Accura Healthcare of Muscatine

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Met the expected recovery: 42.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 26 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.21 therapist hours per resident per day in 2026Q1 — more than 24% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 25% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 100 beds and averages 64.5 residents a day — about 64% occupied, or roughly 36 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.86 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.79 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.61 hrs/resident/day on weekends vs 2.96 on weekdays — 12% thinner on weekends. RN hours go from 0.56 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 35% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.

• Potential for harm · D2025-08-28 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, facility policy review, and staff interviews, the facility failed to prevent both verbal and physical abuse of a dependent adult resident, for 1 of 4 residents reviewed (Resident #1), that resulted in the resident's physical injury. The facility reported a census of 62 residents.Findings include:A Facility Reported Incident, dated 8/7/25, documented Resident is impaired for cognition, and has a BIMS (Brief Interview for Mental Status) of 11 (moderate cognitive impairment per the assessment scale) a staff witness reports that alleged perp (perpetrator) was being verbally and physically abusive with the resident. The witness reports seeing the alleged perp call the resident names, threaten her and then pull on the residents arm. No new injuries to the resident per the facility as she has scratches to her arms which were noted prior to the incident. The alleged perp reports that the resident was having behaviors all night and then when they went to get back to her room to get her changed, the resident had her finger and she and to pry her finger from…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-08 · tag F0640 — pattern
  Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and staff interview, the facility failed to ensure Minimum Data Set (MDS) assessments were submitted timely for four of four residents reviewed for MDS submission (Resident #13, Resident #27, Resident #35, Resident #49). The facility reported a census of 53 residents. Findings include: Review of Resident #13's Significant Change MDS assessment with Assessment Reference Date (ARD) 4/1/25 revealed the following: MDS assessment completed on 4/15/25 and submitted on 5/4/25. Review of Resident #27's Quarterly MDS assessment with ARD 4/2/25 revealed the following: MDS assessment completed on 4/16/25 and submitted on 5/4/25. Review of Resident #35's Annual MDS assessment with ARD 4/2/25 revealed the following: MDS assessment completed on 4/16/25 and submitted on 5/4/25. Review of Resident #49's admission MDS assessment with ARD 2/14/25 revealed the following: MDS assessment completed on 2/23/25 and submitted on 3/10/25. On 5/8/25 at 11:43 AM, the facility's MDS Coordinator explained she knew a few had not been submitted on time. On 5/8/25 at 12:58 PM, the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-08 · tag F0881 — failed to use antibiotics responsibly — pattern
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on infection control data review, staff interview, and facility policy review the facility failed to ensure residents met the criteria for an infection per McGeer's criteria prior to antibiotic use for seven of twelve infections which developed in the facility per March 2025 infection control data review. The facility reported a census of 53 residents. Findings include: Review of the Infection Control Summary dated March 2025 revealed twelve infections developed in the facility. Review of the Infection Control Data Log dated March 2025 revealed out of the twelve infections, seven did not meet McGeer's criteria, and the residents received antibiotics. On 5/8/25 at 9:57 AM, the facility's Assistant Director of Nursing (ADON), who also was responsible for Infection Control at the facility, explained there was a Provider who liked to prescribe antibiotics, and facility had reached out to the Physician to speak with that Provider. On 5/8/25 at 12:55 PM, the Director of Nursing (DON) explained they knew that one of the Providers did not necessarily follow [criteria], so the facility…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-08 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility policy review and staff interview, the facility failed to notify the state ombudsman of the transfers out of the facility due to hospitalization for 2 of 3 residents reviewed (Residents #14 and Resident #19). The facility reported a census of 53 residents. Findings include: 1. A review of the Progress notes for Resident #19 revealed: a. Resident #19 transferred to hospital on [DATE] due to a urinary tract infection. The resident readmitted to the facility on [DATE]. b. Resident #19 transferred to the hospital on [DATE] for a procedure. The resident readmitted to the facility on [DATE]. c. Resident #19 transferred to the hospital on 1/3/25 for procedure, and admitted for treatment related to pyelonephritis (kidney infection). The resident readmitted to the facility on [DATE]. Review of the Notice of Transfer Form to Long Term Care Ombudsman did not include Resident #19's transfer on 11/18/24, 12/16/24, and 1/3/25. During an interview on 5/8/25 at 7:08 AM, the Social…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-08 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and staff interviews, the facility failed to accurately code the Minimum Data Set to reflect a having Level II Preadmission Screening and Resident Review (PASRR) services for 1 of 1 (Resident #8) residents reviewed. The facility reported a census of 53 residents. Findings include: The Annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #8 scored a 15 out of 15 on the Brief Interview for Mental Status (BIMS) exam, which indicated cognition intact. The MDS indicated the resident was not currently considered by the state level II PASRR process to have serious mental illness and/or intellectual disability or a related condition. The Notice of PASRR Level II Outcome dated 7/22/24 revealed: a. PASRR