The nursing home failed to encode each resident’s assessment data and send it to the state on time. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 640 — 42 CFR §483.20 — S/S: E
Nursing home report
Accura Healthcare of Muscatine
Muscatine, IA · Medicare-certified · 100 beds
In good standing
For-profitChain member
Data as of September 1, 2026
3 of 5 overall
Accura Healthcare of Muscatine has a 3-star overall rating, with a strong health inspection rating (4 stars) but low quality measures (1 star) and average staffing (3 stars). Reported nurse staffing is 2.86 hours per resident day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.8613 hrs/resident/day
Quality measures
Last inspection: July 2, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8613.
Staffing detail
- Registered nurses
- 0.52
- Licensed practical nurses
- 0.55
- Nurse aides
- 1.79
- Weekend nursing
- 2.61
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 60%
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
10.5%20%Worsening
Residents with a fall causing major injury
14%16.1%Worsening
Residents with pressure ulcers (bedsores)
7.5%5.4%Improving
Residents with a urinary tract infection
2.2%4.9%Worsening
Residents who lost too much weight
5%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.2%10.2%Improving
Residents whose ability to walk got worse
15.8%15.6%No change
Long-stay residents on antianxiety or sleep medication
31.1%30.8%No change
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
1.8%0%Improving
Residents with new or worsening incontinence
20.8%40.6%Worsening
Residents with depressive symptoms
2%0%Improving
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
100%62.9%Worsening
Short-stay residents given the seasonal flu vaccine
—80%—
Short-stay residents given the pneumonia vaccine
88%83.3%Worsening
What the inspectors found
The home failed to monitor antibiotic use properly. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: D
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Recent ownership change · Feb 1, 2025
Now operated by Accura Healthcare of Muscatine, previously Premier Estates of Muscatine.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ACCURA HEALTHCARE · 41 homes · 2.5 stars avg
- Occupancy
- 64.5 residents on an average day (64% of 100 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 19 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.