Accura Healthcare of Muscatine
3440 Mulberry Avenue, Muscatine, IA 52761 · Muscatine County · (563) 263-2194
100 certified beds, about 65 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2007
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165578 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 2, 2026, inspectors cited 0 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 18 health citations since August 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 2.86 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.
34.7% 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.
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 18 health citations on file.
July 2, 2026Standard inspection · 0 citations
August 28, 2025Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on clinical record review, facility policy review, and staff interviews, the facility failed to prevent both verbal and physical abuse of a dependent adult resident, for 1 of 4 residents reviewed (Resident #1), that resulted in the resident's physical injury. The facility reported a census of 62 residents.
May 8, 2025Standard inspection · 6 citations
- E Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to ensure Minimum Data Set (MDS) assessments were submitted timely for four of four residents reviewed for MDS submission (Resident #13, Resident #27, Resident #35, Resident #49). The facility reported a census of 53 residents.
- E Implement a program that monitors antibiotic use.
Inspectors wroteBased on infection control data review, staff interview, and facility policy review the facility failed to ensure residents met the criteria for an infection per McGeer's criteria prior to antibiotic use for seven of twelve infections which developed in the facility per March 2025 infection control data review. The facility reported a census of 53 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, facility policy review and staff interview, the facility failed to notify the state ombudsman of the transfers out of the facility due to hospitalization for 2 of 3 residents reviewed (Residents #14 and Resident #19). The facility reported a census of 53 residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review and staff interviews, the facility failed to accurately code the Minimum Data Set to reflect a having Level II Preadmission Screening and Resident Review (PASRR) services for 1 of 1 (Resident #8) residents reviewed. The facility reported a census of 53 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 observation, clinical record review and staff interviews, the facility failed to update a Care Plan to accurately identify the level of assistance 1 of 1 residents needed to complete the activities of daily living tasks of toilet use and bed mobility (Resident #7). The facility reported a census of 53 residents.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and clinical record review, the facility failed to ensure a nutritional supplement was increased per Dietician recommendation for one of one resident reviewed for nutrition (Resident #42). The facility reported a census of 53 residents.
September 16, 2024Complaint inspection · 1 citation
- D Plan the resident's discharge to meet the resident's goals and needs.
Inspectors wroteBased on record review, and staff and resident responsible party interviews, the facility failed to ensure the discharge needs of each resident were met when they transferred a resident to the wrong facility, a facility that had no knowledge of the resident, had not agreed to accept the resident's transfer, and did not have authorization to admit the resident because they were not a Veteran Administration (VA) contracted service provider, for 1 of 3 resident's reviewed for discharge coordination (Resident #1). The facility reported a census of 56 residents
August 1, 2024Standard inspection, Complaint inspection · 10 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 observation, staff interview, and facility policy review, the facility failed to maintain sanitary practices by improperly storing and serving food. The facility reported a census of 60 residents.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on clinical record review, observation, family and staff interview the facility failed to provide a call light system within reach and met the needs of 2 of 20 residents (Resident #29, #49) reviewed. The facility reported a census of 60 residents.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on employee file review, staff interview and facility policy review, the facility failed to ensure a current Dependent Adult Abuse certification for 1 of 5 staff members reviewed. The facility reported a census of 60 residents.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased clinical record review, staff interview, policy review and guidance from Resident Assessment Instrument (RAI) Manual, the facility failed to complete a Significant Change Minimum Data Set (MDS) Assessment within 14 days of a resident experiencing a fall with fracture, resulting in a decline in transfer and ambulation status and in increase in pain for 1 of 20 residents (Resident #50) reviewed for MDS. The facility reported a census of 60 residents.
