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Accura Healthcare of Lake City

⌖ Lake City, IA · Calhoun County
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Medicare overall rating 2 of 5 stars
Certified beds46
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)

About Accura Healthcare of Lake City

Accura Healthcare of Lake City is a 46-bed for-profit nursing home in Lake City, IA. Medicare rates it 2 out of 5 stars overall (below average); the average in Iowa is 3.1.

  • Inspections: 7 problems at its last full inspection (Apr 2026), close to the Iowa average of 6.5. None of its recent citations were for residents being harmed.
  • Staffing: nurses and aides spend about 3 hr 42 min a day with each resident, about the same as the Iowa average of 3 hr 49 min. About 37% of nursing staff left in the past year.
  • Fines: $35,341 in federal fines in the last three years.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

Key details

Facility nameAccura Healthcare Of Lake City, LLC
LocationCalhoun County, Iowa
Address1409 West Main Street, Lake City, IA 51449 · Calhoun County
Medicare provider number165082
Ownership typeFor-profit (corporation)
Operating companyAccura Healthcare · 41 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceSeptember 6, 1968 (58 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating2 of 5Below average
Health inspections2 of 5Below average
Quality measures3 of 5Average
Staffing3 of 5Average

Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

2 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone since Oct 2025No citations for actual harm or immediate jeopardy since Oct 2025.
    Strength
  • Nursing staff turnover37% a yearIowa average: 44%
    Strength

About average

  • Health citations at last inspection7 (Apr 2026)Iowa average: 6.5.
    About average
  • Nurse staffing per resident3 hr 42 min a dayIowa average: 3 hr 49 min
    About average

Things to ask about

This home hasn’t responded to these yet. Represent this home? Respond →

  • Fines and penalties1 fine totaling $35,341Federal penalties from the last three years, most recently in Jan 2025 (about 1 year ago). The national average is $30,972 per home.
    Ask about this
  • Registered nurse time per resident21 min a dayIowa average: 45 min
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Iowa average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 4 of 5 (above average)

  • Sent back to the hospital17.2%State average: 20.9%
    About average
  • Needed an emergency room visit23.6%State average: 13.2%
    Worse than average
  • Newly given antipsychotic drugs0.0%State average: 2.1%
    Better than average

Physical therapist time: about 1 minute a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is less than the state average of 2 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 1 of 5 (much below average)

  • Falls with a major injury11.8%State average: 3.8%
    Worse than average
  • Pressure sores (bedsores)1.5%State average: 4.2%
    Better than average
  • Given antipsychotic drugs16.8%State average: 19.5%
    About average
  • Hospital stays per 1,000 resident days3.0State average: 1.5
    Worse than average

Source: Medicare (CMS) quality measures, compared with the Iowa average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Iowa, Medicaid pays for 50% of resident days at a typical home.

  • 55% Medicaid
  • 4% Medicare
  • 42% Private pay, insurance and other
Beds in use, on average86%Iowa typical: 79%
Facility operating cost per resident day$287Iowa typical: $311

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 2 stars now, down from 4 stars in January 2019. It has ranged from 1 to 5 stars and changed 9 times.

Overall rating2★
Health inspections2★
Staffing3★
Quality of care3★
Nurse hours per resident per day3.7
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201942553.7
Jan 202032543.8
Jan 202153453.6
Jan 202232443.9
Jan 202343454.4
Jan 202432453.5
Feb 202522223.1
Feb 202611423.9
Sep 202622333.7

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

Other nursing homes near Lake City

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3 of 5 · Medicare

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.