67.5/100
Average
Accura Healthcare Of Onawa
222 North 15Th Street, Onawa, IA 51040
- Certified beds
- 46
- Occupancy
- 88%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
Our read on Accura Healthcare Of Onawa
Accura Healthcare Of Onawa runs 46 beds under corporate for-profit ownership, and the staffing numbers are the first thing I'd flag: 3.22 nurse hours per resident day, roughly 16 percent under the national average, with weekend coverage dropping about 19 percent below its own weekday level. That matters because 50 percent of staff turned over in the past year, above the 45.8 percent national figure, so the people providing that care keep changing. The inspection record shows 30 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection in May 2025. CMS gave middling marks across its three categories, which tells you this home isn't failing outright but isn't steady either.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
13.5/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.7 total nurse hours per resident per day (national median 3.77)
- →0.63 RN hours per resident per day
- →Weekend staffing drops 19% against weekdays
Staff stability
9/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →50% of nursing staff left in the last year
Resident outcomes
5/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →2 of 5 stars on the CMS quality-measure rating
Enforcement history
10/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →No federal fines on record
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: May 8, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of ACCURA HEALTHCARE, which operates 41 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Accura Healthcare Of Onawa
What is the ElderGrade for Accura Healthcare Of Onawa? +
Accura Healthcare Of Onawa holds an ElderGrade of C (67.5 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Accura Healthcare Of Onawa? +
Residents receive an average of 3.22 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Accura Healthcare Of Onawa been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Accura Healthcare Of Onawa accept Medicaid? +
Yes, Accura Healthcare Of Onawa is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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