CareWitness
Federal record · CMS Care Compare · CCN 165082 · Processed JUN 1 2026
CareWitnessIowaLake CityNursing HomesAccura Healthcare Of Lake City, Llc

Accura Healthcare Of Lake City, Llc

1409 West Main Street, Lake City, IA, 51449

Type
Nursing home
Medicare/Medicaid certified · CCN 165082

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Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

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CMS Star Ratings

Overall2 / 5
Health inspections2 / 5
Staffing3 / 5
Quality measures2 / 5

Facility & Staffing

Ownership
For profit - Corporation · Chain: Accura Healthcare
Certified beds
46 · avg 41 residents/day
Total nursing staff turnover
44.7%near the Iowa averageIowa avg: 44.4% · National avg: 46.1% · per CMS Care Compare
RN turnover
87.5%higher than most Iowa nursing homesIowa avg: 42.9% · National avg: 43.3% · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
2 fines · $38,610 total

Medicare certification

CMS Certification Number
165082
Certified beds
46 beds · avg 41 residents/day
Ownership type
For profit - Corporation
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Accura Healthcare Of Lake City Llc
Chain affiliation
Accura Healthcare

CMS Care Compare, processing date June 1, 2026

Federal ownership record

For-profitLlc

Chain affiliation

Part of the Accura Healthcare chain — 41 facilities across 4 states. Chain-wide average overall rating 2.4 / 5.

Disclosed owners (7 on record)

  • Derek l Duncan

    W-2 Managing Employee · since 2024

  • Taesa Lindgren

    W-2 Managing Employee · since 2024

  • Accura Healthcare

    5% or Greater Indirect Ownership Interest · 100% · since 2023

  • Accura Healthcare of The Heartland Llc

    5% or Greater Direct Ownership Interest · 100% · since 2023

  • American Healthcare Management Services Llc

    Operational/managerial Control · 100% · since 2023

  • Lisa Toti

    Corporate Officer · since 2023

+ 1 additional owner on the federal record.

Recent change of ownership

July 2023 (3 years ago) · acquired from Shady Oaks

Transaction type: Change of Ownership

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.

Federal inspection record

40 health citations on file1 immediate-jeopardy finding20 from complaints2 federal fines totalling $39K

Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.

Recent health-deficiency citations (most recent 8 of 40)

  • E0812·Apr 23, 2026

    Nutrition and Dietary Deficiencies

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

  • D0656·Apr 23, 2026

    Resident Assessment and Care Planning Deficiencies

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

  • E0804·Jan 15, 2026Complaint

    Nutrition and Dietary Deficiencies

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

  • E0725·Jan 15, 2026Complaint

    Nursing and Physician Services Deficiencies

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

  • E0658·Jan 15, 2026Complaint

    Resident Assessment and Care Planning Deficiencies

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

  • D0812·Oct 30, 2025Complaint

    Nutrition and Dietary Deficiencies

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

  • D0689·Oct 22, 2025Complaint

    Quality of Life and Care Deficiencies

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

  • D0689·Apr 3, 2025Complaint

    Quality of Life and Care Deficiencies

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

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20251 fine · $35K
  • 20231 fine · $3,269

Most recent events

  • Jan 9, 2025Fine · $35K
  • Sep 14, 2023Fine · $3,269

Largest single fine on record: $35K.

Fire-safety citations

9 Life-Safety-Code citations on file. Most recent: Apr 23, 2026. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Accura Healthcare Of Lake City, Llcinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.