About Accura Healthcare of Cascade LLC

Accura Healthcare of Cascade LLC is a nursing home in Cascade, Iowa. Its capacity is 46 beds, below the Dubuque County median of 75 for nursing homes. It is run by a for-profit operator and is part of Accura Healthcare. It is Medicare certified. Its public inspection record shows 5 citations, the most recent on May 28, 2026. Enforcement records show no fine or payment denial against it. Nurse staffing averages 4.34 hours per resident per day. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

2.0

Staffing

4.0

Quality measures

4.0

CMS Care Compare, October 2026.

Inspection history (5)

Records from June 2023 to May 2026.

May 28, 2026
Tag F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G: isolated, actual harm. Corrected June 15, 2026.
March 4, 2026
Tag F0880
Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 23, 2026.
July 3, 2025
Tag F0940
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 11, 2025.
May 15, 2025
Tag F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 31, 2025.
June 1, 2023
Tag F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 2, 2023.

See the source data on data.cms.gov

Penalties

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing

4.34 nurse hours per resident per day in Q2 2026, down from 4.63 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

Part of Accura Healthcare, a chain of 44 nursing homes.

Average CMS star ratings across the chain: 2.7 overall, 2.6 for health inspections, 3.5 for staffing, 2.8 for quality measures.

Parent company: Accura Healthcare of the Heartland LLC

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Iowa.

Nursing Homes

Iowa median$9,277/mo

Iowa cost breakdown

What Medicaid pays nursing homes

This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.

Median facility daily rate

$307.06per day

About $9,335 a month.

Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.

Source: IA Medicaid NF rate publication, updated 2026-01-01

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