Nursing home report
Shenandoah, IA · Medicare-certified · 42 beds
Accura Healthcare of Shenandoah in Shenandoah, IA has an overall 1-star rating, with 1-star health inspection, staffing, and quality ratings. It is flagged for the lowest overall rating, has no fines in the last 24 months, and reported nurse staffing is 3.63 hours per resident per day versus the 4.1-hour federal benchmark.
Health inspections
Staffing
3.6309 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6309.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited December 2023 — limited pattern, immediate jeopardy to residents.
F-Tag 609 — 42 CFR §483.12 — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited December 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 600 — 42 CFR §483.12 — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2023 — isolated incident, actual harm.
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited September 2025 — limited pattern, potential for harm.
F-Tag 725 — 42 CFR §483.35 — S/S: E
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 September 2025 — limited pattern, potential for harm.
F-Tag 727 — 42 CFR §483.35 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 11 health deficiencies.
Health inspection found 7 health deficiencies.
Health inspection found 1 health deficiency.
On record with Medicare: 1 fine · $8,414 in total fines.
Federal fine
Dec 6, 2023
Now operated by Accura Healthcare of Shenandoah, previously Elm Heights Care Center.
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.
