PlainNursing
CMS Nursing Home Compare · March 2026

Accura Healthcare of Cresco

Accura Healthcare of Cresco is a for profit - limited liability company facility in Cresco, IA with 46 certified beds and a 1-star overall CMS rating. The inspection file holds 49 deficiency records.

701 Vernon Road SW, Cresco, IA 52136

Phone: 5635473580

Overall CMS Rating

1/5

vs 3.0 national avg

The verdict

Accura Healthcare of Cresco holds a 1-star CMS overall rating — below the 3.0-star national average, with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall rating (nat'l avg 3.0)
4.07
Nursing hrs/resident-day (nat'l 3.89)
49
Inspection findings on file · 1 serious
$0
Federal penalties (0)

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.

Health Inspection

1/5

Staffing

4/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
165490
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
46
Residents
26
In Hospital
No
County
Howard
Last Inspection
Jan 9, 2025

Staffing Data

RN Hours
0.94 (nat'l avg: 0.68)
LPN Hours
0.67
CNA Hours
2.45
Total Nursing Hours
4.07 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
51.7%
RN Turnover
83.3%

What the CMS Record Reveals About Accura Healthcare of Cresco

Accura Healthcare of Cresco operates 46 certified beds in Cresco, IA with approximately 26 residents currently in care, and carries a CMS overall rating of 1 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 (1★), staffing levels (4★), and quality measures (1★). 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 49 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on 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 4.07 total nursing hours per resident day (national average 3.89), with RN coverage at 0.94 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 Cresco 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 51.7%, above the level where continuity of care typically begins to suffer. 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 (49 most recent)

D — Isolated - Minimal harm Nov 17, 2025 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 24, 2025

D — Isolated - Minimal harm Nov 17, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 24, 2025

D — Isolated - Minimal harm Nov 17, 2025 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Nov 24, 2025

D — Isolated - Minimal harm Oct 9, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Oct 23, 2025

D — Isolated - Minimal harm Oct 9, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 23, 2025

D — Isolated - Minimal harm Oct 9, 2025 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 23, 2025

D — Isolated - Minimal harm Oct 9, 2025 Tag: 0569

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Category: Resident Rights Deficiencies

Corrected: Oct 23, 2025

E — Pattern - Minimal harm May 14, 2025 Tag: 0943

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 20, 2025

G — Isolated - Actual harm May 14, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 12, 2025

D — Isolated - Minimal harm May 14, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 15, 2025

D — Isolated - Minimal harm May 14, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 15, 2025

D — Isolated - Minimal harm May 14, 2025 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: May 15, 2025

D — Isolated - Minimal harm May 14, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: May 20, 2025

E — Pattern - Minimal harm Jan 9, 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: Jan 29, 2025

D — Isolated - Minimal harm Jan 9, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jan 29, 2025

D — Isolated - Minimal harm Jan 9, 2025 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 29, 2025

D — Isolated - Minimal harm Jan 9, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 29, 2025

D — Isolated - Minimal harm Jan 9, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 29, 2025

B — Pattern - No harm Jan 9, 2025 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Jan 29, 2025

E — Pattern - Minimal harm Jan 9, 2025 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 29, 2025

E — Pattern - Minimal harm Jun 18, 2024 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: Jul 12, 2024

E — Pattern - Minimal harm Jun 18, 2024 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Jul 12, 2024

E — Pattern - Minimal harm Jun 18, 2024 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jul 12, 2024

F — Widespread - Minimal harm Jun 18, 2024 Tag: 0727

Have 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.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 12, 2024

E — Pattern - Minimal harm Jun 18, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 12, 2024

E — Pattern - Minimal harm Jun 18, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 12, 2024

D — Isolated - Minimal harm Jun 18, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 12, 2024

D — Isolated - Minimal harm Jun 18, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 12, 2024

D — Isolated - Minimal harm Jun 18, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 12, 2024

D — Isolated - Minimal harm Mar 29, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 29, 2024

E — Pattern - Minimal harm Feb 20, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 7, 2024

D — Isolated - Minimal harm Feb 20, 2024 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Mar 7, 2024

E — Pattern - Minimal harm Feb 20, 2024 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: Mar 7, 2024

E — Pattern - Minimal harm Feb 20, 2024 Tag: 0839

Employ staff that are licensed, certified, or registered in accordance with state laws.

Category: Administration Deficiencies

Corrected: Mar 7, 2024

E — Pattern - Minimal harm Feb 20, 2024 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: Mar 7, 2024

D — Isolated - Minimal harm Feb 20, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 7, 2024

D — Isolated - Minimal harm Feb 20, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 7, 2024

B — Pattern - No harm Feb 20, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Mar 7, 2024

D — Isolated - Minimal harm Feb 20, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Mar 7, 2024

E — Pattern - Minimal harm Feb 20, 2024 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 7, 2024

D — Isolated - Minimal harm Feb 20, 2024 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 7, 2024

D — Isolated - Minimal harm Feb 20, 2024 Tag: 0578

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Mar 7, 2024

E — Pattern - Minimal harm Nov 16, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 16, 2023

D — Isolated - Minimal harm Nov 16, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 16, 2023

D — Isolated - Minimal harm Aug 22, 2023 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 8, 2023

D — Isolated - Minimal harm Feb 23, 2023 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: Mar 17, 2023

D — Isolated - Minimal harm Feb 23, 2023 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Mar 17, 2023

D — Isolated - Minimal harm Feb 23, 2023 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 17, 2023

D — Isolated - Minimal harm Feb 23, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 17, 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 35.7% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.8% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 3.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 4.4% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% 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 1.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 91.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 83.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 29.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 19.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 77.3% No
Percentage of long-stay residents with pressure ulcers Long Stay 16.5% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 27.9% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 25.0% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Accura Healthcare of Cresco?
Accura Healthcare of Cresco has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (4★), and quality measures (1★).
What are the staffing levels at Accura Healthcare of Cresco?
Accura Healthcare of Cresco reports 4.07 total nursing hours per resident day (national average: 3.89). RN hours are 0.94 per resident day (national average: 0.68). Nursing staff turnover is 51.7%.
How many beds does Accura Healthcare of Cresco have?
Accura Healthcare of Cresco has 46 certified beds with approximately 26 residents. The facility is located at 701 Vernon Road SW, Cresco, IA 52136.
Does Accura Healthcare of Cresco have any deficiencies on record?
Yes, Accura Healthcare of Cresco has 49 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Accura Healthcare of Cresco received any fines or penalties?
No, Accura Healthcare of Cresco has no fines or penalties on record.
Who owns Accura Healthcare of Cresco?
Accura Healthcare of Cresco is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Accura Healthcare of Cresco last inspected?
The most recent health inspection for Accura Healthcare of Cresco was on Jan 9, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Accura Healthcare of Cresco?
Accura Healthcare of Cresco 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.

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.