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    Nursing home · Shenandoah, IA

    Accura Healthcare of Shenandoah

    1203 South Elm Street, Shenandoah, IA 51601

    CMS certification number: 165529 · Updated October 1, 2026

    Request care assistance7122464627Directions

    At a glance

    Official CMS profile

    CMS overall rating

    1 / 5

    Certified beds

    42

    Residents / day

    35.4

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    Page
    Certified beds
    42
    Average residents per day
    35.4
    First certified
    April 1, 2004

    CMS quality ratings

    Overall
    1 / 5
    Health inspections
    1 / 5
    Staffing
    4 / 5
    Quality measures
    1 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Page, Iowa. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    1.00
    County peers
    2.00
    n=1
    State peers
    3.14

    Nurse hours / resident / day

    This home
    4.43
    County peers
    4.29
    n=2
    State peers
    3.86
    n=377

    Weekend nurse hours / resident / day

    This home
    3.85
    County peers
    3.50
    n=2
    State peers
    3.38
    n=377

    Nursing staff turnover (%)

    This home
    60.50
    County peers
    44.55
    n=2
    State peers
    44.03
    n=362

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 13.2% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 60.5% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    17
    Health citations
    32
    Resident measures
    17
    Ownership records
    10
    Penalties
    1
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    4.43210
    Reported RN Staffing Hours per Resident per Day
    0.84255
    Reported LPN Staffing Hours per Resident per Day
    0.69341
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.89614
    Total number of nurse staff hours per resident per day on the weekend
    3.84640
    Registered Nurse hours per resident per day on the weekend
    0.56435
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.01260
    Total nursing staff turnover
    60.5
    Registered Nurse turnover
    66.7
    Number of administrators who have left the nursing home
    1
    Chain Name
    ACCURA HEALTHCARE
    Number of Facilities in Chain
    44
    Chain Average Overall 5-star Rating
    2.7
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    IA
    Urban
    N
    Chain ID
    8
    Latitude
    40.7555
    Location
    1203 South Elm Street,Shenandoah,IA,51601
    ZIP Code
    51601
    City/Town
    Shenandoah
    Longitude
    -95.374
    QM Rating
    1
    Abuse Icon
    N
    Chain Name
    ACCURA HEALTHCARE
    County/Parish
    Page
    Provider Name
    Accura Healthcare of Shenandoah
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    1
    Processing Date
    2026-10-01
    Staffing Rating
    4
    Provider Address
    1203 South Elm Street
    Telephone Number
    7122464627
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    ACCURA HEALTHCARE OF SHENANDOAH
    Long-Stay QM Rating
    1
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.22258
    Chain Average QM Rating
    2.8
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    1
    Number of Certified Beds
    42
    Provider SSA County Code
    720
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    66.7
    Total Number of Penalties
    1
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.86692
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    60.5
    Chain Average Staffing Rating
    3.5
    Number of Facilities in Chain
    44
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    165529
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    8414.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    64
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    111.000
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    35.4
    Chain Average Overall 5-star Rating
    2.7
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    252
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.6
    Rating Cycle 1 Health Deficiency Score
    64
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    252
    Rating Cycle 1 Standard Survey Health Date
    2025-09-18
    Rating Cycle 2 Standard Health Survey Date
    2024-10-17
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.96426
    Case-Mix RN Staffing Hours per Resident per Day
    0.59960
    Reported RN Staffing Hours per Resident per Day
    0.84255
    Adjusted LPN Staffing Hours per Resident per Day
    0.79358
    Case-Mix LPN Staffing Hours per Resident per Day
    0.74717
    Reported LPN Staffing Hours per Resident per Day
    0.69341
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    11
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    11
    Rating Cycle 1 Number of Standard Health Deficiencies
    11
    Rating Cycle 2 Number of Standard Health Deficiencies
    7
    Reported Licensed Staffing Hours per Resident per Day
    1.53595
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    1
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    3.31451
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.03497
    Number of administrators who have left the nursing home
    1
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.89614
    Adjusted Total Nurse Staffing Hours per Resident per Day
    5.07234
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.38173
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    4
    Reported Total Nurse Staffing Hours per Resident per Day
    4.43210
    Registered Nurse hours per resident per day on the weekend
    0.56435
    Date First Approved to Provide Medicare and Medicaid Services
    2004-04-01
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.01260
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    4.40204
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    2.97617
    Total number of nurse staff hours per resident per day on the weekend
    3.84640

    COMMUNITY EXPERIENCE

    Reviews of Accura Healthcare of Shenandoah

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026