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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

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

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.

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 18 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
15D
3E
0F
Potential for minimal harm
0A
0B
0C
July 2, 2026Standard inspection · 0 citations
August 28, 2025Complaint inspection · 1 citation
  1. 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) September 22, 2025
    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
  1. E
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 20, 2025
    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.
  2. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 20, 2025
    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.
  3. 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) May 20, 2025
    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.
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 20, 2025
    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.
  5. 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) May 20, 2025
    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.
  6. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 20, 2025
    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
  1. D
    Plan the resident's discharge to meet the resident's goals and needs.
    F660 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 30, 2024
    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
  1. 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) August 30, 2024
    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.
  2. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2024
    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.
  3. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2024
    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.
  4. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2024
    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.
  5. 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 · found on a complaint visit · Corrected (the home has a date of correction) August 30, 2024
    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.
  6. 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) August 30, 2024
    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.
  7. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2024
    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.
  8. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2024
    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.
  9. 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.
    F808 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 30, 2024
    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.
  10. 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) August 30, 2024
    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
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 2, 2026 · Corrected (the home has a date of correction)
  2. F
    Install corridor and hallway doors that block smoke.
    K 363 · July 2, 2026 · Corrected (the home has a date of correction)
  3. F
    Use approved construction type or materials.
    K 161 · May 8, 2025 · Corrected (the home has a date of correction)
  4. 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.
    K 222 · May 8, 2025 · Corrected (the home has a date of correction)
  5. F
    Install corridor and hallway doors that block smoke.
    K 363 · May 8, 2025 · Corrected (the home has a date of correction)
  6. E
    Meet requirements for the use and maintenance of medical gas equipment.
    K 922 · May 8, 2025 · Corrected (the home has a date of correction)
  7. 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 · August 1, 2024 · Corrected (the home has a date of correction)
  8. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · August 1, 2024 · Corrected (the home has a date of correction)
  9. F
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · August 1, 2024 · Corrected (the home has a date of correction)
  10. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · August 1, 2024 · Corrected (the home has a date of correction)
  11. F
    Provide a written emergency evacuation plan.
    K 711 · August 1, 2024 · Corrected (the home has a date of correction)
  12. F
    Have simulated fire drills held at unexpected times.
    K 712 · August 1, 2024 · Corrected (the home has a date of correction)
  13. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · August 1, 2024 · Corrected (the home has a date of correction)
  14. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 1, 2024 · Corrected (the home has a date of correction)
  15. E
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · August 1, 2024 · Corrected (the home has a date of correction)
  16. E
    Provide properly protected cooking facilities.
    K 324 · August 1, 2024 · Corrected (the home has a date of correction)
  17. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · August 1, 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)2.863.823.86
Registered nurses0.520.740.69
All nursing staff on weekends2.613.373.42
Nurse aides1.79
Licensed practical nurses0.55
Nursing staff turnover (share who left in a year)34.7%44.0%45.8%
Registered nurse turnover60.0%42.1%42.9%
Administrators who left0

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.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.860.522.962.61 2.8%0 of 9065
Oct to Dec 20253.030.593.142.73 0.3%0 of 9265
Jul to Sep 20253.120.533.252.77 0.0%0 of 9259
Apr to Jun 20253.300.613.432.99 0.0%0 of 9153
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
18.917.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.91.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
5.22.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
16.13.83.2
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
16.516.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.04.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.419.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
31.320.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
23.913.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.61.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.72.11.8

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.

NameRoleTypeShareSince
Aviv Healthcare of the Midwest LLCDirect ownership interestOrganization02/01/2025
Avenue94 LLCIndirect ownership interestOrganization02/01/2025
Aviv Healthcare Holdings LLCIndirect ownership interestOrganization02/01/2025
Kimmons Healthcare Investments LLCIndirect ownership interestOrganization02/01/2025
Ktl Enterprises LLCIndirect ownership interestOrganization02/01/2025
Little River Investments LLCIndirect ownership interestOrganization02/01/2025
Zrr Opco LLCIndirect ownership interestOrganization02/01/2025
Allen, BradyIndirect ownership interestIndividual02/01/2025
Kleinsasser, MeganIndirect ownership interestIndividual02/01/2025
Leneave, TedIndirect ownership interestIndividual02/01/2025
Toti, LisaIndirect ownership interestIndividual02/01/2025
Accura Management Consulting Services LLCOperational/managerial controlOrganization02/01/2025
Allen, BradyOperational/managerial controlIndividual02/01/2025
Calveage, BrandyOperational/managerial controlIndividual03/09/2020
Glaser, KristopherOperational/managerial controlIndividual09/01/2024
Kleinsasser, MeganOperational/managerial controlIndividual02/01/2025
Leneave, TedOperational/managerial controlIndividual02/01/2025
Sagha, HamidOperational/managerial controlIndividual02/01/2025
Toti, LisaOperational/managerial controlIndividual02/01/2025
Young, AmyOperational/managerial controlIndividual02/01/2025
Accura Management Consulting Services LLCAdp of the SNFOrganization02/01/2025
Aviv Financing II LLCAdp of the SNFOrganization02/01/2025
Aviv Healthcare Properties Operating Partnership I LPAdp of the SNFOrganization02/01/2025
Aviv Op Limited Partner LLCAdp of the SNFOrganization02/01/2025
Muscatine Toledo Properties LLCAdp of the SNFOrganization02/01/2025
Ohi Healthcare Properties Limited PartnershipAdp of the SNFOrganization02/01/2025
Omega Healthcare Investors IncAdp of the SNFOrganization02/01/2025
Allen, BradyAdp of the SNFIndividual02/01/2025
Calveage, BrandyAdp of the SNFIndividual03/09/2020
Glaser, KristopherAdp of the SNFIndividual09/01/2024
Kleinsasser, MeganAdp of the SNFIndividual09/01/2024
Leneave, TedAdp of the SNFIndividual02/01/2025
Sagha, HamidAdp of the SNFIndividual02/01/2025
Toti, LisaAdp of the SNFIndividual02/01/2025
Young, AmyAdp of the SNFIndividual02/01/2025

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.

  1. 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."
  2. 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."
  3. 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."
  4. 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."
  5. 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

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 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

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