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B
Good

Accura Healthcare of Onawa

222 North 15th Street · Onawa, IA 51040

7124232510 · For profit - Corporation

46 beds0 residents60 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
A
Very Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Accura Healthcare of Onawa receives an overall staffing grade of B (Good). With 3.9196 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.02 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 15.93% compared to weekdays. The facility has low agency staff usage (4.32% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (4.32%) — mostly permanent, familiar staff
Total Nurse HPRD
3.9196hrs/resident/day▲ 0.02
CMS benchmark: 3.48
RN HPRD
0.9692hrs/resident/day▲ 0.29
Recommended: 0.75
Weekend Drop-off
15.93%
4.1045 weekday → 3.4504 weekend
Agency Staff
4.32%
2.57% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8438hrs/resident/day
Direct care aides
LPN HPRD
0.3161hrs/resident/day
Licensed practical nurses
Consistency
0.4075std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Monona County Average-0.23 HPRD
4.15
03.92 HPRD
vs. Iowa State Average+0.10 HPRD
3.82
03.92 HPRD
vs. National Average+0.02 HPRD
3.90
03.92 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Accura Healthcare of Onawa ★
Onawa · This facility
—
B
3.91960.9692★☆☆☆☆
Pleasant View Care Center
WHITING
6.7 mi
C
4.17310.5094★★★☆☆
Maple Heights
Mapleton
17.5 mi
C
4.34420.473★★★☆☆
Embassy Rehab and Care Center
Sergeant Bluff
28 mi
B
3.56370.9061★☆☆☆☆
Azria Health Rose Vista
Woodbine
28.7 mi
C
3.58680.4739★☆☆☆☆
Dunlap Specialty Care
Dunlap
29.5 mi
B
3.55420.8138★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
30
Total Deficiencies
$0
Fines Assessed
May 8, 2025Health
5 deficiencies cited
▼
Jul 27, 2024Health
3 deficiencies cited
▼
Jun 13, 2024Health
7 deficiencies cited
▼
Jan 12, 2024Health
3 deficiencies cited· Includes actual harm
▼
Jun 29, 2023Health
12 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.