CCN 165568
Accura Healthcare of Cascade LLC
701 North Johnson Street NW, Cascade, IA 52033 · Dubuque County
- Ownership
- For profit - Limited Liability company
- Certified beds
- 46
- Residents per day
- 41.7
- Health citations
- 5
- Penalties
- 0
- Fines
- 0 · $0
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
CMS has turned on the abuse icon. The September 2026 Technical Users' Guide applies that icon for abuse tags F600, F602, or F603: a citation at scope and severity G or higher on the most recent standard survey or on a complaint or focused infection-control survey in the past 12 months, or a repeat citation at D or higher across the recent windows described in the guide. While the icon is on, the health inspection rating is capped at two stars.
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 2.89
- 2.52
- 2.32
- LPN/LVN
- 0.81
- 0.56
- 0.86
- Registered nurse
- 0.56
- 0.74
- 0.69
- Total nurse staff
- 4.26
- 3.82
- 3.86
- Weekend total
- 3.77
- 3.37
- 3.42
- Weekend RN
- 0.24
- 0.51
- 0.48
Adjusted total nurse hours: 4.04. Adjusted RN hours: 0.53. Case-mix total: 4.05. Case-mix index: 1.479.
Total nursing staff turnover: 30.6%. RN turnover: 37.5%. Administrators who left: 1.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 0 fines totaling $0, and 0 payment denials.
The Penalties file has no individual penalty rows for this CCN.
Cycle 1 standard survey: May 28, 2026. Health deficiencies counted in cycle 1: 3. Cycle 1 total health score: 28.
Cycle 2 standard survey: May 15, 2025. Cycle 2/3 health deficiencies: 2. Total weighted health survey score: 24.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 5 citations for this home, including 0 at immediate jeopardy and 1 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
May 28, 2026
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Complaint survey · Standard survey · Cycle 1 | G: isolated, actual harm that is not immediate jeopardy | Deficient, Provider has date of correction · June 15, 2026 |
| F658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 15, 2026 |
March 4, 2026
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Complaint survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · March 23, 2026 |
July 3, 2025
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Complaint survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · July 11, 2025 |
May 15, 2025
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Standard survey · Cycle 2 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · May 31, 2025 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections