Accura Healthcare of Ogden, LLC
625 East Oak Street, Ogden, IA 50212 · Boone County · (515) 275-2481
46 certified beds, about 43 residents a day · For profit - Corporation · Medicare and Medicaid since 2001
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165434 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 4, 2025, inspectors cited 6 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 22 health citations since July 2023 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 3.21 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 1.07 of those hours.
29.0% 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.
707/23
610/24
609/25
111/25
205/26
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
0G
0H
0I
Potential for more than minimal harm
19D
3E
0F
Potential for minimal harm
0A
0B
0C
May 6, 2026Complaint inspection · 2 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, staff interviews, and policy review, the facility failed to draw a dilantin (medication to treat seizures) blood level as ordered by the medical provider for 1 of 3 residents reviewed for assessment and intervention (Resident #1). The facility reported a census of 44.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, staff interviews, and policy review, the facilty failed to continue with neurological assessments (neuros) after an unwitnessed fall for 1 of 3 residents reviewed for assessment and intervention (Resident #3). The facilty reported a census of 44.
November 14, 2025Complaint inspection · 1 citation
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on record review, staff and resident interviews and facility policy review the facility failed to treat 2 of 3 residents (Resident #1 and #3) with dignity and respect. The facility reported a census of 40 residents.
September 4, 2025Standard inspection · 6 citations
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, resident interview, staff interviews, clinical record review and facility record review, the facility failed to ensure a homelike environment for 1 of 13 residents reviewed. Resident #22 resided in a room that smelled of urine and needed painting and repairs. Staff failed to remove dirty dishes from the evening meal that remained in the dining room until after the breakfast service began. The facility reported a census of 42 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 clinical record review, staff interview and policy review, the facility failed to develop and implement a comprehensive person-centered care plan for 1 of 12 residents reviewed (Resident #41). The facility reported a census of 42.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on observation, interviews and record review the facility failed to complete the required documentation, staff education and nursing assessments for the Restorative Program (RP) for 2 of 2 residents reviewed (Residents #30 and #2.) The facility reported a census of 42 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, staff interview, clinical record review and policy review the facility failed to adequately assess and intervene to prevent skin wounds for 1 of 2 residents reviewed. Resident #6 was on hospice, developed an abrasion on his coccyx and the treatment did not start for two days after it was discovered. The resident was observed to be in his wheel chair for over 2 hours, and when his brief was changed, staff failed to apply barrier cream. The facility reported a census of 42 residents.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observations, clinical chart review and staff interview the facility failed to implement policies and procedures regarding the technical aspect of checking placement for gastrostomy tubes by failing to check placement for 2 of 2 residents (Resident #2 and Resident #33). The facility reported a census of 42 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interview, record review and policy review the facility failed to implement adequate infection control practices for 2 of 5 residents reviewed (Residents #33 and #6). Staff failed to use Enhanced Barrier Precautions (EBP) while providing care to Resident #33 who had a tube feeding, and during a transfer for Resident #6, who had a urinary catheter. The facility reported a census of 42 residents.
October 24, 2024Standard inspection, Complaint inspection · 6 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, policy review, and staff interview, staff failed to serve food under sanitary conditions, in order to reduce the risk of contamination and foodborne illness. The facility reported a census of 36 residents.
- E Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observations, staff interview, and policy review the facility failed to maintain the kitchen, food preparation and service area free of insects. The facility reported a census of 36 residents.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observations, clinical record review, and staff interviews, the facility failed to notify the Physician for a resident with a 10-pound weight loss in 10 days for 1 (Resident #86) of 1 resident reviewed for weight loss. The facility reported a census of 36 residents.
- D Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to complete a comprehensive assessment no less than once every three months for 1 of 13 residents reviewed (Residents #18). 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.
Inspectors wroteBased on observations, clinical record review, and staff interviews, the facility failed to revise and update the resident's care plan for 2 residents (Resident #14 and #22) on a diuretic (medication to help the body get rid of excess fluid) and a resident (Resident #26) placed on hospice of 12 residents reviewed. The facility reported a census of 36 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review and staff interview the facility failed to obtain follow-up laboratory (lab) blood work in the time frame as ordered by the Primary Care Provider (PCP) for use of Coumadin, an anticoagulant, for Resident #7. The facility reported a census of 36 residents.
July 31, 2023Standard 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 observation, policy review, and staff interview, the facility failed to prepare and serve food under sanitary conditions to reduce the risk of contamination and foodborne illness. The facility reported a census of 37 residents.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record review and staff interviews, the facility failed to notify the Physician when a medication was not available for 1 of 1 resident reviewed (Resident #137).
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on clinical record review, staff interviews and review of Medicare guidelines, the facility failed to provide a notice of Medicare Non-coverage 48 hours in advance of services ending for 1 of 3 residents reviewed (Resident #28). In addition, the facility failed to provide the correct Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNFABN) form for 1 of 1 resident (Resident #28) whose skilled stay ended and continued to reside in the facility.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on clinical record review, staff interviews and facility policy review the facility failed to provide a notice of bed hold for 2 of 2 residents reviewed (Resident #28 and #137) for discharge to the hospital.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review and staff interviews, the facility failed to have an order to suction a resident with a tracheostomy 1 of 1 resident reviewed (Resident #28).
