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Accura Healthcare of Onawa

222 North 15th Street, Onawa, Iowa 51040

Overview

Accura Healthcare of Onawa has a Medicare overall rating of 2 out of 5, below the Iowa average of 3.1. It is the only Medicare-rated nursing home in Onawa. Its strongest area is quality of care (3 of 5), and its weakest is health inspections (2 of 5).

Residents receive about 3.2 hours of nursing care per day, fewer than at 92% of nursing homes in Iowa (the state average is 3.9 hours). Of that, 0.6 hours come from registered nurses.

Its most recent standard inspection, on July 9, 2026, found 10 health deficiencies, more than the Iowa average of 6.5. 4 of them came from complaint investigations. It has no fines on record for the past three years, while 37% of Iowa nursing homes have been fined.

Accura Healthcare of Onawa is a for-profit facility with 46 certified beds, caring for about 39 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1995.

Medicare ratings

Overall
Health inspections
Quality of care
Staffing

Source: Medicare Care Compare, data as of October 1, 2026.

How it compares nearby

Ranked by Medicare overall rating, then quality, inspection and staffing ratings.

Within 100 miles134th of 186 facilities

Top 73%

In Iowa279th of 385 facilities

Top 73%

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Inspections and penalties

Most recent standard inspection
July 9, 2026
Health deficiencies cited
10
Complaint-related deficiencies
4
Fines in the last 3 years
0
Payment denials
0
Total penalties
0

Staffing

Average hours of care each resident receives per day.

  • All nursing staff3.16 hrs
  • Registered nurses (RN)0.59 hrs
  • Licensed practical nurses (LPN)0.35 hrs
  • Nurse aides2.22 hrs
  • Physical therapists0.02 hrs

Facility details

Ownership
For profit - Corporation
Certified beds
46
Average residents per day
39
Participates in
Medicare and Medicaid
Medicare/Medicaid since
June 1, 1995
Inside a hospital
No
Continuing care retirement community
No
Changed ownership in last 12 months
No
Resident or family council
Resident
Sprinklers in all required areas
Yes