Accura Healthcare Of Shenandoah
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Nursing Homes · Medicare certified
1200 West Nishna Road · Shenandoah, IA 51601 · 50 certified beds
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CMS Care Compare · Updated Jul 2026
CMS designation
Special Focus Facility (CMS)
CMS lists this nursing home in the Special Focus Facility program. CMS places facilities in this program when they have a history of serious quality issues and require focused oversight. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.
Source: CMS Provider Information.GOVStaffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
2
Cited deficiencies
85
April 10, 2025 · D
Citation F0760Federal surveyors cited this nursing home on 2025-04-10 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2025-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 10, 2025 · E
Citation F0865Federal surveyors cited this nursing home on 2025-04-10 under CMS tag F0865 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2025-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 10, 2025 · E
Citation F0880Federal surveyors cited this nursing home on 2025-04-10 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 10, 2025 · D
Citation F0661Federal surveyors cited this nursing home on 2025-04-10 under CMS tag F0661 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. The deficiency was recorded as corrected on 2025-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 27, 2025 · E
Citation F0658Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0658 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-03-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 27, 2025 · D
Citation F0757Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0757 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident’s drug regimen must be free from unnecessary drugs. The deficiency was recorded as corrected on 2025-03-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 27, 2025 · D
Citation F0657Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2025-03-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 27, 2025 · E
Citation F0684Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0684 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-03-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 27, 2025 · D
Citation F0689Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-03-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 27, 2025 · E
Citation F0835Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0835 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Administer the facility in a manner that enables it to use its resources effectively and efficiently. The deficiency was recorded as corrected on 2025-03-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 27, 2025 · E
Citation F0880Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-03-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 27, 2025 · D
Citation F0761Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. The deficiency was recorded as corrected on 2025-03-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 27, 2025 · E
Citation F0865Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0865 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2025-03-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 27, 2025 · E
Citation F0727Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0727 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Have 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. The deficiency was recorded as corrected on 2025-03-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 27, 2025 · D
Citation F0725Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0725 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2025-03-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 27, 2025 · D
Citation F0842Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-03-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 27, 2025 · E
Citation F0732Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0732 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2025-03-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 27, 2025 · D
Citation F0686Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2025-03-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 27, 2025 · D
Citation F0726Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0726 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. The deficiency was recorded as corrected on 2025-03-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 11, 2024 · E
Citation F0880Federal surveyors cited this nursing home on 2024-09-11 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-09-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $168,858
Latest: 3.72 nurse staffing hours per resident per day (2025Q4)
For profit - Limited Liability company
CMS Care Compare chain: Campbell Street Services
Chain ID 99 · 20 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Birchwood Foundation LLC
parent · PAC 0547787566
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth Cost of Care Survey · 2024
This provider doesn't publish a specific price to us. Below is the typical IA range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · IA$7,858/moNursing Homes
Median · IA$9,277/moOther licensed providers in Shenandoah, with their own public records.
Cost data not yet available
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