Elmwood PE
State licensed190 15TH ST, Onawa, IA 51040
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
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Prices not published
About Accura Healthcare of Onawa
Accura Healthcare of Onawa provides skilled nursing and rehabilitation services to Onawa, Iowa residents who need professional medical care and recovery support. Our team focuses on helping patients regain independence through personalized treatment plans and compassionate nursing staff.
Community at a glance
Capacity
46 residents
Location
Onawa, IA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
222 North 15th Street, Onawa, Iowa 51040
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on May 8, 2025, state inspectors cited 9 health deficiencies (the Iowa average is 6.5).
Nurses and nurse aides spend 3 hours 13 minutes with each resident a day, below the Iowa average of 3 hours 49 minutes.
Medicare has not fined Accura Healthcare of Onawa in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 13 minutesBelow the Iowa average |
| Registered nurse time per resident, per day | 38 minutesBelow the Iowa average |
| Nursing staff who left in the past year | 50%Above the Iowa average |
Inspections
22 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 9, 2026 · Complaint investigation · 4 citations
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 28, 2026Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jul 28, 2026Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jul 28, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 28, 2026
May 8, 2025 · Standard inspection · 5 citations
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected May 22, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 22, 2025Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 22, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 22, 2025Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 22, 2025
July 27, 2024 · Complaint investigation · 3 citations+
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 12, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 12, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 12, 2024
June 13, 2024 · Standard inspection · 7 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jun 26, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 26, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jun 26, 2024Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 26, 2024Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 26, 2024Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 26, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 26, 2024
January 12, 2024 · Complaint investigation · 3 citations+
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Feb 1, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed by Jul 11, 2023Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 1, 2024
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Accura Healthcare of Onawa LLC
- Medicare-certified beds
- 46
- Average residents per day
- 40
- Accepts
- Medicare and Medicaid
- First certified
- June 1, 1995
- Part of a chain
- Accura Healthcare, 41 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 165256
Location
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222 North 15th StreetOnawa, IA 51040
4 other communities within 10 miles
Senior living near Onawa
1018 11th St, Onawa, IA 51040
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
Call for pricing
Prices not published
Pleasant View Assisted Living
State licensed200 Shannon Dr, Whiting, IA 51063
Assisted LivingSkilled Nursing
Call for pricing
Prices not published
Questions about Accura Healthcare of Onawa
How did Accura Healthcare of Onawa do on its last inspection?+
State inspectors visited on May 8, 2025 and cited 9 health deficiencies, 4 of them from complaint investigations. The Iowa average is 6.5.
How much nursing care does each resident get at Accura Healthcare of Onawa?+
Nurses and aides spend 3 hours 13 minutes with each resident per day, including 38 minutes from registered nurses. 50% of nursing staff left over the past year.
Has Accura Healthcare of Onawa been fined by Medicare?+
Medicare's records show no fines against Accura Healthcare of Onawa in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.