Accura Healthcare of Sioux City, LLC

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 0.08 therapist hours per resident per day in 2026Q1 — more than 4% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% 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 46 beds and averages 41.5 residents a day — about 90% occupied, or roughly 4 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 3.74 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.43 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.57 is at or above 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 3.06 hrs/resident/day on weekends vs 4.01 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 0.49 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 37% 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 more than at the previous inspection — worsening. 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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · Ecited before2025-12-04 · 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 proper sanitary conditions in the kitchen area, where staff prepared food. The facility identified a census of 41 residents.Findings included:During the initial kitchen walkthrough on 12/1/25 at 10:35 AM, the following observations were made:a. The double-door refrigerator contained various scattered food debris.b. A cart holding clean dishes also had scattered food debris present.c. The dishwasher showed white, flaky, crusted lime buildup along the top and sides. Additional lime buildup was observed on the coffee machine tray.d. Black spots were seen on the wall and in the corner above the dishwashing area.The Cleaning Instructions: Refrigerators policy dated 2021 policy identified the refrigerators will be cleaned thoroughly inside and outside with a detergent and followed by a sanitizer at least once every month, or as needed. Spills and leaks will be cleaned as they occur. Procedure:1. Remove all food from the refrigerator. Store food in another refrigerator or cooler until 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-04 · 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, family interview, staff interview, and policy review the facility failed to notify the Long-Term Care Ombudsman of a transfer to a hospital for 2 of 3 residents (Resident #31, and #43) reviewed. The facility reported a census of 41 residents. Findings include: 1. Review of Resident #31's Minimum Data Set (MDS) dated [DATE] revealed Resident #31 entered the facility from a short-term general hospital stay on 6/11/25. The MDS further revealed a Brief Interview for Mental Status (BIMS) score of 9 indicating moderate cognitive impairment. Interview on 12/01/2025 at 5:25 PM with Resident #31's family member revealed that Resident #31 was in the hospital awhile ago related to having to have a couple of toes amputated related to Resident #31's terrible neuropathy, and poor circulation. Review of a facility provided document titled, Notice of Transfer Form to Long Term Care Ombudsman dated June 2025 revealed that Resident #31 was not on the form. 2. Review of Resident #43's MDS dated…

  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 before2025-12-04 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  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 interview, the facility failed to refer 1 resident with a negative Level I result for the Preadmission Screening and Resident Review (PASRR), who was later identified with newly evident or possible serious mental disorder, intellectual disability, or other related condition, to the appropriate state-designated authority for Level II PASRR evaluation and determination for 1 out of 1 residents (Resident #7) reviewed for PASRR requirements. The facility reported a census of 41 residents.Findings include:1. The Minimum Data Set (MDS) assessment dated [DATE] for Resident #7 documented diagnoses of anxiety disorder, depression, bipolar disease and schizophrenia. The MDS included a Brief Interview for Mental Status (BIMS) score of 15, which indicated no cognitive impairment. The Medical Diagnosis list for Resident #7 revealed the following diagnoses:other schizophrenia 4/6/2023mild neurocognitive disorder 4/22/25The Clinical Orders for Resident #7 revealed the following…

  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 · D2025-12-04 · 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 record review and staff interviews the facility failed to provide professional standards of care by not following physician orders to include the updated order and the correct medication end date in the electronic record for 1 out of 13 residents reviewed (Resident #8). The facility reported a census of 41 residents.The Minimum Data Set (MDS) dated [DATE] for Resident #8 documented diagnoses of anemia, obstructive sleep apnea, insomnia. The MDS showed the Brief Interview for Mental Status (BIMS) score of 14 which indicated no cognitive impairment. The Clinical Orders for Resident #8 showed:Check Oxygen Levels Daily and as needed dated 12/1/25Oxygen 2 - 5 liters per nasal cannula to keep levels greater than 92% dated 2/10/25The Weights and Vital records showed the facility failed to check oxygen levels on:12/1/2512/2/2512/3/2512/4/25The Care Plan for Resident #8 failed to indicate the resident's oxygen levels required monitoring or that oxygen supplementation might be needed to maintain oxygen levels…

