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 July 1, 2026
2 of 5 overall
Accura Healthcare of Muscatine has a 2-star overall rating, with low quality measures at 1 star and staffing at 3 stars. It reported 2.86 nurse hours per resident per day versus the 4.1 federal benchmark, with no fines in the last 24 months; recent inspection issues included assessment data transmission, antibiotic monitoring, and food handling standards.
Facility ratings
Health inspections
Staffing
2.8613 hrs/resident/day
Quality measures
Last inspection: August 28, 2025Penalties, 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 provide services that met professional standards of quality. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — 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
Recent history
- 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 - Corporation
- Chain
- Part of ACCURA HEALTHCARE · 43 homes · 2.3 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.