facebook tracking Accura Healthcare of Cascade, Cascade IA: CMS Ratings
Skip to content
Nursing homes near meNear me

Accura Healthcare of Cascade

All states › Iowa › Cascade › Accura Healthcare of Cascade

701 North Johnson Street NW Cascade, IA 52033 · Dubuque County

(563) 852-3277

Cited for abuse Accepts Medicare Accepts Medicaid 46 certified beds For profit

CMS certification number 165568 · See this home on Medicare Care Compare

CMS abuse icon CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years. Shown as of October 2026. Details on Care Compare.

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Accura Healthcare of Cascade a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Accura Healthcare of Cascade as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Iowa average of 3.1. Inspectors issued 5 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 3 out of 5. Those results differ a lot, so ask about the unit your family member would be on. CMS currently shows its abuse icon for this home (see above).

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Next steps

Compare with the 3 closest homes

Staffing

Nursing staff spend about 4.34 hours per resident per day at Accura Healthcare of Cascade, above the Iowa median of 3.76 (US median: 3.72). About 0.65 of those hours are from registered nurses. On weekends it falls to 3.70 hours, 15% below its all-week average. 30.9% of nursing staff left within a year (Iowa median 41.7%). That is lower than most homes in Iowa, a sign of a steadier team.

Nursing care per resident per day 4.34 hours
Above the Iowa median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.65 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.70 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 30.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 50% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds46
Residents per day 42 About 91% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 2006
Part of a chainAccura Healthcare
Legal business nameACCURA HEALTHCARE OF CASCADE LLC

Paying for care at Accura Healthcare of Cascade: Medicare and Medicaid

Accura Healthcare of Cascade is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on May 28, 2026 and found 1 deficiency, plus 2 from complaint inspections in the same period. In total, inspectors issued 5 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 5 citations at Accura Healthcare of Cascade across 4 inspection dates, 3 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on May 28, 2026. The most common areas cited were administration (1) and freedom from abuse, neglect, and exploitation (1). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level G, May 28, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.

May 28, 2026 · 2 citations · includes complaint inspection

GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Jun 15, 2026)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Jun 15, 2026)

March 4, 2026 · 1 citation · includes complaint inspection

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Mar 23, 2026)

July 3, 2025 · 1 citation · includes complaint inspection

DDevelop, implement, and/or maintain an effective training program for all new and existing staff members.

Potential for more than minimal harm · Administration Deficiencies · Tag F0940 · Complaint inspection · Deficient, Provider has date of correction (Jul 11, 2025)

May 15, 2025 · 1 citation

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (May 31, 2025)

Questions to ask on a tour of Accura Healthcare of Cascade

  1. Inspectors cited the home at the actual-harm level on May 28, 2026 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on May 28, 2026. How are staff trained, and how are concerns reported?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 4/5 4/5
August 2026 2/5 2/5 4/5 4/5
Add this rating badge to your websiteFree. Shows Accura Healthcare of Cascade's Medicare star rating and updates itself.

Size and colour

Preview

Accura Healthcare of Cascade Medicare star rating badge

Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.

Examples, sizes and help on the badge page ›

Location

Hospitals near Accura Healthcare of Cascade

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 13.3 mi
    Mercy Medical Center-Dyersville Dyersville
    Emergency room
    Median ER visit 1h 45m for patients treated and sent home
  • 18.8 mi
    Jones Regional Medical Center Anamosa
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 1h 56m for patients treated and sent home
  • 21.6 mi
    The Finley Hospital Dubuque
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 1h 54m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Monticello Nursing & Rehab Center Monticello · 9.9 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 75 beds · Medicaid
MercyOne Dyersville Senior Care Dyersville · 13.3 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 40 beds · Medicaid
Anamosa Care Center Anamosa · 18.8 mi away ★★★★☆ Inspection 3/5 · Staffing 2/5 64 beds · Medicaid
Hawkeye Care Center Dubuque Asbury · 19.0 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 80 beds · Medicaid
Grand Meadows Senior Living & Health Care Asbury · 19.9 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 32 beds · Medicaid

More nursing homes near Accura Healthcare of Cascade ›   All nursing homes in Cascade ›

Compare Accura Healthcare of Cascade with the 3 closest homes side by side ›

Higher-rated nursing homes within 10 miles

Other Accura Healthcare nursing homes in Iowa

Affiliation comes from CMS's affiliated-entity data, October 2026. All 44 Accura Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

Compare

https://www.nursinghomesineachstate.com/iowa/cascade/accura-healthcare-of-cascade/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.