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Nursing HomeMedicaid Investigative

Accura Healthcare of Toledo

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

403 Grandview Drive, Toledo, IA 5234255 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 9 Google reviews

5
4
3
2
1
Accura Healthcare of Toledo Nursing Home in Toledo, IA — Street View
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1/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low staffing rating (2/5 stars)

Below average in IA · Below recommended RN staffing · Chain outperformer · $8,193 in fines · Very few deficiencies

Source: Medicare data

What this means for your family

While long-term staff have been praised for their care in the past, the most recent report of discriminatory behavior is a serious red flag that warrants direct questioning of the administration. When touring, ask specifically about the facility's diversity and inclusion policies and how they ensure a respectful environment for both staff and residents.

Google Reviews

Google Reviews

9 reviews on Google
Accura Healthcare of Toledo receives mixed feedback, with some reviewers praising the friendly, attentive medical and social services staff. However, recent reports of discriminatory behavior and concerns regarding administrative oversight suggest significant inconsistencies in the facility's culture and management.

Quality Themes

Tap a score for details
FoodN/AStaff6.0CleanN/AActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Friendly, personable medical staff
  • Attentive social services team
  • Caring long-term employees

Concerns

  • Allegations of discriminatory behavior by staff

Rating Trends

Tap a year to see what changed

2343.02018(2)4.52020(2)5.02021(1)4.52023(2)5.02024(1)1.02025(1)1.02026(1)

Distribution · 10 analyzed

5
4
4
2
3
2
2
0
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1With a capacity of 55 residents, how does your team ensure that each individual receives consistent, personalized attention given the current staffing levels?
  • 2I noticed there have been some recent state-level citations; what specific steps is the leadership team taking to address these findings and improve your health inspection outcomes?
  • 3We value a welcoming environment for everyone; could you share your facility's policies and training programs regarding fostering an inclusive culture for all residents and staff?
  • 4Many of your long-term employees are highly praised for their care—how do you support your staff to ensure they can maintain that level of dedication and attentiveness?
  • 5What does a typical day look like for residents here, and how does your social services team tailor activities to keep everyone engaged and connected?
  • 6In the event of a medical emergency, what is your protocol for coordinating care with local hospitals and keeping family members informed in real-time?

Personalized based on this facility's data


Key Review Excerpts

Well organized. Friendly personable medical staffing. Social services staff goes out of their way to find the resources to fullfill the needs & wants of the residents.

Local Guide · 2020★★★★★

Very caring long time staff

Local Guide · 2023★★★★

My daughter was scheduled for a shift and was treated poorly because of her skin color. She simply asked for a pen in order to do the assignment she came for. This should be addressed and I blame the Administration and the DON.

Visitor/Family member · 2025☆☆☆☆
Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
45%
Registered nurses for medical care
Total Nursing
2.97hrs
72%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
71%
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
1/ 5
Better Than Avg

4

measures

Worse Than Avg

11

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility77.6%
Worse than Avg
Here
77.6%
US
93.4%
IA
93.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility25.5%
Worse than Avg
Here
25.5%
US
14.4%
IA
17.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility15.8%
Better than Avg
Here
15.8%
US
19.4%
IA
25.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility22.4%
Worse than Avg
Here
22.4%
US
15.4%
IA
19.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.6%
Mixed vs Avgs
Here
5.6%
US
12.1%
IA
4.1%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.8%
Worse than Avg
Here
25.8%
US
19.5%
IA
20.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility68.2%
Worse than Avg
Here
68.2%
US
79.7%
IA
73.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility76.2%
Worse than Avg
Here
76.2%
US
81.8%
IA
84.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.2%
Worse than Avg
Here
2.2%
US
1.6%
IA
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
1penalties
Well below state avg (6.2)
8 complaint-triggered
$8,193 in fines

Accura Healthcare of Toledo shows concerning patterns with families filing complaints that led to findings of safety hazards, inadequate nursing care, and treatment issues. The facility has recurring problems with fire safety systems, electrical equipment, and accident prevention that persist across multiple surveys from 2023 to 2026. While all deficiencies show correction dates, the repeated safety and care planning violations suggest ongoing operational challenges that families should carefully consider.

Jan 8, 2026Routine
9
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

Nov 21, 2024Routine
7
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

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.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0851Minimal · PatternCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Nov 21, 2024Complaint
2
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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Aug 22, 2024Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

Dec 12, 2023Routine
13
0222Potential for harm · WidespreadCorrected

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.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0291Potential for harm · PatternCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

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.

Dec 12, 2023Complaint
2
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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Federal Penalties

Fine

Jul 13, 2023

$8,193

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
8deficiencies
May 26, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Apr 28, 2026Complaint
Clean

Fed violations: 1, State violations: 0

Feb 5, 2026Inspection
Clean

Fed violations: 0, State violations: 0

Jan 8, 2026Inspection
Clean

Fed violations: 3, State violations: 0

Nov 20, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Oct 16, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Sep 15, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Dec 30, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Accura Healthcare of Toledo

Organization Type

for profit

Chain Affiliation

Chain Name

Accura Healthcare

Chain Size

41 facilities nationwide

Chain avg rating: 2.4/5 · Rank 11 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

Accura Management Consulting Services LLCManagerAllen, BradyManagerBishop, AndrewManagerGlaser, KristopherManagerJones, BrendaManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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