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
September 11, 2024 · E
Citation F0584Federal surveyors cited this nursing home on 2024-09-11 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor 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. The deficiency was recorded as corrected on 2024-09-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 11, 2024 · J
Citation F0609Federal surveyors cited this nursing home on 2024-09-11 under CMS tag F0609 (CMS scope/severity J: isolated, immediate jeopardy) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-09-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 11, 2024 · J
Citation F0610Federal surveyors cited this nursing home on 2024-09-11 under CMS tag F0610 (CMS scope/severity J: isolated, immediate jeopardy) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2024-09-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 11, 2024 · J
Citation F0600Federal surveyors cited this nursing home on 2024-09-11 under CMS tag F0600 (CMS scope/severity J: isolated, immediate jeopardy) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2024-09-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 11, 2024 · J
Citation F0689Federal surveyors cited this nursing home on 2024-09-11 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) 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 2024-09-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 11, 2024 · E
Citation F0656Federal surveyors cited this nursing home on 2024-09-11 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-09-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 11, 2024 · E
Citation F0725Federal surveyors cited this nursing home on 2024-09-11 under CMS tag F0725 (CMS scope/severity E: pattern, 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 2024-09-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 11, 2024 · F
Citation F0842Federal surveyors cited this nursing home on 2024-09-11 under CMS tag F0842 (CMS scope/severity F: widespread, 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 2024-09-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 11, 2024 · F
Citation F0865Federal surveyors cited this nursing home on 2024-09-11 under CMS tag F0865 (CMS scope/severity F: widespread, 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 2024-09-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 25, 2024 · D
Citation F0698Federal surveyors cited this nursing home on 2024-07-25 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2024-09-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 25, 2024 · E
Citation F0657Federal surveyors cited this nursing home on 2024-07-25 under CMS tag F0657 (CMS scope/severity E: pattern, 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 2024-08-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 25, 2024 · G
Citation F0689Federal surveyors cited this nursing home on 2024-07-25 under CMS tag F0689 (CMS scope/severity G: isolated, actual 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 2024-09-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 25, 2024 · D
Citation F0684Federal surveyors cited this nursing home on 2024-07-25 under CMS tag F0684 (CMS scope/severity D: isolated, 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 2024-08-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 25, 2024 · F
Citation F0725Federal surveyors cited this nursing home on 2024-07-25 under CMS tag F0725 (CMS scope/severity F: widespread, 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 2024-09-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 25, 2024 · F
Citation F0727Federal surveyors cited this nursing home on 2024-07-25 under CMS tag F0727 (CMS scope/severity F: widespread, 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 2024-08-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 25, 2024 · D
Citation F0883Federal surveyors cited this nursing home on 2024-07-25 under CMS tag F0883 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2024-08-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 25, 2024 · E
Citation F0812Federal surveyors cited this nursing home on 2024-07-25 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-08-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 25, 2024 · D
Citation F0880Federal surveyors cited this nursing home on 2024-07-25 under CMS tag F0880 (CMS scope/severity D: isolated, 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).
April 5, 2024 · D
Citation F0609Federal surveyors cited this nursing home on 2024-04-05 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-05-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 5, 2024 · D
Citation F0684Federal surveyors cited this nursing home on 2024-04-05 under CMS tag F0684 (CMS scope/severity D: isolated, 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 2024-05-03. 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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