Accura Healthcare of Onawa — Nursing Home in Onawa, IA

222 North 15th Street, Onawa, IA, 51040 | 7124232510

CMS Five-Star Rating

★☆☆☆☆ 1/5

Based on health inspections, staffing, and quality measures

Facility Overview

Medicare Medicaid
Certified Beds50
Average Residents/Day31.6
CMS Certification Number165256

Staffing Levels

Hours Per Resident Day (HPRD)

Total Nurse Staffing 4.09 HPRD
RN Staffing 0.91 HPRD

Health Inspection Findings & Deficiencies

Most Recent Inspection May 8, 2025
Total Deficiencies 5

Accura Healthcare of Onawa had 5 health inspection deficiencies on its most recent inspection (May 8, 2025).

Inspection Findings — May 8, 2025

  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Level D)
    Corrected — May 22, 2025
  • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (Level F)
    Corrected — May 22, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Level D)
    Corrected — May 22, 2025
  • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Level E)
    Corrected — May 22, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Level E)
    Corrected — May 22, 2025
CareQED Analysis

Accura Healthcare of Onawa is a 50-bed nursing home in Onawa, Iowa. It holds a 1-star CMS overall rating. Total nurse staffing is 4.1 hours per resident day, above the Iowa average of 3.8. Its most recent inspection, in May 2025, cited 5 deficiencies, none of them severe.

The facility's overall nursing coverage appears stronger than typical for the state, which could help with day-to-day care. You should ask about the recent inspection finding that the facility needs to ensure consistent registered nurse coverage and a full‑time director of nursing, since that affects clinical oversight and care coordination.

Frequently Asked Questions

Is Accura Healthcare of Onawa Medicare and Medicaid certified?

Accura Healthcare of Onawa is Medicare certified and Medicaid certified according to CMS data.

What is Accura Healthcare of Onawa's CMS star rating?

Accura Healthcare of Onawa has an overall CMS rating of 1 out of 5 stars.

How is staffing at Accura Healthcare of Onawa?

Accura Healthcare of Onawa reports 4.08997 total nurse hours per resident day.

Has Accura Healthcare of Onawa had health inspection deficiencies?

On its most recent inspection, Accura Healthcare of Onawa had 5 total deficiencies, including 0 classified as severe.

How many beds does Accura Healthcare of Onawa have?

Accura Healthcare of Onawa has 50 certified beds.

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Data Source

This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.

CMS Provider Information updated May 1, 2026.

CMS Survey Summary updated May 1, 2026.

CMS Health Deficiencies updated May 1, 2026.

CareQED last updated June 22, 2026.

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