CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1654352026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Accura Healthcare Of Sioux City, Llc

3800 Indian Hills Drive · Sioux City, IA 51104 · Woodbury County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation
Certified beds46CMS provider file
Recent citation rows38current 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

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-12-0462025-12-044
Cycle 22024-10-2402024-10-249
Cycle 32023-07-25152023-07-254
02 / CITATION DETAIL

38 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-12-04 · HEALTHF0628Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Correction field: Deficient, Provider has date of correction · 2025-12-05
2025-12-04 · HEALTHF0644Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Correction field: Deficient, Provider has date of correction · 2025-12-05
2025-12-04 · 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 · 2025-12-05
2025-12-04 · HEALTHF0698Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Correction field: Deficient, Provider has date of correction · 2025-12-05
2025-12-04 · HEALTHF0710Severity D · isolated; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Correction field: Deficient, Provider has date of correction · 2025-12-05
2025-12-04 · 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 · 2025-12-05
2025-12-04 · FIREK0271Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Have exits that are accessible at all times.

Correction field: Deficient, Provider has date of correction · 2025-12-29
2025-12-04 · FIREK0712Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2025-12-29
2025-12-04 · FIREK0914Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Correction field: Deficient, Provider has date of correction · 2025-12-29
2025-12-04 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2025-12-29
2024-10-24 · FIREK0324Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2024-11-27
2024-10-24 · FIREK0341Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

Correction field: Deficient, Provider has date of correction · 2024-11-27
2024-10-24 · 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 · 2024-11-27
2024-10-24 · FIREK0346Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Correction field: Deficient, Provider has date of correction · 2024-11-27
2024-10-24 · FIREK0355Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Correction field: Deficient, Provider has date of correction · 2024-11-27
2024-10-24 · FIREK0363Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2024-11-27
2024-10-24 · FIREK0712Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2024-11-27
2024-10-24 · FIREK0914Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Correction field: Deficient, Provider has date of correction · 2024-11-27
2024-10-24 · FIREK0920Severity E · pattern; 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 · 2024-11-27
2023-07-25 · 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 · 2023-08-18
2023-07-25 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction field: Deficient, Provider has date of correction · 2023-08-24
2023-07-25 · HEALTHF0567Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

Correction field: Deficient, Provider has date of correction · 2023-08-24
2023-07-25 · HEALTHF0580Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction field: Deficient, Provider has date of correction · 2023-08-24
2023-07-25 · HEALTHF0644Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Correction field: Deficient, Provider has date of correction · 2023-08-24
03 / ENFORCEMENT FILE

Penalties reported by CMS

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

Who appears in the CMS file

  • AMERICAN HEALTHCARE ASSOCIATES INCOrganization · DIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 01/01/2016
  • ACCURA HEALTHCAREOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 01/01/2016
  • LENEAVE, TEDIndividual · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 01/01/2016
  • PH POMEROY LLCOrganization · 5% OR GREATER MORTGAGE INTEREST
    NOT APPLICABLE · since 06/13/2025
  • GEMINO HEALTHCARE FINANCE LLCOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 01/09/2025
  • LENEAVE, TEDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2016
  • TOTI, LISAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2016
  • AMERICAN HEALTHCARE MANAGEMENT SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2016
  • HALLMARK CARE LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2016
  • MENNO, TARAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/22/2022
  • MILLER, DANIELIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2024
  • AMERICAN HEALTHCARE MANAGEMENT SERVICES LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 11/14/2025
  • HALLMARK CARE LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 11/14/2025
  • LENEAVE, TEDIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/01/2016
  • MENNO, TARAIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 08/22/2022
  • MILLER, DANIELIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/01/2024
  • TOTI, LISAIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/01/2016

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

Reported hours and turnover

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

Total nurse hours3.74per resident day
RN hours0.43per resident day
Weekend nurse hours3.06per resident day
Staff turnover37.0%CMS reported field
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.