Accura Healthcare of Onawa

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.

Therapy staffing: this home’s payroll records show 0.15 therapist hours per resident per day in 2026Q1 — more than 13% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 46 beds and averages 40.4 residents a day — about 88% occupied, or roughly 6 beds typically open. It runs fairly full. 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 3.22 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.20 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 2.62 hrs/resident/day on weekends vs 3.47 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 0.71 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 50% is about the same as 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.

30 citations, most serious first. The 11 most serious are shown; the remaining 19 are one tap away and print in full.

• Actual harm · Gcited before2024-01-12 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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, staff interviews, and facility policy review, the facility failed to assess skin conditions after discovery to prevent a decline in the pressure wound for 1 of 3 residents reviewed (Resident #3). Resident #3 admitted to the facility with skin conditions of surgical incisions, some skin tears, and bruising on 11/29/23. During his time at the facility, he developed additional skin conditions that lead to a hospitalization due to an infection in his wounds. The hospital records revealed that Resident #3 had a pressure ulcer to his back, coccyx, and left heel. The record included those in addition to his fractures that happened prior to his admission to the nursing home of his left hip and shoulder. Resident #3's clinical record at the nursing home lacked documentation related to the pressure ulcers. Findings include: The MDS (Minimum Data Set) assessment identifies the definition of pressure ulcers: Stage I is an intact skin with non-blanchable redness of a localized area usually…

  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 · F2025-05-08 · tag F0727 — failed to provide required RN coverage — widespread
  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.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on schedule review, staff interviews and document review the facility failed to ensure that a Registered Nurse (RN) was at the facility for 8 consecutive hours every day. In a review of the 30-day nursing schedule, on 2 days the facility failed to have RN coverage. The facility reported a census of 32 residents. Findings include: In a review of the April, 2025 Nursing Schedule it was discovered that on the 13th and the 17th, the schedule lacked a Registered Nurse. On 5/07/25 at 10:04 AM, the Director of Nursing (DON) acknowledged that on the 13th (a Sunday) and the 17th (a Thursday) of April there was no RN coverage. On 5/07/25 at 3:29 PM, Staff D, Nurse Consultant said that she wasn't sure if they had a policy on RN coverage but they follow the standard of care to have 8 consecutive hours of RN coverage per day. The Facility Assessment updated on 8/8/24, showed that the general approach to staffing would ensure that the facility had sufficient staff to meet the needs of the residents at any time given. The staffing plan depended on census, acuity and availability to hire.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-08 · tag F0803 — failed to meet residents' dietary needs — pattern
  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.
  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, staff interview, resident interviews and record view the facility failed to post the correct lunch menu and failed to ensure residents were offered meal options. The facility reported a census of 32 residents. Findings include: On 5/6/25 at 11:00 AM, the bulletin board outside of the kitchen door contained a copy of the meal schedule for the month of May. For Week 1, Tuesday 5/6, the lunch meal for the day was listed as; spaghetti with meat sauce, seasonal vegetable, garlic toast and pumpkin dessert. On 5/6/25 at 11:10 AM Staff C prepared the lunch meal of goulash, garlic toast, mixed vegetables and poppy seed cake. When asked about the menu changes, she said that they were transitioning to the new company that would be managing the facility, and they were trying to use up the food they had on hand. When asked if the residents had a menu that they would fill out daily, Staff C said they had a checklist with the resident's names. When the staff had time, the dietary aides would go around to…

  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 · Ecited before2025-05-08 · 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 policy review the facility failed to ensure that outdated foods had been discarded in a timely manner. The facility reported a census of 32 residents. Findings include. In an observation of the kitchen and coolers, on 5/05/25 at 9:40 AM, it was discovered that the walk-in refrigerator contained a bag of shredded carrots on the lower shelf. The bag was taped shut and the tape was dated 4/11/25. Staff C, [NAME] looked at that package and found that the expiration date was 4/18/25. Staff C then threw the carrots in the trash. The dry storage area contained 2 bags of gram cracker crumbs. The package was marked with an open date of 2/26/25. The Dietary Manager (DM) was not sure about an expiration date but agreed that the crumbs should be discarded. On 5/07/25 at 6:52 AM, the DM said that she would go through the coolers and dry storage looking for outdates on the day of deliveries. Other times, the staff may catch the outdates. She was not aware of a policy on checking for outdated food. According to policy titled: Food Brought in by…

  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 · D2025-05-08 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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.
  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 resident interview, staff interview, and policy review the facility failed to ensure 1 of 1 resident's (Resident #24) personal property was protected from loss or theft. The facility reported a census of 32 residents. Findings include: Review of Resident #24's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 12 indicating moderate cognitive impairment. Interview 5/05/25 at 12:18 PM Resident #24 revealed she was missing a blouse with hearts, and two pairs of jeans. Resident #24 revealed that she had told staff and that the items were never replaced. Interview 5/06/25 at 8:00 AM with Staff A revealed laundry will complete inventory sheets for residents. Staff A further revealed that she was unaware she was supposed to complete inventory sheets. Staff A further revealed once the facility was switched to another company inventory sheets started to be completed, and she realized she was to be doing the inventory sheets. Staff A then revealed she was unable to…