  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 · D2025-12-04 · 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 a review of clinical records, staff interviews, and facility policy, the facility failed to complete assessments and interventions for necessary care and services related to dialysis. Clinical record review revealed that nursing staff did not complete all required dialysis evaluations for 1 of 1 residents reviewed (Resident #2). The facility reported a census of 41 residents.Findings include: The Minimum Data Set (MDS) assessment dated [DATE] for Resident #2 documented diagnoses hypertension, end-stage renal disease and dependence on renal dialysis. The MDS included a Brief Interview for Mental Status (BIMS) score of 15, which indicated no cognitive impairment. The Physician Order dated 6/11/25 instructed staff to obtain a full set of vital signs and the resident's weight both before and after dialysis on Monday, Wednesday, and Friday.The Dialysis Assessments for Resident #37 indicated the facility failed to complete the pre-dialysis, post-dialysis, or both evaluations on the following dates during 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-04 · tag F0710 — isolated
  Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
  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 a review of the clinical record, facility policy, and staff interviews, the facility failed to notify the physician when the resident's blood pressure exceeded the established notification parameters for 1 of 13 residents reviewed (Resident #2). The facility reported a census of 41 residents. Findings include:The Minimum Data Set (MDS) assessment dated [DATE] for Resident #2 documented diagnoses hypertension, end-stage renal disease and dependence on renal dialysis. The MDS included a Brief Interview for Mental Status (BIMS) score of 15, which indicated no cognitive impairment. The Care Plan for Resident #2 documented a diagnosis of hypertension and included an intervention directing staff to monitor vital signs and report any abnormal findings to the provider.The Clinical Orders dated 8/17/25 for Resident #2 showed an order to check blood pressures daily and call the provider if for systolic below 90 or above 160. The Weights and Vital Signs report for Resident #2 showed that staff failed to notify 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-07-25 · tag F0580 — failed to tell family and doctor about changes — pattern
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect 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 record review, staff interview, and document review the facility failed to notify the physician with a change in condition for 2 of 2 residents reviewed (Residents #7 and #22). Finding include: 1. Resident #7's Minimum Data Set (MDS) dated [DATE] for documented a Brief Interview of Mental Status (BIMS) of 15 indicating no cognitive impairment. The MDS included a diagnosis of edema. Resident #7 had a weight loss of 5% or more in the previous month or a loss of 10% or more in the previous six months while not on a physician-prescribed weight-loss regimen. The MDS listed that Resident #7 received a diuretic (medication to remove excess fluids) for seven out of seven days in the lookback period. Resident #7 June 2023 Medication Administration Record (MAR) included the following orders dated 7/22/22: a. Daily weight and notify the physician if weight gain of 2-3 pounds overnight or 4-5 pounds in five days. Notify the physician with any change in condition, chest pain, intolerable pain, unable to tolerate…

  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 · E2023-07-25 · tag F0802 — failed to prepare enough nourishing food — pattern
  Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on document review, observations, policy, and staff interview the facility failed to employ sufficient staff with the appropriate competencies and skills sets to effectively carry out the functions of the food and nutrition service department. The facility reported a census of 43. residents. Findings include: The Diet Spreadsheets labeled Week 3 Wednesday signed by the Dietitian on 4/13/23 provided by Staff J, Dietary Manager, listed the following information: a. Regular diet: 3 ounces (oz) smoked pork loin, one baked sweet potato, and 4 oz buttered peas. b. Pureed diet: #8 scoop pureed smoked pork loin, #8 scoop mashed sweet potatoes, and #12 scoop pureed buttered peas. c. Mechanical soft diet: 3 oz ground smoked pork loin, one baked sweet potato with no skin, and 4 oz scoop creamed corn. On 7/19/23 observed Staff G's, Cook, scoops used for the lunch meal revealed: a. Pureed wax beans size # 16 scoop, pureed meat 3 oz scoop, and pureed sweet potato 3 oz scoop. b. Regular sweet potato 3 oz slotted scoop, peas 3 oz slotted scoop, and wax beans 3 oz slotted scoop. c. Mechanical…

  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 · E2023-07-25 · 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

  Based on observation, document review and staff interview the facility failed to follow the menu and prepare food to meet the nutritional needs of the residents. The facility reported a census of 43 residents. Findings include: Review untitled document titled Week 3 menu for Wednesday provided by Staff J revealed a. regular diet: 3 oz smoked pork loin, 1 baked sweet potato, and 4 oz buttered peas b. pureed diet: #8 scoop pureed smoked pork loin, #8 scoop mashed sweet potatoes, and pureed buttered peas. c. Mechanical soft diet: 3 oz ground smoked pork loin, 1 baked sweet potato with no skin, and creamed corn. Observation of scoops used by Staff G for lunch meal for 7/19/23 revealed: pureed wax beans size # 16 scoop, pureed meat 3 oz scoop, pureed sweet potato 3 oz scoop, regular sweet potato 3 oz slotted scoop, mechanical soft meat size #16 scoop, Pea 3 oz slotted scoop, wax beans 3 oz slotted scoop. An observation on 7/19/23 at 11:55 AM revealed a pureed diet portion chart behind the food processor in the kitchen. On 7/19/23 at 11:42 AM Staff G stated she just eyeballs the amount of…

  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 before2023-07-25 · 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

  2. On 7/19/23 at 12:21 PM during the continuous observation of the lunch service witnessed Staff G fill the scoops used to serve the mechanical soft diet and the pureed diets only partially full. Witnessed Staff G picked up a peanut butter and jelly sandwich with gloved hands, placed the sandwich on a plate then picked up tongs for pork, placed pork on plate, picked up strainer spoon for sweet potatoes, and then picked up the lids for room trays. Then with the same gloves and without hand hygiene, Staff G picked up bread, picked up a plate, placed the bread on the plate, picked up the room tray lid, applied the lid to the plate, picked up the strawberry cobblers, and put the cobblers on the tray. Staff G used both hands for each task and repeated these tasks through the entire lunch service without changing her gloves or performing hand hygiene. On 7/19/23 at 1:36 PM Staff J, Dietary Manager, stated the facility's expectation is that gloves are changed when hands are soiled or when moving from any contaminated surface and food. On 7/20/23 at 12:34 PM the Dietitian stated new gloves…

  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

“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 17 rows in the source record cover these 10 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.

6 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.

About 81% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $209K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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