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Nursing HomeMedicaid Top Rated

Accura Healthcare of Milford

Strong Medicare quality ratings; families often praise positive rehab department. Still worth an in-person visit.

1600 13th Street, Milford, IA 5135146 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 11 Google reviews

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

While historical reviews highlight a positive rehab experience and caring staff, the recent trend shows a decline in ratings. We recommend scheduling an in-person tour to observe current staffing levels and resident engagement firsthand, as there is insufficient recent qualitative data to confirm current quality of care.

Google Reviews

Google Reviews

11 reviews on Google
Accura Healthcare of Milford receives limited qualitative feedback, with most reviews lacking descriptive text. While one resident praised the rehab department, activities, and staff, the lack of detailed recent reviews makes it difficult to assess current operational standards.

Quality Themes

Tap a score for details
Food10.0Staff8.0CleanN/AActivities10.0MedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Positive rehab department
  • Engaging resident activities
  • Clean, modern facility

Rating Trends

Tap a year to see what changed

2345.02016(1)4.52017(4)5.02019(1)3.02022(3)5.02023(2)5.02024(1)1.02025(2)

Distribution · 14 analyzed

5
8
4
2
3
0
2
2
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard great things about the rehab department; could you tell us more about how the therapy team works with residents to maintain their mobility?
  • 2The facility looks incredibly clean and modern; what is your routine for maintaining the upkeep of the resident rooms and common areas?
  • 3We'd love to hear more about the daily schedule and what kind of engaging activities are planned to keep the residents social and active?
  • 4With a smaller, intimate community of 46 residents, how do you ensure that each person receives personalized attention from the nursing team?
  • 5What is the protocol for handling medical emergencies or urgent care needs during the overnight hours?
  • 6Since we noticed the staff is very responsive to feedback, how do you typically involve families in the care planning process?

Personalized based on this facility's data


Key Review Excerpts

Rehab is so positive, thanks for making me feel at home, Terri Jo does a great job, everyone from the top down has made my stay easier.

Rehab patient · 2019★★★★★

Thank you for the beautiful care, whirlpools have been great, caring staff, great meals, love the activities.

Rehab patient · 2019★★★★★

Staff really cares about the residents!

Family member · 2023★★★★★
Source: 11 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.48hrs
64%
Registered nurses for medical care
Total Nursing
3.53hrs
86%
All nurses + aides combined
Staff Turnover
36%
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

9

measures

Worse Than Avg

4

measures

Mixed Results

4

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility37.1%
Worse than Avg
Here
37.1%
US
15.3%
IA
17.5%
Dickinson
17.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility29.1%
Worse than Avg
Here
29.1%
US
14.4%
IA
17.6%
Dickinson
17.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility11.0%
Better than Avg
Here
11.0%
US
15.4%
IA
19.4%
Dickinson
21.4%
🚿

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%
Dickinson
22.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility29.0%
Worse than Avg
Here
29.0%
US
19.5%
IA
20.7%
Dickinson
21.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.6%
Mixed vs Avgs
Here
6.6%
US
12.1%
IA
4.1%
Dickinson
2.3%

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 Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
IA
73.3%
Dickinson
87.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
IA
84.0%
Dickinson
88.0%
💊

Short-stay residents newly given antipsychotics

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

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
Well below state avg (6.2)
Clean record — no deficiencies

Accura Healthcare of Milford has ongoing fire safety system issues, with sprinkler system deficiencies appearing in both 2023 and 2025 surveys, and backup power problems recurring across the same timeframe. The facility also had significant issues in 2023 with care planning and resident assessments that appear corrected. While all deficiencies show correction dates, the persistence of fire safety and electrical system problems across multiple years suggests ongoing maintenance challenges families should discuss during visits.

Jul 31, 2025Routine
2
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Aug 15, 2024Routine
3
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

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.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

May 18, 2023Routine
14
0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
13deficiencies
Apr 14, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Oct 29, 2025Other
Clean

Fed violations: 0, State violations: 0

Jul 31, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Sep 15, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Aug 15, 2024Inspection
Clean

Fed violations: 1, State violations: 1

Jun 18, 2023Inspection
Clean

Fed violations: 0, State violations: 0

May 18, 2023Inspection
Clean

Fed violations: 7, State violations: 0

Feb 24, 2022Inspection
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Accura Healthcare of Milford

Organization Type

for profit

Chain Affiliation

Chain Name

Accura Healthcare

Chain Size

41 facilities nationwide

Chain avg rating: 2.4/5 · Rank 4 of 37 (Best)

Ownership & Management

Owners

Accura Midwest Healthcare LLC

Owner (parent company) · Organization

Leneave, Thomas

Owner (parent company)

Key personnel

Butcher, DarenW-2 Managing EmployeeOlson, BrettW-2 Managing EmployeeToti, LisaW-2 Managing EmployeeLeneave, TedOfficer / DirectorLeneave, ThomasOfficer / 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

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