- 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 reviews, staff interviews, and policy review, the facility failed to offer and attempt nonpharmacological interventions prior to giving a PRN (as needed) antianxiety medication for 1 of 1 resident reviewed (Resident #137) for unnecessary medications. The facility also failed to complete behavior documentation and offer/attempt nonpharmacological interventions prior to increasing an antipsychotic medication for 1 of 1 resident reviewed (Resident #37).
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on clinical record review, staff interviews, and pharmacy interview, the facility failed to appropriately administer a physician order for 1 of 1 resident reviewed (Resident #137). The facility administered olanzapine (antipsychotic medication) IM (intramuscular injection/shot in the muscle) two times when the Physician order directed to administer the injection one time. The facility reported a census of 37.
Fire safety inspections
17 fire safety citations on file: 2 on September 4, 2025, 4 on October 24, 2024, 11 on July 31, 2023.
Every fire safety citation17 citations
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have simulated fire drills held at unexpected times.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Have simulated fire drills held at unexpected times.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have proper medical gas storage and administration areas.
- F Conduct testing and exercise requirements.
- F Install proper backup exit lighting.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Use approved construction type or materials.
- E Have properly located and lighted "Exit" signs.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- 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) | 3.21 | 3.82 | 3.86 |
| Registered nurses | 1.07 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.62 | 3.37 | 3.42 |
| Nurse aides | 2.02 | ||
| Licensed practical nurses | 0.12 | ||
| Nursing staff turnover (share who left in a year) | 29.0% | 44.0% | 45.8% |
| Registered nurse turnover | 22.2% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.92 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 3.45 on weekdays and 2.62 on weekends, 24% 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 3.16 in April to June 2025 to 3.21 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 | 3.21 | 1.07 | 3.45 | 2.62 | 0.0% | 0 of 90 | 43 |
| Oct to Dec 2025 | 3.23 | 1.18 | 3.49 | 2.57 | 0.0% | 0 of 92 | 41 |
| Jul to Sep 2025 | 3.06 | 1.13 | 3.30 | 2.44 | 0.0% | 0 of 92 | 43 |
| Apr to Jun 2025 | 3.16 | 1.17 | 3.38 | 2.61 | 0.0% | 0 of 91 | 41 |
| 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 | 21.3 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.8 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.9 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.5 | 3.8 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.3 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.4 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 30.5 | 19.4 | 15.4 |
Owners and operators
Legal business name: OGDEN MANOR LLC. CMS links this home to Accura Healthcare, a group of 41 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| American Healthcare Associates Inc | Direct ownership interest | Organization | 01/01/2016 | |
| Accura Healthcare | Indirect ownership interest | Organization | 01/01/2016 | |
| Leneave, Ted | Indirect ownership interest | Individual | 01/01/2016 | |
| Ph Pomeroy LLC | 5% or greater mortgage interest | Organization | 06/13/2025 | |
| Gemino Healthcare Finance LLC | 5% or greater security interest | Organization | 01/09/2025 | |
| Leneave, Ted | Corporate officer | Individual | 01/01/2016 | |
| Toti, Lisa | Corporate officer | Individual | 01/01/2016 | |
| American Healthcare Management Services LLC | Operational/managerial control | Organization | 01/01/2016 | |
| Ogden Manor LLC | Operational/managerial control | Organization | 01/01/2016 | |
| Conner, Robert | Operational/managerial control | Individual | 01/01/2024 | |
| Walsh, Leslie | Operational/managerial control | Individual | 05/13/2024 | |
| American Healthcare Management Services LLC | Adp of the SNF | Organization | 11/14/2025 | |
| Ogden Manor LLC | Adp of the SNF | Organization | 11/14/2025 | |
| Ph Pomeroy LLC | Adp of the SNF | Organization | 06/13/2025 | |
| Conner, Robert | Adp of the SNF | Individual | 01/01/2024 | |
| Leneave, Ted | Adp of the SNF | Individual | 01/01/2016 | |
| Toti, Lisa | Adp of the SNF | Individual | 01/01/2016 | |
| Walsh, Leslie | Adp of the SNF | Individual | 05/13/2024 |
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 6 problems in this area, most recently on May 6, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on November 14, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on May 6, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on October 24, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.62 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Eastern Star Masonic Home Boone, 6.3 mi · 3 of 5 stars · 15 citations
- Westhaven Community Boone, 6.7 mi · 3 of 5 stars · 16 citations
- Perry Lutheran Homes Eden Acres Campus Perry, 13.9 mi · 2 of 5 stars · 6 citations
- Perry Lutheran Home Perry, 14.2 mi · 1 of 5 stars · 22 citations
- Madrid Home for the Aged Madrid, 14.8 mi · 3 of 5 stars · 14 citations
- Grandview Health Care Center Dayton, 16.1 mi · 2 of 5 stars · 12 citations
- Stratford Specialty Care Stratford, 16.1 mi · 2 of 5 stars · 36 citations
- Regency Park Nursing & Rehab Center of Jefferson Jefferson, 18.3 mi · 4 of 5 stars · 24 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 Ogden, LLC's Medicare star rating?
- CMS rates Accura Healthcare of Ogden, LLC 4 out of 5 stars overall, with 3 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 Ogden, LLC get at its last inspection?
- 6 health deficiencies at the standard inspection on September 4, 2025. The Iowa average is 6.5.
- Has Accura Healthcare of Ogden, LLC been fined?
- CMS lists no fines in the last three years.
- Does Accura Healthcare of Ogden, 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 Ogden, LLC?
- CMS lists 18 owners and managers, and links the home to Accura Healthcare. Legal business name: OGDEN MANOR 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.