Accura Healthcare of Muscatine
A nursing home in Muscatine, Iowa 52761
3440 Mulberry Avenue, Muscatine, Iowa 52761. (563) 263-2194.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 0 health citations at the latest inspection cycle Iowa average: 6.6
- 3.18 nurse hours per resident per day Iowa average: 3.86
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
0 health citations at the latest inspection cycle
The Iowa average is 6.6.
Last standard inspection Jul 2, 2026.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
18 citations in 4 months of the last 36. Last cited Aug 2025. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 18 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 4 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 28, 2025: complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
May 8, 2025: standard inspection6 citations
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Ensure each resident receives an accurate assessment.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide enough food/fluids to maintain a resident’s health.
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Implement a program that monitors antibiotic use.
Sep 16, 2024: complaint inspection1 citation
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Plan the resident’s discharge to meet the resident’s goals and needs.
Aug 1, 2024: standard inspection8 citations
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Reasonably accommodate the needs and preferences of each resident.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Assess the resident when there is a significant change in condition
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide safe and appropriate respiratory care for a resident when needed.
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Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
Aug 1, 2024: standard and complaint inspection2 citations
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Feb 7, 2007.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 100 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 4 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
3.18 nurse hours per resident per day
The Iowa average is 3.86.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Iowa average |
|---|---|---|
| Nurse hours per resident per day | 3.18 | 3.86 |
| Of which registered nurses | 0.61 | 0.74 |
| At weekends | 2.80 | 3.38 |
| Nursing staff turnover | 40.4% | 44.1% |
| Registered nurse turnover | 63.6% | 42.1% |
| Administrators who left | 0 | Not given |
Who owns it?
- Aviv Healthcare of the Midwest LLC owns 100% directly since Feb 1, 2025.
- Accura Management Consulting Services LLC runs it.
- 20 owners or officers are people: Ted A Leneave (owns a share through other companies, 80%); Megan Kleinsasser (owns a share through other companies, 5%); Brady Allen (owns a share through other companies, 5%); Lisa Toti (owns a share through other companies, 5%); Megan Kleinsasser (runs it (operational or managerial control)); Megan Kleinsasser (additional disclosable party (controls, leases property to, or provides services to the home)); Amy Young (runs it (operational or managerial control)); Amy Young (additional disclosable party (controls, leases property to, or provides services to the home)); Ted A Leneave (runs it (operational or managerial control)); Ted A Leneave (additional disclosable party (controls, leases property to, or provides services to the home)); Brady Allen (runs it (operational or managerial control)); Brady Allen (additional disclosable party (controls, leases property to, or provides services to the home)); Hamid R Sagha (runs it (operational or managerial control)); Hamid R Sagha (additional disclosable party (controls, leases property to, or provides services to the home)); Lisa Toti (runs it (operational or managerial control)); Lisa Toti (additional disclosable party (controls, leases property to, or provides services to the home)); Brandy Calveage (runs it (operational or managerial control)); Brandy Calveage (additional disclosable party (controls, leases property to, or provides services to the home)); Kristopher Glaser (runs it (operational or managerial control)); Kristopher Glaser (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Accura Healthcare (44 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Kimmons Healthcare Investments LLC | Owns a share through other companies | 100% | Feb 1, 2025 |
| Aviv Healthcare Holdings LLC | Owns a share through other companies | 100% | Feb 1, 2025 |
| Aviv Healthcare of the Midwest LLC | Owns a share directly | 100% | Feb 1, 2025 |
| Avenue94 LLC | Owns a share through other companies | 5% | Feb 1, 2025 |
| Zrr Opco LLC | Owns a share through other companies | 5% | Feb 1, 2025 |
| Little River Investments LLC | Owns a share through other companies | 5% | Feb 1, 2025 |
| Ktl Enterprises LLC | Owns a share through other companies | 5% | Feb 1, 2025 |
| Aviv Healthcare Properties Operating Partnership I LP | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2025 | |
| Ohi Healthcare Properties Limited Partnership | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2025 | |
| Omega Healthcare Investors Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2025 | |
| Accura Management Consulting Services LLC | Runs it (operational or managerial control) | Feb 1, 2025 | |
| Accura Management Consulting Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2025 | |
| Muscatine Toledo Properties LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2025 | |
| Aviv Op Limited Partner LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2025 | |
| Aviv Financing II LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2025 |
How do residents fare?
- CMS rates its quality measures 1 of 5 (Iowa average 3.4).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 3 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 1 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 25.7 miles, this one had the 12th most health citations at the latest inspection cycle (0; the middle value was 4).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Accura Healthcare of Muscatine This nursing home | 0 | |
| Lutheran Living Senior Campus | 2.2 | 6 |
| Wilton Retirement Community | 11.0 | 1 |
| Simpson Memorial Home | 12.8 | 2 |
| Lone Tree Health Care Center Inc. | 17.6 | 2 |
| Colonial Manors of Columbus Community | 19.2 | 2 |
| Crestview Specialty Care | 20.9 | 13 |
| Cedar Manor Nursing Home | 22.9 | 3 |
| Arcadia Care Aledo | 24.0 | 20 |
| Mercer Manor Rehabilitation | 24.0 | 6 |
| Good Samaritan - Davenport | 24.5 | 5 |
| Iowa City Rehab & Health Care | 25.7 | 30 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
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