Accura Healthcare of Toledo: Staffing, Turnover, and Inspection Record
Accura Healthcare of Toledo is a 55-bed for-profit nursing home in Toledo, Iowa, part of Accura Healthcare. In the CMS August 2026 release it reported 2.31 nurse aide hours per resident per day, 8% below the Iowa average of 2.51, and 56.5% nursing staff turnover (Iowa average 44.0%).
Accura Healthcare of Toledo
403 Grandview DriveToledo, IA 52342
Tama 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 Toledo, nurse aides logged 2.31 hours per resident per day, 8% below the Iowa average. With about 54 residents a day, that works out to roughly 124 aide hours a day, or about 15 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.31 | 2.51 | 2.32 |
| Licensed practical nurses | 0.30 | 0.56 | 0.86 |
| Registered nurses | 0.29 | 0.74 | 0.69 |
| All nursing staff | 2.89 | 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
56.5% of nursing staff at Accura Healthcare of Toledo left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 57.1%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 8, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 4 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 Toledo holds 3 of 5 overall; the Iowa average is 3.1.
About Accura Healthcare of Toledo
- Ownership: For profit - Corporation
- Chain: Accura Healthcare, 41 homes
- Legal name: Accura Healthcare of Toledo LLC
- Medicare and Medicaid certified since: Apr 1, 2002
- Councils: resident council
- Area: rural
Nursing homes near Accura Healthcare of Toledo
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Sunny Hill Care Center Tama | 0.8 | 57 | 2.11 | 3.00 | — | 1 | $24,756 |
| Westbrook Acres Gladbrook | 15.2 | 54 | 2.21 | 3.51 | 32.4% | 2 | None |
| Sunrise Hill Care Center Traer | 15.4 | 76 | 2.29 | 3.26 | 10.3% | 4 | None |
| Harmony Marshalltown Marshalltown | 16.2 | 72 | 2.97 | 4.01 | 50.7% | 1 | $78,878 |
| Accura Healthcare of Marshalltown Marshalltown · abuse citation · many days without an RN | 17.0 | 84 | 2.59 | 3.60 | 42.3% | 1 | $9,350 |
| Southridge Specialty Care Marshalltown | 17.0 | 82 | 2.46 | 3.65 | 29.2% | 2 | $45,406 |
| Belle Plaine Specialty Care Belle Plaine | 17.6 | 46 | 2.07 | 3.02 | 54.8% | 4 | None |
| St Francis Manor Grinnell | 17.9 | 78 | 3.25 | 4.85 | 27.6% | 5 | 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.