Nursing home
Accura Healthcare of Shenandoah
1203 South Elm Street, Shenandoah, IA 51601 · Map
For profit - Limited Liability company · Part of Accura Healthcare (37 facilities) · 42 certified beds
Accura Healthcare of Shenandoah is a Medicare-certified nursing home in Shenandoah, Iowa. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.87 hours per resident per day, above the Iowa average of 3.83. Its most recent inspection on Sep 18, 2025 cited 11 deficiencies.
- 1 fine totaling $8,414In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Accura Healthcare of Shenandoah 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) | 3.87 | 3.83 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.57 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.55 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | 66.7% | 43.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 11.0 | 6.2 | 9.5 | above 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.
- Every deficiency from the September 18, 2025 inspection was corrected by October 10, 2025
Penalties in CMS records: 1 fine totaling $8,414, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Accura Healthcare of Shenandoah
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 · Sep 18, 2025 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Sep 18, 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 · Sep 18, 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 · Sep 18, 2025 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Sep 18, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 18, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Sep 18, 2025 · Full report (PDF) - Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Sep 18, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Sep 18, 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 · Sep 18, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Sep 18, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Oct 17, 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
- 1203 South Elm Street
Shenandoah, IA 51601 - CMS certification #
- 165529
- Ownership
- For profit - Limited Liability company
- Certified beds
- 42
- Avg residents/day
- 40.0
- Provider type
- Medicare and Medicaid
- First certified
- 2004-04-01
- 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 Shenandoah using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice
- Workplace safety 1 OSHA workplace safety inspection since 2023, 1 violation cited
Full public records, with dates and sources
Care and services
From the community’s website
What Accura Healthcare of Shenandoah 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)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Dec 6, 2023: referral inspection, partial (health). Case closed Jun 25, 2024. 1 violation cited (1 other). Penalties: $10,046 proposed, $8,000 now. OSHA record. OSHA recorded the employer as Accura Healthcare of Shenandoah.
Details
- Other than serious: Air contaminants (1910.1000(a)(2)). Penalty $10,046 proposed, $8,000 now. To be fixed by Jun 14, 2024.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Shenandoah Medical Center, Shenandoah. 0.3 miles away, straight line.
- Nearest Medicare nursing home
- Garden View Care Center, Shenandoah. 0.4 miles away, straight line.
- Nearest home health agency office
- Pure Health Services, LLC, Clarinda. 18.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 51601 as small town (small town core).
- Dialysis within 15 miles
- Davita Shenandoah Dialysis, Shenandoah, 0.3 miles away, straight line (CMS rating 2 of 5 stars)
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 51601.
- Nearest geriatric medicine practice
- Advanced Mobile Medicine LLC, Bellevue. 38.8 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 moderate. By hazard: inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively high, 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 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very 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 Shenandoah a good nursing home?
CMS gives Accura Healthcare of Shenandoah an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Accura Healthcare of Shenandoah staffed?
Accura Healthcare of Shenandoah reports 3.87 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Accura Healthcare of Shenandoah had inspection problems?
Its most recent CMS inspection cited 11 deficiencies.
How many beds does Accura Healthcare of Shenandoah have?
Accura Healthcare of Shenandoah is certified for 42 beds.