Accura Healthcare of Onawa
Nursing home in Onawa, Iowa, CMS certification number 165256
222 North 15th Street, Onawa, IA 51040 · Monona County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 46
- Certified for
- Medicare and Medicaid
- Last standard inspection
- July 9, 2026
- Deficiencies at that inspection
- 10
- Fines in 3 years
- No fines
Does Accura Healthcare of Onawa take Medicare and Medicaid?
Yes to both. Accura Healthcare of Onawa 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 | 3 of 5 |
| Quality of resident care | 3 of 5 |
| Long-stay quality | 3 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Accura Healthcare of Onawa 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
- 3.16
- Registered nurse hours
- 0.59
- Licensed practical nurse hours
- 0.35
- Nurse aide hours
- 2.22
- Weekend total hours
- 2.79
- Nursing staff turnover
- 43.8%
- Registered nurse turnover
- 62.5%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on July 9, 2026 and cited 10 deficiencies, plus 4 from complaint visits.
The visit before, on May 8, 2025, found 5.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Accura Healthcare of Onawa in the past 3 years.
Beds and residents
On an average day 38.5 residents live here, about 84% of its 46 certified beds.
- Certified beds
- 46
- Average residents per day
- 38.5
- Certified since
- June 1, 1995
- Resident or family council
- Resident
Who owns Accura Healthcare of Onawa
- Legal business name
- Accura Healthcare of Onawa LLC
- Ownership type
- For profit - Corporation
- Chain
- 44 homes nationally under Accura Healthcare, 2.7-star chain average
Other nursing homes near Accura Healthcare of Onawa
- Pleasant View Care Center200 Shannon Drive, Whiting 51063
- Maple HeightsTwo Sunrise Avenue, Mapleton 51034
- Pioneer Valley Living And Rehab400 Sergeant Square Drive, Sergeant Bluff 51054
- Embassy Rehab and Care Center206 Port Neal Road, Sergeant Bluff 51054
- Azria Health Rose Vista1109 Normal Street, Woodbine 51579
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 Onawa, 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 Onawa
What is the CMS star rating of Accura Healthcare of Onawa?
2 out of 5 stars overall.
Does Accura Healthcare of Onawa accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Accura Healthcare of Onawa?
10 cited at the last standard visit.
Who owns Accura Healthcare of Onawa?
Accura Healthcare of Onawa LLC, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.