Accura Healthcare of Le Mars
954 7th Avenue Se, Le Mars, IA 51031 · Plymouth County · (712) 546-7831
46 certified beds, about 39 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165311 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 16, 2026, inspectors cited 7 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 22 health citations since May 2024, 2 were 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 4.51 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.
26.1% 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.
1005/24
505/25
707/26
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 22 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
16D
4E
0F
Potential for minimal harm
0A
0B
0C
July 16, 2026Standard inspection, Complaint inspection · 7 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews, and policies reviewed the facility failed to prepare, serve and distribute food in accordance with food service safety for general practices of mealtime service. The facility reported a census of 40 residents.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, facility documentation, and interviews with the resident's family and facility staff, the facility failed to implement necessary interventions to protect 1 of 12 sampled residents (Resident #21) from abuse. The facility reported a census of 39 residents.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on clinical record review, facility documentation, and interviews with the resident's family and facility staff, the facility failed to implement measures to prevent further potential abuse, neglect, exploitation, or mistreatment for 1 of 12 sampled residents (Resident #21). The facility reported a census of 39 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.
Inspectors wroteBased on clinical record review, interviews, and policy review the facility failed to develop and implement a program to maintain a resident's range of motion (ROM) and contracture management needs based on the comprehensive assessment and under the direct guidance of a Registered Nurse (RN) for 1 of 2 residents (Resident #1) reviewed. The facility reported a census of 40.
- D Ensure 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.
Inspectors wroteBased on observation, document review, interviews, and policy review the facility failed to provide a well balanced diet that meets nutritional and special dietary needs of residents by not following the approved menu for a meal. The facility reported a census of 40 residents.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interviews, and policy review the facility failed to prepare, serve and distribute food in accordance with professional standards. The facility failed to provide food at a palatable, attractive, and a safe and appetizing temperature for 7 of 40 meals provided. The facility reported a census of 40 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on clinical record review, observations, staff interviews, and policy review, the facility failed to provide infection prevention measures with hand hygiene during wound care for 1 of 1 residents (Residents #20) reviewed. The facility reported a census of 40 residents.
May 29, 2025Standard inspection · 5 citations
- E Ensure 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.
Inspectors wroteBased on observation, policy review and staff interview the facility failed to follow the menu and prepare food to meet the residents nutritional needs during lunch service. The facility reported a census of 39 residents.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on clinical record review and staff interview the facility failed to identify non-pharmacological interventions and targeted behaviors related to high risk medications in 1 out of 5 sampled residents reviewed (Resident #34). The facility reported a census of 39 residents.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on clinical record review, interviews, and facility policy, the facility failed to ensure bed hold notice was signed by residents and or the resident's responsible person when residents transferred out of the facility for 1 of 1 residents reviewed (Residents #140). The facility reported a census of 39 residents.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, resident interview, staff interview and policy review the facility failed to provide food at an appetizing temperature to 2 of 20 residents reviewed (Resident #25 and #190). The facility reported a census of 39 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record review, staff interviews and policy reviews, the facility failed to provide proper hand hygiene during catheter care for 1 of 1 residents reviewed (Resident #16). The facility reported a census of 39 residents. Observation on 5/28/25 at 1:35 PM of Resident #16 showed Staff C, Certified Nursing Assistant, (CNA) performed hand hygiene, donned personal protective equipment then emptied urine from the catheter bag into a colander per policy. Staff C emptied the urine from the colander into the toilet, raised the colander and placed paper towels down into the colander. With the same soiled gloves Staff C placed the colander into the cupboard, placed the catheter bag into the privacy bag, moved the resident ' s blanket and clothing then hung the catheter bag onto the wheelchair. [...]
May 30, 2024Standard inspection, Complaint inspection · 10 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, observation, resident interview, staff interviews, and facility record review, the facility failed to provide adequate nursing supervision to prevent a fall that caused a distal femur fracture, need for hospitalization, pain control and decline in the resident ' s physical ability for 1 of 14 residents reviewed (Resident #29). The facility reported a total census of 41 residents. Past Noncompliance determined during the annual recertification survey of a facility incident that occurred on 1/22/24 regarding deficiency F689 with a scope and severity of a Level G. The facility provided evidence of education to the staff member directly involved in the facility incident that occurred on 1/23/24. The remainder of the nursing staff received education on 1/31/24.
- G Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Inspectors wroteBased on clinical record review and staff interview the facility failed to appropriately inspect bed rails in the facility for 1 of 1 resident reviewed (Resident #8). The facility reported a census of 41 residents. Past Noncompliance determined during the annual recertification survey of a facility incident that occurred on 12/25/23 regarding deficiency F909 with a scope and severity of a Level G. The facility provided evidence of the bed being changed out with safe bed rails.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on clinical record review and staff interview the facility failed to develop care plans to address usage of high risk medications and side effects to watch for 3 out of 14 sampled residents (Resident #8, #15 & #32) and failed to include dialyis information for 1 of 1 sampled resident (Resident #2) reviewed for comprehensive care plans. The facility reported a census of 41 residents.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews, and facility policy review the facility failed to ensure sanitary conditions where staff prepared and stored food. The facility identified a census of 41 residents.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to refer one 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, and received Mental Health Services to the appropriate state-designated authority for Level II PASRR evaluation and determination for 1 out of 1 resident reviewed for PASRR requirements, (Resident #19). The facility reported a census of 41 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.
