Velarion Records

Skilled nursing facility · CMS certification number 165451

Accura Healthcare of Marshalltown

Marshalltown, Iowa · Medicare and Medicaid

Certified beds, as filed in Care Compare: 84

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 2 · Fines: 1 · Fines, total amount: $9,350.00 · Payment denials: 1. The most recent penalty on file: November 2, 2023, Fine, $9,350. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$7,468,497CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,669,525CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,798,972CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,925,637CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$126,665CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$10,013CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$116,652CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$116,652 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components84CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components30,744CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days349CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days13,201CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days6,701CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components20,251CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges9CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges13CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges32CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components54CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,015.46CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days375.02CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433827, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 18, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$6,308,044CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$904,915CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,403,129CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,609,153CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$206,024CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$40,744CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$165,280CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$165,280 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,045CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components158CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days241.8CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days120.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395065, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$6,825,655CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,900,635CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,925,020CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,442,744CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$517,724CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$187,790CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$329,934CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$329,934 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,771CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components103CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.65CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days817.64CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days191.95CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1362772, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 8, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$6,432,382CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,919,421CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,512,961CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,528,892CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,015,931CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$939,662CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$76,269CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$76,269 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,300CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components73CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.31CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days572.45CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days250.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1337705, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended December 31, 2020

Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 22, 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$7,859,606CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,341,750CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,517,856CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,946,114CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$428,258CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$159,182CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$269,076CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$269,076 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,201CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components113CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days55.4CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days362.31CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days205.32CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1326942, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended December 31, 2019

Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 3, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$8,533,694CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,754,668CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,779,026CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,892,789CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$113,763CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$21,516CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$92,247CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$92,247 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,177CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components198CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days187.66CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days132.21CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1274820, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended December 31, 2018

Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$7,687,493CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,353,618CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,333,875CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,113,811CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$220,064CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$43,698CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$263,762CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $263,762 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,827CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components177CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days52.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days222.35CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days140.27CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241982, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended December 31, 2017

Cost report for November 1, 2017 to December 31, 2017 — a reporting period of 60 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 31, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$1,196,472CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$283,186CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$913,286CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$851,752CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$61,534CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,680CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$66,214CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $66,214 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components4,313CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components61CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.38CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days92.55CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days70.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1203812, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 4, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$6,076,602CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$907,272CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,169,330CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,166,125CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$3,205CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,817CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$10,022CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $10,022 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,387CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components106CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.92CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,000.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days248.93CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1172117, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended December 31, 2015

Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 8, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$6,556,523CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$955,800CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,600,723CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,244,618CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$356,105CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,753CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$359,858CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $359,858 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,978CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components165CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.4CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days671.09CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days175.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1140082, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended December 31, 2014

Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$5,991,549CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$657,584CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,333,965CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,025,386CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$308,579CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,349CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$315,928CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $315,928 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,061CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components135CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days23.04CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days837.56CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days207.86CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1102659, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$6,456,701CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$691,887CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,764,814CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,852,806CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$87,992CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$7,124CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$95,116CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$95,116 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,135CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components120CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.77CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days729.73CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days317.79CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1070226, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended December 31, 2012

Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 29, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$6,911,420CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$865,070CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,046,350CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,813,999CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$232,351CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$31,504CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$263,855CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $263,855 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,757CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components157CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.69CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days632.97CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days234.12CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1044164, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended December 31, 2011

Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 27, 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$5,626,394CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$553,466CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,072,928CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,042,938CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$29,990CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$23,716CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$53,706CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $53,706 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,235CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components145CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.79CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days528.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days215.41CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1012707, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended December 31, 2010

Cost report for November 1, 2010 to December 31, 2010 — a reporting period of 60 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 2, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$903,504CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$830,120CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$73,384CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$4,236CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $77,620 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components5,833CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components23CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days43.25CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days721.33CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days253.61CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 414260, read from the public cost report file SNFFY2011.zip.

