1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Accura Healthcare of Lake City is an 80-bed skilled nursing and long-term care community in Lake City, Iowa, providing short-term rehabilitation, long-term care, memory care, and respite services to residents in Calhoun County. It is operated by Accura Healthcare of the Heartland LLC and accepts Medicare, Medicaid, and private pay.
CMS rates the facility at 1 star overall — the lowest tier nationally. The 1-star rating is driven primarily by the facility’s health inspection performance, while staffing levels are noticeably stronger. Adjusted nursing staffing averages 5 hours 10 minutes per resident per day, ranking 31st among 241 Iowa skilled nursing facilities and running roughly 20% above the state average of 4 hours 18 minutes. The facility has received two federal fines in the past three years — $35,000 in January 2025 and $3,000 in September 2023.
Services include 24-hour skilled nursing, a Life Enrichment Program, and an on-site outdoor patio and courtyard.
The combination of strong staffing levels and a 1-star inspection rating positions this facility well for residents and families who prioritize access to hands-on nursing care. However, families should review the inspection record independently before making a placement decision.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 30th out of 245 homes in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 22m per day | ▼ 49% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 47m per day | ▲ 39% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 31m per day | ■ Avg State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 14m per day | ▼ 4% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 49% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 17m per day | ▼ 43% State avg: 30m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
22% more staff per resident than Iowa average
7% worse than Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 3 RN Staff are full-time employees. No contractors work on this role.
3
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursAssists with medical care and medications.
15 total: 10 full-time employees and 5 contractors.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursHelps with daily care and mobility.
52 total: 33 full-time employees and 19 contractors.
52
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,052 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 33 | 19 | 52 | 9,162 | 92 | 100% | 6.9 |
| Licensed Practical Nurse | 10 | 5 | 15 | 2,997 | 92 | 100% | 9.6 |
| Nurse Practitioner | 3 | 0 | 3 | 904 | 70 | 76% | 8.8 |
| Registered Nurse | 3 | 0 | 3 | 513 | 49 | 53% | 8.7 |
| Dental Services Staff | 1 | 0 | 1 | 505 | 67 | 73% | 7.5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 485 | 59 | 64% | 8.2 |
| Dietitian | 1 | 0 | 1 | 474 | 63 | 68% | 7.5 |
| Administrator | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Medication Aide/Technician | 9 | 0 | 9 | 450 | 76 | 83% | 4.1 |
| Speech Language Pathologist | 0 | 2 | 2 | 243 | 65 | 71% | 3.7 |
| Physical Therapy Aide | 0 | 1 | 1 | 120 | 46 | 50% | 2.6 |
| Qualified Social Worker | 0 | 4 | 4 | 80 | 38 | 41% | 2.1 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 65 | 24 | 26% | 2.7 |
| Physical Therapy Assistant | 0 | 3 | 3 | 63 | 27 | 29% | 2.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 42 | 13 | 14% | 3.2 |
| Medical Director | 0 | 1 | 1 | 26 | 13 | 14% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 13 | 4 | 4% | 3.1 |
Includes penalties issued in 2023-2025
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)
22% higher than Iowa averageIowa average: $48K
135% more fines than Iowa averageIowa average: 1.7
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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.
Sep 14, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
28.5%
51% worse than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
26.5%
35% worse than Iowa averageIowa average: 19.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
12.3%
242% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
5.1%
17% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
2.7%
7% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
6.1%
22% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
9.4%
142% worse than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
12.8%
32% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
79.9%
15% worse than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
In line with Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
2.22
50% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.53
69% worse than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.8%
17% worse than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
13% worse than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
44.0%
40% worse than Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
14.1%
34% better than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
20.9%
60% worse than Iowa averageIowa average: 13.1%
Rate of successful return to home or community from a skilled nursing facility.
49.3%
In line with Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
37% of new residents, usually for short-term rehab.
42% of new residents, often for short stays.
21% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
41Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Accura Healthcare of Lake City, LLC from 2012–2022, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2022 — the home's most recent complete cost report, an older period than most facilities report.
Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #147 / 246Payroll — State benchmarkedThis home is ranked 147th out of 246 homes in Iowa for payroll. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #30 / 246Payroll % — State benchmarkedThis home is ranked 30th out of 246 homes in Iowa for payroll %. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (42% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Lake City's city center to Accura Healthcare of Lake City, LLC's address, calculated via Google Maps.
