403 Grandview Drive, Toledo, IA 52342 · Tama County · (641) 484-5080
55 certified beds, about 54 residents a day · For profit - Corporation · Medicare and Medicaid since 2002
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165450 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 8, 2026, inspectors cited 3 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 16 health citations since December 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 2.89 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.29 of those hours.
56.5% 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.
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.
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 16 health citations on file.
Inspectors wroteBased on clinical record review, observation, staff and resident interviews, the facility failed to monitor and provide adequate supervision for a resident who wandered into other resident rooms for 1 of 14 residents reviewed (Resident #1). The facility reported a census of 54 residents.
Inspectors wroteBased on clinical record review, policy review and staff interviews, the facility failed to complete smoking assessments for 1 of 1 resident reviewed for smoking (Resident #50). The facility reported a census of 53 residents.
Inspectors wroteBased on observations, clinical record review, staff interview and resident interview the facility failed to follow physician orders for oxygen use for 1 of 2 residents reviewed for respiratory care (Resident #37). The facility reported a census of 53 residents.
Inspectors wroteBased on clinical record review, resident interview, staff interview and policy review the facility failed to ensure follow up dental care for one of one resident reviewed for dental services (Resident #37). The facility reported a census of 53 residents.
Inspectors wroteBased on observation, policy review and staff interviews the facility failed to ensure the dish machine reached manufacture guideline temperature to clean dishes and touched ready to eat food with bare hands causing potential cross contamination of food for 1 out of 1 meal observed. The facility reported a census of 43 residents.
Inspectors wroteBased on clinical record review, resident interview, staff interviews, and community members interviews, the facility failed to treat a resident with dignity and respect for 1 of 2 residents reviewed for dignity (Resident #33). The facility reported a census of 43 residents.
Inspectors wroteBased on observation, clinical record review, and staff interview, the facility failed to notify the physician of a hospital transfer for 1 of 1 residents reviewed for hospitalization (Resident #33) and failed to follow physician orders related to oxygen for 1 of 12 residents reviewed (Resident #20). The facility reported a census of 43 residents.
Inspectors wroteBased on the Center for Medicare and Medicaid Services (CMS) Payroll Based Journal (PBJ) Staffing Data Report (April 1st to June 30th) review, facility staffing assignments review, and staff interviews, the facility failed to submit accurate staffing data for the PBJ Staffing Data Report. The facility reported a census of 43 residents.
Inspectors wroteBased on clinical record review, staff interview, and facility policy and procedure review at the time of the investigation, the facility failed to document on a resident with a change in condition for 1 of 6 residents reviewed (Resident #6). The facility identified a census of 41 residents.
Inspectors wroteBased on clinical record review, staff interview, and speech therapy recommendations the facility failed to provide direction for adequate supervision to implement speech therapy recommendations for 1 of 6 resident reviewed (Resident #1). The facility identified a census of 41 residents.
Inspectors wroteBased on observation, staff interviews and facility policy review, the facility failed to prepare food in a safe/sanitary manner that prevents foodborne illness, when Dietary Staff observed to have left frozen meat to thaw at room temperature. The facility reports a census of 50 residents. Findings Include: During an observation 12/04/23 at 9:00 AM, in the main kitchen with the Dietary Manager (DM) present, two 32 ounce packages of frozen turkey were sitting on the stainless steel counter next to the sink in the kitchen, thawing at room temperature. During an interview 12/04/23 at 9:00 AM, the DM advised the meat is thawing for dinner tonight. The packages of turkey were taken out of the freezer at approximately 8:30 AM on this same date and placed on the counter to thaw at room temperature. [...]
Inspectors wroteBased on clinical record review and staff interview, the facility failed to document an accurate code status for 1 of 24 residents reviewed for Advanced Directives (a legal document that tells your doctor your wishes about your health care if you can't make the decisions yourself (Resident #9). The facility reported a census of 50 residents. Findings Include: The admission Minimum Data Set (MDS) Assessment tool dated [DATE], documented Resident #9 had a Brief Interview for Mental Status (BIMS) score of 12 out of 15, indicating moderately impaired cognition. The resident had diagnoses of spinal stenosis, bilateral artificial knee joints, coronary atherosclerosis, tachycardia and tobacco use. The MDS documented [DATE] as the resident's admission date. The Care Plan dated on [DATE] did not address Resident #9's Advanced Directives. [...]
Inspectors wroteBased on clinical record review, observations, facility policy review, resident and staff interviews, the facility failed to accurately document and submit an accurate resident Minimum Data Set (MDS) assessment for 1 of 1 residents reviewed with a hearing impairment (Resident #49). The facility reported a census of 50 residents. Findings Include: The MDS Assessment for Resident #49 dated 9/26/23 lacked documentation related to a hearing impairment. The MDS documented the resident had not used a hearing aid in the last 7 of 7 days, her ability to hear was adequate and she had no difficulty in normal conversations, social interactions or listening to the television. The current Care Plan for Resident #49 initiated 9/30/23 lacked a focus area or interventions related to the resident having a hearing impairment including use of hearing aids or communication interventions. [...]
