Accura Healthcare of Pleasantville, LLC
909 North State Street · Pleasantville, IA · 50225 · 5158485718
46 certified beds For profit - Limited Liability company Chain: Accura Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.74 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.58 | 0.55–0.75 |
| Weekend hours / resident-day | 3.19 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 1 · $28,724 |
Inspection citations (62 in the current record)
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Potential for harm · D April 30, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected May 7, 2026 · Resident Rights
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Potential for harm · D May 8, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected May 30, 2025 · Resident Rights
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Potential for harm · D May 8, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 30, 2025 · Resident Rights
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Potential for harm · D May 8, 2025
Ensure each resident receives an accurate assessment.
Corrected May 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 8, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected May 30, 2025 · Quality of Life and Care
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Potential for harm · E May 8, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected May 30, 2025 · Administration
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Potential for harm · D May 8, 2025
Provide and implement an infection prevention and control program.
Corrected May 30, 2025 · Infection Control
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Potential for harm · D May 8, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected May 30, 2025 · Nursing and Physician Services
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Potential for harm · D May 8, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected May 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 8, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 8, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 8, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 8, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 30, 2025 · Quality of Life and Care
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Potential for harm · F May 8, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 30, 2025 · Nursing and Physician Services
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Potential for harm · E May 8, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 30, 2025 · Nutrition and Dietary
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Immediate jeopardy · K September 30, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 21, 2024 · Infection Control
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Actual harm · G September 30, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 21, 2024 · Nursing and Physician Services
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Potential for harm · E September 30, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 21, 2024 · Resident Rights
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Potential for harm · D September 30, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected October 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 30, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 30, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · E September 30, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 21, 2024 · Quality of Life and Care
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Potential for harm · D September 30, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 21, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 30, 2024 | Fine | $28,724 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165324 · certified since March 3, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.