Accura Healthcare of Onawa: Staffing, Turnover, and Inspection Record
Accura Healthcare of Onawa is a 46-bed for-profit nursing home in Onawa, Iowa, part of Accura Healthcare. In the CMS August 2026 release it reported 2.20 nurse aide hours per resident per day, 12% below the Iowa average of 2.51, and 50.0% nursing staff turnover (Iowa average 44.0%).
Accura Healthcare of Onawa
222 North 15th StreetOnawa, IA 51040
Monona County
CMS Care Compare, August 2026 release
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 Onawa, nurse aides logged 2.20 hours per resident per day, 12% below the Iowa average. With about 40 residents a day, that works out to roughly 89 aide hours a day, or about 11 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 19% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.20 | 2.51 | 2.32 |
| Licensed practical nurses | 0.39 | 0.56 | 0.86 |
| Registered nurses | 0.63 | 0.74 | 0.69 |
| All nursing staff | 3.22 | 3.82 | 3.86 |
| All nursing staff, weekends | 2.62 | 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
50.0% of nursing staff at Accura Healthcare of Onawa left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 77.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 8, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 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 Onawa holds 2 of 5 overall; the Iowa average is 3.1.
About Accura Healthcare of Onawa
- Ownership: For profit - Corporation
- Chain: Accura Healthcare, 41 homes
- Legal name: Accura Healthcare of Onawa LLC
- Medicare and Medicaid certified since: Jun 1, 1995
- Councils: resident council
- Area: rural
Nursing homes near Accura Healthcare of Onawa
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Pleasant View Care Center Whiting | 6.7 | 70 | 3.14 | 4.34 | 39.0% | 4 | None |
| Carl T Curtis Health Education Center Nursing Home Macy | 14.3 | 25 | 3.35 | 5.15 | 32.4% | 4 | None |
| Maple Heights Mapleton | 17.5 | 58 | 3.14 | 4.36 | 28.4% | 5 | None |
| Accura HealthCare of Tekamah Tekamah | 18.7 | 44 | 1.88 | 2.91 | 51.6% | 1 | None |
| Oakland Heights Oakland | 23.1 | 45 | 2.93 | 4.40 | 46.8% | 5 | None |
| Pioneer Valley Living And Rehab Sergeant Bluff | 28.0 | 66 | 2.75 | 3.72 | 46.6% | 1 | None |
| Embassy Rehab and Care Center Sergeant Bluff · abuse citation | 28.0 | 60 | 2.08 | 3.51 | 54.2% | 1 | None |
| Azria Health Rose Vista Woodbine | 28.7 | 76 | 2.55 | 3.60 | 42.6% | 1 | None |
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.
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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.