Accura Healthcare of Onawa
222 North 15th Street, Onawa, IA 51040
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask Accura Healthcare of Onawa, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
How Accura Healthcare of Onawa Compares
Accura Healthcare of Onawa is a 46-bed for-profit nursing facility in Onawa, Iowa. It holds an overall CMS rating of 2 out of 5 stars, below the Iowa average of 3.1 stars. Its lowest sub-rating is health inspections at 2 stars. Its rate of falls resulting in major injury (0.0%) is below the Iowa average of 3.8%, a favorable sign for resident care. With 46 certified beds, it maintains moderate occupancy at roughly 88% occupied.
By the numbers vs. Iowa average
- Long-stay antipsychotic medication use: 29.1% — worse than the Iowa average of 19.5% (50% higher).
- Falls with major injury: 0.0% — better than the Iowa average of 3.8% (100% lower).
- High-risk pressure ulcers: 3.9% — better than the Iowa average of 4.2%.
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against Iowa averages across 387 facilities tracked by ElderVoice.
Questions to Ask Accura Healthcare of Onawa
Use these facility-specific questions when calling admissions, touring the building, or comparing Accura Healthcare of Onawa with other nursing homes in Onawa.
How is Accura Healthcare of Onawa addressing its health inspections rating?
CMS currently rates this category 2 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What is Accura Healthcare of Onawa doing to reduce long-stay antipsychotic medication use?
Long-stay antipsychotic medication use is 29.1% here versus 19.5% across Iowa. Lower is generally better for this CMS measure.
What practices help Accura Healthcare of Onawa keep falls with major injury below the state average?
Falls with major injury is 0.0% here versus 3.8% across Iowa. Lower is generally better for this CMS measure.
How can a new family connect with existing councils at Accura Healthcare of Onawa?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What would the first 30 days look like for a new resident at Accura Healthcare of Onawa?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Onawa
Onawa sits in Monona County, where adults 65 and older make up about 25.1% of the population — a higher share of seniors than Iowa as a whole (17.1% statewide). The area's median household income is lower than the state average, reflecting a more affordable area.
- Residents 65+
- 2,179 (25.1%)
- Median age
- 47.1 years
- Median household income
- $51,866
- Median home value
- $90,000
Demographics for Monona County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Onawa.
Facility Details
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