  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 · D2025-05-08 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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, resident interview, staff interviews and policy review the facility failed to accurately document and monitor the use of controlled substances for1 of 1 residenst reviewed. Resident #84 had prescriptions for oxycodone pain medication, scheduled three times a day and as needed (PRN.) The documentation of number of tablets administered on the Controlled Drug Count Record, was not in accordance with the Medication Administration Record (MAR.) The facility reported a census of 32 residents. Findings include: According to the Minimum Data Set (MDS) dated [DATE], Resident #84 was admitted to the facility on [DATE]. He had a Brief Interview for Mental Status (BIMS) score of 15 (intact cognitive ability.) The resident was dependent on staff for toileting, and transfers, and had a scheduled and as needed (PRN) pain medication. The residents' diagnoses included; anemia, renal insufficiency, pneumonia, cellulitis and pressure ulcers. The Care Plan for Resident #84, dated 4/10/25, showed…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-27 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  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 staff interviews and clinical record review the facility failed to follow medication orders for 1 of 3 residents. Resident #1 had a medication order for treatment of low blood pressure (BP) and staff were directed to hold the medication when the systolic BP (top number) was higher than 130. In the month of June, staff administered the medication many times outside of the parameters. The facility reported a census of 35 residents. Findings include: According to the Minimum Data Set (MDS) assessment dated [DATE], Resident #1 had a Brief Interview for Mental Status (BIMS) score of 11 (moderate cognitive deficits). The resident was totally dependent on staff for transfers and dressing and required hemodialysis services. Her diagnosis included anemia, hypertension, gastroesophageal reflux disease (GERD), end stage renal disease (ESRD) and diabetes mellitus. The Care Plan for Resident #1, dated 7/26/24, showed that the resident received hemodialysis related to ESRD. Staff were directed to communicate with 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 · Dcited before2024-07-27 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 staff interviews, clinical record review and hospital record review, the facility failed to provide complete and timely assessments and interventions for 1 of 3 residents reviewed. Resident #1 was readmitted to the facility after a long hospitalization. Staff failed to document current vital signs and failed to obtain a blood glucose level upon admission. The facility reported a census of 35 residents. Findings include: According to the Minimum Data Set (MDS) assessment dated [DATE], Resident #1 had a Brief Interview for Mental Status (BIMS) score of 11 (moderate cognitive deficits). The resident was totally dependent on staff for transfers and dressing and required hemodialysis services. Her diagnosis included anemia, hypertension, gastroesophageal reflux disease (GERD), end stage renal disease (ESRD) and diabetes mellitus. The Care Plan for Resident #1, dated 7/26/24, showed that the resident received hemodialysis related to ESRD. Staff were directed to communicate with the dialysis unit and to…

  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 · D2024-07-27 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  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 staff interviews, clinical record review and policy review the facility failed to conduct pre-dialysis assessments for 2 of 2 residents (Resident #1, and #3) reviewed. The facility reported a census of 35 residents. Findings include: 1. According to the Minimum Data Set (MDS) assessment dated [DATE], Resident #1 had a Brief Interview for Mental Status (BIMS) score of 11 (moderate cognitive deficits). The resident was totally dependent on staff for transfers and dressing and required hemodialysis services. Her diagnosis included anemia, hypertension, gastroesophageal reflux disease (GERD), end stage renal disease (ESRD) and diabetes mellitus. The Care Plan for Resident #1, dated 7/26/24, showed that the resident received hemodialysis related to ESRD. Staff were directed to communicate with the dialysis unit and to monitor for signs and symptoms of renal insufficiency such as change in heart and lung sounds, obtain vital signs and weight per protocol and report significant change in pulse, respirations…

  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 · Ecited before2024-06-13 · 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 observations, staff interviews, and facility policy review the facility failed to ensure sanitary conditions where staff prepared and stored food. The facility identified a census of 34 residents. Findings included: The initial kitchen walkthrough on 06/10/24 at 11:34 AM revealed the following: a. The stove top showed a thick layer of grease with food splatter and a variety of food debris. b. Open shelving contained food debris and dried liquid. c. Two carts contained a variety of scattered food debris. d. The floor contained an accumulation of food debris and a variety of dried liquid. During the kitchen walkthrough the Dietary Manager (DM) reported that she expected the stove, shelfs, carts and floor to be clean and free of food, dried liquid, and debris. When reviewing the cleaning logs, the DM stated, We complete the routine cleaning and sign our logs. There is a problem with someone that worked this past weekend. I'll follow up. The Cleaning and Sanitizing policy last revised June 2015 identified the facility promotes a clean and sanitary environment for its employees,…

  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 · D2024-06-13 · tag F0625 — isolated
  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
  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, staff interview, and facility policy, the facility failed to ensure bed hold notice was sent to the resident and or the resident's responsible person after giving a verbal consent when residents transferred out of the facility for 1 of 3 residents reviewed (Residents #19). The facility reported a census of 34 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] for Resident #19 documented diagnosis of heart failure, hyperlipidemia and asthma. The MDS showed the Brief Interview for Mental Status (BIMS) score of 13 indicating no cognitive impairment. Review of Resident #19's progress notes revealed the following information: a. on 8/26/23 at 9:27 p.m.,the ambulance was at the facility to take Resident #19 to the emergency room. b. On 8/29/23 at 11:39 a.m., the resident returned to the facility. Review of Resident #19's census tab revealed the following information: a. 8/26/23 hospital unpaid leave b. 8/29/23 active Review of the clinical record revealed a…

  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 37 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 $209K 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