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Complaint Investigation

Accura Healthcare Of Shenandoah

Inspection Date: September 18, 2025
Total Violations 11
Facility ID 165529
Location Shenandoah, IA
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Inspection Findings

F-Tag F0550

Resident Rights Deficiencies
Harm Level: 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.

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F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0641

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0645

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0695

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0725

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0727

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Accura Healthcare of Shenandoah in Shenandoah, IA for a deficiency under regulatory tag F-F0727 during a complaint investigation conducted on 2025-09-18.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: 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.

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.

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F-Tag F0803

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0865

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

📋 Inspection Summary

Accura Healthcare of Shenandoah in Shenandoah, IA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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.
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