Find a nursing home

Home / Iowa / Ottumwa

Accura Healthcare of Ottumwa

Three Pennsylvania Place, Ottumwa, IA 52501 · Wapello County · (641) 683-3372

60 certified beds, about 55 residents a day · For profit - Corporation · Medicare and Medicaid since 2004

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 165549 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 25, 2025, inspectors cited 1 health deficiency (the Iowa average is 6.5, the national average 9.2).

Of 6 health citations since April 2024, 1 was 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 3.81 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.66 of those hours.

25.4% of nursing staff left within the year CMS measured (Iowa average 44.0%).

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 6 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
5D
0E
0F
Potential for minimal harm
0A
0B
0C
September 25, 2025Standard inspection · 1 citation
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2025
    Inspectors wroteBased on clinical record review, observation, facility policy review and staff interview, the facility failed to ensure staff respected the dignity of residents while transporting residents to and from the shower room for 3 of 4 observations of residents (Residents #5, #53 and #54) transported to the shower room by staff. The facility reported a census of 53.
September 12, 2024Standard inspection · 3 citations
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on clinical record review, observations, staff interviews, and policy review, the facility failed to process physician orders, and failed to provide and document physician ordered treatments such as wound care and dressing changes for 1 of 5 residents reviewed for skin conditions. The facility also failed to document a change in skin condition and the treatment interventions initiated for 1 of 5 residents reviewed for skin conditions (Resident # 32). The facility reported a census of 58 residents.
  2. D
    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, isolated · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on observations, staff interview, and policy review the facility staff failed to serve food under sanitary conditions to prevent food borne illness during 1 of 2 meals observed. The facility identified a census 58 residents.
  3. 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) October 11, 2024
    Inspectors wroteBased on clinical record review, observation, staff interview, and facility policy review, the facility failed to follow infection control techniques to prevent the potential spread of infection for 1 of 1 residents on transmission-based precautions (Resident #19). The facility reported a census of 58 residents.
April 25, 2024Standard inspection, Complaint inspection · 2 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on clinical record review, policy review, and staff interviews, the facility failed to ensure staff transferred a resident in a safe manner for 1 of 4 residents reviewed for transfer technique (Resident #14). When a staff member assisted Resident #14 to stand from a seated position, she didn't use a gait belt. Resident #14 fell and sustained a wrist fracture and femur (leg bone) fracture. The facility reported a census of 57 residents.
  2. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on observation, interview, record review, and the manufacturer insulin packaging insert, the facility failed to prime the insulin pen prior to administration for 1 of 2 residents reviewed for insulin administration (Resident #6). The facility reported a census of 59 residents.

Fire safety inspections

6 fire safety citations on file: 1 on September 25, 2025, 2 on September 12, 2024, 3 on April 25, 2024.

Every fire safety citation6 citations
  1. E
    Install an approved automatic sprinkler system.
    K 351 · September 25, 2025 · Corrected (the home has a date of correction)
  2. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 12, 2024 · Corrected (the home has a date of correction)
  3. D
    Ensure proper usage of power strips and extension cords.
    K 920 · September 12, 2024 · Corrected (the home has a date of correction)
  4. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 25, 2024 · Corrected (the home has a date of correction)
  5. F
    Have simulated fire drills held at unexpected times.
    K 712 · April 25, 2024 · Corrected (the home has a date of correction)
  6. D
    Use approved construction type or materials.
    K 161 · April 25, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
April 25, 2024Payment Denial 3 days from May 21, 2024

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)3.813.823.86
Registered nurses0.660.740.69
All nursing staff on weekends3.163.373.42
Nurse aides2.71
Licensed practical nurses0.44
Nursing staff turnover (share who left in a year)25.4%44.0%45.8%
Registered nurse turnover0.0%42.1%42.9%
Administrators who left0

CMS expects 3.36 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 4.07 on weekdays and 3.16 on weekends, 22% 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 3.62 in April to June 2025 to 3.81 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.810.664.073.16 0.0%0 of 9055
Oct to Dec 20253.950.704.203.28 0.0%0 of 9254
Jul to Sep 20253.760.704.003.14 0.0%0 of 9256
Apr to Jun 20253.620.693.892.95 0.0%0 of 9156
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.

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

JobMedianMiddle halfEmployed
Iowa, all employers
CNAs (nursing assistants)$18.92$17.96 to $21.9522,670
LPNs and LVNs$30.11$27.12 to $34.065,510
Registered nurses$37.80$32.83 to $41.3234,420
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

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
26.617.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.81.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.02.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.83.83.2
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
23.416.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.04.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.819.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
9.920.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
3.313.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.52.11.8

Owners and operators

Legal business name: Legal Business Name Not Available.

NameRoleTypeShareSince
Ownership data not available

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. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on September 12, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on September 25, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on September 12, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on September 12, 2024: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.16 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 Ottumwa's Medicare star rating?
CMS rates Accura Healthcare of Ottumwa 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Accura Healthcare of Ottumwa get at its last inspection?
1 health deficiency at the standard inspection on September 25, 2025. The Iowa average is 6.5.
Has Accura Healthcare of Ottumwa been fined?
CMS lists no fines in the last three years.
Does Accura Healthcare of Ottumwa 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 Ottumwa?
CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.

Sources

Find a nursing home Read an inspection