Total health inspections
10
Iowa average 4.9
Last Health inspection on Oct 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home
Accura Healthcare of Lake City, LLC
Accura HealthCare of Lake City provides short-term rehabilitation, skilled nursing, and long-term care in a supportive environment. The facility focuses on personalized care plans to meet the unique needs of each resident. It aims to create a homelike atmosphere where residents feel valued and comfortable.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
46
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
70.4%
Residents per day (avg)
40
Occupancy rate
70.4%
Residents per day (avg)
40
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
37% of new residents, usually for short-term rehab.
Typical stay
12 days
Private pay
42% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
21% of new residents, often for long-term daily care.
Typical stay
2 - 3 months
Finances and operations
Privately-owned community
Home revenue
$2.1M
Operating loss
-$56.8K
Privately-owned community
Home revenue
$2,077,408.00
Operating loss
$-56,846.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$969.5K
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$2.1M
About this community
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Long-Term Care, Rehabilitation, Hospice Care, Respite Care, Memory Care
Operating Hours
Monday-Friday: 9am-5pm
Health Inspection History
Inspections
Total health citations
39
Iowa average 21.7
Citations per inspection
3.9
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 39 citations resulted from standard inspections; 16 of 39 resulted from complaint investigations; and 4 of 39 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
233% worse than Iowa averageIowa average: 0.6
Serious Health citations
2
2
122% worse than Iowa averageIowa average: 0.9
2 critical citations
2 serious citations
35 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 30, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 30, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 22, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 22, 2025
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 03, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 03, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 03, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 03, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
0
42
-
City Of Akron
$4,7M
$2,1M
46.1%
165595
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
2
39
-
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
1
65
-
-
$7,1M
$3,0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
4
40
-
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Altoona Nursing and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Altoona
106
-
-
-
-
0
0
0
-
A+
-
-
-
-
-
Places of interest near Accura Healthcare of Lake City, LLC
Lake City, IA 514499701
Lake City, IA 514499701
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
104
Employees
64
Contractors
40
Staff to resident ratio
2.54:1
27% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
26
Average shift
7.3 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
17,195
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
60
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
7%
1,212 contractor hours this quarter
Certified Nursing Assistant: 23
Licensed Practical Nurse: 3
Physical Therapy Assistant: 3
Registered Nurse: 2
Speech Language Pathologist: 2
Occupational Therapy Aide: 2
Physical Therapy Aide: 1
Qualified Social Worker: 1
Occupational Therapy Assistant: 1
Respiratory Therapy Technician: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 37 | 23 | 60 | 9,051 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 7 | 3 | 10 | 2,952 | 91 | 100% | 9.7 |
| Registered Nurse | 6 | 2 | 8 | 1,261 | 83 | 91% | 10.8 |
| Nurse Practitioner | 3 | 0 | 3 | 1,034 | 67 | 74% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 538 | 67 | 74% | 8 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 495 | 60 | 66% | 8.2 |
| Dietitian | 1 | 0 | 1 | 458 | 59 | 65% | 7.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 202 | 61 | 67% | 3.3 |
| Medication Aide/Technician | 6 | 0 | 6 | 160 | 42 | 46% | 3.2 |
| Physical Therapy Aide | 0 | 1 | 1 | 109 | 47 | 52% | 2.3 |
| RN Director of Nursing | 1 | 0 | 1 | 107 | 14 | 15% | 7.6 |
| Qualified Social Worker | 0 | 1 | 1 | 90 | 41 | 45% | 2.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 63 | 35 | 38% | 1.8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 61 | 23 | 25% | 2.6 |
| Occupational Therapy Aide | 0 | 2 | 2 | 39 | 13 | 14% | 3 |
| Physical Therapy Assistant | 0 | 3 | 3 | 38 | 21 | 23% | 1.7 |
| Medical Director | 0 | 1 | 1 | 21 | 9 | 10% | 2.3 |
60 Certified Nursing Assistant
% of Days
100%
10 Licensed Practical Nurse
% of Days
100%
8 Registered Nurse
% of Days
91%
3 Nurse Practitioner
% of Days
74%
1 Dental Services Staff
% of Days
74%
1 Administrator
% of Days
71%
1 Other Dietary Services Staff
% of Days
66%
1 Dietitian
% of Days
65%
2 Speech Language Pathologist
% of Days
67%
6 Medication Aide/Technician
% of Days
46%
1 Physical Therapy Aide
% of Days
52%
1 RN Director of Nursing
% of Days
15%
1 Qualified Social Worker
% of Days
45%
1 Occupational Therapy Assistant
% of Days
38%
1 Respiratory Therapy Technician
% of Days
25%
2 Occupational Therapy Aide
% of Days
14%
3 Physical Therapy Assistant
% of Days
23%
1 Medical Director
% of Days
10%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
41 residents
Residents by payment source
Medicare
2 residents (4.9%)
Medicaid
23 residents (56.1%)
Private pay or other
16 residents (39%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.7
53% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.0
25% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
28.5%
Percent of long-stay residents whose need for help with daily activities has increased
28.5%
51% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
26.5%
Percent of long-stay residents whose ability to move independently worsened
26.5%
35% worse than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.1%
In line with Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
12.3%
Percent of long-stay residents experiencing one or more falls with major injury
12.3%
242% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.1%
Percent of long-stay high risk residents with pressure ulcers
5.1%
17% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.7%
Percent of long-stay residents with a urinary tract infection
2.7%
7% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.1%
Percent of long-stay residents who lose too much weight
6.1%
22% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
9.4%
Percent of long-stay residents who have depressive symptoms
9.4%
142% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.8%
Percent of long-stay residents who received an antipsychotic medication
12.8%
32% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
79.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
79.9%
15% worse than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.8%
17% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
13% worse than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
44.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
44.0%
40% worse than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$59K
22% higher than Iowa averageIowa average: $48K
Number of fines
4
135% more fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
88% more payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$59K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 9, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 9, 2025
$35K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 14, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 14, 2023
$3K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 9, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 9, 2023
$7K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 9, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 9, 2023
$13K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Accura Healthcare of Lake City, LLC based on CMS SNF Cost Reports.
Occupancy Rate
37.3%
↓ 9.2pp vs 2022
Net Income
-$7,189,723
↓ ~$6.2M vs 2022
Total Payroll
$3,040,961
↓ ~$388K vs 2022
Profit Margin
-178.1%
↓ 159.1pp vs 2022
Loading trend charts...
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