Nursing home · Top rated by CMS
Accura Healthcare of Milford
1600 13Th Street, Milford, IA 51351 · Map
For profit - Corporation · Part of Accura Healthcare (37 facilities) · 46 certified beds
Accura Healthcare of Milford is a Medicare-certified nursing home in Milford, Iowa. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.54 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Jul 31, 2025 cited 0 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 Milford 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) | 3.54 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.48 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.20 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 44.9% | 43.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 0.0 | 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.
- No health deficiencies cited at the last standard inspection (July 2025)
- Every deficiency from the August 15, 2024 inspection was corrected by September 15, 2024
What inspectors found at Accura Healthcare of Milford
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
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 15, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 18, 2023 - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · May 18, 2023 - Potential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · May 18, 2023 - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · May 18, 2023
Show all 8 deficiencies
- Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · May 18, 2023 - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · May 18, 2023 - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · May 18, 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
- 1600 13Th Street
Milford, IA 51351 - CMS certification #
- 165402
- Ownership
- For profit - Corporation
- Certified beds
- 46
- Avg residents/day
- 43.3
- Provider type
- Medicare and Medicaid
- First certified
- 1999-02-01
- Chain
- Accura Healthcare (37 facilities)
- Setting
- Rural
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 Milford 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 Milford 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
- Lakes Regional Healthcare, Spirit Lake. 6.5 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Accura Healthcare of Spirit Lake, Spirit Lake. 6.8 miles away, straight line.
- Nearest home health agency office
- Lakes Regional Healthcare Home Care, Spirit Lake. 6.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Clinic Pharmacy. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 51351 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Warner Dialysis Center, Spirit Lake, 8.2 miles away, straight line (CMS rating 2 of 5 stars)
Warner Dialysis Center Spencer, Spencer, 11.9 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 51351.
Lakes Regional Healthcare Hospice, office in Spirit Lake, 6.5 miles away, straight line
St Croix Hospice, office in Spirit Lake, 7.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Gentiva, office in Spirit Lake, 8.2 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Mayo Clinic Health System-Southeast Minnesota Region, Austin. 111.9 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 moderate. By hazard: inland flooding relatively high, wildfire relatively low, tornado very 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 | Only cases that look tied to an earlier operator (not shown) |
| 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 Milford a good nursing home?
CMS gives Accura Healthcare of Milford an overall rating of 5 out of 5 stars, including 3/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Accura Healthcare of Milford staffed?
Accura Healthcare of Milford reports 3.54 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Accura Healthcare of Milford had inspection problems?
Its most recent CMS inspection cited 0 deficiencies.
How many beds does Accura Healthcare of Milford have?
Accura Healthcare of Milford is certified for 46 beds.