The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Nursing home report
Accura Healthcare of Cascade LLC
Cascade, IA · Medicare-certified · 46 beds
In good standing
For-profitChain member
5 of 5 overall
Accura Healthcare of Cascade LLC has a 5-star overall rating, with strong staffing and quality scores and no fines in the last 24 months. Its reported nurse staffing is 4.63 hours per resident per day, above the federal benchmark of 4.1, and the latest inspection cited food safety, facility safety/cleanliness, and infection control issues.
Facility ratings
Health inspections
Staffing
4.6298 hrs/resident/day
Quality measures
Last inspection: March 4, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6298.
Staffing detail
- Registered nurses
- 0.80
- Licensed practical nurses
- 0.72
- Nurse aides
- 3.11
- Weekend nursing
- 4.07
Hours per resident per day.
Total staff turnover: 30%
Registered nurse turnover: 14%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
25%Worsening
Residents with a fall causing major injury
4.4%Worsening
Residents with pressure ulcers (bedsores)
2.5%Improving
Residents with a urinary tract infection
2%Worsening
Residents who lost too much weight
0.8%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18.7%Improving
Residents whose ability to walk got worse
17.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
39.5%Improving
Short-stay residents newly given an antipsychotic
4.1%Steady
Residents with a long-term catheter
0.5%Steady
Residents with new or worsening incontinence
29.1%Improving
Residents with depressive symptoms
2.2%Steady
Long-stay residents given the seasonal flu vaccine
97.5%Steady
Long-stay residents given the pneumonia vaccine
87.4%Improving
Short-stay residents given the seasonal flu vaccine
52.2%Steady
Short-stay residents given the pneumonia vaccine
81.1%Worsening
What the inspectors found
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
The home failed to provide and maintain effective training for its staff, including both new and existing employees. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 940 — 42 CFR §483.95 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ACCURA HEALTHCARE · 41 homes · 2.4 stars avg
- Occupancy
- 42 residents on an average day (91% of 46 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 20 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.