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CMS Nursing Home Compare · March 2026

Accura Healthcare of South Des Moines

Accura Healthcare of South Des Moines is a for profit - limited liability company facility in Des Moines, IA with 89 certified beds and a 1-star overall CMS rating. The inspection file holds 50 deficiency records. Total penalties: $61K.

4911 SW 19th Street, Des Moines, IA 50315

Phone: 5152852559

Overall CMS Rating

1/5

vs 3.0 national avg

The verdict

Accura Healthcare of South Des Moines holds a 1-star CMS overall rating — below the 3.0-star national average, with nurse staffing above the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall rating (nat'l avg 3.0)
3.95
Nursing hrs/resident-day (nat'l 3.89)
50
Inspection findings on file · 4 serious
$61K
Federal penalties (3)

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

3/5

Long-Stay Quality

1/5

Facility Information

Provider Number
165273
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
89
Residents
80
In Hospital
No
County
Polk
Last Inspection
Jul 24, 2025

Staffing Data

RN Hours
0.57 (nat'l avg: 0.68)
LPN Hours
0.42
CNA Hours
2.95
Total Nursing Hours
3.95 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
55.6%
RN Turnover
76.9%

What the CMS Record Reveals About Accura Healthcare of South Des Moines

Accura Healthcare of South Des Moines operates 89 certified beds in Des Moines, IA with approximately 80 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 (3★). 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 50 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 3 penalties totaling $61K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.95 total nursing hours per resident day (national average 3.89), with RN coverage at 0.57 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 South Des Moines 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 55.6%, 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 (50 most recent)

D — Isolated - Minimal harm Sep 18, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 10, 2025

D — Isolated - Minimal harm Jul 24, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 15, 2025

D — Isolated - Minimal harm Jul 24, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 15, 2025

D — Isolated - Minimal harm Jul 24, 2025 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 15, 2025

E — Pattern - Minimal harm Feb 17, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 21, 2025

D — Isolated - Minimal harm Feb 17, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 21, 2025

D — Isolated - Minimal harm Feb 17, 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: Feb 21, 2025

E — Pattern - Minimal harm Feb 17, 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: Feb 21, 2025

E — Pattern - Minimal harm Aug 22, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 16, 2024

D — Isolated - Minimal harm Aug 22, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Sep 16, 2024

D — Isolated - Minimal harm Aug 22, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Sep 16, 2024

E — Pattern - Minimal harm Aug 22, 2024 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 16, 2024

D — Isolated - Minimal harm Aug 22, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 16, 2024

D — Isolated - Minimal harm Aug 22, 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: Sep 16, 2024

D — Isolated - Minimal harm Aug 22, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 16, 2024

E — Pattern - Minimal harm Aug 22, 2024 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Sep 16, 2024

E — Pattern - Minimal harm Aug 22, 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: Sep 16, 2024

D — Isolated - Minimal harm Aug 22, 2024 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 16, 2024

D — Isolated - Minimal harm Aug 22, 2024 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: Sep 16, 2024

G — Isolated - Actual harm Jun 13, 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: Jun 23, 2024

G — Isolated - Actual harm Jun 13, 2024 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 23, 2024

D — Isolated - Minimal harm Apr 25, 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: May 10, 2024

D — Isolated - Minimal harm Apr 25, 2024 Tag: 0712

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Category: Nursing and Physician Services Deficiencies

Corrected: May 10, 2024

D — Isolated - Minimal harm Apr 25, 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: May 10, 2024

D — Isolated - Minimal harm Apr 25, 2024 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 10, 2024

J — Isolated - Jeopardy Apr 25, 2024 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 23, 2024

E — Pattern - Minimal harm Feb 29, 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: Mar 12, 2024

D — Isolated - Minimal harm Feb 29, 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: Mar 12, 2024

D — Isolated - Minimal harm Feb 29, 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 12, 2024

E — Pattern - Minimal harm Jan 25, 2024 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Feb 16, 2024

E — Pattern - Minimal harm Jan 25, 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: Feb 16, 2024

D — Isolated - Minimal harm Jan 25, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 16, 2024

E — Pattern - Minimal harm Jan 25, 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: Feb 16, 2024

D — Isolated - Minimal harm Jan 25, 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: Feb 16, 2024

D — Isolated - Minimal harm Jan 25, 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: Feb 16, 2024

D — Isolated - Minimal harm Jan 25, 2024 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 16, 2024

D — Isolated - Minimal harm Jan 25, 2024 Tag: 0568

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Category: Resident Rights Deficiencies

Corrected: Feb 16, 2024

E — Pattern - Minimal harm Dec 21, 2023 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: Feb 16, 2024

E — Pattern - Minimal harm Dec 21, 2023 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: Jan 9, 2024

K — Pattern - Jeopardy Dec 21, 2023 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: Jan 9, 2024

D — Isolated - Minimal harm Nov 2, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 4, 2023

D — Isolated - Minimal harm Nov 2, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Dec 4, 2023

F — Widespread - Minimal harm Nov 2, 2023 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: Dec 4, 2023

F — Widespread - Minimal harm Nov 2, 2023 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: Feb 16, 2024

D — Isolated - Minimal harm Nov 2, 2023 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 4, 2023

D — Isolated - Minimal harm Nov 2, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 16, 2024

E — Pattern - Minimal harm Nov 2, 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: Feb 16, 2024

D — Isolated - Minimal harm Nov 2, 2023 Tag: 0660

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 4, 2023

D — Isolated - Minimal harm Nov 2, 2023 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: Feb 16, 2024

B — Pattern - No harm Nov 2, 2023 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: Dec 4, 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 30.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.2% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.4% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 3.9% 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 5.7% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 66.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 55.4% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 26.1% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 24.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 11.5% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 30.8% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 34.1% Yes

Penalty History 3 penalties totaling $61K

Date Type Amount
Apr 25, 2024 Fine $31K
Apr 25, 2024 Payment Denial -
Nov 2, 2023 Fine $22K
Nov 2, 2023 Payment Denial -
May 1, 2023 Fine $8K

Frequently Asked Questions

What is the overall CMS rating for Accura Healthcare of South Des Moines?
Accura Healthcare of South Des Moines has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (4★), and quality measures (3★).
What are the staffing levels at Accura Healthcare of South Des Moines?
Accura Healthcare of South Des Moines reports 3.95 total nursing hours per resident day (national average: 3.89). RN hours are 0.57 per resident day (national average: 0.68). Nursing staff turnover is 55.6%.
How many beds does Accura Healthcare of South Des Moines have?
Accura Healthcare of South Des Moines has 89 certified beds with approximately 80 residents. The facility is located at 4911 SW 19th Street, Des Moines, IA 50315.
Does Accura Healthcare of South Des Moines have any deficiencies on record?
Yes, Accura Healthcare of South Des Moines has 50 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has Accura Healthcare of South Des Moines received any fines or penalties?
Yes, Accura Healthcare of South Des Moines has received 3 penalties totaling $61K.
Who owns Accura Healthcare of South Des Moines?
Accura Healthcare of South Des Moines is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Accura Healthcare of South Des Moines last inspected?
The most recent health inspection for Accura Healthcare of South Des Moines was on Jul 24, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Accura Healthcare of South Des Moines?
Accura Healthcare of South Des Moines 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.