Accura Healthcare Of Onawa
222 North 15Th Street, Onawa, IA, 51040
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Order the reportFederal 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.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Accura Healthcare
- Certified beds
- 46 · avg 36 residents/day
- Total nursing staff turnover
- 44.1% — near the Iowa averageIowa avg: 44.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Iowa nursing homesIowa avg: 42.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Iowa averageIowa avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 165256
- Certified beds
- 46 beds · avg 36 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 Onawa Llc
- Chain affiliation
- Accura Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Accura Healthcare chain — 41 facilities across 4 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (22 on record)
- Aviv Healthcare of The Midwest LlcHolding
Adp of The Snf · since 2025
- Accura Management Consulting Services Llc
Operational/managerial Control · since 2025
- Avenue94 Llc
Indirect Ownership Interest · 5% · since 2025
- Aviv Financing ii LlcHolding
Adp of The Snf · since 2025
- Aviv Healthcare Holdings LlcHolding
Indirect Ownership Interest · 100% · since 2025
- Aviv Healthcare Properties Operating Partnership i lpHolding
Adp of The Snf · since 2025
+ 16 additional owners on the federal record.
Recent change of ownership
February 2025 (1 year ago) · acquired from Elmwood Care Centre
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
Recent health-deficiency citations (most recent 8 of 30)
- E0812·May 8, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0803·May 8, 2025
Nutrition and Dietary Deficiencies
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.
- D0755·May 8, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F0727·May 8, 2025
Nursing and Physician Services Deficiencies
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.
- D0584·May 8, 2025
Resident Rights Deficiencies
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.
- D0698·Jul 27, 2024Complaint
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D0684·Jul 27, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0658·Jul 27, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Fire-safety citations
15 Life-Safety-Code citations on file. Most recent: May 8, 2025. 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 Onawainto 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.
Order the full background report — $249Where 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.