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Accura Healthcare of Cascade LLC

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Accura Healthcare of Cascade LLC is a for profit - limited liability company facility in Cascade, IA with 46 certified beds and a 5-star overall CMS rating. The facility has 3 deficiency records on file.

701 North Johnson Street NW, Cascade, IA 52033

Phone: 5638523277

Overall Rating

5/5

Health Inspection

4/5

Staffing

5/5

Quality Measures

4/5

Long-Stay Quality

3/5

Facility Information

Provider Number
165568
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
46
Residents
43
In Hospital
No
County
Dubuque
Last Inspection
May 15, 2025

Staffing Data

RN Hours
0.88 (nat'l avg: 0.68)
LPN Hours
0.63
CNA Hours
2.98
Total Nursing Hours
4.49 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
33.3%
RN Turnover
14.3%

What the CMS Record Reveals About Accura Healthcare of Cascade LLC

Accura Healthcare of Cascade LLC operates 46 certified beds in Cascade, IA with approximately 43 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (5★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 3 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.49 total nursing hours per resident day (national average 3.89), with RN coverage at 0.88 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Accura Healthcare of Cascade LLC falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 33.3%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (3 most recent)

D — Isolated - Minimal harm Jul 3, 2025 Tag: 0940

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Category: Administration Deficiencies

Corrected: Jul 11, 2025

E — Pattern - Minimal harm May 15, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 31, 2025

E — Pattern - Minimal harm Jun 1, 2023 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Jun 2, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.3% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 83.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 81.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 3.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 17.8% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 41.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 52.2% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 28.8% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 22.4% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Accura Healthcare of Cascade LLC?
Accura Healthcare of Cascade LLC has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (4★).
What are the staffing levels at Accura Healthcare of Cascade LLC?
Accura Healthcare of Cascade LLC reports 4.49 total nursing hours per resident day (national average: 3.89). RN hours are 0.88 per resident day (national average: 0.68). Nursing staff turnover is 33.3%.
How many beds does Accura Healthcare of Cascade LLC have?
Accura Healthcare of Cascade LLC has 46 certified beds with approximately 43 residents. The facility is located at 701 North Johnson Street NW, Cascade, IA 52033.
Does Accura Healthcare of Cascade LLC have any deficiencies on record?
Yes, Accura Healthcare of Cascade LLC has 3 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Accura Healthcare of Cascade LLC received any fines or penalties?
No, Accura Healthcare of Cascade LLC has no fines or penalties on record.
Who owns Accura Healthcare of Cascade LLC?
Accura Healthcare of Cascade LLC is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Accura Healthcare of Cascade LLC last inspected?
The most recent health inspection for Accura Healthcare of Cascade LLC was on May 15, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Accura Healthcare of Cascade LLC?
Accura Healthcare of Cascade LLC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial