All states › Iowa › Shenandoah › Accura Healthcare of Shenandoah
1203 South Elm Street Shenandoah, IA 51601 · Page County
All 2 nursing homes in Shenandoah, IA (2 take Medicaid)
CMS certification number 165529 · See this home on Medicare Care Compare
Is Accura Healthcare of Shenandoah 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 Shenandoah 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 4.43 hours per resident per day at Accura Healthcare of Shenandoah, above the Iowa median of 3.76 (US median: 3.72). About 0.84 of those hours are from registered nurses. On weekends it falls to 3.85 hours, 13% below its all-week average. 60.5% of nursing staff left within a year (Iowa median 41.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Accura Healthcare of Shenandoah: Medicare and Medicaid
Accura Healthcare of Shenandoah 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 September 18, 2025 and found 10 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 32 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 32 citations at Accura Healthcare of Shenandoah across 5 inspection dates, 5 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 6, 2023 (complaint inspection). The most common areas cited were nutrition and dietary (7) and resident assessment and care planning (6). The most serious was cited under the CMS rule to "timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities" (tag F0609, level K, December 6, 2023). 2 citations were under CMS's abuse, neglect and exploitation rules.
September 18, 2025 · 11 citations · includes complaint inspection
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EHave 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.
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.
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.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
DEnsure each resident receives an accurate assessment.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide and implement an infection prevention and control program.
October 17, 2024 · 7 citations
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EHave 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DEnsure each resident receives an accurate assessment.
DEnsure services provided by the nursing facility meet professional standards of quality.
September 15, 2024 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 6, 2023 · 3 citations, includes immediate jeopardy · includes complaint inspection
KTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
June 29, 2023 · 10 citations, includes actual harm
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EObserve each nurse aide's job performance and give regular training.
EEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDispose of garbage and refuse properly.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Questions to ask on a tour of Accura Healthcare of Shenandoah
- Inspectors cited the home at the immediate-jeopardy level on December 6, 2023 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on December 6, 2023. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 60.5% a year. How many of the staff come from agencies?
- 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 $8,414 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 6, 2023 | Fine | $8,414 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 4/5 | 1/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 1/5 |
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Location
Hospitals near Accura Healthcare of Shenandoah
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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0.3 mi
Shenandoah Medical Center ShenandoahEmergency roomMedian ER visit 1h 54m for patients treated and sent home
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17.2 mi
George C Grape Community Hospital HamburgEmergency roomMedian ER visit 1h 48m for patients treated and sent home
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17.5 mi
Clarinda Regional Health Center ClarindaEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 33m 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 Shenandoah › All nursing homes in Shenandoah ›
Compare Accura Healthcare of Shenandoah 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.