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Nursing HomeMedicaid Top Rated

Accura Healthcare of Cascade LLC

Strong Medicare quality ratings. Still worth an in-person visit before deciding.

701 North Johnson Street Nw, Cascade, IA 5203346 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 1 Google review

Accura Healthcare of Cascade LLC Nursing Home in Cascade, IA — Street View
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What this means for your family

Choosing Accura Healthcare of Cascade LLC means your loved one is in a facility that ranks well on Medicare quality measures. High RN hours correlate directly with lower rates of hospital readmission and better specialized care coordination. While no facility is perfect, the clinical data here is encouraging.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.80hrs
OK
Registered nurses for medical care
Total Nursing
4.63hrs
OK
All nurses + aides combined
Staff Turnover
30%
Lower is better (< 30% = good)
RN Turnover
14%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

6

measures

Worse Than Avg

7

measures

Mixed Results

4

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility39.5%
Worse than Avg
Here
39.5%
US
19.5%
IA
20.7%
Dubuque
19.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.2%
Better than Avg
Here
2.2%
US
12.1%
IA
4.1%
Dubuque
5.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.1%
Worse than Avg
Here
29.1%
US
19.4%
IA
25.9%
Dubuque
26.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility25.0%
Worse than Avg
Here
25.0%
US
15.4%
IA
19.4%
Dubuque
20.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility87.4%
Mixed vs Avgs
Here
87.4%
US
93.4%
IA
93.9%
Dubuque
87.2%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
5.3%
IA
4.9%
Dubuque
3.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility52.2%
Worse than Avg
Here
52.2%
US
79.7%
IA
73.3%
Dubuque
64.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility81.1%
Mixed vs Avgs
Here
81.1%
US
81.8%
IA
84.0%
Dubuque
76.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.1%
Worse than Avg
Here
4.1%
US
1.6%
IA
2.0%
Dubuque
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (6.2)
2 complaint-triggered

This facility shows recurring safety infrastructure problems, primarily with fire safety systems, electrical equipment, and emergency preparedness across multiple surveys from 2023-2025. The same deficiencies repeatedly appear - fire alarm systems failed inspection three times, electrical wiring issues occurred twice, and emergency power systems had ongoing problems. While all violations have been corrected according to provider reports, the pattern of recurring safety deficiencies is concerning, and one family did file a complaint about staff training in 2025.

Mar 4, 2026Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 3, 2025Complaint
1
0940Potential for harm · IsolatedCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

May 15, 2025Routine
4
0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

Jul 3, 2024Routine
8
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jun 1, 2023Routine
8
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Accura Healthcare of Cascade LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Accura Healthcare

Chain Size

41 facilities nationwide

Chain avg rating: 2.4/5 · Rank 2 of 37 (Best)

Ownership & Management

Owners

Accura Healthcare of the Heartland LLC

Owner · Organization

100%

American Healthcare Management Services LLC

Owner · Organization

Key personnel

Black, TaylorW-2 Managing EmployeeToti, LisaW-2 Managing EmployeeDixon, KevinOfficer / DirectorLeneave, TedOfficer / DirectorToti, LisaOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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