Accura Healthcare Of Shenandoah is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2004-04-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (712) 246-4627 or your local Medicaid office to verify current eligibility.

Accura Healthcare Of Shenandoah holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (1★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 58.9/100, placing it #12400 of 14703 facilities nationally and #319 of 390 in Iowa. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Accura Healthcare Of Shenandoah receives a reported average of 3 hours 52 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 34 minutes; Licensed Practical Nurse (LPN) — 45 minutes; Nurse Aide — 2 hours 33 minutes. On weekends, total nurse staffing is 3 hours 19 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 66.7%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $8,414. No substantiated complaints have been recorded in the available data. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $8,414, and 1 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 111.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Accura Healthcare Of Shenandoah ranks 12400th out of 14,703 facilities (composite score: 58.9/100), placing it in the bottom 25% nationwide. Within IA, it ranks 319th out of 390 nursing homes. In Shenandoah, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #5,789 nationally and RN hours rank #7,293 nationally (#250 in IA). Our composite quality score of 58.9/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Shenandoah, visit: https://nursinghomesnearme.org/iowa/shenandoah/