Accura Healthcare of Shenandoah: PASARR Screening Failures - IA
The violation at Accura Healthcare of Shenandoah was one of 11 deficiencies cited during a complaint inspection completed September 18, 2025.
The screening process at the center of the citation is called PASARR, short for Preadmission Screening and Resident Review. It exists for a specific reason: before someone with a mental disorder or intellectual disability is placed in a nursing home, there is supposed to be an independent evaluation confirming that a nursing facility is appropriate for their needs, and that they are receiving the specialized services their condition requires. Without it, residents can end up in settings that cannot adequately serve them, or remain in nursing facilities when other options might better meet their needs.
Inspectors classified the deficiency as scope and severity level D, meaning it was isolated in nature and caused no documented actual harm. The citation does note, however, that the failure carried potential for more than minimal harm to residents.
That distinction matters. A level D finding does not mean nothing went wrong. It means inspectors identified a gap in a process that exists precisely to protect a vulnerable population, and that gap had not been closed before someone noticed.
Accura Healthcare of Shenandoah reported a correction date of October 10, 2025, roughly three weeks after the inspection.
The PASARR deficiency was one piece of a broader picture. Eleven total deficiencies were cited during the same inspection visit. The inspection report does not detail the remaining ten findings in the material provided, but the volume alone signals a facility that, on this particular day, had gaps across multiple areas of care and compliance.
PASARR violations can be easy for facilities to treat as paperwork problems, the kind of administrative lapse that gets corrected with a policy update and a staff reminder. The screening requirement, though, is not paperwork for its own sake. It is the mechanism by which residents with mental illness or intellectual disabilities get seen as individuals with specific clinical needs, not simply bodies filling beds. When a facility skips or delays those screenings, it is not just out of compliance. It is operating without a complete picture of who its residents are and what they require.
The facility's self-reported correction, submitted within the required window, indicates the deficiency was addressed on paper. What the inspection record does not show is whether any resident was reassessed, whether anyone whose screening had been missed received one after the fact, or whether the lapse had any measurable effect on the care those individuals received in the interim.
Accura Healthcare of Shenandoah is a licensed nursing facility serving residents in Page County in the southwestern corner of Iowa. The September inspection was a complaint inspection, meaning it was triggered by a concern brought to regulators rather than a routine scheduled review.
The residents who move through PASARR screenings are among the most overlooked in long-term care. People with serious mental illness in nursing homes frequently lack access to the psychiatric and therapeutic services their conditions require. People with intellectual disabilities placed in nursing facilities without proper review can spend years in environments not designed for them. The screening requirement is one of the few formal checkpoints in the system that asks, before placement or at reassessment, whether a given resident's needs are actually being met in the place they are living.
When that checkpoint is skipped, the answer to that question simply goes unasked.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Accura Healthcare of Shenandoah from 2025-09-18 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 18, 2026 · Our methodology
Accura Healthcare of Shenandoah in Shenandoah, IA was cited for violations during a health inspection on September 18, 2025.
The violation at Accura Healthcare of Shenandoah was one of 11 deficiencies cited during a complaint inspection completed September 18, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.