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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Bethany Home Retirement Center | NH IL MC SNF | Dubuque (Eagle Point District) | 66
Facility
66
IA AVG
71
Rank
#181 / 406 | - | - | 4.19
Facility
4.19
IA AVG
4.30
Rank
#119 / 245 | 0% | -2% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 251 | 2
Facility
2
IA AVG
21.7
Rank
#6 / 244 | 2.0
Facility
2.0
IA AVG
4.1
Rank
#22 / 244 | - | 67 | - |
69
Facility
69
IA AVG
45
Rank
#103 / 528 | Mike Brannon | $9.2MFiscal year ending 12/2023
Facility
$9.2MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#69 / 246 | $6.2MFiscal year ending 12/2023
Facility
$6.2MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#39 / 246 | 68%Fiscal year ending 12/2023
Facility
68%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#47 / 246 | 165584 | ||||
| St Francis Manor | NH AL HOS SNF | Grinnell | 78
Facility
78
IA AVG
71
Rank
#119 / 406 |
69.2%
Facility
69.2%
IA AVG
64.7
Rank
#193 / 379 | +7% | 5.32
Facility
5.32
IA AVG
4.30
Rank
#24 / 245 | +34% | +24% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 251 | 1
Facility
1
IA AVG
21.7
Rank
#1 / 244 | 1.0
Facility
1.0
IA AVG
4.1
Rank
#1 / 244 | - | 54 | - |
82
Facility
82
IA AVG
45
Rank
#39 / 528 | St Francis Manor Inc | $7.3MFiscal year ending 12/2023
Facility
$7.3MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#74 / 246 | $5.0MFiscal year ending 12/2023
Facility
$5.0MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#42 / 246 | 69.4%Fiscal year ending 12/2023
Facility
69.4%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#63 / 246 | 165480 | ||||
| Friendship Village | NH AL IL MC SNF | Waterloo | 72
Facility
72
IA AVG
71
Rank
#143 / 406 |
91.7%
Facility
91.7%
IA AVG
64.7
Rank
#41 / 379 | +42% | 6.17
Facility
6.17
IA AVG
4.30
Rank
#3 / 245 | +5% | +44% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 251 | 8
Facility
8
IA AVG
21.7
Rank
#48 / 244 | 2.0
Facility
2.0
IA AVG
4.1
Rank
#22 / 244 | 1 | 66 | - |
52
Facility
52
IA AVG
45
Rank
#202 / 528 | Friends Of Faith Retirement Homes, Inc | $14.2MFiscal year ending 03/2024
Facility
$14.2MFiscal year ending 03/2024
IA AVG
$7.0M
Rank
#12 / 246 | $11.6MFiscal year ending 03/2024
Facility
$11.6MFiscal year ending 03/2024
IA AVG
$3.1M
Rank
#7 / 246 | 81.4%Fiscal year ending 03/2024
Facility
81.4%Fiscal year ending 03/2024
IA AVG
46.3%
Rank
#117 / 246 | 165081 | ||||
| Prairie Vista Village | NH AL IL SNF | South Altoona | 68
Facility
68
IA AVG
71
Rank
#170 / 406 |
50.0%
Facility
50.0%
IA AVG
64.7
Rank
#255 / 379 | -23% | 4.71
Facility
4.71
IA AVG
4.30
Rank
#64 / 245 | -20% | +10% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 251 | 5
Facility
5
IA AVG
21.7
Rank
#19 / 244 | 1.3
Facility
1.3
IA AVG
4.1
Rank
#9 / 244 | - | 34 | A |
29
Facility
29
IA AVG
45
Rank
#372 / 528 | John Freeman | $9.1MFiscal year ending 12/2023
Facility
$9.1MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#62 / 246 | $3.7MFiscal year ending 12/2023
Facility
$3.7MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#72 / 246 | 40.8%Fiscal year ending 12/2023
Facility
40.8%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#175 / 246 | 165610 | ||||
| Accura Healthcare of Lake City, LLC | NH HOS MC PC RC SNF | Lake City | 46
Facility
46
IA AVG
71
Rank
#273 / 406 |
90.0%
Facility
90.0%
IA AVG
64.7
Rank
#51 / 379 | +39% | 5.17
Facility
5.17
IA AVG
4.30
Rank
#30 / 245 | -75% | +20% | $38.6k
Facility
$38.6k
IA AVG
$53.4k
Rank
#207 / 251 | 39
Facility
39
IA AVG
21.7
Rank
#207 / 244 | 3.9
Facility
3.9
IA AVG
4.1
Rank
#131 / 244 | 4 | 41 | - |
51
Facility
51
IA AVG
45
Rank
#213 / 528 | Accura Healthcare Of The Heartland LLC | $4.1M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$4.1M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
IA AVG
$7.0M
Rank
#180 / 246 | $2.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$2.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
IA AVG
$3.1M
Rank
#147 / 246 | 66.8%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
66.8%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
IA AVG
46.3%
Rank
#30 / 246 | 165082 |
Accura Healthcare of Lake City, LLC has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Accura Healthcare of Lake City, LLC's occupancy is 70.4%.
No, Accura Healthcare of Lake City, LLC has a no-pet policy.
Accura Healthcare of Lake City, LLC is registered as a for-profit.
Yes — there are 5 photos of Accura Healthcare of Lake City, LLC in the photo gallery on this page.
Accura Healthcare of Lake City, LLC is located at 1409 West Main Street, Lake City, Ia 514499701.
(712) 464-3106 will put you in contact with the team at Accura Healthcare of Lake City, LLC.
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