Accura Healthcare of Stanton
213 Halland Avenue, Stanton, IA 51573 · Montgomery County · (712) 829-2727
46 certified beds, about 39 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
1 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165332 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 19, 2025, inspectors cited 3 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 27 health citations since May 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 3.79 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.84 of those hours.
25.0% 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.
805/23
1507/24
306/25
110/25
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 27 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
21D
6E
0F
Potential for minimal harm
0A
0B
0C
October 7, 2025Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, policy review, family interview and staff interviews the facility failed to provide adequate nursing supervision for 1 of 3 residents reviewed with a high risk for elopement (Resident #2). The facility reported a census of 40.
June 19, 2025Standard inspection · 3 citations
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on clinical record review, PASRR document review and staff interview, the facility failed to refer 1 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 or other related condition, to the appropriate state-designated authority for Level II PASRR evaluation and determination for 1 out of 1 residents (Resident #35) reviewed for PASRR requirements. The facility reported a census of 38 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, hospital record review, and staff interviews, the facility failed to provide adequate and timely assessment and intervention for 1 of 13 residents (Resident #38) reviewed. Resident #38 experienced nausea with vomiting for 4 days and the chart lacked vital signs or bowel assessments throughout that time period. The resident was sent to the hospital and was found to have a bowel obstruction with perforation. The facility reported a census of 38 residents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, staff interviews and clinical record review the facility failed to ensure that a resident was provided supplemental oxygen for 1 of 1 resident reviewed. In two separate observations in the dining room, it was discovered that the oxygen tank for Resident #89 was empty. The facility reported a census of 38 residents.
July 22, 2024Standard inspection, Complaint inspection · 15 citations
- 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 interviews, the facility failed to fully develop and personalize comprehensive care plans for 6 of 14 residents reviewed. (Residents #3, #6, #25, #29, #32 & #40). The facility reported a census of 42 residents.
- E Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on document review and staff interview, the facility failed to employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service by not having a certified dietary manager. The facility reported a census of 42 residents.
- 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, menu review, and staff interview, the facility failed to properly prepare pureed diets for 2 of 2 residents (Resident #27 & #20) reviewed. The facility also failed to serve the appropriate portions for 11 residents who received regular diets and 3 residents who received carbohydrate-controlled (4 CHO) diets (Resident #17, #22, and #29). The facility reported a census of 42.
- 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 maintain sanitary practices by improperly storing and serving food. The facility reported a census of 42 residents.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interviews, record reviews, and policy review, the facility failed to implement the Infection Prevention and Control Program (IPCP) by staff not discarding Personal Protective Equipment (PPE) immediately after use nor appropriately performing hand hygiene. The facility also failed to identify areas or devices in the building to reduce the risk and prevent the growth of Legionella or other waterborne pathogens. The facility reported a census of 42 residents.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on clinical record review and staff interview, and instructions of CMS form 10123-NOMNC, the facility failed to provide notice within the required 2 calendar days of Medicare Non Coverage for 2 of 3 (Resident #43 and #44) residents reviewed. The facility reported a census of 42.
- 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 2 of 5 staff members reviewed (Staff L & Staff M) completed the two hour Dependent Adult Abuse training within 6 months of their hire date. The facility reported a census of 42 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 document review, and staff interview, the facility failed to report timely an allegation of possible abuse or injury of unknown origin for 1 of 1 resident (#21). The facility reported a census of 42 residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wrote#3 The MDS assessment of Resident #37 dated 7/2/24 identified a BIMS score of 7 which indicated severe cognitive impairment. The MDS revealed the resident independent with bed mobility, personal care, transfers, toileting, eating, and dressing. The MDS revealed the resident occasionally incontinent of urine and always continent of bowel. The MDS documented diagnoses that included: unspecified dementia without behavioral, cancer, atrial fibrillation (irregular and often very rapid heart rhythm), hypertension, renal insufficiency, arthritis, anxiety disorder, spinal stenosis lumbar region without neurogenic [NAME] (chronic condition-spinal canal narrows, compressing the spinal cord and nerve roots), and cervicalgia (neck pain). The MDS revealed the resident was not at risk for developing pressure ulcers/injuries and the resident does not have one or more unhealed pressure ulcers/injuries. [...]
- 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 clinical record review, observation, staff interview, the facility failed to revise and update the care plan for 2 of 14 residents reviewed for care plan revision (Resident # 37, #16). The facility reported a census of 42 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, observation, staff interviews, and policy review, the facility failed to provide restorative activities for 1 of 2 sampled residents in order to maintain a functional range of motion and prevent a decline in activities of daily living (Resident #22). The facility reported a census of 42 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, facility document review, staff interviews, family interview, and facility policy review, the facility failed to supervise and provide a secure environment for 1 of 1 residents reviewed for elopement (Resident #29). The facility reported a census of 42 residents.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on clinical record review, resident interview, family interview and staff interviews, the facility failed to provide appropriate pain management for 2 of 2 residents reviewed (Res #16 and Res #21). The facility reported a census of 42 residents.
- D Post nurse staffing information every day.
Inspectors wroteBased on document review and staff interview, the facility failed to complete and post nurse staffing information at the beginning of each shift. The facility reported a census of 42 residents.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to provide food served by a method to maintain a safe and appetizing temperature. The facility reported a census of 42.
