Total staff
102
Employees
62
Contractors
40
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.
Accura Healthcare of Lake City, LLC
CMS overall rating
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.
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, LLC
CMS overall rating
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.
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, LLC accepts Medicare, Medicaid, and private pay.
Overview of Accura Healthcare of Lake City, LLC
Accura Healthcare of Lake City, LLC 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.
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 31st out of 241 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.
This home is ranked 31st out of 241 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.
5h 10m per day
Rank #31 / 241Nurse hours — State benchmarkedThis home is ranked 31st out of 241 homes in Iowa for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 241 Iowa SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Iowa avg
+20%
Standout metric
LPN / LVN is +39% above state avg
| 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 |
Capacity and availability
This home usually has availability
Occupancy rate
70.4%
Rank #185 / 401Occupancy rate — State benchmarkedThis home is ranked 185th out of 401 homes in Iowa for occupancy rate. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 401. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
54 days
Walk Score: 51 / 100 Rank #213 / 528Walk Score — State benchmarkedThis home is ranked 213th out of 528 homes in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Iowa SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Rehabilitation Services
Respite Care
Short-Term Rehab
24-Hour Staffing
24-Hour Skilled Nursing Care
Life Enrichment Program
On-Site Beauty Salon
Community-Wide Wi-Fi
Outdoor Patio & Courtyard
Touring HoursMonday-Friday: 9am-5pm
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
2.49 : 1
22% more staff per resident than Iowa average
Avg staff/day
26
Average shift
6.9 hours
7% worse than Iowa average
Total staff hours (quarter)
16,597
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
All 3 RN Staff are full-time employees. No contractors work on this role.
3
All 3 RN Staff are full-time employees. No contractors work on this role.
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
15 total: 10 full-time employees and 5 contractors.
15
15 total: 10 full-time employees and 5 contractors.
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
52 total: 33 full-time employees and 19 contractors.
52
52 total: 33 full-time employees and 19 contractors.
52
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
6.3%
1,052 contractor hours this quarter
Certified Nursing Assistant: 19
Licensed Practical Nurse: 5
Qualified Social Worker: 4
Respiratory Therapy Technician: 3
Physical Therapy Assistant: 3
Speech Language Pathologist: 2
Physical Therapy Aide: 1
Medical Director: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
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 |
52 Certified Nursing Assistant
% of Days
100%
15 Licensed Practical Nurse
% of Days
100%
3 Nurse Practitioner
% of Days
76%
3 Registered Nurse
% of Days
53%
1 Dental Services Staff
% of Days
73%
1 Other Dietary Services Staff
% of Days
64%
1 Dietitian
% of Days
68%
1 Administrator
% of Days
62%
9 Medication Aide/Technician
% of Days
83%
2 Speech Language Pathologist
% of Days
71%
1 Physical Therapy Aide
% of Days
50%
4 Qualified Social Worker
% of Days
41%
3 Respiratory Therapy Technician
% of Days
26%
3 Physical Therapy Assistant
% of Days
29%
1 Occupational Therapy Aide
% of Days
14%
1 Medical Director
% of Days
14%
1 Occupational Therapy Assistant
% of Days
4%
Penalties and fines
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)
Total fines amount
$59K Rank #220 / 246Federal fines — State benchmarkedThis home is ranked 220th out of 246 homes in Iowa for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Iowa average among facilities with fines, and where it ranks among 246 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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
Last updated: Jan 2026
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.22
Number of hospitalizations per 1,000 long-stay resident days.
2.22
50% worse than Iowa averageIowa average: 1.48
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.53
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.53
69% worse than Iowa averageIowa average: 2.09
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
14.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
14.1%
34% better than Iowa averageIowa average: 21.3%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
20.9%
60% worse than Iowa averageIowa average: 13.1%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
49.3%
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.
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
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
41
Medicare
2
4.9% of residents
Medicaid
23
56.1% of residents
Private pay or other
16
39% of residents
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.
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
-$7.2M
↓ ~$6.2M vs 2022
Total Payroll
$3.0M
↓ ~$388.3K vs 2022
Profit Margin
-178.1%
↓ 159.1pp vs 2022
Finances and operations
Voluntary non-profit community
Operated by a church.
Home revenue
$4.1M
Operating deficit
-$56.8K
Voluntary non-profit community
Operated by a church.
Home revenue
$4.1M Rank #202 / 242Revenue — State benchmarkedThis home is ranked 202nd out of 242 homes in Iowa for revenue. Shows this facility's annual revenue compared to the Iowa SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating deficit
-$56.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #156 / 242Payroll — State benchmarkedThis home is ranked 156th out of 242 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #156 / 242Payroll — State benchmarkedThis home is ranked 156th out of 242 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
-$906.7K
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$2.1M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Accura Healthcare of Lake City, LLC
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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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Financial Assistance for
Nursing Home in Iowa
Accura Healthcare of Lake City, LLC is located in Lake City, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Compare Nursing Home around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
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| 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
Facility
46
IA AVG
73
Rank
#280 / 407 | 70.4% | -7% | 5.17 | -75% | +20% | $38.6k | 39 | 3.9 | 4 | 41 | - |
51
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51
IA AVG
45
Rank
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Frequently Asked Questions about Accura Healthcare of Lake City, LLC
Is Accura Healthcare of Lake City, LLC in a walkable area?
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.
What is the occupancy rate at Accura Healthcare of Lake City, LLC?
Accura Healthcare of Lake City, LLC's occupancy is 70.4%.
Are there photos of Accura Healthcare of Lake City, LLC?
Yes — there are 5 photos of Accura Healthcare of Lake City, LLC in the photo gallery on this page.
What is the address of Accura Healthcare of Lake City, LLC?
Accura Healthcare of Lake City, LLC is located at 1409 West Main Street.
What is the phone number of Accura Healthcare of Lake City, LLC?
(712) 464-3106 will put you in contact with the team at Accura Healthcare of Lake City, LLC.
Is Accura Healthcare of Lake City, LLC Medicare or Medicaid certified?
Yes — Accura Healthcare of Lake City, LLC is a CMS-certified provider of Medicare and Medicaid.
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