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Accura Healthcare of Bancroft

546 East Ramsey Street, Bancroft, IA 50517 · Kossuth County · (515) 885-2463

25 certified beds, about 19 residents a day · For profit - Corporation · Medicare and Medicaid since 1999

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 165408 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 28, 2026, inspectors cited 0 health deficiencies (the Iowa average is 6.5, the national average 9.2).

None of its 5 health citations since June 2024 was rated as actual harm or immediate jeopardy.

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

Nurses and nurse aides worked 4.61 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 1.80 of those hours.

39.3% 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.

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 5 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
2E
1F
Potential for minimal harm
0A
0B
0C
May 28, 2026Standard inspection · 0 citations
June 5, 2025Standard inspection · 5 citations
  1. F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on the Center of Medicare and Medicaid Services (CMS) Payroll Based Journal (PBJ) Staffing Data Report (October 1st- December 31), facility staffing assignments/schedules and staff interviews, the facility failed to submit accurate staff data for the PBJ Staffing Data Report. The facility reported a census of 18 residents.
  2. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, record review, and staff interview, the facility failed to hold hot foods at 135 degrees during 1 meal service. The facility reported a census of 18 residents.
  3. 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) June 20, 2025
    Inspectors wroteBased on observation and staff interview, the facility failed to serve food in accordance with professional standards of quality for 1 meal. The facility reported a census of 18 residents.
  4. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on clinical record review, staff interview and facility policy review the facility failed to notify the ombudsman office of a discharge to the hospital for 2 of 2 residents (Residents #8, #17) reviewed for hospitalizations. The facility reported a census of 18 residents.
  5. D
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, record review, and staff interview, the facility failed to serve food in a form to meet individual needs for 2 of 2 residents reviewed (Resident #17 and #13). The facility reported a census of 18 residents.
June 13, 2024Standard inspection · 0 citations

Fire safety inspections

14 fire safety citations on file: 2 on May 28, 2026, 8 on June 5, 2025, 4 on June 13, 2024.

Every fire safety citation14 citations
  1. E
    Provide properly protected cooking facilities.
    K 324 · May 28, 2026 · Corrected (the home has a date of correction)
  2. E
    Have simulated fire drills held at unexpected times.
    K 712 · May 28, 2026 · Corrected (the home has a date of correction)
  3. F
    Conduct testing and exercise requirements.
    E 39 · June 5, 2025 · Corrected (the home has a date of correction)
  4. F
    Have exits that are accessible at all times.
    K 271 · June 5, 2025 · Corrected (the home has a date of correction)
  5. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · June 5, 2025 · Corrected (the home has a date of correction)
  6. F
    Have properly located and lighted "Exit" signs.
    K 293 · June 5, 2025 · Corrected (the home has a date of correction)
  7. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 5, 2025 · Waiver
  8. F
    Install corridor and hallway doors that block smoke.
    K 363 · June 5, 2025 · Corrected (the home has a date of correction)
  9. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · June 5, 2025 · Corrected (the home has a date of correction)
  10. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 5, 2025 · Corrected (the home has a date of correction)
  11. F
    Conduct testing and exercise requirements.
    E 39 · June 13, 2024 · Corrected (the home has a date of correction)
  12. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 13, 2024 · Corrected (the home has a date of correction)
  13. D
    Have properly located and lighted "Exit" signs.
    K 293 · June 13, 2024 · Corrected (the home has a date of correction)
  14. D
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · June 13, 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.

MeasureThis homeIowaUnited States
All nursing staff (RN, LPN and aides)4.613.823.86
Registered nurses1.800.740.69
All nursing staff on weekends4.073.373.42
Nurse aides2.75
Licensed practical nurses0.06
Nursing staff turnover (share who left in a year)39.3%44.0%45.8%
Registered nurse turnover22.2%42.1%42.9%
Administrators who left0

CMS expects 3.33 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 4.83 on weekdays and 4.07 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.57 in April to June 2025 to 4.61 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.611.804.834.07 0.0%0 of 9019
Oct to Dec 20254.261.644.473.71 1.1%0 of 9221
Jul to Sep 20254.251.634.423.80 1.6%0 of 9222
Apr to Jun 20254.571.754.794.04 0.0%0 of 9119
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Iowa, Jan to Mar 20263.800.713.983.364.7%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.

Quality measures

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

MeasureThis homeIowaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
20.317.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
3.01.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
4.02.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
11.73.83.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.02.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.716.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.84.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
0.019.415.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.41.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.92.11.8

Owners and operators

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

NameRoleTypeShareSince
Accura Midwest Healthcare LLC5% or greater indirect ownership interestOrganization11/01/2017
Leneave, Thomas5% or greater indirect ownership interestIndividual11/01/2017
Hjelle, AlanW-2 managing employeeIndividual04/01/2024
Morphew, AutumnW-2 managing employeeIndividual01/01/2024
Toti, LisaW-2 managing employeeIndividual01/01/2020
Leneave, TedCorporate directorIndividual11/01/2017
Leneave, ThomasCorporate directorIndividual11/01/2017
Toti, LisaCorporate directorIndividual01/01/2020
Leneave, TedCorporate officerIndividual11/01/2017
Leneave, ThomasCorporate officerIndividual11/01/2017
American Healthcare Management Services LLCOperational/managerial controlOrganization01/01/2016

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.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on June 5, 2025: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  2. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on June 5, 2025: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on June 5, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."

Other nursing homes nearby

Iowa contacts for a concern about a nursing home

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

Common questions

What is Accura Healthcare of Bancroft's Medicare star rating?
CMS rates Accura Healthcare of Bancroft 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Accura Healthcare of Bancroft get at its last inspection?
0 health deficiencies at the standard inspection on May 28, 2026. The Iowa average is 6.5.
Has Accura Healthcare of Bancroft been fined?
CMS lists no fines in the last three years.
Does Accura Healthcare of Bancroft 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 Bancroft?
CMS lists 11 owners and managers, and links the home to Accura Healthcare. Legal business name: ACCURA HEALTHCARE OF BANCROFT LLC.

Sources

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