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Accura Healthcare of Onawa

Nursing Home Facility

222 North 15th Street, Onawa, IA 51040

Assisted Living Nursing Home Care Senior Living
Accura Healthcare of Onawa

Accura Healthcare of Onawa is a senior care community located in Onawa, IA. It provides assisted living, nursing home care, and senior living for older adults in the Onawa area. To learn more or schedule a tour, call (712) 423-2510.

Operated by Accura Healthcare, which runs 39 communities in our directory.

Employer rating 2.6 out of 5 110 reviews from their own employees on Indeed. See what they say.

Accura Healthcare of Onawa is licensed for 46 beds, about typical for the area, where senior care communities in Monona County average about 58 beds.

Federal reporting puts occupancy at about 88% of its licensed beds.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Monona County average about 3.7 stars. Its most recent standard health inspection was in May 2025 and recorded 5 deficiencies.

Residents receive about 3.2 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Communities in Monona County average about 4.0 hours. Nursing staff turnover over the past year was about 50%.

The community is located in Monona County, IA.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 30 problems at Accura Healthcare of Onawa. 1 finding involved harm to a resident. 6 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    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.

    Inspected May 2025. Corrected by May 22, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    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.

    Inspected May 2025. Corrected by May 22, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

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

    Inspected May 2025. Corrected by May 22, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected May 2025. Corrected by May 22, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected May 2025. Corrected by May 22, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Accura Healthcare of Onawa offers assisted living, nursing home care, and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 46
  • Occupancy 88%
  • Nursing hours per resident/day 3.2
  • Annual staff turnover 50%
  • Last health inspection May 2025

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