PlainNursing
CMS Nursing Home Compare · March 2026

Accura Healthcare of Muscatine

Accura Healthcare of Muscatine is a for profit - corporation facility in Muscatine, IA with 100 certified beds and a 3-star overall CMS rating. The inspection file holds 28 deficiency records.

3440 Mulberry Avenue, Muscatine, IA 52761

Phone: 5632632194

Overall CMS Rating

3/5

vs 3.0 national avg

The verdict

Accura Healthcare of Muscatine holds a 3-star CMS overall rating — right around the 3.0-star national average, with nurse staffing below the national norm. No recent finding reached the actual-harm level.

3 / 5
CMS overall rating (nat'l avg 3.0)
3.12
Nursing hrs/resident-day (nat'l 3.89)
28
Inspection findings on file
$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

3/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
165578
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
100
Residents
59
In Hospital
No
County
Muscatine
Last Inspection
May 8, 2025

Staffing Data

RN Hours
0.53 (nat'l avg: 0.68)
LPN Hours
0.71
CNA Hours
1.87
Total Nursing Hours
3.12 (nat'l avg: 3.89)
PT Hours
0.04

What the CMS Record Reveals About Accura Healthcare of Muscatine

Accura Healthcare of Muscatine operates 100 certified beds in Muscatine, IA with approximately 59 residents currently in care, and carries a CMS overall rating of 3 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 (3★), staffing levels (2★), and quality measures (2★). 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 28 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 3.12 total nursing hours per resident day (national average 3.89), with RN coverage at 0.53 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Accura Healthcare of Muscatine 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. 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 (28 most recent)

D — Isolated - Minimal harm Aug 28, 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: Sep 22, 2025

E — Pattern - Minimal harm May 8, 2025 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: May 20, 2025

D — Isolated - Minimal harm May 8, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: May 20, 2025

D — Isolated - Minimal harm May 8, 2025 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: May 20, 2025

D — Isolated - Minimal harm May 8, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 20, 2025

E — Pattern - Minimal harm May 8, 2025 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 20, 2025

D — Isolated - Minimal harm May 8, 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: May 20, 2025

D — Isolated - Minimal harm Sep 16, 2024 Tag: 0660

Plan the resident's discharge to meet the resident's goals and needs.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 30, 2024

D — Isolated - Minimal harm Aug 1, 2024 Tag: 0808

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 30, 2024

D — Isolated - Minimal harm Aug 1, 2024 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: Aug 30, 2024

D — Isolated - Minimal harm Aug 1, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 30, 2024

E — Pattern - Minimal harm Aug 1, 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: Aug 30, 2024

D — Isolated - Minimal harm Aug 1, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Aug 30, 2024

D — Isolated - Minimal harm Aug 1, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 30, 2024

D — Isolated - Minimal harm Aug 1, 2024 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 30, 2024

D — Isolated - Minimal harm Aug 1, 2024 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 30, 2024

D — Isolated - Minimal harm Aug 1, 2024 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 30, 2024

D — Isolated - Minimal harm Aug 1, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Aug 30, 2024

E — Pattern - Minimal harm Oct 26, 2023 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: Nov 16, 2023

D — Isolated - Minimal harm Oct 26, 2023 Tag: 0803

Ensure 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.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 16, 2023

D — Isolated - Minimal harm Oct 26, 2023 Tag: 0698

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 16, 2023

D — Isolated - Minimal harm Oct 26, 2023 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 16, 2023

D — Isolated - Minimal harm Oct 26, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 16, 2023

E — Pattern - Minimal harm Oct 26, 2023 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 16, 2023

D — Isolated - Minimal harm Oct 26, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 16, 2023

D — Isolated - Minimal harm Oct 26, 2023 Tag: 0638

Assure that each resident’s assessment is updated at least once every 3 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 16, 2023

D — Isolated - Minimal harm Oct 26, 2023 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 16, 2023

D — Isolated - Minimal harm Oct 26, 2023 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 16, 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 19.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.4% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.6% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.0% 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 11.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 86.6% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 14.2% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 25.3% 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 80.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 6.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 10.7% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Accura Healthcare of Muscatine?
Accura Healthcare of Muscatine has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (2★), and quality measures (2★).
What are the staffing levels at Accura Healthcare of Muscatine?
Accura Healthcare of Muscatine reports 3.12 total nursing hours per resident day (national average: 3.89). RN hours are 0.53 per resident day (national average: 0.68).
How many beds does Accura Healthcare of Muscatine have?
Accura Healthcare of Muscatine has 100 certified beds with approximately 59 residents. The facility is located at 3440 Mulberry Avenue, Muscatine, IA 52761.
Does Accura Healthcare of Muscatine have any deficiencies on record?
Yes, Accura Healthcare of Muscatine has 28 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Accura Healthcare of Muscatine received any fines or penalties?
No, Accura Healthcare of Muscatine has no fines or penalties on record.
Who owns Accura Healthcare of Muscatine?
Accura Healthcare of Muscatine is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Accura Healthcare of Muscatine last inspected?
The most recent health inspection for Accura Healthcare of Muscatine was on May 8, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Accura Healthcare of Muscatine?
Accura Healthcare of Muscatine 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.