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.
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F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Accura Healthcare of Onawa
Onawa, IA · Medicare-certified · 46 beds
Needs attention
For-profitChain member
1 of 5 overall
Accura Healthcare of Onawa has a 1-star overall rating, with 2 stars for health inspections, 3 stars for staffing, and 1 star for quality measures. It has the lowest overall rating, no fines in the last 24 months, and reported nurse staffing of 3.36 hours per resident day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.3615 hrs/resident/day
Quality measures
Last inspection: May 8, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3615.
Staffing detail
- Registered nurses
- 0.74
- Licensed practical nurses
- 0.37
- Nurse aides
- 2.25
- Weekend nursing
- 2.89
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 67%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
31.6%Improving
Residents with a fall causing major injury
0.9%Improving
Residents with pressure ulcers (bedsores)
3%Worsening
Residents with a urinary tract infection
1.8%Improving
Residents who lost too much weight
13.5%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
35.6%Improving
Residents whose ability to walk got worse
28.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
23.8%Improving
Short-stay residents newly given an antipsychotic
9.4%Steady
Residents with a long-term catheter
2.6%Improving
Residents with new or worsening incontinence
23.7%Improving
Residents with depressive symptoms
1%Worsening
Long-stay residents given the seasonal flu vaccine
87.9%Steady
Long-stay residents given the pneumonia vaccine
86.8%Worsening
Short-stay residents given the pneumonia vaccine
66.2%Steady
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.
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F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited May 2025 — limited pattern, potential for harm.
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F-Tag 803 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — 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 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
- Ownership
- For profit - Corporation
- Chain
- Part of ACCURA HEALTHCARE · 41 homes · 2.4 stars avg
- Occupancy
- 35.9 residents on an average day (78% 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.