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Nursing HomeMedicaid Investigative

Accura Healthcare of Lake City, LLC

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1409 West Main Street, Lake City, IA 5144946 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 9 Google reviews

5
4
3
2
1
Accura Healthcare of Lake City, LLC Nursing Home in Lake City, IA — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (12 vs median 5)
  • High RN turnover (78%)

Bottom 25% in IA · Below recommended RN staffing · Above average staffing · Worst in ACCURA HEALTHCARE chain · $38,610 in fines

Source: Medicare data

What this means for your family

This facility is highly regarded for its cleanliness and the compassionate, attentive nature of its nursing staff. Families should feel confident in the facility's ability to provide a respectful environment, though they may want to inquire about specific clinical capabilities during their tour.

Google Reviews

Google Reviews

9 reviews on Google
Accura Healthcare of Lake City receives praise for its compassionate, attentive nursing staff and consistently clean facility environment. Residents and family members highlight the facility's active social calendar and the gracious, respectful treatment provided by the care team.

Quality Themes

Tap a score for details
FoodN/AStaff10.0Clean10.0Activities10.0MedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Consistently clean and spotless facility
  • Engaging activities for residents
  • Gracious and respectful care environment

Rating Trends

Tap a year to see what changed

2345.02017(2)1.02020(1)4.02022(1)3.72025(6)

Distribution · 10 analyzed

5
6
4
1
3
0
2
0
1
3

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about how clean and spotless the facility is kept; what are your daily cleaning routines for the resident rooms?
  • 2Since the nursing staff is often described as very compassionate and attentive, how do you ensure that level of personal care stays consistent for every resident?
  • 3With the recent state inspections, what specific steps has the facility taken to address and resolve the identified deficiencies?
  • 4What kind of engaging daily activities or social events do you have planned to keep the residents active and connected?
  • 5How does the clinical team handle medical emergencies or sudden changes in a resident's health during the night?
  • 6How do you ensure that the high staffing levels mentioned in your ratings are maintained during busy shifts to provide the best care?

Personalized based on this facility's data


Key Review Excerpts

Every time we have been there every room has been spotless. The nurses and CNA's have been very attentive to all the clients.

Long-term resident's family · 2025★★★★★

They do lots of fun activities for the residents. Staff is always smiling and are very compassionate toward the residents!

Visitor · 2025★★★★★

I never thought at my age I'd go to a nursing home..but I did an i had a very good experience..all the staff was very gracious to me.

Rehab patient · 2025★★★★★
Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.37hrs
50%
Registered nurses for medical care
Total Nursing
3.68hrs
90%
All nurses + aides combined
Staff Turnover
45%
Lower is better (< 30% = good)
RN Turnover
88%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

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

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.7%
Worse than Avg
Here
29.7%
US
19.4%
IA
25.9%
Calhoun
17.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility26.0%
Worse than Avg
Here
26.0%
US
14.4%
IA
17.6%
Calhoun
14.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility25.7%
Worse than Avg
Here
25.7%
US
15.3%
IA
17.5%
Calhoun
14.2%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility13.0%
Worse than Avg
Here
13.0%
US
3.2%
IA
3.7%
Calhoun
3.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.2%
Better than Avg
Here
17.2%
US
19.5%
IA
20.7%
Calhoun
22.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.8%
Mixed vs Avgs
Here
6.8%
US
12.1%
IA
4.1%
Calhoun
3.5%

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

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility44.0%
Worse than Avg
Here
44.0%
US
79.7%
IA
73.3%
Calhoun
76.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility78.7%
Worse than Avg
Here
78.7%
US
81.8%
IA
84.0%
Calhoun
83.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IA
2.0%
Calhoun
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
2penalties
Well above state avg (6.2)
20 complaint-triggered
$38,610 in fines

This facility has faced persistent problems with safety hazards, medication management, and care planning, with families filing 21 complaint-triggered reports across multiple surveys. Most concerning are repeated safety violations spanning from 2023 to 2025, inadequate nursing staffing levels, and medication errors. While the provider has reportedly corrected individual deficiencies, the pattern of recurring issues in these critical areas suggests ongoing systemic challenges that families should carefully consider.

Jan 15, 2026Complaint
3
0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Oct 30, 2025Complaint
1
0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

Oct 22, 2025Complaint
1
0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Apr 3, 2025Routine
7
0362Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Apr 3, 2025Complaint
2
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jan 9, 2025Complaint
5
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0725Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0728Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

0755Potential for harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Federal Penalties

Fine

Jan 9, 2025

$35,341

Fine

Sep 14, 2023

$3,269

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
7deficiencies
May 18, 2026Inspection
Clean

Fed violations: 0, State violations: 0

Apr 23, 2026Inspection
Clean

Fed violations: 2, State violations: 0

Apr 8, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Feb 10, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Jan 15, 2026Complaint
Clean

Fed violations: 3, State violations: 0

Dec 11, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Nov 20, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Oct 30, 2025Complaint
Clean

Fed violations: 1, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Accura Healthcare of Lake City, LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Accura Healthcare

Chain Size

41 facilities nationwide

Chain avg rating: 2.4/5 · Rank 36 of 37 (Worst)

Ownership & Management

Owners

Accura Healthcare of the Heartland LLC

Owner · Organization

100%

Key personnel

Duncan, DerekW-2 Managing EmployeeLindgren, TaesaW-2 Managing EmployeeToti, LisaW-2 Managing EmployeeLeneave, TedOfficer / DirectorToti, LisaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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