Accura Healthcare Of Cascade Llc
Cascade, IA · Medicare and Medicaid-certified nursing home (CCN 165568) · 46 certified beds
Health inspection: 2 · Quality measures: 4 · Staffing: 4
Federal fines: none on current record
Phone: (563) 852-3277 · Verify on Medicare Care Compare ↗
Accura Healthcare Of Cascade has a CMS overall star rating of 2 out of 5, which is below the Iowa state average of 3.07. Its health inspection rating is 2 stars and its staffing rating is 4 stars.
Accura Healthcare Of Cascade reports total nurse staffing of about 4.26 hours per resident per day, including 0.56 RN hours per resident per day, with a staffing star rating of 4 out of 5. Nursing staff turnover is reported at 30.6 percent.
Accura Healthcare Of Cascade has no federal fines on record, with 0 fines totaling $0.00 and no payment denials. However, CMS does display its abuse warning icon for this facility, so families should review its inspection record on Care Compare.
About this facility
Accura Healthcare Of Cascade LLC is a for-profit, limited liability company nursing home located in Cascade, Dubuque County, Iowa. The facility is certified for 46 beds and reports an average of 41.7 residents. It has been Medicare and Medicaid certified since January 1, 2006, and accepts both Medicare and Medicaid.
According to CMS Care Compare, the facility holds an overall star rating of 2 out of 5, which is below the Iowa state average of 3.07. Its component ratings are: health inspection rating of 2, quality measures (QM) rating of 4, and staffing rating of 4.
Nurse staffing data show total nurse hours per resident per day of 4.26, including 0.56 RN hours per resident per day. Nursing staff turnover is reported at 30.6%.
On penalties, CMS records show 0 federal fines totaling $0.00, and no payment denials — meaning no federal fines on record for this facility. However, CMS displays its abuse warning icon for this facility; families should review the facility's inspection record in detail on Care Compare before making a decision.
This facility has not been placed in CMS's Special Focus Facility program.
The facility is part of the Accura Healthcare chain, which operates 41 facilities nationally with an average chain rating of 2.5 out of 5. Ownership has not changed in the past 12 months, so current ratings reflect the current operator.
Source: CMS Medicare Care Compare, most recent published dataset.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Accura Healthcare Of Cascade has an overall rating of 2 out of 5 stars, below the Iowa state average of 3.07.
Does this facility accept Medicare, Medicaid, or both?
Yes, it is certified for and accepts both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is about 4.26 hours per resident per day, including 0.56 RN hours per resident per day, with a staffing rating of 4 out of 5 and nursing turnover of 30.6%.
Does this facility have federal fines or penalties on record?
No, CMS records show 0 fines totaling $0.00 and no payment denials — no federal fines on record.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
CMS displays its abuse warning icon for this facility; it has not been placed in the Special Focus Facility program.
How large is this facility and how many residents live there?
It is certified for 46 beds and reports an average of 41.7 residents.
Who owns this facility — and is it part of a chain?
It is owned by a for-profit limited liability company and is part of the Accura Healthcare chain, which operates 41 facilities nationally with an average rating of 2.5 out of 5.
How long has this facility been Medicare/Medicaid certified?
It has been certified since January 1, 2006.
What do the four different CMS star ratings mean?
CMS publishes an overall rating plus three component ratings — health inspections (2 stars), staffing (4 stars), and quality measures (4 stars) — which combine into the overall score.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service types; contact the facility at (563) 852-3277 and verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at (563) 852-3277 to arrange a visit and verify current conditions on Medicare Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can view the most recent CMS ratings and inspection details at https://www.medicare.gov/care-compare/details/nursing-home/165568?state=IA.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.