Inspectors wroteBased on observations and diet orders the facility failed to update the care plan to reflect the current diet order of mechanical soft texture for 1 out of 14 residents (Resident #19). The facility reported a census of 41 residents. Findings Included: Observation of meal service on 5/29/24 starting at 11:55 PM, revealed Resident #19 ordered the scheduled therapeutic lunch for a mechanical soft diet which consisted of ground swiss steak, garlic mashed potatoes, waxed beans and bread with margarine. Staff G, Dietary [NAME] served the resident peas instead of waxed beans. The Physician's Order dated 4/22/24 for Resident #19 showed an order for mechanical soft diet texture. The Diet Type Report dated 5/29/24 showed Resident #19 as a mechanical soft diet. In an interview on 5/29/24 at 12:59 PM, the Dietitian reported peas could pose a choking hazard for Resident #19. [...]
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on clinical record review and staff interview the facility failed to address dementia care for 1 out of 1 residents reviewed (Resident #15). The facility reported a census of 41 residents.
- D Ensure 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.
Inspectors wroteBased on review of the planned menu, observation and staff interviews facility staff failed to follow the planned menu for 1 out of 41 residents observed (Resident #5). The facility identified a census of 41 residents.
- D Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observations and diet orders the facility failed to assure the food served met the resident's needs according to their assessment and diet orders. Observations determined that 1 out of 41 residents did not get the food in their ordered texture (Resident #19). The facility reported a census of 41 residents. Findings Included: 1. Observation of meal service on 5/29/24 starting at 11:55 AM, revealed Resident #19 ordered the scheduled therapeutic lunch for a mechanical soft diet which consisted of ground swiss steak, garlic mashed potatoes, waxed beans and bread with margarine. Staff G, Dietary [NAME] served the resident peas instead of waxed beans. The Physician's Order dated 4/22/24 for Resident #19 showed an order for mechanical soft diet texture. The Diet Type Report dated 5/29/24 showed Resident #19 as a mechanical soft diet. [...]
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and staff interviews the facility failed to provide accurate resident records for 1 of 14 residents (Residents #8). The facility reported a census of 41 residents.
Fire safety inspections
18 fire safety citations on file: 11 on July 16, 2026, 3 on May 29, 2025, 4 on May 30, 2024.
Every fire safety citation18 citations
- F List the names and contact information of those in the facility.
- F Conduct testing and exercise requirements.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have properly located and lighted "Exit" signs.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Install corridor and hallway doors that block smoke.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have properly located and lighted "Exit" signs.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure proper usage of power strips and extension cords.
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) | 4.51 | 3.82 | 3.86 |
| Registered nurses | 0.76 | 0.74 | 0.69 |
| All nursing staff on weekends | 4.12 | 3.37 | 3.42 |
| Nurse aides | 3.08 | ||
| Licensed practical nurses | 0.67 | ||
| Nursing staff turnover (share who left in a year) | 26.1% | 44.0% | 45.8% |
| Registered nurse turnover | 25.0% | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.28 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 4.67 on weekdays and 4.12 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.85 in April to June 2025 to 4.51 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 | 4.51 | 0.76 | 4.67 | 4.12 | 1.6% | 0 of 90 | 39 |
| Oct to Dec 2025 | 4.65 | 0.76 | 4.88 | 4.05 | 0.0% | 0 of 92 | 39 |
| Jul to Sep 2025 | 4.79 | 0.89 | 5.09 | 4.01 | 0.0% | 0 of 92 | 40 |
| Apr to Jun 2025 | 4.85 | 0.91 | 5.19 | 4.01 | 0.0% | 0 of 91 | 39 |
| 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.
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 | 17.3 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.7 | 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 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.4 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.7 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.8 | 19.4 | 15.4 |
Owners and operators
Legal business name: ACCURA HEALTHCARE OF LE MARS 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% | 12/17/2018 |
| Toti, Lisa | W-2 managing employee | Individual | 01/01/2020 | |
| Leneave, Ted | Corporate director | Individual | 12/17/2018 | |
| Leneave, Thomas | Corporate director | Individual | 12/17/2018 | |
| Toti, Lisa | Corporate director | Individual | 01/01/2020 | |
| Leneave, Ted | Corporate officer | Individual | 12/17/2018 | |
| Leneave, Thomas | Corporate officer | Individual | 12/17/2018 | |
| American Healthcare Management Services LLC | Operational/managerial control | Organization | 12/17/2018 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 8 problems in this area, most recently on July 16, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on May 30, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on July 16, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- 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 July 16, 2026: "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."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Good Samaritan - Lemars Le Mars, 1.3 mi · 4 of 5 stars · 6 citations
- Happy Siesta Health Care Center Remsen, 9.7 mi · 4 of 5 stars · 5 citations
- Kingsley Specialty Care Kingsley, 16.2 mi · 1 of 5 stars · 38 citations
- Prairie Ridge Care Center Orange City, 16.9 mi · 5 of 5 stars · 10 citations
- Heartland Care Center Marcus, 18 mi · 5 of 5 stars · 18 citations
- Crown Pointe Estates Care Center Sioux Center, 19.4 mi · 4 of 5 stars · 18 citations
- Akron Care Center, Inc Akron, 20.2 mi · 4 of 5 stars · 6 citations
- Accura Healthcare of Sioux City, LLC Sioux City, 20.3 mi · 4 of 5 stars · 21 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 Le Mars's Medicare star rating?
- CMS rates Accura Healthcare of Le Mars 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Accura Healthcare of Le Mars get at its last inspection?
- 7 health deficiencies at the standard inspection on July 16, 2026. The Iowa average is 6.5.
- Has Accura Healthcare of Le Mars been fined?
- CMS lists no fines in the last three years.
- Does Accura Healthcare of Le Mars 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 Le Mars?
- CMS lists 8 owners and managers, and links the home to Accura Healthcare. Legal business name: ACCURA HEALTHCARE OF LE MARS 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.