Accura Healthcare of Shenandoah
1203 South Elm Street, Shenandoah, IA 51601
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 Shenandoah, 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
Lower is better
Lower is better
How Accura Healthcare of Shenandoah Compares
Accura Healthcare of Shenandoah is a 42-bed for-profit nursing facility in Shenandoah, Iowa. It holds an overall CMS rating of 1 out of 5 stars, below the Iowa average of 3.1 stars. Its lowest sub-rating is health inspections at 1 star. Its rate of falls resulting in major injury (8.4%) is above the Iowa average of 3.8% — a measure worth asking the staff about. With 42 certified beds, it operates near capacity at roughly 98% occupied.
Among the 2 nursing facilities ElderVoice tracks in Shenandoah, the local average is 1.0 stars.
By the numbers vs. Iowa average
- Long-stay antipsychotic medication use: 12.9% — better than the Iowa average of 19.5% (34% lower).
- Falls with major injury: 8.4% — worse than the Iowa average of 3.8% (119% higher).
- High-risk pressure ulcers: 1.9% — better than the Iowa average of 4.2% (54% lower).
- Short-stay rehospitalization: 35.7% — worse than the Iowa average of 20.8% (72% higher).
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 Shenandoah
Use these facility-specific questions when calling admissions, touring the building, or comparing Accura Healthcare of Shenandoah with other nursing homes in Shenandoah.
How is Accura Healthcare of Shenandoah addressing its health inspections rating?
CMS currently rates this category 1 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What practices help Accura Healthcare of Shenandoah keep long-stay antipsychotic medication use below the state average?
Long-stay antipsychotic medication use is 12.9% here versus 19.5% across Iowa. Lower is generally better for this CMS measure.
What is Accura Healthcare of Shenandoah doing to reduce falls with major injury?
Falls with major injury is 8.4% here versus 3.8% across Iowa. Lower is generally better for this CMS measure.
How does Accura Healthcare of Shenandoah maintain staffing when occupancy is high?
The facility reports roughly 98% occupancy across 42 certified beds, so ask how staffing is adjusted during full census periods.
How can a new family connect with existing councils at Accura Healthcare of Shenandoah?
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 Shenandoah?
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 Shenandoah
Shenandoah sits in Page County, where adults 65 and older make up about 22.3% 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+
- 3,397 (22.3%)
- Median age
- 44.4 years
- Median household income
- $51,196
- Median home value
- $96,400
Demographics for Page County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Shenandoah.
Facility Details
Other Facilities in Shenandoah
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