All states › Iowa › Lake City › Accura Healthcare of Lake City
1409 West Main Street Lake City, IA 51449 · Calhoun County
CMS certification number 165082 · See this home on Medicare Care Compare
Is Accura Healthcare of Lake City 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 Lake City as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Iowa average of 3.1.
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.
Staffing
Nursing staff spend about 4.09 hours per resident per day at Accura Healthcare of Lake City, above the Iowa median of 3.76 (US median: 3.72). About 0.69 of those hours are from registered nurses. On weekends it falls to 3.53 hours, 14% below its all-week average. 43.8% of nursing staff left within a year (Iowa median 41.7%).
About this nursing home
Paying for care at Accura Healthcare of Lake City: Medicare and Medicaid
Accura Healthcare of Lake City 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 April 23, 2026 and found 2 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 36 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 36 citations at Accura Healthcare of Lake City across 9 inspection dates, 16 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 9, 2025 (complaint inspection). The most common areas cited were quality of life and care (10) and resident assessment and care planning (8). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, January 9, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
April 23, 2026 · 2 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
January 15, 2026 · 3 citations · includes complaint inspection
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
October 30, 2025 · 1 citation · includes complaint inspection
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
October 22, 2025 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 3, 2025 · 7 citations · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
January 9, 2025 · 5 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DEnsure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
May 30, 2024 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
April 4, 2024 · 3 citations · includes complaint inspection
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
February 22, 2024 · 13 citations
EProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
DAssess the resident when there is a significant change in condition
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide and implement an infection prevention and control program.
DGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Questions to ask on a tour of Accura Healthcare of Lake City
- Inspectors cited the home at the immediate-jeopardy level on January 9, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 4, 2024. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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
1 penalty in the last three years, including $35,341 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jan 9, 2025 | Fine | $35,341 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 4/5 | 3/5 |
| August 2026 | 2/5 | 2/5 | 3/5 | 3/5 |
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Location
Hospitals near Accura Healthcare of Lake City
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.1 mi
Stewart Memorial Community Hospital Lake CityEmergency roomMedian ER visit 2h 7m for patients treated and sent home
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15.6 mi
St Anthony Regional Hospital & Nursing Home CarrollEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 13m for patients treated and sent home
- 15.7 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Accura Healthcare of Lake City › All nursing homes in Lake City ›
Compare Accura Healthcare of Lake City with the 3 closest homes side by side ›
Other Accura Healthcare nursing homes in Iowa
- Accura Healthcare of New Hampton · New Hampton · 5 stars
- Accura Healthcare of Bancroft · Bancroft · 5 stars
- Accura Healthcare of Sioux City · Sioux City · 5 stars
- Accura Healthcare of Milford · Milford · 5 stars
- Accura Healthcare of Stanton · Stanton · 4 stars
- Accura Healthcare of Ogden · Ogden · 4 stars
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.