Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency
across a group says more about an operator than any single building.
Green Lea Senior Living runs 2.37 nurse hours per resident day, roughly 39 percent under the national average of 3.86, with weekends about 6 percent thinner than weekdays, so the thinnest coverage lands when families tend to visit. The inspection record is heavy: 38 deficiencies, two of them at harm or jeopardy level and four tied to abuse, and the most recent inspection in June 2025 didn't clear that. A 4/5 quality measure score sits oddly beside a 1/5 on staffing and a 1/5 on health inspections, which tells you charted care metrics look better than the day-to-day reality of who's actually on the floor. Corporate for-profit ownership, 41 beds.
Accura Healthcare Of Shenandoah runs 42 beds under for-profit LLC ownership, and the numbers behind its D grade are worth walking through slowly. Nurse staffing sits at 3.63 hours per resident day, roughly 6% under the national average, and weekends drop about 12% below what the home itself staffs on weekdays, so coverage thins exactly when families tend to visit. Staff turnover is 60.4% against a national 45.8%, meaning most of the people caring for residents are relatively new. The current record shows 32 deficiencies, three at harm or jeopardy level and two tied to abuse, with a $8,414 fine and an inspection dated September 2025. All three CMS star ratings, health inspection, quality measures, staffing, sit at 1 out of 5.
Meadow Manor runs on thin staffing. At 2.94 nurse hours per resident day, it sits about 24 percent under the national average, and weekends drop roughly another 23 percent below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Twenty deficiencies are on the current record, including one at the harm level and two tied to abuse, which is a lot for a 26-bed home where problems are hard to hide. The four-star inspection rating and February 2026 visit suggest regulators found real issues but nothing rising to widespread failure. Corporate ownership and that one-star staffing rating explain where the overall grade lands.
Accura Healthcare Of Marshalltown is a for-profit, 84-bed home in Marshall County, and its record is thin in the places that matter most. Nurse staffing runs 3.60 hours per resident day, about 7% under the national average, and drops roughly another 10% on weekends, which is when families often visit and notice. The current inspection record carries 42 deficiencies, including three at the harm or jeopardy level and four tied to abuse, and the latest inspection was March 2026. Staff turnover, at 42.3%, is actually slightly better than the national 45.8%, so the problem isn't retention alone; it's what's happening on the floor and in the survey record.
Accura Healthcare of Cascade sits in a small Dubuque County town with 46 certified beds, run by a for-profit limited liability company. The staffing numbers are the strong point: 4.26 nurse hours per resident day, roughly 10% above the national average, and turnover at 30.6% beats the 45.8% national figure. Weekends run about 11% leaner than weekdays, which is common but worth knowing. The trouble is on the inspection side, where the health inspection rating lands at 2 out of 5. Five deficiencies are on the current record, including one at the harm or jeopardy level and one abuse-related. The last inspection was in May 2025. Good staffing can't fully offset a harm-level finding. Ask what happened and what changed.
Accura Healthcare Of O'neill runs 84 beds under for-profit LLC ownership, and its staffing numbers tell a split story. Nurses provide 3.77 hours per resident day, just under the national average, and the weekend gap of roughly 11% means care thins out when families tend to visit. Staff turnover sits at 63.8%, well above the 45.8% national figure, so the people caring for your relative are likely to change often. Inspections in May 2025 turned up 26 deficiencies, four tied to abuse, none at harm level, and the health and quality ratings both land at 2 out of 5.
What that means for you: ask about weekend coverage and how the home keeps experienced aides.
Accura Healthcare of Tekamah runs 44 certified beds under corporate for-profit ownership, and its nurse staffing sits at 2.91 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, and annual turnover reaches 51.6% against a national 45.8%, meaning more than half the nursing staff turns over each year. The current record carries 15 deficiencies, two of them abuse-related, though none rose to harm or jeopardy level. CMS rates staffing 1 out of 5 stars, with inspection and quality measures each at 2. The most recent inspection was February 12, 2026. Families should ask how weekend coverage is actually staffed and how abuse-related findings were resolved.
Accura Healthcare of Creston runs 31 certified beds under for-profit limited liability ownership, and the numbers worth your attention are the staffing ones. Nurse coverage sits at 3.80 hours per resident day, a bit under the national average, and it thins out on weekends, roughly 18% below the home's own weekday level. Annual turnover of 68.4% is well above the 45.8% national figure, meaning most of the people caring for residents are relatively new to the building. The inspection record shows 33 deficiencies, including two at the harm level and one tied to abuse, with a $16,801 fine and a May 2025 inspection. State surveyors rated health inspections and quality measures 2 out of 5.
Accura Healthcare Of Cresco is a 46-bed for-profit home where the numbers matter more than any single grade. Its nurse staffing sits at 3.91 hours per resident day, only about 1% above the national average, and that thin margin erodes on weekends, when coverage drops roughly 21% below the home's own weekday level. Annual turnover is 80.6%, well above the 45.8% national figure, meaning the people caring for residents are constantly changing. The inspection record shows 57 deficiencies, including one at the harm or jeopardy level and six tied to abuse. The last inspection was January 29, 2026. Every CMS star rating here, health inspections, quality measures, and staffing, comes in at the lowest tier. Ask about weekend coverage and how they keep residents safe when staff turns over that fast.
Accura Healthcare of Toledo runs about 2.89 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 9% below its own weekday staffing. That thin coverage shows up in the numbers: a 56.5% annual turnover rate against a national average of 45.8% means the aides and nurses at the bedside keep changing. Inspectors cited 18 deficiencies on the current record, one serious enough to reach harm or jeopardy level, with the most recent visit in January 2026. Ownership is corporate, for-profit. Nothing here is abuse-related, but the staffing, turnover, and inspection history are the parts worth pressing the administrator on before you decide.
Accura Healthcare of North Platte runs 71 certified beds under corporate ownership, and its last state inspection was in April 2025, recent enough that the findings still reflect how the place operates now. That inspection history is the strong part: 19 deficiencies on record, but none at the harm or jeopardy level and none tied to abuse. Where it gets thinner is staffing. At 3.35 nurse hours per resident day, it sits about 13% under the national average, weekend coverage dips below its own weekday level, and turnover near 65% means CNAs and nurses keep cycling through. High turnover and below-average hours are the combination families usually feel first.
Accura Healthcare of Franklin runs 42 beds under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag. At 2.75 nurse hours per resident day, it's roughly 29% under the national average of 3.86, and weekends dip about 13% below its own weekday coverage, so your family member's care could look thinner on Saturdays and Sundays. Annual turnover sits at 70% against a national 45.8%, which means aides and nurses cycle through faster than most places. The 16 deficiencies on record carry no harm or abuse findings, and the last inspection was March 2025, so the record is current. But a 1-out-of-5 quality measure rating tells you the clinical outcomes aren't strong.