Nursing Home
Accura Healthcare of Shenandoah
1203 South Elm Street, Shenandoah, IA 51601
1
1
CMS Overall Rating — Much below average
Informational only. This information comes from CMS Care Compare data and may be out of date or contain errors. It is not a substitute for visiting the nursing home. Always confirm details directly with the provider and with Medicare.gov Care Compare before making a decision.
CMS five-star sub-ratings
Health inspection
1
Staffing
1
Quality measures
1
Long-stay QM
2
Short-stay QM
1
The overall rating starts from the health-inspection rating and is adjusted by staffing and quality-measure performance. How this works.
Facility details
- Type
- Nursing Home
- Ownership
- For-profit
- Certified beds
- 42
- Phone
- (712) 246-4627
- CMS Certification Number
- 165529
- Address
- 1203 South Elm Street, Shenandoah, IA 51601
Staffing
- Total nurse staffing (hrs/resident/day)
- 3.83 hrs
- RN staffing (hrs/resident/day)
- 0.63 hrs
- Total nursing staff turnover
- 63.5 %
Inspection
- Total weighted health survey score
- 111
Other measures
- Average residents per day
- 39.4
Inspection history
32citations on record
3serious (scope/severity G+)
5from complaints
September 18, 2025most recent survey
Recent citations
| Date | Tag | Issue | Severity |
|---|---|---|---|
| Sep 2025 | 0725 | Nursing and Physician Services Deficiencies | |
| Sep 2025 | 0803 | Nutrition and Dietary Deficiencies | |
| Sep 2025 | 0812 | Nutrition and Dietary Deficiencies | |
| Sep 2025 | 0865 | Administration Deficiencies | |
| Sep 2025 | 0727 | Nursing and Physician Services Deficiencies complaint | |
| Sep 2025 | 0550 | Resident Rights Deficiencies | |
| Sep 2025 | 0584 | Resident Rights Deficiencies | |
| Sep 2025 | 0641 | Resident Assessment and Care Planning Deficiencies | |
| Sep 2025 | 0645 | Resident Assessment and Care Planning Deficiencies | |
| Sep 2025 | 0695 | Quality of Life and Care Deficiencies | |
| Sep 2025 | 0880 | Infection Control Deficiencies | |
| Oct 2024 | 0656 | Resident Assessment and Care Planning Deficiencies | |
| Oct 2024 | 0727 | Nursing and Physician Services Deficiencies | |
| Oct 2024 | 0812 | Nutrition and Dietary Deficiencies | |
| Oct 2024 | 0880 | Infection Control Deficiencies |
Scope/severity runs A (least) to L (most serious); G and above indicate actual harm or immediate jeopardy. Source: CMS health inspection surveys.
Penalties & enforcement
1fines
$8,414total fines
1payment denials
2total penalties
Penalty history
| Date | Type | Amount / length |
|---|---|---|
| Dec 2023 | Fine | $8,414 |
| Jun 2023 | Payment Denial | 6 days |
Federal penalties recorded by CMS. Source: CMS Provider Data Catalog.
Ownership
| Owner | Type | Role | Stake |
|---|---|---|---|
| Leneave, Thomas | Individual | 5% Or Greater Indirect Ownership Interest | 30% |
| Hummel, Ashley | Individual | W-2 Managing Employee | — |
| Smith, Timothy | Individual | W-2 Managing Employee | — |
| Toti, Lisa | Individual | W-2 Managing Employee | — |
| Leneave, Ted | Individual | Corporate Director | — |
| Leneave, Thomas | Individual | Corporate Director | — |
| Toti, Lisa | Individual | Corporate Director | — |
| Leneave, Ted | Individual | Corporate Officer | — |
| Leneave, Thomas | Individual | Corporate Officer | — |
| American Healthcare Management Services LLC | Organization | Operational/Managerial Control | — |
Owners, managing employees and organizations on file with CMS. Ownership can affect accountability and care patterns. Source: CMS Ownership data.
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