The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Accura Healthcare of Onawa
Onawa, IA · Medicare-certified · 46 beds
In good standing
For-profitChain member
Data as of September 1, 2026
2 of 5 overall
Accura Healthcare of Onawa in Onawa, IA has an overall rating of 2 out of 5 stars. Its staffing rating is 3 stars with reported nurse staffing at 3.22 hours per resident per day, below the federal benchmark of 4.1, and it has had no fines in the last 24 months; recent inspection issues included pressure ulcer care, registered nurse coverage, and required complaint information posting.
Facility ratings
Health inspections
Staffing
3.2246 hrs/resident/day
Quality measures
Last inspection: July 9, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2246.
Staffing detail
- Registered nurses
- 0.63
- Licensed practical nurses
- 0.39
- Nurse aides
- 2.20
- Weekend nursing
- 2.62
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 78%
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%22.7%Improving
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
4%3.7%No change
Residents with a urinary tract infection
3.8%0%Improving
Residents who lost too much weight
13.6%15.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
31.8%25%Improving
Residents whose ability to walk got worse
—18.3%—
Long-stay residents on antianxiety or sleep medication
17.4%18.2%Worsening
Short-stay residents newly given an antipsychotic
—11.8%—
Residents with a long-term catheter
0%5.2%Worsening
Residents with new or worsening incontinence
7.8%23.5%Worsening
Residents with depressive symptoms
0%0%No change
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
—87.9%—
Long-stay residents given the pneumonia vaccine
96.3%73.5%Worsening
Short-stay residents given the pneumonia vaccine
—57.4%—
What the inspectors found
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 May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to post the required contact information for state agencies and advocacy groups, and the notice that residents can file complaints. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 575 — 42 CFR §483.10 — S/S: E
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — 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
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Feb 1, 2025
Now operated by Accura Healthcare of Onawa, previously Elmwood Care Centre.
- Ownership
- For profit - Corporation
- Chain
- Part of ACCURA HEALTHCARE · 41 homes · 2.5 stars avg
- Occupancy
- 40.4 residents on an average day (88% of 46 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 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.