Accura Healthcare of Onawa
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 23 Google reviews
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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)
Bottom 25% in IA · Worst in ACCURA HEALTHCARE chain · No penalties on record
What this means for your family
This facility has a history of serious complaints regarding patient neglect, including issues with nutrition and basic hygiene. If you are considering this location, we strongly advise conducting an unannounced visit and asking specifically about their protocols for monitoring food intake and call light response times.
Google Reviews
Google Reviews
23 reviews on Google“Accura Healthcare of Onawa faces severe criticism regarding patient neglect, including reports of malnutrition, poor hygiene, and unresponsive staff. While a few reviews mention positive staff interactions, the majority of feedback highlights dangerous lapses in basic care and a lack of accountability from management.”
Quality Themes
Tap a score for detailsStrengths
- Occasional dedicated nursing staff
- Some staff members show genuine care
Concerns
- Neglect of basic needs such as nutrition and hydration (mentioned by 2 reviewers)
- Unresponsive staff and slow call light response times (mentioned by 2 reviewers)
- Poor cleanliness and sanitation standards (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 24 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Could you walk me through your current process for ensuring residents receive timely assistance when they use their call lights?
- 2What specific steps is the facility taking to improve the cleanliness and sanitation of the resident rooms and common areas?
- 3How do you ensure that every resident's nutritional and hydration needs are being met during meal times?
- 4Can you tell me more about how the nursing staff manages medication administration to ensure accuracy and safety?
- 5What kind of daily activities or social programs are available to keep the residents engaged and active?
- 6In the event of a medical emergency during the night, what is the protocol for getting immediate care for a resident?
Personalized based on this facility's data
Key Review Excerpts
“His room was filthy! When I asked for a broom to clean it I got an attitude from staff. I had to get cleaning supplies from the store and clean it myself.”
“Because of the lack of care given to my mother she is no longer with us. She went in for short stay rehab after a stroke and was doing great when she left the hospital...simple enough, but ended up passing away from malnutrition and kidney failure because no one was making sure she was eating and drinking enough.”
“Excellent staff working each day to make a truly impactful difference for the residents!”
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 · 16 measures
4
measures
10
measures
2
measures
Residents needing more daily help over time
Residents on antipsychotic medication
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents who lost too much weight
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 has faced recurring challenges, with families filing nine complaint-triggered reports over five surveys. The most persistent issues involve quality of care (including pressure ulcer prevention appearing in complaints), food safety and nutrition, and facility safety standards. While the facility has corrected deficiencies when cited, problems with care quality, dietary services, and safety continue to resurface across multiple inspections, suggesting ongoing operational challenges families should carefully consider.
May 8, 2025Routine6
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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.
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
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Construction Deficiencies
Use approved construction type or materials.
Jul 27, 2024Complaint3
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 appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Jun 13, 2024Routine17
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Construction Deficiencies
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Construction Deficiencies
Use approved construction type or materials.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
Jan 12, 2024Complaint3
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 29, 2023Routine13
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Jun 29, 2023Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Mar 26, 2026ComplaintClean
Fed violations: 0, State violations: 0
May 22, 2025InspectionClean
Fed violations: 0, State violations: 0
May 8, 2025InspectionClean
Fed violations: 5, State violations: 0
Nov 26, 2024ComplaintClean
Fed violations: 0, State violations: 0
Aug 12, 2024ComplaintClean
Fed violations: 0, State violations: 0
Jul 27, 2024ComplaintClean
Fed violations: 3, State violations: 0
Jun 26, 2024InspectionClean
Fed violations: 0, State violations: 0
Jun 13, 2024InspectionClean
Fed violations: 7, State violations: 0
Ownership & Operations
Who Operates This Facility
Accura Healthcare of Onawa
for profit
Chain Affiliation
Accura Healthcare
41 facilities nationwide
Chain avg rating: 2.4/5 · Rank 31 of 37 (Worst)
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)
Glaser, Kristopher
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
23 reviews from families & visitors
Official Website
Visit accura.healthcare
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.