 12 residents reviewed (Residents #23 and #32). The facility reported a census of 36 residents.
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 21, 2024

Inspectors wroteBased on observation, staff interview and record review, the facility failed to update the resident's care plan to accurately reflect interventions ordered by the physician and accurately list residents current assistance level for 2 of 12 residents reviewed (Residents #23 and #32). The facility reported a census of 36 residents.
D

Provide 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.

F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 21, 2024

Inspectors wroteBased on clinical record, facility policy, and staff interview, the facility failed to provide a restorative exercise program for 1 of 1 resident reviewed (Resident #20). The facility reported a census of 36 residents.

Fire safety inspections

9 fire safety citations on file: 4 on January 29, 2026, 2 on March 6, 2025, 3 on February 8, 2024.

Every fire safety citation9 citations

F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · January 29, 2026 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · January 29, 2026 · Corrected (the home has a date of correction)
F
Ensure proper usage of power strips and extension cords.

K 920 · January 29, 2026 · Corrected (the home has a date of correction)
E
Install smoke barrier doors that can resist smoke for at least 20 minutes.

K 374 · January 29, 2026 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · March 6, 2025 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · March 6, 2025 · Corrected (the home has a date of correction)
F
Install an approved automatic sprinkler system.

K 351 · February 8, 2024 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · February 8, 2024 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · February 8, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Iowa	United States
All nursing staff (RN, LPN and aides)	3.79	3.82	3.86
Registered nurses	0.53	0.74	0.69
All nursing staff on weekends	3.37	3.37	3.42
Nurse aides	2.65
Licensed practical nurses	0.60
Nursing staff turnover (share who left in a year)	37.8%	44.0%	45.8%
Registered nurse turnover	not reported	42.1%	42.9%
Administrators who left	0

CMS expects 3.05 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.96 on weekdays and 3.37 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.03 in April to June 2025 to 3.79 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.79	0.53	3.96	3.37	6.2%	0 of 90	34
Oct to Dec 2025	3.51	0.38	3.63	3.21	8.5%	0 of 92	36
Jul to Sep 2025	3.69	0.43	3.83	3.31	3.3%	0 of 92	32
Apr to Jun 2025	4.03	0.52	4.18	3.65	8.1%	0 of 91	32
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Iowa, Jan to Mar 2026	3.80	0.71	3.98	3.36	4.7%	0.3% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Iowa

Job	Median	Middle half	Employed
Iowa, all employers
CNAs (nursing assistants)	$18.92	$17.96 to $21.95	22,670
LPNs and LVNs	$30.11	$27.12 to $34.06	5,510
Registered nurses	$37.80	$32.83 to $41.32	34,420
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Iowa	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	15.7	17.1	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.8	1.5	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	6.7	2.4	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	0.0	3.8	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.4	2.1	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	23.6	16.6	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	6.7	4.2	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	13.7	19.4	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	8.5	20.9	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	15.1	13.2	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.6	1.5	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.0	2.1	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Accura Healthcare of Aurelia, LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

52.3% this home

No different from the national rate

US median of homes 51.5% · Iowa: 28 better, 21 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 59 eligible stays.

Potentially preventable readmissions

9.8% this home

No different from the national rate

US median of homes 10.7% · Iowa: 1 better, 1 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 66 eligible stays.

Infections that led to a hospital stay

6.7% this home

No different from the national rate

US median of homes 7.1% · Iowa: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 37 eligible stays.

Self-care and mobility at discharge

75.0% this home

Median of homes: Iowa56.7% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 28 residents counted.

Falls with major injury

6.3% this home

Median of homes: Iowa0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 32 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Iowa1.8% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 32 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Iowa100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 18 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: ACCURA HEALTHCARE OF AURELIA LLC. CMS links this home to Accura Healthcare, a group of 41 nursing homes averaging 2.5 stars overall.

Name	Role	Type	Share	Since
Leneave, Thomas	5% or greater indirect ownership interest	Individual	30%	06/01/2019
Glienke, Kyle	W-2 managing employee	Individual		04/01/2024
Greene, Jessica	W-2 managing employee	Individual		01/01/2024
Toti, Lisa	W-2 managing employee	Individual		01/01/2020
Leneave, Ted	Corporate director	Individual		06/01/2019
Leneave, Thomas	Corporate director	Individual		06/01/2019
Toti, Lisa	Corporate director	Individual		01/01/2020
Leneave, Ted	Corporate officer	Individual		06/01/2019
Leneave, Thomas	Corporate officer	Individual		06/01/2019
American Healthcare Management Services LLC	Operational/managerial control	Organization		06/01/2019

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on January 29, 2026: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on March 6, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on January 29, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on October 21, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."

Other nursing homes nearby

Accura Healthcare of Cherokee, LLC
Cherokee, 5.7 mi · 3 of 5 stars · 11 citations
Cherokee Specialty Care
Cherokee, 6.2 mi · 3 of 5 stars · 26 citations
Careage Hills Rehabilitation and Healthcare
Cherokee, 6.3 mi · 2 of 5 stars · 20 citations
Methodist Manor Retirement Community
Storm Lake, 12.4 mi · 4 of 5 stars · 21 citations
Good Samaritan - Holstein
Holstein, 16.6 mi · 3 of 5 stars · 24 citations
Heartland Care Center
Marcus, 19.8 mi · 5 of 5 stars · 18 citations
Correctionville Specialty Care
Correctionville, 23.5 mi · 1 of 5 stars · 36 citations

Iowa contacts for a concern about a nursing home

These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.

Common questions

What is Accura Healthcare of Aurelia, LLC's Medicare star rating?: CMS rates Accura Healthcare of Aurelia, LLC 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Accura Healthcare of Aurelia, LLC get at its last inspection?: 4 health deficiencies at the standard inspection on January 29, 2026. The Iowa average is 6.5.
Has Accura Healthcare of Aurelia, LLC been fined?: CMS lists no fines in the last three years.
Does Accura Healthcare of Aurelia, LLC accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Accura Healthcare of Aurelia, LLC?: CMS lists 10 owners and managers, and links the home to Accura Healthcare. Legal business name: ACCURA HEALTHCARE OF AURELIA LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.