CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1655682026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Accura Healthcare Of Cascade Llc

CMS lists this provider in Cascade, IA, with 46 certified beds, an overall rating of 2/5, and 19 citation rows in the current August 2026 release.

701 North Johnson Street Nw · Cascade, IA 52033 · Dubuque County

CMS OVERALL RATING★★☆☆☆2/5CMS field—not our score or recommendation
Certified beds46CMS provider file
Recent citation rows19current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Accura Healthcare Of Cascade Llc survey cycles in this release

CMS supplies 3 survey-cycle rows for Accura Healthcare Of Cascade Llc in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-05-2832026-05-283
Cycle 22025-05-1522025-05-153
Cycle 32024-07-0302024-07-038
02 / CITATION DETAIL

Accura Healthcare Of Cascade Llc citations in the current release

CMS reports 19 citation rows, including 1 with G–L codes and 0 with J–L codes.

1 row carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-05-28 · FIREE0039Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Correction field: Deficient, Provider has date of correction · 2026-06-26
2026-05-28 · HEALTHF0600Severity G · isolated actual harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Deficient, Provider has date of correction · 2026-06-15 · complaint
2026-05-28 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Correction field: Deficient, Provider has date of correction · 2026-06-15
2026-05-28 · FIREK0321Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2026-06-26
2026-05-28 · FIREK0372Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2026-06-26
2026-03-04 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-03-23 · complaint
2025-07-03 · HEALTHF0940Severity D · isolated; potential for more than minimal harm

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Correction field: Deficient, Provider has date of correction · 2025-07-11 · complaint
2025-05-15 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2025-05-31
2025-05-15 · FIREK0321Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2025-06-06
2025-05-15 · FIREK0345Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2025-06-06
2025-05-15 · FIREK0372Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2025-06-06
2024-07-03 · FIREE0039Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Correction field: Deficient, Provider has date of correction · 2024-08-02
2024-07-03 · FIREE0041Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

Correction field: Deficient, Provider has date of correction · 2024-08-02
2024-07-03 · FIREK0211Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Deficient, Provider has date of correction · 2024-08-02
2024-07-03 · FIREK0321Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2024-08-02
2024-07-03 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2024-08-02
2024-07-03 · FIREK0363Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2024-08-02
2024-07-03 · FIREK0511Severity D · isolated; potential for more than minimal harm

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Correction field: Deficient, Provider has date of correction · 2024-08-02
2024-07-03 · FIREK0920Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2024-08-02
03 / ENFORCEMENT FILE

CMS penalties reported for Accura Healthcare Of Cascade Llc

The August 2026 file contains 0 penalty rows and $0 in listed fines for this provider record.

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for Accura Healthcare Of Cascade Llc

CMS matched 7 ownership disclosure rows to Accura Healthcare Of Cascade Llc; names and roles are reported fields, not independently verified identities.

  • ACCURA HEALTHCARE OF THE HEARTLAND LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 07/01/2021
  • AMERICAN HEALTHCARE MANAGEMENT SERVICES LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 07/01/2021
  • BLACK, TAYLORIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 07/01/2021
  • TOTI, LISAIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 07/01/2021
  • DIXON, KEVINIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 07/01/2021
  • LENEAVE, TEDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 07/01/2021
  • TOTI, LISAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 07/01/2021

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Staffing hours and turnover for Accura Healthcare Of Cascade Llc

CMS reports 4.26 total nurse hours and 0.56 RN hours per resident day for this provider.

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours4.26per resident day
RN hours0.56per resident day
Weekend nurse hours3.77per resident day
Staff turnover30.6%CMS reported field
06 / LOCAL RECORDS

Facilities published near Accura Healthcare Of Cascade Llc

No second published facility record in Cascade, IA met the local peer rule in this release.

Open the Iowa ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.