Akron Care Center, Inc
991 Highway 3, Akron, IA 51001 · Plymouth County · (712) 568-2422
45 certified beds, about 43 residents a day · Government - City · Medicare and Medicaid since 2009
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165595 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 18, 2026, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 6 health citations since May 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 3.80 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.89 of those hours.
40.4% 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.
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.
June 18, 2026Standard inspection · 2 citations
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observations, staff interviews and Electronic Health Record (EHR) review the facility failed to provide reasonable accommodations of needs and preferences by not placing a resident's call light to be within reach for 1 of 6 residents reviewed (Resident #1). The facility reported a census of 41 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 and staff interview the facility failed to prepare food in accordance with professional standards by not completing appropriate hand hygiene during meal service to prevent cross contamination. The facility reported a census of 41 residents.
May 1, 2025Standard inspection · 1 citation
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on clinical record 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, intellectual disability, or other related condition, to the appropriate state-designated authority for Level II PASRR evaluation and determination for 1 out of 2 residents reviewed for PASRR requirements, (Resident #6). The facility reported a census of 43 residents.
May 16, 2024Standard inspection · 3 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, facility record review and staff interviews the facility failed to assess and provide appropriate intervention to a left lumbar skin tear which resulted in a decline to cellulitis which required use of antibiotic for 1 out of 1 residents reviewed (Resident #39). The facility reported a census of 43 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 observations, facility record review and staff interviews the facility failed to process and initiate medication orders until two days after the orders were received for 1 of 13 residents reviewed (Resident #22). The facility reported a census of 43 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, facility policy and staff interview, the facility failed to provide proper hand hygiene during incontinence care, wound care and medication administration with 3 of 3 residents (Resident #11, #13 and #32) observed. The facility reported a total census of 43 residents. 1. Observation on 5/15/24 at 10:10 AM Resident #13 showed during incontinence care Staff A, Certified Nursing Assistant (CNA) held the resident on her right side while Staff B, CNA cleansed urine and bowel movement from the resident ' s buttock. Staff B with soiled gloves assisted the resident onto her left side and held the resident in place while Staff A cleansed urine and BM from the other side of the buttock. Staff A replaced the soiled incontinence brief and removed soiled gloves. Staff A failed to perform hand hygiene, then placed her hands on the blankets to cover the resident. [...]
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) | 3.80 | 3.82 | 3.86 |
| Registered nurses | 0.89 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.37 | 3.37 | 3.42 |
| Nurse aides | 2.52 | ||
| Licensed practical nurses | 0.39 | ||
| Nursing staff turnover (share who left in a year) | 40.4% | 44.0% | 45.8% |
| Registered nurse turnover | 33.3% | 42.1% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.03 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 3.97 on weekdays and 3.37 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.01 in April to June 2025 to 3.80 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 | 3.80 | 0.89 | 3.97 | 3.37 | 7.7% | 0 of 90 | 43 |
| Oct to Dec 2025 | 3.87 | 1.01 | 4.05 | 3.41 | 9.9% | 0 of 92 | 42 |
| Jul to Sep 2025 | 3.94 | 0.95 | 4.13 | 3.46 | 6.4% | 0 of 92 | 42 |
| Apr to Jun 2025 | 4.01 | 0.84 | 4.17 | 3.62 | 12.0% | 0 of 91 | 42 |
| 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 | 15.4 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.9 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.4 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.8 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 15.4 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.5 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.7 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.6 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.2 | 2.1 | 1.8 |
Owners and operators
Legal business name: AKRON CARE CENTER, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| City of Akron | 5% or greater direct ownership interest | Organization | 100% | 03/10/2015 |
| Auchstetter, Angela | Managing control - governing body | Individual | 04/01/2018 | |
| Morehead, Jeffrey | Managing control - governing body | Individual | 01/01/2018 | |
| Tucker, Gary | Managing control - governing body | Individual | 05/18/2021 | |
| Vonhagel, Diane | Managing control - governing body | Individual | 01/21/2020 | |
| Wilken, Carrie | Managing control - governing body | Individual | 01/01/2018 | |
| Morehead, Jeffrey | Corporate director | Individual | 01/01/2018 | |
| Akron Care Center, Inc. | Operational/managerial control | Organization | 03/10/2009 | |
| LTC Accounting Services, LLC | Operational/managerial control | Organization | 07/01/2025 | |
| Netley, Tara | Operational/managerial control | Individual | 12/01/2024 | |
| Nystrom, Dale | Operational/managerial control | Individual | 08/01/2024 | |
| Pangburn, Tori | Operational/managerial control | Individual | 01/01/2008 | |
| Pick, Jessica | Operational/managerial control | Individual | 09/01/2022 | |
| Steffen, Toria | Operational/managerial control | Individual | 08/01/2021 | |
| Welch, Rebecca | Operational/managerial control | Individual | 12/01/2007 | |
| Auchstetter, Angela | Trustee of the SNF | Individual | 04/01/2018 | |
| Morehead, Jeffrey | Trustee of the SNF | Individual | 01/01/2018 | |
| Tucker, Gary | Trustee of the SNF | Individual | 05/18/2021 | |
| Vonhagel, Diane | Trustee of the SNF | Individual | 01/21/2020 | |
| Wilken, Carrie | Trustee of the SNF | Individual | 01/01/2018 | |
| LTC Accounting Services, LLC | Adp of the SNF | Organization | 10/15/2025 | |
| Netley, Tara | Adp of the SNF | Individual | 12/01/2024 | |
| Nystrom, Dale | Adp of the SNF | Individual | 08/01/2024 | |
| Pangburn, Tori | Adp of the SNF | Individual | 01/01/2015 | |
| Pick, Jessica | Adp of the SNF | Individual | 09/01/2022 | |
| Steffen, Toria | Adp of the SNF | Individual | 08/01/2021 | |
| Welch, Rebecca | Adp of the SNF | Individual | 12/01/2007 |
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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on June 18, 2026: "Reasonably accommodate the needs and preferences of each resident."
- 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 June 18, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on May 1, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on May 16, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
Other nursing homes nearby
- Hillcrest Health Care Center Hawarden, 13.9 mi · 1 of 5 stars · 72 citations
- Alcester Care and Rehab Center, Inc Alcester, 14.6 mi · 5 of 5 stars · 10 citations
- Sanford Care Center Vermillion Vermillion, 18.8 mi · 2 of 5 stars · 11 citations
- Accura Healthcare of Le Mars Le Mars, 20.2 mi · 3 of 5 stars · 22 citations
- Good Samaritan - Lemars Le Mars, 20.4 mi · 4 of 5 stars · 6 citations
- Accura Healthcare of Sioux City, LLC Sioux City, 21.3 mi · 4 of 5 stars · 21 citations
- Holy Spirit Retirement Home Sioux City, 21.6 mi · 3 of 5 stars · 30 citations
- Bethesda of Beresford Beresford, 21.9 mi · 2 of 5 stars · 27 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 Akron Care Center, Inc's Medicare star rating?
- CMS rates Akron Care Center, Inc 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Akron Care Center, Inc get at its last inspection?
- 2 health deficiencies at the standard inspection on June 18, 2026. The Iowa average is 6.5.
- Has Akron Care Center, Inc been fined?
- CMS lists no fines in the last three years.
- Does Akron Care Center, Inc 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 Akron Care Center, Inc?
- CMS lists 27 owners and managers. Legal business name: AKRON CARE CENTER, INC..
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.