Accura Healthcare of Muscatine
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 15 Google reviews

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What this means for your family
Given the severe reports of neglect and communication failures, we strongly advise families to conduct unannounced visits during off-hours to observe actual staffing levels and response times. While some individual staff members are praised for their care, the systemic issues regarding medical management and hygiene are significant red flags that require thorough investigation before placement.
Google Reviews
Google Reviews
15 reviews on Google“Accura Healthcare of Muscatine (formerly Premier Estates) faces significant criticism regarding patient neglect, poor communication, and unprofessional administrative practices. While some reviewers praise individual staff members for their kindness, recurring reports of unaddressed medical needs, hygiene issues, and staffing shortages suggest a inconsistent and potentially unsafe environment.”
Quality Themes
Tap a score for detailsStrengths
- Individual staff members noted as caring
- Effective rehabilitation services
- Welcoming atmosphere for some residents
Concerns
- Neglect and lack of responsiveness to patient needs (mentioned by 3 reviewers)
- Understaffed and overworked nursing/CNA team (mentioned by 2 reviewers)
- Poor administrative management (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 16 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1I've heard wonderful things about some of your individual staff members being so caring; how do you foster that kind of personal connection with your residents?
- 2With the recent focus on improving staffing levels, what specific steps is the facility taking to ensure the nursing and CNA teams have enough support to meet everyone's needs?
- 3How does the facility manage medication administration to ensure accuracy and safety for every resident?
- 4Could you tell me a bit about the dining experience and what kind of meal planning is in place to ensure nutritious and appetizing food?
- 5What is the protocol for handling medical emergencies or urgent health changes during the overnight hours?
- 6What kind of daily activities or social programs are available to keep residents engaged and part of the community?
Personalized based on this facility's data
Key Review Excerpts
“Especially to ‘Penny’ one of the night nurses who was one of the sweetest, caring health care workers I’ve ever met!”
“WAITED 30 MINUETS RINGING THE BELL TO PICK UP A PATIENT. NOT ONE PERSON CAME TO THE DOOR. THEY LOOKED AT YA AND WENT ON.”
“My Mother was taken to this hell hole yesterday. As a hospice patient she is in her last days. Left with no meds for over 24 hours not helped with her meals and left in front of her window which is the only place we can see her half naked and exposed.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
7
measures
6
measures
4
measures
Residents who fell and were seriously hurt
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns across multiple care areas, with families filing complaint reports that triggered inspections. The most recurring issues involve resident assessment and care planning, fire safety systems, and nutrition services. Problems persist across multiple surveys, including repeated deficiencies in fire extinguisher maintenance, emergency procedures, and food safety that have required ongoing correction efforts over three years.
Aug 28, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
May 8, 2025Routine10
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Sep 16, 2024Complaint1
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Aug 1, 2024Routine19
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Smoke Deficiencies
Provide properly protected cooking facilities.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 1, 2024Complaint2
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.
Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Oct 26, 2023Routine19
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Nutrition and Dietary Deficiencies
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.
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Sep 29, 2025ComplaintClean
Fed violations: 0, State violations: 0
Aug 28, 2025ComplaintClean
Fed violations: 1, State violations: 0
May 29, 2025InspectionClean
Fed violations: 0, State violations: 0
May 8, 2025InspectionClean
Fed violations: 6, State violations: 0
Apr 9, 2025OtherClean
Fed violations: 0, State violations: 0
Oct 1, 2024ComplaintClean
Fed violations: 0, State violations: 0
Sep 16, 2024ComplaintClean
Fed violations: 1, State violations: 0
Sep 4, 2024InspectionClean
Fed violations: 0, State violations: 0
Ownership & Operations
Who Operates This Facility
Accura Healthcare of Muscatine
for profit
Chain Affiliation
Accura Healthcare
41 facilities nationwide
Chain avg rating: 2.4/5 · Rank 15 of 37
Ownership & Management
Owners
Aviv Healthcare of the Midwest LLC
Owner · Organization
Avenue94 LLC
Owner (parent company) · Organization
Aviv Healthcare Holdings LLC
Owner (parent company) · Organization
Kimmons Healthcare Investments LLC
Owner (parent company) · Organization
Ktl Enterprises LLC
Owner (parent company) · Organization
Little River Investments LLC
Owner (parent company) · Organization
Zrr Opco LLC
Owner (parent company) · Organization
Allen, Brady
Owner (parent company)
Kleinsasser, Megan
Owner (parent company)
Leneave, Ted
Owner (parent company)
Toti, Lisa
Owner (parent company)
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
15 reviews from families & visitors
Official Website
Visit accura.healthcare
Medicare data downloads
Original nursing home datasets
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