- D 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 observation, clinical record review, policy review, and staff interviews the facility failed to follow the care plan for 1 of 20 residents (Resident #35) reviewed. The facility reported a census of 60 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, clinical record review, policy review, and staff interviews, the facility failed to follow physician orders for 1 of 20 residents (Resident # 44). The facility reported a census of 60 residents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, clinical record review, staff and family interview, and policy review, the facility failed to provide supplemental oxygen as ordered for 2 of 2 resident reviewed for respiratory care ( Resident #22 & #163). The facility reported a census of 60 residents.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on clinical record review, psychiatry progress notes, and staff interview the facility failed to attempt a gradual dose reduction (GDR) of psychotropic medications when the resident no longer exhibited behaviors for which the medications were prescribed for 1 of 5 (Resident #3) residents reviewed. The facility reported a census of 60 residents.
- D Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Inspectors wroteBased on observation, menu review, and policy review, the facility failed to serve appropriate diet for 1 of 1 residents (Resident #12) with a low sodium diet order, and 1 of 1 residents (Resident #5) with a double protein diet order. The facility reported a census of 60 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, staff interview, and policy review, the facility failed to implement infection control practices to prevent cross contamination of invasive medical devices. The facility reported a census of 60 residents.
Fire safety inspections
17 fire safety citations on file: 2 on July 2, 2026, 4 on May 8, 2025, 11 on August 1, 2024.
Every fire safety citation17 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install corridor and hallway doors that block smoke.
- F Use approved construction type or materials.
- 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 corridor and hallway doors that block smoke.
- E Meet requirements for the use and maintenance of medical gas equipment.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Install a fire alarm system that can be heard throughout the facility.
- F Properly provide smoke detection systems in areas open to corridors.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Provide a written emergency evacuation plan.
- 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.
- E Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- E Provide properly protected cooking facilities.
- E Have properly installed electrical wiring and gas equipment.
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) | 2.86 | 3.82 | 3.86 |
| Registered nurses | 0.52 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.61 | 3.37 | 3.42 |
| Nurse aides | 1.79 | ||
| Licensed practical nurses | 0.55 | ||
| Nursing staff turnover (share who left in a year) | 34.7% | 44.0% | 45.8% |
| Registered nurse turnover | 60.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.31 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 2.96 on weekdays and 2.61 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.30 in April to June 2025 to 2.86 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 | 2.86 | 0.52 | 2.96 | 2.61 | 2.8% | 0 of 90 | 65 |
| Oct to Dec 2025 | 3.03 | 0.59 | 3.14 | 2.73 | 0.3% | 0 of 92 | 65 |
| Jul to Sep 2025 | 3.12 | 0.53 | 3.25 | 2.77 | 0.0% | 0 of 92 | 59 |
| Apr to Jun 2025 | 3.30 | 0.61 | 3.43 | 2.99 | 0.0% | 0 of 91 | 53 |
| 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.
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 | 18.9 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.2 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 16.1 | 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 | 16.5 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.4 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.3 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 23.9 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.7 | 2.1 | 1.8 |
Owners and operators
Legal business name: ACCURA HEALTHCARE OF MUSCATINE LLC. CMS links this home to Accura Healthcare, a group of 41 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Aviv Healthcare of the Midwest LLC | Direct ownership interest | Organization | 02/01/2025 | |
