Nursing home
Accura Healthcare of Onawa
222 North 15Th Street, Onawa, IA 51040 · Map
For profit - Corporation · Part of Accura Healthcare (37 facilities) · 46 certified beds
Accura Healthcare of Onawa is a Medicare-certified nursing home in Onawa, Iowa. CMS rates it 1 out of 5 stars overall. Its most recent inspection on May 8, 2025 cited 5 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 Onawa 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) | — | 3.83 | 3.89 | — |
| RN staffing (hrs/resident/day) | — | 0.73 | 0.68 | — |
| Aide staffing (hrs/resident/day) | — | 2.53 | 2.34 | — |
| Nursing staff turnover | —% | 43.9% | 46.4% | — |
| Deficiencies cited, last inspection | 5.0 | 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 Onawa
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
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.
Nursing and Physician Services Deficiencies · May 8, 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 8, 2025 · Full report (PDF) - Potential for harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · May 8, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · May 8, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · May 8, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Jul 27, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jul 27, 2024 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jul 27, 2024 · 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 · Jun 13, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 13, 2024 · Full report (PDF) - 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 · Jun 13, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 13, 2024 · Full report (PDF)
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
- 222 North 15Th Street
Onawa, IA 51040 - CMS certification #
- 165256
- Ownership
- For profit - Corporation
- Certified beds
- 46
- Avg residents/day
- —
- Provider type
- Medicare and Medicaid
- First certified
- 1995-06-01
- 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 Onawa 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 Onawa says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 12, 2026) - Nurse on site: 24 hours a day.
24-hour skilled nursing care
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
Hospice & Palliative Care
(page, checked Oct 15, 2026) - Apartment types named: private room, semi-private room.
Private and semi-private rooms
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Burgess Health Center, Onawa. 0.8 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Pleasant View Care Center, Whiting. 6.7 miles away, straight line.
- Nearest home health agency office
- Burgess Home Health, Onawa. 0.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Lewis Drug. 30.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 51040 as rural (rural area).
- Dialysis within 15 miles
- Dialysis Clinic Inc. - Onawa, Onawa, 0.8 miles away, straight line (CMS rating 3 of 5 stars)
Carl T Curtis Health Ed Center Dialysis, Macy, 13.2 miles away, straight line - Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 51040.
Burgess Hospice, office in Onawa, 0.8 miles away, straight line - Nearest geriatric medicine practice
- Homaha Senior Care LLC, Omaha. 53.8 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 low. By hazard: inland flooding relatively low, wildfire relatively low, tornado very high, heat wave relatively moderate, 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 Onawa a good nursing home?
CMS gives Accura Healthcare of Onawa an overall rating of 1 out of 5 stars. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Has Accura Healthcare of Onawa had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Accura Healthcare of Onawa have?
Accura Healthcare of Onawa is certified for 46 beds.