Fiscal year 2009, ended December 31, 2009

Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 28, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$4,528,356CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,511,397CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$16,959CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$9,563CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $26,522 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,756CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components208CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days23.74CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days267.86CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days143.06CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 371152, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended December 31, 2008

Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 5, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$4,703,493CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,634,580CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$68,913CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$16,802CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $85,715 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,726CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components180CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days26CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days350.59CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days181.81CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 342118, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended December 31, 2007

Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 23, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$4,377,347CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,355,324CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$22,023CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,007CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $27,030 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,577CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components133CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days20.49CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days710.32CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days252.46CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 320367, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended December 31, 2006

Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 24, 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$4,121,048CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,274,320CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$153,272CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$14,602CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$512CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$139,182 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,923CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components198CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days13.71CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days340.36CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days166.28CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 300896, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended December 31, 2005

Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 14, 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$4,018,532CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,048,697CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$30,165CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$21,651CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$8,514 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,301CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components122CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.11CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days614.1CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days281.16CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 283503, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended December 31, 2004

Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 20, 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$3,973,901CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,925,683CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$48,218CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$18,354CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $66,572 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,229CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components111CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.23CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days548.96CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days317.38CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 245332, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended December 31, 2003

Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 28, 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$3,500,959CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,483,568CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$17,391CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$15,173CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$679CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $31,885 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,223CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components113CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.56CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days515.33CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days294.01CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 215365, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended December 31, 2002

Cost report for April 1, 2002 to December 31, 2002 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on April 27, 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$2,577,367CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,566,696CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$10,671CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$241CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$3,842CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $7,070 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,995CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components55CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days77.75CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,024CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days454.45CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 174351, read from the public cost report file SNFFY2002.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
ACCURA MIDWEST HEALTHCARE LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 11/01/2017
LENEAVE, THOMAS5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual30%since 11/01/2017
LENEAVE, TEDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 11/01/2017
LENEAVE, THOMASCORPORATE DIRECTORIndividualNOT APPLICABLEsince 11/01/2017
TOTI, LISACORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2020
LENEAVE, TEDCORPORATE OFFICERIndividualNOT APPLICABLEsince 11/01/2017
LENEAVE, THOMASCORPORATE OFFICERIndividualNOT APPLICABLEsince 11/01/2017
AMERICAN HEALTHCARE MANAGEMENT SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 11/01/2017
CONNER, ROBERTW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 01/01/2024
ELLIOTT, COREYW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 01/01/2023
TOTI, LISAW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 01/01/2020

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ACCURA HEALTHCARE OF MARSHALLTOWN LLC (enrollment ID O20180605000371).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
ACCURA MIDWEST HEALTHCARE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST10011/1/2017
Private equity company: No
Real estate investment trust: No
Holding company: No
ACCURA HEALTHCAREOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST10011/1/2017
Private equity company: No
Real estate investment trust: No
Holding company: No
TED A LENEAVEIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST7011/1/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
THOMAS R LENEAVEIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST3011/1/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LISA TOTIIndividualCORPORATE DIRECTORNot stated in the filing1/1/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TED A LENEAVEIndividualCORPORATE DIRECTOR7011/1/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
THOMAS R LENEAVEIndividualCORPORATE DIRECTOR3011/1/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TED A LENEAVEIndividualCORPORATE OFFICER7011/1/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
THOMAS R LENEAVEIndividualCORPORATE OFFICER3011/1/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
AMERICAN HEALTHCARE MANAGEMENT SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL10011/1/2017
Private equity company: No
Real estate investment trust: No
Holding company: No
COREY ELLIOTTIndividualW-2 MANAGING EMPLOYEENot stated in the filing1/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LISA TOTIIndividualW-2 MANAGING EMPLOYEENot stated in the filing1/1/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT D CONNERIndividualW-2 MANAGING EMPLOYEENot stated in the filing1/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

  • August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • September 18, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
  • July 1, 2024: ROBERT D CONNER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
  • July 1, 2024: COREY ELLIOTT (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
  • October 2, 2023: LAURA COCO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
  • October 2, 2023: LISA TOTI (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
  • October 2, 2023: LISA TOTI (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
  • August 22, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
  • December 8, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • July 22, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • December 3, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • August 23, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
  • July 31, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2018.zip
  • July 24, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
  • August 4, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
  • August 8, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
  • July 24, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
  • July 23, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
  • July 29, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
  • September 27, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
  • August 2, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2011.zip
  • May 2, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
  • May 28, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
  • June 5, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
  • July 23, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
  • January 24, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
  • June 14, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
  • March 20, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
  • April 28, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
  • April 27, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1March 12, 2026March 12, 2026113
2April 24, 2025April 24, 2025175
3July 25, 2024July 25, 2024120

