ACCURA HEALTHCARE
Ownership rollup across 41 nursing homes in 4 states: Iowa, Minnesota, Nebraska, South Dakota. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.
The chain’s homes average 2.5 of 5 stars on the CMS overall rating — about 0.5 stars below the ~3.0 average of the 4 states it operates in. A whole portfolio rating below its own states’ norm is a pattern worth researching, not a single-home fluke. It is improving: across the same 41 homes rated throughout, the average rose 0.20 stars between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.
Where the rating comes from
The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.
| Component | Chain average | Basis | |
|---|---|---|---|
| Health inspection | 2.6 of 5 | 41 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 3.1 of 5 | 41 rated homes | from payroll (PBJ) hours |
| Quality measures | 2.8 of 5 | 41 rated homes | largely self-reported clinical data |
Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.
Portfolio red flags
How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.
Follow the money — chain finances
Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.
Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.
Weighted by each home’s average daily census, across the all 41 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.
Every home in this chain
Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.
| Home | CMS rating | Flags |
|---|---|---|
| Accura Healthcare of CarrollCarroll, IA | 1 of 5 | — |
| Accura Healthcare of MarshalltownMarshalltown, IA | 1 of 5 | Abuse flag $9,350 fined |
| Accura Healthcare of Newton East, LLCNewton, IA | 1 of 5 | 1 immediate-jeopardy $19,744 fined |
| Accura Healthcare of Pleasantville, LLCPleasantville, IA | 1 of 5 | 2 immediate-jeopardy $28,724 fined |
| Accura Healthcare of ShenandoahShenandoah, IA | 1 of 5 | 2 immediate-jeopardy $8,414 fined |
| Shell Rock Senior LivingShell Rock, IA | 1 of 5 | 1 immediate-jeopardy $17,167 fined |
| Green Lea Senior LivingMabel, MN | 1 of 5 | 1 immediate-jeopardy |
| Accura HealthCare of TekamahTekamah, NE | 1 of 5 | — |
| Accura Healthcare of O'NeillO' Neill, NE | 1 of 5 | — |
| Aberdeen Health And RehabAberdeen, SD | 1 of 5 | 1 immediate-jeopardy $64,270 fined |
| Lake Andes Senior LivingLake Andes, SD | 1 of 5 | 2 immediate-jeopardy $102,440 fined |
| Accura Healthcare of Cascade LLCCascade, IA | 2 of 5 | Abuse flag |
| Accura Healthcare of CrestonCreston, IA | 2 of 5 | 1 immediate-jeopardy $16,801 fined |
| Accura Healthcare of Knoxville, LLCKnoxville, IA | 2 of 5 | $16,153 fined |
| Accura Healthcare of Lake City, LLCLake City, IA | 2 of 5 | 1 immediate-jeopardy $38,610 fined |
| Accura Healthcare of MuscatineMuscatine, IA | 2 of 5 | — |
| Accura Healthcare of OnawaOnawa, IA | 2 of 5 | — |
| Accura Healthcare of Spirit LakeSpirit Lake, IA | 2 of 5 | 1 immediate-jeopardy $34,567 fined |
| Sterling Park Health Care CenterWaite Park, MN | 2 of 5 | 1 immediate-jeopardy |
| Woodlyn Heights Healthcare CenterInver Grove Heights, MN | 2 of 5 | — |
| Accura Healthcare of FranklinFranklin, NE | 2 of 5 | — |
| Accura Healthcare of Ames, LLCAmes, IA | 3 of 5 | — |
| Accura Healthcare of Aurelia, LLCAurelia, IA | 3 of 5 | — |
| Accura Healthcare of Cherokee, LLCCherokee, IA | 3 of 5 | 1 immediate-jeopardy $8,021 fined |
| Accura Healthcare of Pomeroy, LLCPomeroy, IA | 3 of 5 | — |
| Accura Healthcare of StantonStanton, IA | 3 of 5 | — |
| Accura Healthcare of ToledoToledo, IA | 3 of 5 | — |
| Traditions Memory Care of NewtonNewton, IA | 3 of 5 | — |
| Meadow ManorGrand Meadow, MN | 3 of 5 | — |
| Prairie View Senior LivingTracy, MN | 3 of 5 | — |
| Accura Healthcare of FullertonFullerton, NE | 3 of 5 | — |
| Accura Healthcare of Le MarsLe Mars, IA | 4 of 5 | — |
| Accura Healthcare of MilfordMilford, IA | 4 of 5 | — |
| Accura Healthcare of New HamptonNew Hampton, IA | 4 of 5 | — |
| Accura Healthcare of Ogden, LLCOgden, IA | 4 of 5 | — |
| Accura Healthcare of Sioux City, LLCSioux City, IA | 4 of 5 | — |
| Accura HealthCare of North PlatteNorth Platte, NE | 4 of 5 | — |
| Faulkton Senior LivingFaulkton, SD | 4 of 5 | — |
| Accura Healthcare of BancroftBancroft, IA | 5 of 5 | — |
| Karlstad Healthcare Center INCKarlstad, MN | 5 of 5 | — |
| Accura HealthCare of HartingtonHartington, NE | 5 of 5 | — |
Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.