Accura Healthcare of Cascade LLC
Nursing home in Cascade, Iowa, CMS certification number 165568
701 North Johnson Street NW, Cascade, IA 52033 · Dubuque County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 46
- Certified for
- Medicare and Medicaid
- Last standard inspection
- May 28, 2026
- Deficiencies at that inspection
- 3
- Fines in 3 years
- No fines
Does Accura Healthcare of Cascade LLC take Medicare and Medicaid?
Yes to both. Accura Healthcare of Cascade is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 4 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 3 of 5 |
| Short-stay quality | 5 of 5 |
Nurse staffing hours and turnover
These are the hours Accura Healthcare of Cascade reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 4.34
- Registered nurse hours
- 0.65
- Licensed practical nurse hours
- 0.81
- Nurse aide hours
- 2.88
- Weekend total hours
- 3.70
- Nursing staff turnover
- 30.9%
- Registered nurse turnover
- 50%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on May 28, 2026 and cited 3 deficiencies, plus 2 from complaint visits.
The visit before, on May 15, 2025, found 1.
CMS shows an abuse icon for Accura Healthcare of Cascade. That means inspectors cited it for abuse, neglect or exploitation in the past year or two.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Accura Healthcare of Cascade in the past 3 years.
Beds and residents
On an average day 41.9 residents live here, about 91% of its 46 certified beds.
- Certified beds
- 46
- Average residents per day
- 41.9
- Certified since
- January 1, 2006
- Resident or family council
- Resident
Who owns Accura Healthcare of Cascade LLC
- Legal business name
- Accura Healthcare of Cascade LLC
- Ownership type
- For profit - Limited Liability company
- Chain
- 44 homes nationally under Accura Healthcare, 2.7-star chain average
Other nursing homes near Accura Healthcare of Cascade LLC
- Monticello Nursing & Rehab Center500 Pinehaven Drive, Monticello 52310
- MercyOne Dyersville Senior Care1111 Third Street SW, Dyersville 52040
- Anamosa Care Center1209 East Third Street, Anamosa 52205
- Hawkeye Care Center Dubuque5575 Pennsylvania Avenue, Asbury 52002
- Grand Meadows Senior Living & Health Care5300 Grand Meadow Drive, Asbury 52002
Who inspects nursing homes in Iowa
Iowa's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Iowa, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Accura Healthcare of Cascade LLC, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Accura Healthcare of Cascade
What is the CMS star rating of Accura Healthcare of Cascade LLC?
2 out of 5 stars overall.
Does Accura Healthcare of Cascade LLC accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Accura Healthcare of Cascade LLC?
3 cited at the last standard visit.
Who owns Accura Healthcare of Cascade LLC?
Accura Healthcare of Cascade LLC, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.