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

All states › Iowa › Toledo › Accura Healthcare of Toledo

403 Grandview Drive Toledo, IA 52342 · Tama County

(641) 484-5080

Accepts Medicare Accepts Medicaid 55 certified beds For profit

CMS certification number 165450 · 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 Toledo 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 Toledo as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Iowa average of 3.1. Inspectors issued 16 citations in the last three years. CMS reports no fines or payment denials in that time.

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 3.17 hours per resident per day at Accura Healthcare of Toledo, below the Iowa median of 3.76 (US median: 3.72). About 0.23 of those hours are from registered nurses. On weekends it falls to 2.86 hours, 10% below its all-week average. 58.3% 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.

Nursing care per resident per day 3.17 hours
Below the Iowa median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.23 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.86 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 58.3% 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 beds55
Residents per day 54 About 97% 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 TOLEDO LLC

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

Accura Healthcare of Toledo 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 January 8, 2026 and found 3 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 16 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 16 citations at Accura Healthcare of Toledo across 5 inspection dates, 7 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 15 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were quality of life and care (7) and resident assessment and care planning (4). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level E, November 21, 2024).

April 28, 2026 · 1 citation · includes complaint inspection

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 · Deficient, Provider has date of correction (May 22, 2026)

January 8, 2026 · 3 citations

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 · Deficient, Provider has date of correction (Jan 30, 2026)

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 · Deficient, Provider has date of correction (Jan 30, 2026)

DProvide or obtain dental services for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0791 · Deficient, Provider has date of correction (Jan 30, 2026)

November 21, 2024 · 4 citations · includes complaint inspection

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 (Dec 9, 2024)

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 (Dec 9, 2024)

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, 2024)

BElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Potential for minimal harm · Administration Deficiencies · Tag F0851 · Deficient, Provider has date of correction (Dec 9, 2024)

August 22, 2024 · 2 citations · includes complaint inspection

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Sep 8, 2024)

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 (Sep 8, 2024)

December 12, 2023 · 6 citations · includes complaint inspection

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 · Complaint inspection · Deficient, Provider has date of correction (Jan 5, 2024)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Jan 5, 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 (Jan 5, 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 (Jan 5, 2024)

DDevelop 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 (Jan 5, 2024)

DProvide 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 5, 2024)

Questions to ask on a tour of Accura Healthcare of Toledo

  1. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  2. Nursing staff turnover was 58.3% a year. How many of the staff come from agencies?
  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 3/5 4/5 2/5 1/5
August 2026 3/5 4/5 2/5 1/5
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Location

Hospitals near Accura Healthcare of Toledo

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

Sunny Hill Care Center Tama · 0.8 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 4/5 57 beds · Medicaid
Westbrook Acres Gladbrook · 15.2 mi away ★★☆☆☆ Inspection 3/5 · Staffing 4/5 54 beds · Medicaid
Sunrise Hill Care Center Traer · 15.4 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 76 beds · Medicaid
Harmony Marshalltown Marshalltown · 16.2 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 72 beds · Medicaid
Accura Healthcare of Marshalltown Marshalltown · 17.0 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 84 beds · Medicaid

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

Compare Accura Healthcare of Toledo 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/toledo/accura-healthcare-of-toledo/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.