Accura Healthcare of Shenandoah: Staffing, Turnover, and Inspection Record
Accura Healthcare of Shenandoah is a 42-bed for-profit nursing home in Shenandoah, Iowa, part of Accura Healthcare. In the CMS August 2026 release it reported 2.49 nurse aide hours per resident per day, about the same as the Iowa average of 2.51, and 60.4% nursing staff turnover (Iowa average 44.0%).
Accura Healthcare of Shenandoah
1203 South Elm StreetShenandoah, IA 51601
Page 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 Shenandoah, nurse aides logged 2.49 hours per resident per day, about the same as the Iowa average. With about 41 residents a day, that works out to roughly 102 aide hours a day, or about 13 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
CMS note: The facility reported a high number of days without a registered nurse on site.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.49 | 2.51 | 2.32 |
| Licensed practical nurses | 0.54 | 0.56 | 0.86 |
| Registered nurses | 0.60 | 0.74 | 0.69 |
| All nursing staff | 3.63 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.21 | 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
60.4% of nursing staff at Accura Healthcare of Shenandoah left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 50.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 18, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 11 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $8,414 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Dec 6, 2023 | Fine | $8,414 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
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 Shenandoah holds 1 of 5 overall; the Iowa average is 3.1.
About Accura Healthcare of Shenandoah
- Ownership: For profit - Limited Liability company
- Chain: Accura Healthcare, 41 homes
- Medicare and Medicaid certified since: Apr 1, 2004
- Councils: resident council
- Area: rural
Nursing homes near Accura Healthcare of Shenandoah
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Garden View Care Center Shenandoah · Special Focus Facility · abuse citation | 0.4 | 50 | 2.97 | 4.33 | 55.3% | — | $137,835 |
| The Ambassador Sidney Inc Sidney | 14.3 | 46 | 2.46 | 3.54 | 34.1% | 4 | None |
| Azria Health Clarinda Clarinda | 17.3 | 70 | 2.23 | 3.66 | 32.8% | 2 | $16,448 |
| Tabor Manor Care Center Tabor | 18.4 | 46 | 2.53 | 3.76 | 60.4% | 1 | $17,996 |
| Red Oak Rehab and Care Center Red Oak | 19.9 | 58 | 2.63 | 3.54 | 44.8% | 3 | None |
| Good Samaritan - Red Oak Red Oak | 20.0 | 53 | 2.04 | 3.29 | 17.9% | 1 | $29,894 |
| Accura Healthcare of Stanton Stanton | 21.1 | 46 | 2.55 | 3.79 | 25.0% | 3 | None |
| Good Samaritan - Villisca Villisca | 23.9 | 46 | 1.95 | 3.43 | 32.4% | 3 | 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.