May 18, 2023Standard inspection · 8 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, clinical record review, facility record review and staff interviews the facility failed to provide appropriate hand hygiene while assisting with dining, during perineal care and during grooming for 6 of 12 residents reviewed (Resident #8, Resident #12, Resident #20, Resident #22, Resident #25 and Resident #30). The facility reported a census of 37 residents.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on clinical record review, and staff interviews the facility failed to have correct documentation of resident's choice related to advance directives for 1 of 5 residents reviewed (Resident #7). The facility reported a census of 37 residents.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on facility record review, clinical record review and staff interview, the facility failed to provide 48 hour notification to the resident/resident representative of discontinued Medicare Part A services and the right to an appeal for 1 of 3 residents reviewed (Resident#13). The facility reported a census of 37 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 and staff interviews the facility failed to provide a comprehensive care plan that included anticoagulant therapy for 1 of 5 residents reviewed (Resident #27). The facility reported a census of 37 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, observations, facility record review and staff interviews, the facility failed to use safe transfer techniques, lifting on a resident without a gait belt, for 1 of 1 resident reviewed (Resident # 20). The facility reported a census of 37 residents.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on clinical record review, facility investigation, facility policy review and staff interviews the facility failed to keep narcotic records in an order that accounts for all narcotics and is maintained to enable an accurate reconciliation for 1 of 1 residents reviewed (Resident #40). The facility reported a census of 37 residents.
- D Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspectors wroteBased on observation, clinical record review, and staff interviews, the facility failed to provide the resident with the correct diet of a mechanical soft, ground meat diet as ordered by the physician for 2 of 2 residents reviewed (Resident # 8 and #23). The facility reported a census of 37 residents.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, facility policy review and staff interview the facility failed to store food in accordance with professional standards for 37 of 37 residents. The facility reported a census of 37 residents.
Fire safety inspections
15 fire safety citations on file: 5 on June 19, 2025, 3 on July 22, 2024, 7 on May 18, 2023.
Every fire safety citation15 citations
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Install corridor and hallway doors that block smoke.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Provide a written emergency evacuation plan.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Provide a written emergency evacuation plan.
- F Have simulated fire drills held at unexpected times.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Inspect, test, and maintain automatic sprinkler systems.
- D 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) | 3.79 | 3.82 | 3.86 |
| Registered nurses | 0.84 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.14 | 3.37 | 3.42 |
| Nurse aides | 2.55 | ||
| Licensed practical nurses | 0.40 | ||
| Nursing staff turnover (share who left in a year) | 25.0% | 44.0% | 45.8% |
| Registered nurse turnover | 25.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.16 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 4.05 on weekdays and 3.14 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 3.80 in April to June 2025 to 3.79 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 | 3.79 | 0.84 | 4.05 | 3.14 | 0.0% | 0 of 90 | 39 |
| Oct to Dec 2025 | 3.71 | 0.81 | 3.93 | 3.14 | 0.0% | 0 of 92 | 41 |
| Jul to Sep 2025 | 4.04 | 0.88 | 4.28 | 3.42 | 0.0% | 0 of 92 | 38 |
| Apr to Jun 2025 | 3.80 | 0.79 | 4.04 | 3.22 | 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.
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 | 22.7 | 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 | 1.4 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.1 | 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 | 17.0 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.2 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.6 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.3 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.4 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.1 | 2.1 | 1.8 |
Owners and operators
Legal business name: ACCURA HEALTHCARE OF STANTON LLC. CMS links this home to Accura Healthcare, a group of 41 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Couse, Brian | W-2 managing employee | Individual | 01/01/2024 | |
| Morris, Spencer | W-2 managing employee | Individual | 03/01/2024 | |
| Toti, Lisa | W-2 managing employee | Individual | 01/01/2020 | |
| Leneave, Ted | Corporate director | Individual | 01/01/2022 | |
| Toti, Lisa | Corporate director | Individual | 01/01/2020 | |
| Leneave, Ted | Corporate officer | Individual | 01/01/2022 | |
| Leneave, Thomas | Corporate officer | Individual | 01/01/2022 | |
| American Healthcare Associates Inc | Operational/managerial control | Organization | 07/01/2021 | |
| American Healthcare Management Services LLC | Operational/managerial control | Organization | 03/01/2017 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on October 7, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on July 22, 2024: "Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician."
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on June 19, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on July 22, 2024: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.14 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Red Oak Rehab and Care Center Red Oak, 6.5 mi · 3 of 5 stars · 24 citations
- Good Samaritan - Villisca Villisca, 6.9 mi · 3 of 5 stars · 18 citations
- Good Samaritan - Red Oak Red Oak, 7.4 mi · 1 of 5 stars · 34 citations
- Azria Health Clarinda Clarinda, 17.4 mi · 2 of 5 stars · 13 citations
- Corning Specialty Care Corning, 19.2 mi · 4 of 5 stars · 19 citations
- Accura Healthcare of Shenandoah Shenandoah, 21.1 mi · 1 of 5 stars · 32 citations
- Garden View Care Center Shenandoah, 21.3 mi · not rated · 107 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 Stanton's Medicare star rating?
- CMS rates Accura Healthcare of Stanton 3 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Accura Healthcare of Stanton get at its last inspection?
- 3 health deficiencies at the standard inspection on June 19, 2025. The Iowa average is 6.5.
- Has Accura Healthcare of Stanton been fined?
- CMS lists no fines in the last three years.
- Does Accura Healthcare of Stanton 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 Stanton?
- CMS lists 9 owners and managers, and links the home to Accura Healthcare. Legal business name: ACCURA HEALTHCARE OF STANTON 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.