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 July 1, 2026
1 of 5 overall
Accura Healthcare of Marshalltown has a 1-star overall rating, with 1-star health inspection, staffing, and quality ratings. Reported nurse staffing is 3.60 hours per resident per day, below the federal benchmark of 4.1, and the facility has a recent abuse citation; there were no fines in the last 24 months.
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 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.
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
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 · 43 homes · 2.3 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.