Nursing home report card · Toledo, IA

Accura Healthcare of Toledo

403 Grandview Drive, Toledo, IA 52342

Quick summary

About average Medicare rating

A 3-star overall rating is common. Compare staffing hours and recent citations with nearby homes, and visit before you decide.

Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.

How recent is this information?

Medicare file prepared: Aug 1, 2026
Our record last updated: Oct 15, 2026
Last routine health inspection: Jan 8, 2026

These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.

Medicare ratings

One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.

Overall rating

3out of 5

Combines inspection, staffing, and care measures.

About average for U.S. nursing homes

Health inspections

4out of 5

Based on problems found during health inspections.

Above average

Nursing staff

2out of 5

Based on staffing levels and related measures.

Below-average Medicare rating

Health and care results

1out of 5

Based on reported health and care results.

Among the lowest Medicare ratings

What do the ratings and warnings mean?

Medicare ratings: One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
Inspection problems: Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
Abuse warning: Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
Nursing staff time: Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.

Learn about the records and their limits →

At a glance

These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.

Care and safety problems

Care, safety, and resident-rights issues on recent inspections

Fire-safety problems

Building, alarms, exits, and related safety citations

Reported fines

Total fine amounts in the imported penalty records

Medicare file prepared

Aug 1, 2026

Medicare home ID: 165450

Inspection findings to read first

Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.

Could have caused harm · isolated case
Apr 28, 2026 · Inspection rule 0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Could have caused harm · isolated case
Jan 8, 2026 · Inspection rule 0695
Provide safe and appropriate respiratory care for a resident when needed.
Could have caused harm · isolated case
Jan 8, 2026 · Inspection rule 0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Read the inspection history →

Nursing staff time

These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.

Registered nurses (RNs)

0.29hours per resident per day

about 17 minutes per resident per day

All nursing staff

2.89hours per resident per day

about 2 hr 54 min per resident per day

Registered nurse time on weekends

0.26hours per resident per day

about 16 minutes per resident per day

Latest inspection summary

A summary of the most recent routine inspections. You can open the dated findings below.

We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.

How this home compares

Compared with state and national averages. The numbers may cover different periods.

Overall CMS rating: 3 stars
Health inspection rating: 4 stars
Staffing rating: 2 stars
Registered nurse time per resident: 0.29 hours/day
Total nurse time per resident: 2.89 hours/day

See the dates used for these averages

Medicare file dates: this home Aug 1, 2026; Iowa averages Unavailable; U.S. averages Oct 1, 2026.

Other concerns in the records

These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.

No automatic red flags stood out — still read the full inspection history

How serious were the problems?

Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.

Could have caused harm15 citations
Low risk of harm1 citation

Why inspectors showed up

Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.

Complaints: 0
Routine: 16
Fire safety: 0
Other: 0

Who owns it

Names CMS lists as owners or managers · reported as For profit - Corporation.

We do not have individual owner names for this home.

Other homes in this group: All Accura Healthcare nursing homes

Inspection history

Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.

April 28, 20261 finding

Quality of Life and Care problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0689 · code D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

January 8, 20263 findings

Quality of Life and Care problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0689 · code D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0695 · code D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0791 · code D
Provide or obtain dental services for each resident.

November 21, 20244 findings

Nutrition and Dietary problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0812 · code E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0550 · code D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0658 · code D
Ensure services provided by the nursing facility meet professional standards of quality.
Administration problems
Low risk of harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0851 · code B
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

August 22, 20242 findings

Quality of Life and Care problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0684 · code D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0825 · code D
Provide or get specialized rehabilitative services as required for a resident.

December 12, 20236 findings

Nutrition and Dietary problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0812 · code E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0578 · code D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Assessment and Care Planning problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0641 · code D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0656 · code D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0657 · code D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0677 · code D
Provide care and assistance to perform activities of daily living for any resident who is unable.

Fines & penalties

These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.

No fines or penalties appear in the records we have.

Other homes in this chain

Accura Healthcare · other locations in Iowa

Questions about Accura Healthcare of Toledo

What is Accura Healthcare of Toledo's Medicare star rating?

As of August 1, 2026, Accura Healthcare of Toledo in Toledo, Iowa has an overall CMS rating of 3 out of 5 stars. Other CMS scores: health inspection 4 of 5, staffing 2 of 5, quality measures 1 of 5. These are CMS ratings based on inspection, staffing, and quality information, not consumer reviews.

Has Accura Healthcare of Toledo been fined?

The imported record gives a fine total of $0 for Accura Healthcare of Toledo in Toledo, Iowa. This does not establish that the home has never been fined.

Does Accura Healthcare of Toledo have a Medicare abuse warning?

No. The current CMS Care Compare extract does not show an abuse warning icon for Accura Healthcare of Toledo in Toledo, Iowa.

How does Accura Healthcare of Toledo compare with other nursing homes in Iowa?

Its overall CMS rating is 3 out of 5. A rating comparison is withheld because a matching source date or a usable rating is missing. Use the Iowa report card and dated inspection history for context; inspection totals alone are not a like-for-like performance comparison.

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