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Nursing HomeMedicaid

Accura Healthcare of Sioux City, LLC

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

3800 Indian Hills Drive, Sioux City, IA 5110446 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
2.8/5

based on 18 Google reviews

5
4
3
2
1
Accura Healthcare of Sioux City, LLC Nursing Home in Sioux City, IA — Street View
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What this means for your family

While some families report positive, kind interactions with staff, there are serious, recurring allegations regarding resident safety, supervision, and facility hygiene. We strongly recommend that you conduct an unannounced visit to assess the facility's cleanliness and ask management directly about their policies regarding resident supervision and visitor communication.

Google Reviews

Google Reviews

18 reviews on Google
Accura Healthcare of Sioux City receives highly polarized feedback, with some families praising the kindness and attentiveness of the staff, while others report severe concerns regarding resident safety and administrative conduct. Critical issues mentioned include reports of missing residents, pest infestations, and restrictive communication policies for visitors. Prospective families should be aware of these significant inconsistencies in care quality and oversight.

Quality Themes

Tap a score for details
Food5.0Staff5.0Clean4.0ActivitiesN/AMedsN/AMemory1.0Comms2.0ValueN/A

Strengths

  • Kind and friendly nursing staff
  • Clean facility environment
  • Supportive hospice coordination

Concerns

  • Poor resident supervision and safety protocols (mentioned by 2 reviewers)
  • Unpleasant facility odors (mentioned by 2 reviewers)
  • Restrictive or hostile communication with visitors (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'18(3)'22(4)'24(3)'26(2)

Distribution · 20 analyzed

5
7
4
1
3
2
2
0
1
10

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1With a capacity of 46 residents, how do you ensure that each individual receives consistent supervision and safety monitoring throughout the day?
  • 2Could you walk me through your current protocols for facility maintenance and housekeeping to ensure the environment remains fresh and comfortable for residents?
  • 3What is your philosophy on communication with family members, and how do you ensure that updates regarding a loved one's care are shared in a welcoming and transparent way?
  • 4Given the focus on hospice coordination, how does your team integrate those specialized services with your daily nursing care to support residents and their families?
  • 5What specific activities or engagement programs do you offer to help residents feel connected and active within the community?
  • 6How does your nursing team coordinate with local medical providers to handle urgent health needs or emergencies for residents living here?

Personalized based on this facility's data


Key Review Excerpts

Staff has been very kind and friendly to both my father during his stay as well as the rest of our family when we visit. They always took time to explain to my dad what they were going to do before moving him or other activities.

Long-term resident's family · 2024★★★★★

Do NOT send ur loved ones here , the staff doesn’t even know where their residents are half the time , they had a resident missing from 1pm -530 pm and stated that she shouldn’t of been left alone when she left , They have BED BUGS also stay away .

Family member · 2022☆☆☆☆

They are trying to keep the only person who has his best interest at heart out of his life. They shut his cell phone off and didn't tell him so he couldnt contact me or vice versa and when I went to the nursing home to let him know it had been shut off they kicked me out.

Friend/Neighbor · 2024☆☆☆☆
Source: 18 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.44hrs
58%
Registered nurses for medical care
Total Nursing
3.74hrs
91%
All nurses + aides combined
Staff Turnover
31%
Lower is better (< 30% = good)
RN Turnover
56%
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 · 16 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

2

measures

Mixed Results

4

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility79.7%
Worse than Avg
Here
79.7%
US
93.4%
IA
93.9%
Woodbury
93.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.1%
Better than Avg
Here
13.1%
US
19.5%
IA
20.7%
Woodbury
23.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility23.7%
Mixed vs Avgs
Here
23.7%
US
15.4%
IA
19.4%
Woodbury
24.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.5%
Better than Avg
Here
10.5%
US
15.3%
IA
17.5%
Woodbury
15.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.0%
Mixed vs Avgs
Here
6.0%
US
12.1%
IA
4.1%
Woodbury
0.8%

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

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.1%
Better than Avg
Here
12.1%
US
14.4%
IA
17.6%
Woodbury
17.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility68.3%
Worse than Avg
Here
68.3%
US
81.8%
IA
84.0%
Woodbury
82.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IA
2.0%
Woodbury
3.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Near state avg (6.2)
9 complaint-triggered

This facility has had 38 deficiencies across three surveys, with nine complaint-triggered issues from families reporting concerns about resident rights, safety, and care quality. The main problem areas are fire safety systems, food service, and care planning. Most recent issues focus on building safety and electrical systems, while earlier complaints involved inadequate respiratory care, accident prevention, and financial management. All deficiencies show correction dates from the provider.

Dec 4, 2025Routine
10
0271Potential for harm · WidespreadCorrected

Egress Deficiencies

Have exits that are accessible at all times.

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0710Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Oct 24, 2024Routine
9
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

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.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jul 25, 2023Routine
10
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0802Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0803Potential for harm · PatternCorrected

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

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.

0657Potential for harm · IsolatedCorrected

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.

0661Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Jul 25, 2023Complaint
9
0580Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0567Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
21deficiencies
Dec 29, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Dec 4, 2025Inspection
Clean

Fed violations: 6, State violations: 0

Oct 23, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Jul 31, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Feb 13, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Oct 24, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Sep 23, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Aug 31, 2023Inspection
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Accura Healthcare of Sioux City, LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Accura Healthcare

Chain Size

41 facilities nationwide

Chain avg rating: 2.4/5 · Rank 16 of 37

Ownership & Management

Owners

American Healthcare Associates INC

Owner · Organization

Accura Healthcare

Owner (parent company) · Organization

Leneave, Ted

Owner (parent company)

Key personnel

Ph Pomeroy LLC5% or Greater Mortgage InterestGemino Healthcare Finance LLC5% or Greater Security InterestLeneave, TedOfficer / DirectorToti, LisaOfficer / DirectorAmerican Healthcare Management Services LLCManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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