Skilled nursing facility · CMS certification number 165627
ACCURA HEALTHCARE OF MANNING
MANNING, Iowa
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.
This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026. Its Medicare enrollment, ACCURA HEALTHCARE OF MANNING LLC (enrollment ID O20190424000806), is not listed in the CMS enrollment file dated August 1, 2026.
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, 2023 to November 10, 2023 — a reporting period of 313 days, on form CMS-2540-10, settled, processed by CMS on August 14, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,105,326 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $152,387 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,952,939 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,742,501 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$789,562 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,824 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$769,738 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$769,738 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 14,444 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 236 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 3,628 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,703 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 6,567 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 5 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 35 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 23 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 63 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 103.66 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392106, 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 21, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,022,462 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $388,934 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,633,528 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,392,088 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$758,560 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $108,379 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$650,181 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$650,181 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,370 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 19 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 979.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 493.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362672, 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 September 26, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,488,243 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $297,567 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,190,676 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,300,043 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$109,367 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $505,909 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $396,542 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $396,542 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,694 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 446.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 238.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334019, 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 November 25, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,872,163 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $456,321 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,415,842 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,839,565 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$423,723 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $134,439 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$289,284 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$289,284 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,100 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 38 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 489.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 265.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305540, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for September 18, 2019 to December 31, 2019 — a reporting period of 104 days, not a full year, on form CMS-2540-10, settled, processed by CMS on December 10, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,270,732 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $55,045 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,215,687 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $942,703 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $272,984 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,209 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $283,193 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $283,193 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 3,115 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 14 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 243 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 222.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275621, read from the public cost report file SNF10FY2019.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.
Ownership, as filed with CMS
Care Compare
Not listed in CMS’s Care Compare data.
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
- January 5, 2024: TED A LENEAVE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: TED A LENEAVE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: TED A LENEAVE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: AMERICAN HEALTHCARE ASSOCIATES INC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: AMERICAN HEALTHCARE ASSOCIATES INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: ACCURA HEALTHCARE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: LISA TOTI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: LISA TOTI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: THOMAS R LENEAVE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: THOMAS R LENEAVE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: THOMAS R LENEAVE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: TED A LENEAVE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- September 15, 2023: ANDREA KEPPLE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: ALYSON BORNHOFT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: LISA TOTI (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: LISA TOTI (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
Recent changes on this record
- August 14, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- January 5, 2024: TED A LENEAVE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: TED A LENEAVE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: TED A LENEAVE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: AMERICAN HEALTHCARE ASSOCIATES INC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: AMERICAN HEALTHCARE ASSOCIATES INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: ACCURA HEALTHCARE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: LISA TOTI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: LISA TOTI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: THOMAS R LENEAVE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: THOMAS R LENEAVE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: THOMAS R LENEAVE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: TED A LENEAVE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- September 15, 2023: ANDREA KEPPLE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: ALYSON BORNHOFT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: LISA TOTI (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: LISA TOTI (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- August 21, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 26, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- November 25, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- December 10, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
Inspections
Not listed in CMS’s Care Compare data.
Deficiencies cited
Not listed in CMS’s Care Compare data.
Penalties
Not listed in CMS’s Care Compare data.
Care Compare provider information
Not listed in CMS’s Care Compare data.
Get an email when this record changes
One email a day naming what moved on ACCURA HEALTHCARE OF MANNING: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 14, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. That is one line of the alert.
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The citable document for ACCURA HEALTHCARE OF MANNING
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Iowa at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 165627.