The nursing home failed to protect residents from abuse and neglect by others. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
Accura Healthcare of Marshalltown
Marshalltown, IA · Medicare-certified · 84 beds
Needs attention
Abuse citationFor-profitChain member
Data as of September 1, 2026
1 of 5 overall
Accura Healthcare of Marshalltown has a 1 out of 5 overall rating, with 1-star scores for health inspections, staffing, and quality measures. Reported nurse staffing is below the federal benchmark (3.60 vs 4.1 hours per resident per day), there were no fines in the last 24 months, and the facility has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.6021 hrs/resident/day
Quality measures
Last inspection: March 12, 2026Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6021.
Staffing detail
- Registered nurses
- 0.15
- Licensed practical nurses
- 0.87
- Nurse aides
- 2.59
- Weekend nursing
- 3.26
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 83%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
35.7%42.4%Worsening
Residents with a fall causing major injury
1.9%7.1%Worsening
Residents with pressure ulcers (bedsores)
6.2%11.3%Worsening
Residents with a urinary tract infection
1.9%0%Improving
Residents who lost too much weight
2.2%9.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
27.3%17.4%Improving
Residents whose ability to walk got worse
—13.4%—
Long-stay residents on antianxiety or sleep medication
28.3%42.3%Worsening
Short-stay residents newly given an antipsychotic
—5.8%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24.1%25.6%Worsening
Residents with depressive symptoms
0%2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
96.3%100%Improving
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
92.6%93.3%Improving
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $9,350 in total fines · 1 payment denial.
- 7 days
Medicare/Medicaid payment denial
Nov 2, 2023
- $9,350
Federal fine
Nov 2, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of ACCURA HEALTHCARE · 41 homes · 2.5 stars avg
- Occupancy
- 58.4 residents on an average day (70% of 84 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 24 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.