All states › Iowa › Pleasantville › Accura Healthcare of Pleasantville
909 North State Street Pleasantville, IA 50225 · Marion County
CMS certification number 165324 · See this home on Medicare Care Compare
Is Accura Healthcare of Pleasantville 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 Pleasantville as of October 2026.
CMS rates it 1 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 3.65 hours per resident per day at Accura Healthcare of Pleasantville, below the Iowa median of 3.76 (US median: 3.72). About 0.51 of those hours are from registered nurses. On weekends it falls to 2.97 hours, 18% below its all-week average. Ask how weekends are staffed. 46.5% of nursing staff left within a year (Iowa median 41.7%). 2 administrators left in the past year.
About this nursing home
Paying for care at Accura Healthcare of Pleasantville: Medicare and Medicaid
Accura Healthcare of Pleasantville 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 30, 2026 and found 0 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 44 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 44 citations at Accura Healthcare of Pleasantville across 5 inspection dates, 27 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 30, 2024 (complaint inspection). The most common areas cited were quality of life and care (10) and resident assessment and care planning (10). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level K, September 30, 2024). 4 citations were under CMS's abuse, neglect and exploitation rules.
April 30, 2026 · 1 citation · includes complaint inspection
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
May 8, 2025 · 16 citations · includes complaint inspection
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave a plan that describes the process for conducting QAPI and QAA activities.
DReasonably accommodate the needs and preferences of each resident.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DProtect each resident from the wrongful use of the resident's belongings or money.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DRespond appropriately to all alleged violations.
DEnsure each resident receives an accurate assessment.
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.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide and implement an infection prevention and control program.
DEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
September 30, 2024 · 12 citations, includes immediate jeopardy · includes complaint inspection
KProvide and implement an infection prevention and control program.
GProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DEnsure each resident receives an accurate assessment.
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 appropriate treatment and care according to orders, resident’s preferences and goals.
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.
June 24, 2024 · 12 citations · includes complaint inspection
FEnsure the activities program is directed by a qualified professional.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
EProvide activities to meet all resident's needs.
EEnsure 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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.
DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
February 26, 2024 · 3 citations · includes complaint inspection
FProvide and implement an infection prevention and control program.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
Questions to ask on a tour of Accura Healthcare of Pleasantville
- Inspectors cited the home at the immediate-jeopardy level on September 30, 2024 under the rule on infection control. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 8, 2025. How are staff trained, and how are concerns reported?
- Weekend staffing is 18% below the all-week average. Who is on duty on Saturday nights?
- Several administrators left in the past year. What has changed for residents since then?
- 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 $28,724 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Sep 30, 2024 | Fine | $28,724 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 3/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 3/5 | 3/5 |
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Location
Hospitals near Accura Healthcare of Pleasantville
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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10.1 mi
Knoxville Hospital & Clinics KnoxvilleEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 18m for patients treated and sent home
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18.8 mi
Pella Regional Health Center PellaEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 32m for patients treated and sent home
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23.0 mi
Mercy Medical Center-Des Moines Des MoinesEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 4h 4m 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
More nursing homes near Accura Healthcare of Pleasantville › All nursing homes in Pleasantville ›
Compare Accura Healthcare of Pleasantville with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- West Ridge Specialty Care · Knoxville · 4 stars · 9.9 mi
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.