Accura Healthcare of Cascade LLC: Staffing, Turnover, and Inspection Record
Accura Healthcare of Cascade LLC is a 46-bed for-profit nursing home in Cascade, Iowa, part of Accura Healthcare. In the CMS August 2026 release it reported 2.89 nurse aide hours per resident per day, 15% above the Iowa average of 2.51, and 30.6% nursing staff turnover (Iowa average 44.0%).
Accura Healthcare of Cascade LLC
701 North Johnson Street NWCascade, IA 52033
Dubuque County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Accura Healthcare of Cascade LLC, nurse aides logged 2.89 hours per resident per day, 15% above the Iowa average. With about 42 residents a day, that works out to roughly 120 aide hours a day, or about 15 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.89 | 2.51 | 2.32 |
| Licensed practical nurses | 0.81 | 0.56 | 0.86 |
| Registered nurses | 0.56 | 0.74 | 0.69 |
| All nursing staff | 4.26 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.77 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
30.6% of nursing staff at Accura Healthcare of Cascade LLC left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 37.5%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 28, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (Iowa average 6.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Accura Healthcare of Cascade LLC holds 2 of 5 overall; the Iowa average is 3.1.
About Accura Healthcare of Cascade LLC
- Ownership: For profit - Limited Liability company
- Chain: Accura Healthcare, 41 homes
- Medicare and Medicaid certified since: Jan 1, 2006
- Councils: resident council
- Area: urban
Nursing homes near Accura Healthcare of Cascade LLC
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Monticello Nursing & Rehab Center Monticello | 9.9 | 75 | 2.15 | 3.17 | 50.0% | 3 | None |
| MercyOne Dyersville Senior Care Dyersville | 13.3 | 40 | 2.68 | 4.06 | 37.5% | 5 | None |
| Anamosa Care Center Anamosa | 18.8 | 64 | 2.22 | 3.27 | 50.9% | 5 | None |
| Hawkeye Care Center Dubuque Asbury | 19.0 | 80 | 2.15 | 3.33 | — | 3 | None |
| Grand Meadows Senior Living & Health Care Asbury · staffing data not validated | 19.9 | 32 | — | — | — | 1 | $16,448 |
| Ennoble Nursing and Rehab Dubuque | 20.7 | 85 | 2.28 | 3.60 | 40.0% | 5 | None |
| Luther Manor at Hillcrest Dubuque | 20.9 | 103 | 3.45 | 4.49 | 54.3% | 1 | $42,406 |
| Dubuque Specialty Care Dubuque | 21.6 | 84 | 1.79 | 2.89 | 57.1% | 2 | $53,372 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.