| Avenue94 LLC | Indirect ownership interest | Organization | 02/01/2025 | |
| Aviv Healthcare Holdings LLC | Indirect ownership interest | Organization | 02/01/2025 | |
| Kimmons Healthcare Investments LLC | Indirect ownership interest | Organization | 02/01/2025 | |
| Ktl Enterprises LLC | Indirect ownership interest | Organization | 02/01/2025 | |
| Little River Investments LLC | Indirect ownership interest | Organization | 02/01/2025 | |
| Zrr Opco LLC | Indirect ownership interest | Organization | 02/01/2025 | |
| Allen, Brady | Indirect ownership interest | Individual | 02/01/2025 | |
| Kleinsasser, Megan | Indirect ownership interest | Individual | 02/01/2025 | |
| Leneave, Ted | Indirect ownership interest | Individual | 02/01/2025 | |
| Toti, Lisa | Indirect ownership interest | Individual | 02/01/2025 | |
| Accura Management Consulting Services LLC | Operational/managerial control | Organization | 02/01/2025 | |
| Allen, Brady | Operational/managerial control | Individual | 02/01/2025 | |
| Calveage, Brandy | Operational/managerial control | Individual | 03/09/2020 | |
| Glaser, Kristopher | Operational/managerial control | Individual | 09/01/2024 | |
| Kleinsasser, Megan | Operational/managerial control | Individual | 02/01/2025 | |
| Leneave, Ted | Operational/managerial control | Individual | 02/01/2025 | |
| Sagha, Hamid | Operational/managerial control | Individual | 02/01/2025 | |
| Toti, Lisa | Operational/managerial control | Individual | 02/01/2025 | |
| Young, Amy | Operational/managerial control | Individual | 02/01/2025 | |
| Accura Management Consulting Services LLC | Adp of the SNF | Organization | 02/01/2025 | |
| Aviv Financing II LLC | Adp of the SNF | Organization | 02/01/2025 | |
| Aviv Healthcare Properties Operating Partnership I LP | Adp of the SNF | Organization | 02/01/2025 | |
| Aviv Op Limited Partner LLC | Adp of the SNF | Organization | 02/01/2025 | |
| Muscatine Toledo Properties LLC | Adp of the SNF | Organization | 02/01/2025 | |
| Ohi Healthcare Properties Limited Partnership | Adp of the SNF | Organization | 02/01/2025 | |
| Omega Healthcare Investors Inc | Adp of the SNF | Organization | 02/01/2025 | |
| Allen, Brady | Adp of the SNF | Individual | 02/01/2025 | |
| Calveage, Brandy | Adp of the SNF | Individual | 03/09/2020 | |
| Glaser, Kristopher | Adp of the SNF | Individual | 09/01/2024 | |
| Kleinsasser, Megan | Adp of the SNF | Individual | 09/01/2024 | |
| Leneave, Ted | Adp of the SNF | Individual | 02/01/2025 | |
| Sagha, Hamid | Adp of the SNF | Individual | 02/01/2025 | |
| Toti, Lisa | Adp of the SNF | Individual | 02/01/2025 | |
| Young, Amy | Adp of the SNF | Individual | 02/01/2025 |
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 7 problems in this area, most recently on May 8, 2025: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
- 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 August 28, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on May 8, 2025: "Implement a program that monitors antibiotic use."
- 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 May 8, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.61 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Lutheran Living Senior Campus Muscatine, 2.2 mi · 1 of 5 stars · 45 citations
- Wilton Retirement Community Wilton, 11 mi · 5 of 5 stars · 7 citations
- Simpson Memorial Home West Liberty, 12.8 mi · 3 of 5 stars · 9 citations
- Lone Tree Health Care Center Inc Lone Tree, 17.6 mi · 5 of 5 stars · 8 citations
- Colonial Manors of Columbus Community Columbus Junction, 19.2 mi · 4 of 5 stars · 20 citations
- Crestview Specialty Care West Branch, 20.9 mi · 1 of 5 stars · 28 citations
- Cedar Manor Nursing Home Tipton, 22.9 mi · 3 of 5 stars · 15 citations
- Arcadia Care Aledo Aledo, 24 mi · 1 of 5 stars · 69 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 Muscatine's Medicare star rating?
- CMS rates Accura Healthcare of Muscatine 3 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Accura Healthcare of Muscatine get at its last inspection?
- 0 health deficiencies at the standard inspection on July 2, 2026. The Iowa average is 6.5.
- Has Accura Healthcare of Muscatine been fined?
- CMS lists no fines in the last three years.
- Does Accura Healthcare of Muscatine 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 Muscatine?
- CMS lists 35 owners and managers, and links the home to Accura Healthcare. Legal business name: ACCURA HEALTHCARE OF MUSCATINE 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.