Nursing Homes · Medicare certified
Accura Healthcare of Onawa
222 North 15th Street · Onawa, IA 51040 · 46 certified beds
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About Accura Healthcare of Onawa
Accura Healthcare of Onawa is a nursing home in Onawa, Iowa. Its capacity is 46 beds, below the Iowa median of 57 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 30 citations, the most recent on May 8, 2025. Enforcement records show no fine or payment denial against it. Nurse staffing averages 3.16 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
2.0Staffing
3.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (30)
Records from June 2023 to May 2025.
May 8, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 22, 2025.
May 8, 2025
Tag F0812Procure 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 22, 2025.
May 8, 2025
Tag F0584Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 22, 2025.
May 8, 2025
Tag F0727Have 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.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 22, 2025.
May 8, 2025
Tag F0803Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 22, 2025.
July 27, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 12, 2024.
July 27, 2024
Tag F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 12, 2024.
July 27, 2024
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 12, 2024.
June 13, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 26, 2024.
June 13, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 26, 2024.
June 13, 2024
Tag F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 26, 2024.
June 13, 2024
Tag F0812Procure 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 June 26, 2024.
June 13, 2024
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 26, 2024.
June 13, 2024
Tag F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 26, 2024.
June 13, 2024
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 26, 2024.
January 12, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 11, 2023.
January 12, 2024
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity G: isolated, actual harm. Corrected February 1, 2024.
January 12, 2024
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 1, 2024.
June 29, 2023
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2023.
June 29, 2023
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2023.
Penalties
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing
3.16 nurse hours per resident per day in Q2 2026, down from 3.36 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 Management Consulting Services 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.
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.
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