Accura Healthcare of Shenandoah
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 29 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)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (11 vs median 5)
- High staff turnover (67%)
- High RN turnover (80%)
Bottom 25% in IA · Below recommended RN staffing · Above average staffing · Worst in ACCURA HEALTHCARE chain · $8,414 in fines
What this means for your family
While the facility has a history of being praised for its cleanliness and kind staff, the most recent feedback is deeply concerning. Families should conduct a thorough, in-person tour and ask direct questions about current staffing ratios and the facility's process for handling complex medical needs.
Google Reviews
Google Reviews
29 reviews on Google“Accura Healthcare of Shenandoah receives highly polarized feedback, with many older reviews praising the compassionate, attentive staff and clean environment. However, more recent feedback is significantly more critical, with concerns regarding the quality of care and potential staffing limitations.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Clean and well-maintained facility
- Friendly and respectful administrative support
Concerns
- Potential staffing shortages affecting care quality and admissions (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 30 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given that the facility has 42 residents, how do you ensure that each person receives consistent, personalized attention throughout the day?
- 2I noticed there have been some recent challenges regarding staffing levels; what steps is the facility taking to ensure that residents' needs are always met promptly?
- 3Communication is very important to our family; what is the best way for us to stay updated on our loved one's daily well-being and any changes in their care plan?
- 4With the recent focus on improving health inspection outcomes, could you walk us through the specific quality improvement initiatives currently in place?
- 5What does a typical social or activity schedule look like for residents here, and how do you encourage participation among those who might be more reserved?
- 6In the event of a medical emergency, what is your protocol for stabilizing a resident and how quickly do you coordinate with local hospitals?
Personalized based on this facility's data
Key Review Excerpts
“The staff is very friendly and willing to go the extra mile to ensure their residents are having their needs met. We enjoyed lunch and it was a very nice meal.”
“Very clean, nurses are very attentive and nice, compassionate, considerate, and loving.”
“My mother in law lived here and they took wonderful care of her. They were very kind and always willing to help.”
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
5
measures
7
measures
4
measures
Residents who got a urinary tract infection
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents who fell and were seriously hurt
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 with families filing complaints that triggered deficiencies related to resident protection and abuse reporting, though these were reportedly corrected. The most recurring issues span nursing staffing, food service and dietary management, and fire safety systems. While all 49 deficiencies across five surveys show correction dates, the persistent problems with basic operational areas like maintaining adequate nursing coverage and proper food handling suggest ongoing management challenges that families should carefully evaluate during visits.
Sep 18, 2025Routine15
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Services Deficiencies
Have an externally vented heating system.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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.
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.
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Sep 18, 2025Complaint1
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.
Oct 17, 2024Routine13
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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.
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Sep 15, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 6, 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
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Jun 29, 2023Routine16
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Dec 6, 2023
$8,414
Payment Denial
Jun 29, 2023
6-day denial
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Nov 18, 2025InspectionClean
Fed violations: 0, State violations: 0
Sep 18, 2025InspectionClean
Fed violations: 11, State violations: 0
Nov 7, 2024InspectionClean
Fed violations: 0, State violations: 0
Oct 17, 2024InspectionClean
Fed violations: 7, State violations: 0
Sep 15, 2024OtherClean
Fed violations: 1, State violations: 0
Sep 15, 2024OtherClean
Fed violations: 0, State violations: 0
Jun 28, 2024ComplaintClean
Fed violations: 0, State violations: 0
Jan 19, 2024OtherClean
Fed violations: 0, State violations: 0
Ownership & Operations
Who Operates This Facility
Accura Healthcare of Shenandoah
for profit
Chain Affiliation
Accura Healthcare
41 facilities nationwide
Chain avg rating: 2.4/5 · Rank 33 of 37 (Worst)
Ownership & Management
Owners
Leneave, Thomas
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
29 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 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.