determination: Approved with specialized services. b. PASRR determination explanation: You meet PASRR criteria for the diagnoses of Major Depressive Disorder and suspected Mild Intellectual Impairment which has led to significant symptoms that impact daily functioning and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-08 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review and staff interviews, the facility failed to update a Care Plan to accurately identify the level of assistance 1 of 1 residents needed to complete the activities of daily living tasks of toilet use and bed mobility (Resident #7). The facility reported a census of 53 residents. Findings include: The Minimum Data Set assessment dated [DATE], revealed Resident #7 scored a 15 out of 15 on the Brief Interview for Mental Status exam, which indicated cognition intact. The MDS indicated the resident required substantial/maximal assistance to roll from left to right and dependent with toilet transfer and toileting hygiene. Review of the Care Plan, revised 4/11/23, revealed a Focus area to address The resident has an ADL (Activities of Daily Living) Self-Care Performance Deficit r/t (related to) confusion and fall. Interventions included, in part: a. TOILET USE: The requires assist x1 with assistance to wash hands, adjust clothing, clean self, transfer onto toilet, transfer off…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-08 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and clinical record review, the facility failed to ensure a nutritional supplement was increased per Dietician recommendation for one of one resident reviewed for nutrition (Resident #42). The facility reported a census of 53 residents. Findings include: Review of the Minimum Data Set (MDS) assessment for Resident #42 dated 3/14/25 revealed the resident scored 5 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated severely intact cognition. Per this assessment, the resident had lost 5% or more in the last month or loss of 10% or more in the last 6 months, and was not on a prescribed weight-loss regimen. Review of the Care Plan dated 3/18/24, revised on 1/7/25, revealed the following: The resident has nutritional problem or potential nutritional problem r/t (related to) Dementia. Texture-altered diet r/t poor dentition. Has gradually decreased in weight x180 days. Review of the Physician Order dated 2/4/25 revealed, House Supplement 4oz (ounces) daily two times a day for weight loss. Review of Nutrition/Dietary Notes for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-16 · tag F0660 — isolated
  Plan the resident's discharge to meet the resident's goals and needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and staff and resident responsible party interviews, the facility failed to ensure the discharge needs of each resident were met when they transferred a resident to the wrong facility, a facility that had no knowledge of the resident, had not agreed to accept the resident's transfer, and did not have authorization to admit the resident because they were not a Veteran Administration (VA) contracted service provider, for 1 of 3 resident's reviewed for discharge coordination (Resident #1). The facility reported a census of 56 residents Findings include: The Minimum Data Set (MDS) Assessment tool dated 8/28/24 revealed Resident #1 admitted to the facility on [DATE], with diagnoses that included malignant neoplasm of the rectum, depression, hypertension (high blood pressure), and a surgical wound present, scored 15 out of 15 points possible on the Brief Interview for Mental Status (BIMS) cognitive assessment, that indicated no cognitive deficits, and without symptoms of delirium. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-08-01 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and facility policy review, the facility failed to maintain sanitary practices by improperly storing and serving food. The facility reported a census of 60 residents. Findings include: On 7/28/24 at 5:20 pm, an initial kitchen observation revealed: 1) An opened box of various yellow, green, and orange items in an opened blue plastic bag in the R-Plus freezer. 2) A shelf of opened, undated seasoning containers. 3) Two (2) pot roasts thawing out on a baking sheet on a tray cart beside the oven. During an interview on 7/28/24 at 5:30 pm, Staff C, Cook, stated the pot roasts were thawing out to use for dinner the following night. The manufacturer's thawing instructions direct staff to place roast in the refrigerator for 48 hours to thaw. During an observation on 7/28/24 at 5:45 pm, Staff C prepared a peanut butter sandwich with gloves on each hand. After making the sandwich, Staff C held the peanut butter container with her left hand and used her right hand to scoop some out on a knife. She spread the peanut butter on a slice of bread and repeated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-01 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, observation, family and staff interview the facility failed to provide a call light system within reach and met the needs of 2 of 20 residents (Resident #29, #49) reviewed. The facility reported a census of 60 residents. Findings include: The Minimum Data Set (MDS) of Resident #29, dated 5/29/24 identified a Brief Interview of Mental Status (BIMS) score of 00 which indicated severe cognitive impairment. The Care Plan of Resident #29 dated 7/16/24 revealed the resident deficit with Activity of Daily Living (ADL). The care plan informed the staff to encourage the resident to use bell to call for assistance. During an observation on 7/29/24 at 9:25 am, Resident #29 did not have a call device or bell sitting on him or with in reach. During an interview on 7/29/24 at 10:40 am, Staff B, CNA stated the resident has one on the bed. Staff B attempted to locate the call device or bell, no call device or bell found. Staff B obtained new call device and clipped the call device to the Resident #29 shirt. During an interview on 7/29/24 at 10:43 AM, a family member…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ACCURA HEALTHCARE — 41 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 35 rows in the source record cover these 22 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

14 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $276K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IA