Nursing home
Accura Healthcare of Toledo
403 Grandview Drive, Toledo, IA 52342 · Map
For profit - Corporation · Part of Accura Healthcare (37 facilities) · 55 certified beds
Accura Healthcare of Toledo is a Medicare-certified nursing home in Toledo, Iowa. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.27 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Jan 8, 2026 cited 3 deficiencies.
- 1 fine totaling $8,193In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Accura Healthcare of Toledo 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) | 3.27 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.41 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.52 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | —% | 43.9% | 46.4% | — |
| Deficiencies cited, last inspection | 3.0 | 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.
Penalties in CMS records: 1 fine totaling $8,193, 1 total penalty.
What inspectors found at Accura Healthcare of Toledo
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 or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Jan 8, 2026 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Jan 8, 2026 · 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 · Jan 8, 2026 · 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 · Nov 21, 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 · Nov 21, 2024 · Full report (PDF)
Show all 12 deficiencies
- 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 · Nov 21, 2024 · Full report (PDF) - Minimal
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Nov 21, 2024 · Full report (PDF) - Potential for harm
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · Aug 22, 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 · Aug 22, 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 · Dec 12, 2023 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Dec 12, 2023 · Full report (PDF) - 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 · Dec 12, 2023 · 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
- 403 Grandview Drive
Toledo, IA 52342 - CMS certification #
- 165450
- Ownership
- For profit - Corporation
- Certified beds
- 55
- Avg residents/day
- 51.6
- Provider type
- Medicare and Medicaid
- First certified
- 2002-04-01
- 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 Toledo 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 Toledo 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
- Unitypoint Health - Marshalltown, Marshalltown. 16.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Sunny Hill Care Center, Tama. 0.8 miles away, straight line.
- Nearest home health agency office
- Tama County Public Health & Ho, Toledo. 0.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Medicap. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 52342 as small town (small town core).
- Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 52342.
Iowa River Hospice, office in Marshalltown, 16.3 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Joseph Hoagbin, MD, Marshalltown. 18.4 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)
- Wildfire risk to homes
- In Toledo, IA, risk to homes is greater than 96% of communities in Iowa and 72% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively moderate, 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 | See above |
| 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 Toledo a good nursing home?
CMS gives Accura Healthcare of Toledo an overall rating of 3 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Accura Healthcare of Toledo staffed?
Accura Healthcare of Toledo reports 3.27 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Accura Healthcare of Toledo had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Accura Healthcare of Toledo have?
Accura Healthcare of Toledo is certified for 55 beds.