facebook tracking Accura Healthcare of Milford, Milford IA: CMS Ratings
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Accura Healthcare of Milford

All states › Iowa › Milford › Accura Healthcare of Milford

1600 13th Street Milford, IA 51351 · Dickinson County

(712) 338-4742

Accepts Medicare Accepts Medicaid 46 certified beds For profit

CMS certification number 165402 · See this home on Medicare 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 Milford 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 Milford as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Iowa average of 3.1. Inspectors issued 8 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 2 out of 5.

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 3.55 hours per resident per day at Accura Healthcare of Milford, below the Iowa median of 3.76 (US median: 3.72). About 0.46 of those hours are from registered nurses. On weekends it falls to 3.22 hours, 9% below its all-week average. 31.8% of nursing staff left within a year (Iowa median 41.7%).

Nursing care per resident per day 3.55 hours
Below the Iowa median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.46 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.22 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 31.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — 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 beds46
Residents per day 44 About 95% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceFebruary 1999
Part of a chainAccura Healthcare
Legal business nameACCURA HEALTHCARE OF MILFORD LLC

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

Accura Healthcare of Milford 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 July 31, 2025 and found 0 deficiencies. In total, inspectors issued 8 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 8 citations at Accura Healthcare of Milford across 2 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 8 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident assessment and care planning (5) and freedom from abuse, neglect, and exploitation (1). The most serious was cited under the CMS rule to "develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals" (tag F0657, level E, May 18, 2023). 1 citation was under CMS's abuse, neglect and exploitation rules.

August 15, 2024 · 1 citation

DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Deficient, Provider has date of correction (Sep 15, 2024)

May 18, 2023 · 7 citations

EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Jun 18, 2023)

EProvide 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 (Jun 18, 2023)

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 (Jun 18, 2023)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Jun 18, 2023)

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 (Jun 18, 2023)

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 18, 2023)

DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0805 · Deficient, Provider has date of correction (Jun 18, 2023)

Questions to ask on a tour of Accura Healthcare of Milford

  1. CMS cited the home under its abuse and neglect rules on August 15, 2024. How are staff trained, and how are concerns reported?
  2. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  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 5/5 5/5 3/5 2/5
August 2026 4/5 5/5 3/5 1/5
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Location

Hospitals near Accura Healthcare of Milford

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

  • 6.4 mi
    Lakes Regional Healthcare Spirit Lake
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 5m for patients treated and sent home
  • 12.4 mi
    Spencer Municipal Hospital Spencer
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 8m for patients treated and sent home
  • 17.3 mi
    Avera Holy Family Health Estherville
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 1h 50m 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

Accura Healthcare of Spirit Lake Spirit Lake · 6.8 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 80 beds · Medicaid
Spencer Post Acute Rehabilitation Center Spencer · 12.4 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 82 beds · Medicaid
St Luke Lutheran Nursing Home Spencer · 14.2 mi away ★★☆☆☆ Inspection 1/5 · Staffing 5/5 79 beds · Medicaid
Good Samaritan - Estherville Estherville · 17.8 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 62 beds · Medicaid
Estherville Community Care Center Estherville · 18.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 46 beds · Medicaid

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

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

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/milford/accura-healthcare-of-milford/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.