Nursing home report
Toledo, IA · Medicare-certified · 55 beds
Accura Healthcare of Toledo (Toledo, IA) has a 1 out of 5 overall star rating, with low staffing (2 stars) and quality measures (1 star) and no fines in the last 24 months. Reported nurse staffing is 2.89 hours per resident day, below the federal benchmark of 4.1, and recent inspection citations included accident hazards, food handling standards, and staff competency.
Health inspections
Staffing
2.8932 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8932.
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 seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2024 — limited pattern, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited July 2023 — limited pattern, potential for harm.
F-Tag 726 — 42 CFR §483.35 — S/S: E
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited January 2026 — isolated incident, potential for harm.
F-Tag 695 — 42 CFR §483.25(i) — S/S: D
The home failed to ensure each resident got needed dental services. Cited January 2026 — isolated incident, potential for harm.
F-Tag 791 — 42 CFR §483.55 — S/S: D
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
Health inspection found 4 health deficiencies.
Health inspection found 2 health deficiencies.
Now operated by Accura Healthcare of Toledo, previously Premier Estates of Toledo.
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.
