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Accura Healthcare of Shenandoah

Nursing Home Facility

1203 South Elm Street, Shenandoah, IA 51601

Nursing Home Care Senior Living

Accura Healthcare of Shenandoah is a senior care community located in Shenandoah, IA. It provides nursing home care and senior living for older adults in the Shenandoah area. To learn more or schedule a tour, call (712) 246-4627.

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 Shenandoah is licensed for 42 beds, about typical for the area, where senior care communities in Page County average about 52 beds.

Federal reporting puts occupancy at about 98% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place. That is above the Page County average of roughly 82%.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in September 2025 and recorded 11 deficiencies.

Residents receive about 3.6 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 60%, which is high and can affect continuity of care.

The community is located in Page County, IA.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 1/5

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 32 problems at Accura Healthcare of Shenandoah. 3 findings involved harm to a resident, including 2 that put residents in immediate danger. 5 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $8,414.

Findings from the most recent inspection cycle

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Inspected September 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, a pattern 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 September 2025, after a complaint. Corrected by October 10, 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 September 2025. Corrected by October 10, 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 September 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, a pattern Administration

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Inspected September 2025. Corrected by October 10, 2025.

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

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

    Inspected September 2025. Corrected by October 10, 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 September 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected September 2025. Corrected by October 10, 2025.

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  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    PASARR screening for Mental disorders or Intellectual Disabilities

    Inspected September 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected September 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected September 2025. Corrected by October 10, 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 Shenandoah offers nursing home care and senior living.

Facility details

  • Organization type Non profit - Corporation
  • Beds / units 42
  • Occupancy 98%
  • Nursing hours per resident/day 3.6
  • Annual staff turnover 60%
  • Last health inspection September 2025

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