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
1 of 5 overall
Accura Healthcare of Marshalltown has a 1 out of 5 overall rating, with 1-star health inspection, staffing, and quality scores. Reported nurse staffing is below the federal benchmark (3.57 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
3.5707 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 3.5707.
Staffing detail
- Registered nurses
- 0.14
- Licensed practical nurses
- 0.96
- Nurse aides
- 2.47
- Weekend nursing
- 3.30
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 83%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
30.8%Improving
Residents with a fall causing major injury
5%Worsening
Residents with pressure ulcers (bedsores)
7.3%Worsening
Residents with a urinary tract infection
0.5%Steady
Residents who lost too much weight
4%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
27.9%Improving
Residents whose ability to walk got worse
38.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
26.9%Worsening
Short-stay residents newly given an antipsychotic
5.5%Steady
Residents with a long-term catheter
0.8%Steady
Residents with new or worsening incontinence
27.3%Improving
Residents with depressive symptoms
2.2%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98.5%Improving
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
96.1%Worsening
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 nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — 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.
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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
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 · 2.4 stars avg
- Occupancy
- 54.8 residents on an average day (65% 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.