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Accura Healthcare of Shenandoah

1203 South Elm Street, Shenandoah, Iowa 51601

Overview

Accura Healthcare of Shenandoah has a Medicare overall rating of 1 out of 5, below the Iowa average of 3.1. It is the only Medicare-rated nursing home in Shenandoah. It scores best on staffing (4 of 5) and lowest on health inspections (1 of 5).

Residents receive about 4.4 hours of nursing care per day, more than at 85% of nursing homes in Iowa (the state average is 3.9 hours). Of that, 0.8 hours come from registered nurses.

Its most recent standard inspection, on September 18, 2025, found 11 health deficiencies, more than the Iowa average of 6.5. 1 of them came from complaint investigations. Medicare records 1 fine totaling $8,414 in the past three years.

Accura Healthcare of Shenandoah is a for-profit facility with 42 certified beds, caring for about 35 residents on an average day. It accepts both Medicare and Medicaid and has participated since 2004.

Medicare ratings

Overall
Health inspections
Quality of care
Staffing

Source: Medicare Care Compare, data as of October 1, 2026.

How it compares nearby

Ranked by Medicare overall rating, then quality, inspection and staffing ratings.

Within 100 miles165th of 169 facilities

Top 98%

In Iowa379th of 385 facilities

Top 99%

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Inspections and penalties

Most recent standard inspection
September 18, 2025
Health deficiencies cited
11
Complaint-related deficiencies
1
Fines in the last 3 years
1 totaling $8,414
Payment denials
0
Total penalties
1

Staffing

Average hours of care each resident receives per day.

  • All nursing staff4.43 hrs
  • Registered nurses (RN)0.84 hrs
  • Licensed practical nurses (LPN)0.69 hrs
  • Nurse aides2.90 hrs
  • Physical therapists0.01 hrs

Facility details

Ownership
For profit - Limited Liability company
Certified beds
42
Average residents per day
35
Participates in
Medicare and Medicaid
Medicare/Medicaid since
April 1, 2004
Inside a hospital
No
Continuing care retirement community
No
Changed ownership in last 12 months
No
Resident or family council
Resident
Sprinklers in all required areas
Yes