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Complaint Investigation

Accura Healthcare Of Shenandoah

September 18, 2025 · Shenandoah, IA · 1203 South Elm Street
Citations 11
CMS Rating 1/5
Beds 42
Provider ID 165529
Healthcare Facility
Accura Healthcare Of Shenandoah
Shenandoah, IA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Accura Healthcare of Shenandoah in Shenandoah, IA — inspection on September 18, 2025.

Found 11 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited Accura Healthcare of Shenandoah in Shenandoah, IA for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2025-09-18.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Accura Healthcare of Shenandoah.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited Accura Healthcare of Shenandoah in Shenandoah, IA for a deficiency under regulatory tag F-F0584 during a standard health inspection conducted on 2025-09-18.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Accura Healthcare of Shenandoah.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited Accura Healthcare of Shenandoah in Shenandoah, IA for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-09-18.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Accura Healthcare of Shenandoah.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited Accura Healthcare of Shenandoah in Shenandoah, IA for a deficiency under regulatory tag F-F0645 during a standard health inspection conducted on 2025-09-18.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: PASARR screening for Mental disorders or Intellectual Disabilities

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Accura Healthcare of Shenandoah.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited Accura Healthcare of Shenandoah in Shenandoah, IA for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-09-18.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Accura Healthcare of Shenandoah.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited Accura Healthcare of Shenandoah in Shenandoah, IA for a deficiency under regulatory tag F-F0725 during a standard health inspection conducted on 2025-09-18.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Accura Healthcare of Shenandoah.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Review of a facility provided document titled, Facility Assessment with a completed date of 7/27/2024 revealed:Federal regulations will require that facilities must provide 3.48 hours per resident day (HPRD) of direct care with 0.55 HPRD from registered nurses (RNs) and 2.45 HPRD from nurse aides (CNAs, NAs, or medication technicians/aides).

The remaining 0.48 HPRD can be a combination of nurse staff (RNs, LPNs/LVNs, or nurse aides) to comply with the minimum.

Listed below are some tables the facility can utilize to help determine their staffing needs based on the Federal minimum staffing standards, however, if State regulations require a higher standard, then the higher standard should be met.

The minimum staffing standard is considered the floor of the standard.

Facilities with higher resident acuities and needs may need to adjust their staffing numbers higher than the minimum standard.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

Federal health inspectors cited Accura Healthcare of Shenandoah in Shenandoah, IA for a deficiency under regulatory tag F-F0803 during a standard health inspection conducted on 2025-09-18.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Accura Healthcare of Shenandoah.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited Accura Healthcare of Shenandoah in Shenandoah, IA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-18.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Accura Healthcare of Shenandoah.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited Accura Healthcare of Shenandoah in Shenandoah, IA for a deficiency under regulatory tag F-F0865 during a standard health inspection conducted on 2025-09-18.

Category: Administration Deficiencies

The facility was found deficient in the following area: Have a plan that describes the process for conducting QAPI and QAA activities.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Accura Healthcare of Shenandoah.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited Accura Healthcare of Shenandoah in Shenandoah, IA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-18.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Accura Healthcare of Shenandoah.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Shenandoah, IA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Accura Healthcare of Shenandoah or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.