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Accura Healthcare of Marshalltown

All states › Iowa › Marshalltown › Accura Healthcare of Marshalltown

2401 South Second Street Marshalltown, IA 50158 · Marshall County

(641) 752-1553

All 4 nursing homes in Marshalltown, IA (4 take Medicaid)

Cited for abuse Accepts Medicare Accepts Medicaid 84 certified beds For profit

CMS certification number 165451 · 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 Marshalltown 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 Marshalltown as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Iowa average of 3.1. Inspectors issued 40 citations in the last three years. CMS imposed 2 penalties, including $9,350 in fines, in that time. 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.

Staffing

Nursing staff spend about 3.52 hours per resident per day at Accura Healthcare of Marshalltown, below the Iowa median of 3.76 (US median: 3.72). About 0.27 of those hours are from registered nurses. On weekends it falls to 3.18 hours, 10% below its all-week average. 42.1% of nursing staff left within a year (Iowa median 41.7%).

Nursing care per resident per day 3.52 hours
Below the Iowa median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.27 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.18 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 42.1% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 60% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds84
Residents per day 65 About 77% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceApril 2002
Part of a chainAccura Healthcare
Legal business nameACCURA HEALTHCARE OF MARSHALLTOWN LLC

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

Accura Healthcare of Marshalltown 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 March 12, 2026 and found 4 deficiencies, plus 7 from complaint inspections in the same period. In total, inspectors issued 40 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 40 citations at Accura Healthcare of Marshalltown across 8 inspection dates, 23 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on October 9, 2025. The most common areas cited were quality of life and care (9) and resident assessment and care planning (6). 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, October 9, 2025). 4 citations were under CMS's abuse, neglect and exploitation rules.

March 12, 2026 · 4 citations

FHave 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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Mar 18, 2026)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Mar 18, 2026)

DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0627 · Deficient, Provider has date of correction (Mar 18, 2026)

DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Mar 18, 2026)

November 24, 2025 · 3 citations · includes complaint inspection

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Complaint inspection · Deficient, Provider has date of correction (Dec 9, 2025)

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 · Complaint inspection · Deficient, Provider has date of correction (Dec 9, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Complaint inspection · Deficient, Provider has date of correction (Dec 9, 2025)

October 9, 2025 · 4 citations, includes actual harm · 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 (Oct 10, 2025)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Oct 10, 2025)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Oct 10, 2025)

DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Oct 10, 2025)

April 24, 2025 · 10 citations · includes complaint inspection

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

Potential for more than minimal harm · Administration Deficiencies · Tag F0865 · Complaint inspection · Deficient, Provider has date of correction (May 7, 2025)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (May 7, 2025)

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

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Complaint inspection · Deficient, Provider has date of correction (May 7, 2025)

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 7, 2025)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Mar 26, 2025)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (May 7, 2025)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (May 7, 2025)

DProvide or get specialized rehabilitative services as required for a resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0825 · Complaint inspection · Deficient, Provider has date of correction (May 7, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 7, 2025)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (May 7, 2025)

January 15, 2025 · 6 citations · includes complaint inspection

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Jan 21, 2025)

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Jan 21, 2025)

EProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Complaint inspection · Deficient, Provider has date of correction (Jan 21, 2025)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Jan 21, 2025)

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 · Complaint inspection · Deficient, Provider has date of correction (Jan 21, 2025)

DKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Complaint inspection · Deficient, Provider has date of correction (Jan 21, 2025)

November 5, 2024 · 1 citation · includes complaint inspection

DEmploy staff that are licensed, certified, or registered in accordance with state laws.

Potential for more than minimal harm · Administration Deficiencies · Tag F0839 · Complaint inspection · Deficient, Provider has date of correction (Nov 25, 2024)

July 25, 2024 · 8 citations

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 (Aug 16, 2024)

EEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0887 · Deficient, Provider has date of correction (Aug 16, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Aug 16, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Aug 16, 2024)

DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0676 · Deficient, Provider has date of correction (Aug 16, 2024)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Aug 16, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 16, 2024)

CPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Aug 16, 2024)

November 2, 2023 · 4 citations, includes actual harm · includes complaint inspection

GEnsure that residents are free from significant medication errors.

Actual harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Nov 21, 2023)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Nov 21, 2023)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Nov 21, 2023)

DAssess the resident when there is a significant change in condition

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0637 · Complaint inspection · Deficient, Provider has date of correction (Nov 21, 2023)

Questions to ask on a tour of Accura Healthcare of Marshalltown

  1. Inspectors cited the home at the actual-harm level on October 9, 2025 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 March 12, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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

2 penalties in the last three years, including $9,350 in fines.

DateTypeAmount or length
Nov 2, 2023 Fine $9,350
Nov 2, 2023 Payment Denial 7 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 1/5 1/5
August 2026 1/5 1/5 1/5 1/5
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Location

Hospitals near Accura Healthcare of Marshalltown

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

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

Nearby nursing homes

Southridge Specialty Care Marshalltown · 0.3 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 82 beds · Medicaid
Harmony Marshalltown Marshalltown · 1.2 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 72 beds · Medicaid
Iowa Veterans Home Marshalltown · 2.6 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 702 beds · Medicaid
State Center Specialty Care State Center · 13.1 mi away ★★★★☆ Inspection 3/5 · Staffing 4/5 39 beds · Medicaid
Oakview Nursing Home Conrad · 14.5 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 46 beds · Medicaid

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

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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.

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