Skilled Nursing

Accura Healthcare of Shenandoah

1203 South Elm Street, Shenandoah, IA 51601

42beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

3.3h

Hrs/resident · weekday

Expected: 4.5h

3.8h

Hrs/resident · weekend

vs 3.3h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
67%
LPNs
CNAs
64%

Administrator turnover: 0 in the past year

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0609Severity KDec 6, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected: Dec 7, 2023

SeriousImmediate Jeopardy0600Severity JDec 6, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected: Dec 7, 2023

30 standard deficiencies in the last 3 years

View all
0880Severity DSep 18, 2025

Provide and implement an infection prevention and control program.

0865Severity ESep 18, 2025

Have a plan that describes the process for conducting QAPI and QAA activities.

0812Severity ESep 18, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0803Severity ESep 18, 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.

0727Severity ESep 18, 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.

0725Severity ESep 18, 2025

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0695Severity DSep 18, 2025

Provide safe and appropriate respiratory care for a resident when needed.

0645Severity DSep 18, 2025

PASARR screening for Mental disorders or Intellectual Disabilities

0641Severity DSep 18, 2025

Ensure each resident receives an accurate assessment.

0584Severity DSep 18, 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.

0550Severity DSep 18, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0880Severity EOct 17, 2024

Provide and implement an infection prevention and control program.

0812Severity EOct 17, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0727Severity EOct 17, 2024

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.

0658Severity DOct 17, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0656Severity EOct 17, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0641Severity DOct 17, 2024

Ensure each resident receives an accurate assessment.

0582Severity DOct 17, 2024

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0689Severity DSep 15, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0550Severity DDec 6, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0880Severity EJun 29, 2023

Provide and implement an infection prevention and control program.

0814Severity EJun 29, 2023

Dispose of garbage and refuse properly.

0812Severity EJun 29, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0803Severity EJun 29, 2023

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.

0801Severity EJun 29, 2023

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0730Severity EJun 29, 2023

Observe each nurse aide's job performance and give regular training.

0689Severity DJun 29, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0684Severity GJun 29, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0658Severity DJun 29, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

0585Severity DJun 29, 2023

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

ACCURA HEALTHCARE OF SHENANDOAH· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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