Accura Healthcare of Shenandoah — Nursing Home in Shenandoah, IA
CMS Five-Star Rating
Based on health inspections, staffing, and quality measures
Facility Overview
| Certified Beds | 42 |
|---|---|
| Average Residents/Day | 36.9 |
| CMS Certification Number | 165529 |
Staffing Levels
Hours Per Resident Day (HPRD)
| Total Nurse Staffing | 4.30 HPRD |
|---|---|
| RN Staffing | 0.62 HPRD |
Health Inspection Findings & Deficiencies
Accura Healthcare of Shenandoah had 11 health inspection deficiencies on its most recent inspection (September 18, 2025).
Inspection Findings — September 18, 2025
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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Level D)Corrected — October 10, 2025
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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 — October 10, 2025
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Ensure each resident receives an accurate assessment. (Level D)Corrected — October 10, 2025
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PASARR screening for Mental disorders or Intellectual Disabilities (Level D)Corrected — October 10, 2025
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Provide safe and appropriate respiratory care for a resident when needed. (Level D)Corrected — October 10, 2025
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Level E)Corrected — October 10, 2025
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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 — October 10, 2025
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Level E)Corrected — October 10, 2025
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Have a plan that describes the process for conducting QAPI and QAA activities. (Level E)Corrected — October 10, 2025
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Provide and implement an infection prevention and control program. (Level D)Corrected — October 10, 2025
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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 E)Corrected — October 10, 2025
Accura Healthcare of Shenandoah is a 42-bed nursing home in Shenandoah, Iowa. It holds a 1-star CMS overall rating. Total nurse staffing is 4.3 hours per resident day, above the Iowa average of 3.8. Its most recent inspection, in September 2025, cited 11 deficiencies, none of them severe.
Staffing appears to be a relative strength, with nursing hours higher than the state average. However, the facility had several recent deficiencies related to care planning, infection control, and safe clinical and food practices, so it’s worth asking what specific corrective actions and monitoring they’ve put in place since that inspection.
Frequently Asked Questions
Is Accura Healthcare of Shenandoah Medicare and Medicaid certified?
Accura Healthcare of Shenandoah is Medicare certified and Medicaid certified according to CMS data.
What is Accura Healthcare of Shenandoah's CMS star rating?
Accura Healthcare of Shenandoah has an overall CMS rating of 1 out of 5 stars.
How is staffing at Accura Healthcare of Shenandoah?
Accura Healthcare of Shenandoah reports 4.29848 total nurse hours per resident day.
Has Accura Healthcare of Shenandoah had health inspection deficiencies?
On its most recent inspection, Accura Healthcare of Shenandoah had 11 total deficiencies, including 0 classified as severe.
How many beds does Accura Healthcare of Shenandoah have?
Accura Healthcare of Shenandoah has 42 certified beds.
Nearby Nursing Homes
- Garden View Care Center — 0.4 mi
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.