Nursing home · Top rated by CMS
Accura Healthcare of Cascade
701 North Johnson Street Nw, Cascade, IA 52033 · Map
For profit - Limited Liability company · Part of Accura Healthcare (37 facilities) · 46 certified beds
Accura Healthcare of Cascade is a Medicare-certified nursing home in Cascade, Iowa. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.49 hours per resident per day, above the Iowa average of 3.83. Its most recent inspection on May 15, 2025 cited 2 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Accura Healthcare of Cascade compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.49 | 3.83 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.88 | 0.73 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.98 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | 33.3% | 43.9% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 6.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Accura Healthcare of Cascade
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 4, 2026 · Full report (PDF) - Potential for harm
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · Jul 3, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 15, 2025 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Jun 1, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 701 North Johnson Street Nw
Cascade, IA 52033 - CMS certification #
- 165568
- Ownership
- For profit - Limited Liability company
- Certified beds
- 46
- Avg residents/day
- 42.6
- Provider type
- Medicare and Medicaid
- First certified
- 2006-01-01
- Chain
- Accura Healthcare (37 facilities)
- Setting
- Urban
Part of Accura Healthcare
Accura Healthcare operates 37 nursing facilities across the United States. View all Accura Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Accura Healthcare of Cascade using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Accura Healthcare of Cascade says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Location and nearby care
- Nearest hospital with an emergency room
- Mercyone Dyersville Medical Center, Dyersville. 13.3 miles away, straight line.
- Nearest Medicare nursing home
- Monticello Nursing & Rehab Center, Monticello. 9.9 miles away, straight line.
- Nearest home health agency office
- Above And Beyond Home Health, Monticello. 9.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 9.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 52033 as rural (rural area).
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 52033.
Above & Beyond Hospice Care, office in Monticello, 9.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Hospice Of Dubuque, office in Dubuque, 20.4 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Progressive Rehabilitation Associates LLC, Iowa City. 51.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively low, tornado relatively high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Accura Healthcare of Cascade a good nursing home?
CMS gives Accura Healthcare of Cascade an overall rating of 5 out of 5 stars, including 5/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Accura Healthcare of Cascade staffed?
Accura Healthcare of Cascade reports 4.49 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Accura Healthcare of Cascade had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Accura Healthcare of Cascade have?
Accura Healthcare of Cascade is certified for 46 beds.