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

2.0

Staffing

3.0

Quality measures

3.0

CMS Care Compare, October 2026.

Inspection history (30)

Records from June 2023 to May 2025.

June 29, 2023
Tag F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 11, 2023.
June 29, 2023
Tag F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2023.
June 29, 2023
Tag F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2023.
June 29, 2023
Tag F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2023.
June 29, 2023
Tag F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2023.
June 29, 2023
Tag F0689
Ensure 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 August 11, 2023.
June 29, 2023
Tag F0759
Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2023.
June 29, 2023
Tag F0554
Allow residents to self-administer drugs if determined clinically appropriate.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2023.
June 29, 2023
Tag F0880
Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2023.
June 29, 2023
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 August 11, 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

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.

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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