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Nursing home report

Accura Healthcare of Lake City, LLC

Lake City, IA · Medicare-certified · 46 beds

Needs attention
For-profitChain member
1 of 5 overall

Accura Healthcare of Lake City, LLC has a 1-star overall rating, with a 1-star health inspection rating, 2-star quality measures, and 3-star staffing. Reported nurse staffing is 3.68 hours per resident per day, below the federal benchmark of 4.1, and the home had $35,341 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.6841 hrs/resident/day

Quality measures

Last inspection: January 15, 2026Penalties, last 24 months: $35,341recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6841.

Staffing detail

Registered nurses
0.37
Licensed practical nurses
0.79
Nurse aides
2.52
Weekend nursing
3.23

Hours per resident per day.

Total staff turnover: 45%
Registered nurse turnover: 88%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

16.4%Worsening

Residents with a fall causing major injury

13%Improving

Residents with pressure ulcers (bedsores)

2.9%Improving

Residents with a urinary tract infection

6%Worsening

Residents who lost too much weight

3.8%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

26%Worsening

Residents whose ability to walk got worse

25.7%Worsening
Show all measures

Long-stay residents on antianxiety or sleep medication

17.2%Improving

Short-stay residents newly given an antipsychotic

0%Steady

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

29.7%Worsening

Residents with depressive symptoms

6.8%Improving

Long-stay residents given the seasonal flu vaccine

97.7%Steady

Long-stay residents given the pneumonia vaccine

94.2%Improving

Short-stay residents given the seasonal flu vaccine

44%Steady

Short-stay residents given the pneumonia vaccine

78.7%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2023 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2023 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The nursing home failed to provide services that met professional standards of quality. Cited January 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E

The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited January 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 725 — 42 CFR §483.35 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $35,341 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $38,610 in total fines.

  • Federal fine

    Jan 9, 2025

    $35,341
  • Federal fine

    Sep 14, 2023

    $3,269

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of ACCURA HEALTHCARE · 41 homes · 2.4 stars avg
Occupancy
41.4 residents on an average day (90% of 46 beds)
Resident voice
Resident council
Medicare history
Certified for 57 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.