Accura Healthcare Of Shenandoah
1203 South Elm Street, Shenandoah, IA, 51601
Get the complete federal record on this facility — full background report, $249.
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 - Limited Liability company · Chain: Accura Healthcare
- Certified beds
- 42 · avg 39 residents/day
- Total nursing staff turnover
- 63.5% — higher than most Iowa nursing homesIowa 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
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,414 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 165529
- Certified beds
- 42 beds · avg 39 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Accura Healthcare Of Shenandoah
- 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 (8 on record)
- Timothy Joseph Smith
W-2 Managing Employee · since 2024
- Ashley Hummel
W-2 Managing Employee · since 2024
- Lisa Toti
Corporate Director · since 2021
- Accura Healthcare
5% or Greater Indirect Ownership Interest · 100% · since 2020
- American Healthcare Associates Inc
5% or Greater Direct Ownership Interest · 100% · since 2020
- American Healthcare Management Services Llc
Operational/managerial Control · 100% · since 2020
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
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 32)
- E0727·Sep 18, 2025Complaint
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.
- D0880·Sep 18, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Sep 18, 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·Sep 18, 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.
- E0725·Sep 18, 2025
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.
- D0695·Sep 18, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0645·Sep 18, 2025
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
- D0641·Sep 18, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Federal penalties
By year
- 20231 fine · $8,414 · 1 payment denial
Most recent events
- Dec 6, 2023Fine · $8,414
- Jun 29, 2023Payment denial · 6 days · starting Jul 27, 2023
Fire-safety citations
17 Life-Safety-Code citations on file. Most recent: Sep 18, 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 Shenandoahinto 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.