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Complaint Investigation

Accura Healthcare Of Toledo

April 28, 2026 · Toledo, IA · 403 Grandview Drive
Citations 1
CMS Rating 3/5
Beds 55
Provider ID 165450
Healthcare Facility
Accura Healthcare Of Toledo
Toledo, 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 Toledo in Toledo, IA — inspection on April 28, 2026.

Found 1 citation. 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

FF0689
Quality of Life and Care Deficiencies

She walked with him if he came out and redirected him if he tried entering other resident's rooms.In

they changed some medications but he was really declining with his dementia.

Hospice declined him

concerned with the kiss.

They would look at him. In an interview on 4/23/26 at 2:35 PM Staff E, CNA stated that she knew Resident #1 had been wandering for a couple weeks but maybe longer as her days ran together.

Maybe since November 2025. He was especially likely to go into another room if the TV was on.

Stated that the incidents for rooms [six room numbers redacted] happened the same day. Resident #1 had been going into rooms prior to 4/14/26 but she never heard anything sexual prior to that. Resident #7 told her that he had been in her room before 4/14/26 but only watched TV. In an interview on 4/27/26 at 9:45 AM Staff C, CNA stated that Resident #1 wandered the halls for some time before the incident with Resident #2 on 4/14/26. He would occasionally go into others rooms and they would redirect him. He had not touched or interacted with other residents prior to this incident and now has a 1:1 with him.In an interview on 4/27/26 at 10:04 AM Staff D, CNA stated that Resident #1 has always wandered but mostly halls and around the nurse's station. If he went into a resident room, he would have been redirected.

That was the only intervention prior to the incident with Resident #2 and the current 1 on 1.In an interview on 4/27/26 at 10:20 AM, the Administrator stated that Resident #1 had been wandering around the facility since admit and they placed a wander bracelet. He fairly recently started wandering into rooms but was easily redirected and never interacted with residents.

For the last couple weeks he had been wandering and following staff and into other resident rooms.

They tried Hospice but were unable to get that and they changed medications with psych involvement.In an interview on 4/27/26 at 2:40 PM the Administrator stated that after Resident #1's increase in behaviors they tried to get him into Hospice, changed his medications and had staff redirect when he would enter other residents' rooms.

When reviewed Care Plan changes on December 8, 2025, she stated that there were no new interventions put in place until the incident on 4/14/26.

She was aware that there was an incident on 3/28/26 with Resident #10 on 3/28/26 but it was not sexual in nature. He was only in her personal space.

When questioned if that could be indicative of an escalation of his behaviors, she nodded.

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 Toledo, 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 Toledo or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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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.