Accura Healthcare of Onawa
222 North 15th Street, Onawa, IA 51040 · (712) 423-2510
For profit - Corporation · 46 certified beds
Accura Healthcare of Onawa has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2025, found 5 citations (the Iowa average is 6.5). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on May 8, 2025 found 5 citations. What an inspection citation means
- Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.May 8, 2025 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.May 8, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 8, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.May 8, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.May 8, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 10 citations.
- Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.July 9, 2026 · F0575 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.July 9, 2026 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.July 9, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 9, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.July 27, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 27, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate dialysis care/services for a resident who requires such services.July 27, 2024 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 12, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.January 12, 2024 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 12, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Iowa average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.22 | 3.82 | 3.86 |
| Registered nurses (RN) | 0.63 | 0.74 | 0.69 |
| Licensed practical nurses (LPN) | 0.39 | 0.56 | 0.86 |
| Nurse aides | 2.20 | 2.52 | 2.32 |
| Total nursing staff turnover | 50% | 44% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 46 |
| Average residents per day | 40.4 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Maple Heights Mapleton · ★★★★★ 5 out of 5 stars
- Pleasant View Care Center Whiting · ★★★★★ 4 out of 5 stars
- Akron Care Center, INC Akron · ★★★★★ 4 out of 5 stars
- Accura Healthcare of Aurelia, LLC Aurelia · ★★★★★ 3 out of 5 stars
- Willow Dale Wellness Village Battle Creek · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Accura Healthcare of Onawa on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.