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

40 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
March 12, 2026HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correctionMarch 18, 2026
March 12, 2026HealthF 0627Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DNoDeficient, Provider has date of correctionMarch 18, 2026
March 12, 2026HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DNoDeficient, Provider has date of correctionMarch 18, 2026
March 12, 2026HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FNoDeficient, Provider has date of correctionMarch 18, 2026
November 24, 2025HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDYesDeficient, Provider has date of correctionDecember 9, 2025
November 24, 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correctionDecember 9, 2025
November 24, 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DYesDeficient, Provider has date of correctionDecember 9, 2025
October 9, 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GYesDeficient, Provider has date of correctionOctober 10, 2025
October 9, 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionOctober 10, 2025
October 9, 2025HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correctionOctober 10, 2025
October 9, 2025HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DYesDeficient, Provider has date of correctionOctober 10, 2025
April 24, 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EYesDeficient, Provider has date of correctionMay 7, 2025
April 24, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesPast Non-ComplianceMarch 26, 2025
April 24, 2025HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correctionMay 7, 2025
April 24, 2025HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EYesDeficient, Provider has date of correctionMay 7, 2025
April 24, 2025HealthF 0758Pharmacy Service DeficienciesImplement 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.DNoDeficient, Provider has date of correctionMay 7, 2025
April 24, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionMay 7, 2025
April 24, 2025HealthF 0825Quality of Life and Care DeficienciesProvide or get specialized rehabilitative services as required for a resident.DYesDeficient, Provider has date of correctionMay 7, 2025
April 24, 2025HealthF 0865Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.FYesDeficient, Provider has date of correctionMay 7, 2025
April 24, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionMay 7, 2025
April 24, 2025HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DNoDeficient, Provider has date of correctionMay 7, 2025
January 15, 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correctionJanuary 21, 2025
January 15, 2025HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EYesDeficient, Provider has date of correctionJanuary 21, 2025
January 15, 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correctionJanuary 21, 2025
January 15, 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.EYesDeficient, Provider has date of correctionJanuary 21, 2025
January 15, 2025HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EYesDeficient, Provider has date of correctionJanuary 21, 2025
January 15, 2025HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.DYesDeficient, Provider has date of correctionJanuary 21, 2025
November 5, 2024HealthF 0839Administration DeficienciesEmploy staff that are licensed, certified, or registered in accordance with state laws.DYesDeficient, Provider has date of correctionNovember 25, 2024
July 25, 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionAugust 16, 2024
July 25, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionAugust 16, 2024
July 25, 2024HealthF 0676Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DNoDeficient, Provider has date of correctionAugust 16, 2024
July 25, 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionAugust 16, 2024
July 25, 2024HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has date of correctionAugust 16, 2024
July 25, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionAugust 16, 2024
July 25, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionAugust 16, 2024
July 25, 2024HealthF 0887Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.ENoDeficient, Provider has date of correctionAugust 16, 2024
November 2, 2023HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correctionNovember 21, 2023
November 2, 2023HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DYesDeficient, Provider has date of correctionNovember 21, 2023
November 2, 2023HealthF 0637Resident Assessment and Care Planning DeficienciesAssess the resident when there is a significant change in conditionDYesDeficient, Provider has date of correctionNovember 21, 2023
November 2, 2023HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.GYesDeficient, Provider has date of correctionNovember 21, 2023

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
November 2, 2023Fine$9,35079209
November 2, 2023Payment DenialNovember 28, 20237

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameACCURA HEALTHCARE OF MARSHALLTOWN LLC
Date First Approved to Provide Medicare and Medicaid Services2002-04-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishMarshall
Telephone Number6417521553
Chain NameACCURA HEALTHCARE
Chain ID8
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds84
Average Number of Residents per Day58.4
Overall Rating1
Health Inspection Rating1
QM Rating1
Long-Stay QM Rating1
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.

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