Inspectors wroteBased on clinical record review, staff and resident interviews, and policy review, the facility failed to follow a Comprehensive Care Plan for 1 of 1 residents reviewed for a hearing impairment (Resident #49). The facility reported a census of 50 residents. Findings Include: The admission Minimum Data Set (MDS) Assessment for Resident #49 dated 9/26/23 lacked documentation related to a hearing impairment. The MDS documented the resident had not used a hearing aid in the last 7 of 7 days, her ability to hear was adequate and she had no difficulty in normal conversations, social interactions or listening to the television. The current Care Plan for Resident #49 initiated 9/30/23 lacked a focus area or interventions related to the resident having a hearing impairment, use of hearing aids or interventions for communication. On 12/4/23 at 10:25 AM, observed Resident #49 wearing hearing aids. [...]
Inspectors wroteBased on clinical record review, resident and staff interviews and policy review, the facility failed to provide the opportunity for the resident and/or resident representative to participate in the development, review and revision of a Care Plan on a quarterly basis for 1 of 1 residents reviewed (Resident #48). The facility reported a census of 50 residents. Findings Include: The Quarterly Minimum Data Set (MDS) dated [DATE] documented Resident #48 with an admission date of 6/7/23 and had a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicating intact cognition. The MDS indicated the resident had diagnoses that included cerebral palsy, seizure disorder, adult failure to thrive, obesity and borderline intellectual functioning. [...]
Inspectors wroteBased on clinical record review, Bath Sheet review, facility policy review, resident and staff interviews, the facility failed to provide at least two showers, baths or whirlpool baths per week for 1 of 3 residents reviewed for bathing(Resident #5). The facility reported a census of 50 residents. Findings Include: The Significant Change Minimum Data Set (MDS) assessment dated [DATE] for Resident #5 documented she had a Brief Interview for Mental Status (BIMS) score of 8 out of 15, indicating moderately impaired cognition. The MDS identified the resident required limited assistance of 1 staff for bed mobility and toileting, supervision with transfers and physical help in part of bathing activity. The MDS indicated the resident had diagnosis of peripheral vascular disease, atrial fibrillation, arthritis, non-Alzheimer's dementia, and anxiety disorder. [...]
20 fire safety citations on file: 6 on January 8, 2026, 5 on November 21, 2024, 9 on December 12, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 2.89 | 3.82 | 3.86 |
| Registered nurses | 0.29 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.62 | 3.37 | 3.42 |
| Nurse aides | 2.31 | ||
| Licensed practical nurses | 0.30 | ||
| Nursing staff turnover (share who left in a year) | 56.5% | 44.0% | 45.8% |
| Registered nurse turnover | 57.1% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.12 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.00 on weekdays and 2.62 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 24.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.25 in April to June 2025 to 2.89 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 | 2.89 | 0.29 | 3.00 | 2.62 | 24.5% | 1 of 90 | 54 |
| Oct to Dec 2025 | 2.97 | 0.34 | 3.06 | 2.72 | 16.4% | 1 of 92 | 53 |
| Jul to Sep 2025 | 3.27 | 0.41 | 3.39 | 2.97 | 23.5% | 0 of 92 | 52 |
| Apr to Jun 2025 | 3.25 | 0.40 | 3.32 | 3.10 | 14.7% | 0 of 91 | 46 |
| 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
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. If you work here, your report helps start one.
| 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.
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 | 20.1 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.7 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.0 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.1 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.4 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.8 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.3 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.1 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.6 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.9 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Accura Healthcare of Toledo's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Iowa: 28 better, 21 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 19 eligible stays.
10.3% this home
No different from the national rate
US median of homes 10.7% · Iowa: 1 better, 1 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 37 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Iowa: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 16 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Iowa56.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 8 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Iowa0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 14 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Iowa1.8% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 14 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Iowa100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 4 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: ACCURA HEALTHCARE OF TOLEDO 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 | 04/01/2025 | |
| 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 | |
| Bishop, Andrew | Operational/managerial control | Individual | 02/01/2025 | |
| Glaser, Kristopher | Operational/managerial control | Individual | 09/01/2024 | |
| Jones, Brenda | Operational/managerial control | Individual | 06/22/2025 | |
| Kleinsasser, Megan | Operational/managerial control | Individual | 02/01/2025 | |
| Leneave, Ted | Operational/managerial control | Individual | 02/01/2025 | |
| Toti, Lisa | Operational/managerial control | Individual | 02/01/2025 | |
| Zesch, Candace | 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 of the Midwest LLC | Adp of the SNF | Organization | 07/28/2025 | |
| 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 | |
| Bishop, Andrew | Adp of the SNF | Individual | 02/01/2025 | |
| Glaser, Kristopher | Adp of the SNF | Individual | 09/01/2024 | |
| Jones, Brenda | Adp of the SNF | Individual | 06/22/2025 | |
| Kleinsasser, Megan | Adp of the SNF | Individual | 02/01/2025 | |
| Leneave, Ted | Adp of the SNF | Individual | 02/01/2025 | |
| Toti, Lisa | Adp of the SNF | Individual | 02/01/2025 | |
| Zesch, Candace | 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.
Chosen from this home's own inspection record.
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.