Accura Healthcare Of Shenandoah
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
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.
Based on document review, staff interview and policy review the facility failed to ensure a Registered Nurse (RN) was in the facility for eight (8) consecutive hours for 6 of 90 days reviewed (April 1 - June 30, 2025).
The facility reported a census of 40 residents.Findings include:
Review of the Payroll Based Journal (PBJ) staffing data report for the fiscal year quarter three (April 1st through June 30th, 2025) revealed there was no Registered Nurse (RN) hours for 04/20, 04/26, 05/11, 05/18, 05/31, and 06/21/2025.In an interview on entrance date 9/15/2025 the Administrator confirmed that the facility did not have RN coverage listed on the PBJ.
The Administrator confirmed these dates, and revealed that the facility only had one RN at the facility during this time.
The Administrator revealed that her expectation would be for 8 hours RN coverage per day.
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.
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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.