PlainNursing
CMS Nursing Home Compare · August 2026

Accura Healthcare of Cascade LLC

701 North Johnson Street NW, Cascade, IA 52033

Accura Healthcare of Cascade LLC, a 46-bed for profit - limited liability company nursing facility in Cascade, IA, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #243 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 5638523277

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2 / 5
Below average · CMS overall · nat'l 3.0
#243 of 385
In-state rank among rated IA homes
4.26
Above average · nurse hrs/day · nat'l 3.86
5
Inspection findings · 1 serious

The verdict

Accura Healthcare of Cascade LLC, a 46-bed for profit - limited liability company nursing facility in Cascade, IA, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #243 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#243 of 385
In-state rank among rated IA homes
4.26
Nurse hrs/resident-day · national 3.86
5
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 387 IA nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

2/5

Facility Information

Provider Number
165568
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
46
Residents
42
In Hospital
No
County
Dubuque
Last Inspection
May 28, 2026
Abuse citation on record

Staffing Data

How the 4.26 total nursing hours per resident-day are staffed:

RN Hours
0.56 (nat'l avg: 0.69)
LPN Hours
0.81
CNA Hours
2.89
Total Nursing Hours
4.26 (nat'l avg: 3.86)
PT Hours
0.03
Nursing Turnover
30.6%
RN Turnover
37.5%

What the CMS Record Reveals About Accura Healthcare of Cascade LLC

According to CMS Nursing Home Compare, Accura Healthcare of Cascade LLC ranks #243 of 385 rated nursing homes in IA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Accura Healthcare of Cascade LLC operates 46 certified beds in Cascade, IA with approximately 42 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 4★ · quality 4★).

The inspection file contains 5 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Staffing is reported at 4.26 total nursing hours per resident day (national average 3.86), with RN coverage at 0.56 per resident day.

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. Reported nursing staff turnover at this facility is 30.6% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.

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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (5 most recent)

D - Isolated - Minimal harm May 28, 2026 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 15, 2026

G - Isolated - Actual harm May 28, 2026 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 15, 2026

D - Isolated - Minimal harm Mar 4, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 23, 2026

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

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 16.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.9% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 8.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 14.3% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 1.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 25.2% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 3.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 3.8% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 92.5% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 37.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.5% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 28.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 78.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 52.2% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Accura Healthcare of Cascade LLC, both outside IA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Accura Healthcare of Cascade LLC

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The IA registry aggregates state averages and the highest-rated homes in this cohort. View IA registry
  • Peer homes near 46 beds show how CMS stars vary at a similar scale in IA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

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 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (4★), and quality measures (4★).
Where does Accura Healthcare of Cascade LLC rank among nursing homes in IA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Accura Healthcare of Cascade LLC ranks 243rd among 385 rated nursing homes in IA (#243 of 385). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Accura Healthcare of Cascade LLC?
Accura Healthcare of Cascade LLC reports 4.26 total nursing hours per resident day (national average: 3.86). RN hours are 0.56 per resident day (national average: 0.69). Nursing staff turnover is 30.6%.
How many beds does Accura Healthcare of Cascade LLC have?
Accura Healthcare of Cascade LLC has 46 certified beds with approximately 42 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 5 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
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 28, 2026. The facility received a health inspection rating of 2 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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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