Accura Healthcare Of Le Mars — Skilled Nursing Facility Profile (CCN #165311)

Le Mars, Iowa · CCN 165311 · Phone: 7125467831 · 46 beds · Ownership: For Profit - Limited Liability Company

Accura Healthcare Of Le Mars is a Medicare-certified skilled nursing facility (CCN 165311) in Le Mars, Iowa. It holds a CMS overall Five-Star rating of 5 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 90/100 (Survey-Ready).

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Compliance Indicator: 90/100 — Survey-Ready

About Accura Healthcare Of Le Mars

Accura Healthcare Of Le Mars is a Medicare- and Medicaid-certified skilled nursing facility in Le Mars, Iowa, operating under CMS Certification Number (CCN) 165311. 46-bed facility. For Profit - Limited Liability Company. Part of the Accura Healthcare chain. The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.

Accura Healthcare Of Le Mars has held its Medicare/Medicaid certification for approximately 29 years (certification date on file: 1996-12-01). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.

Local market context (Plymouth County): Accura Healthcare Of Le Mars operates in Plymouth County alongside 2 other Medicare-certified SNFs in our Iowa cohort sample. Multi-facility counties create direct cohort comparison pressure — hospital discharge planners typically run side-by-side Care Compare lookups before placement decisions.

CMS Five-Star Quality Ratings

CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.

Long-Stay vs Short-Stay Quality Measures

Long-Stay Quality Measure rating: ★★★★★ (5 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.

Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.

Compliance Red Flags

Accura Healthcare Of Le Mars has none of the four CMS-published red-flag indicators active at the most recent publish: not on the Special Focus Facility list, no Abuse Icon on Care Compare, no overdue inspection flag, and no recent change-of-ownership flag. Absence of these flags does not mean the facility is deficiency-free — see the survey history below.

Survey History and Deficiencies

Recent health deficiencies cited at last standard survey: 5. National average for facilities of this size is approximately 8 deficiencies per cycle. Accura Healthcare Of Le Mars has no CMS fines in its most recent reporting cycle. Last documented standard health survey: 2025-05-29. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.

Infection Control and Deficiency Weighting

CMS health survey weighted score: 38. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.

Staffing Detail

Accura Healthcare Of Le Mars already meets the cadre-specific minimums scheduled to take effect on the May 2029 timeline under 89 FR 40876 (RN 0.756 HPRD vs the 0.55 floor; nurse-aide 3.189 HPRD vs the 2.45 floor). The constraint going forward is sustaining these levels under turnover pressure.

Total nurse staffing: 4.646 hours per resident day (HPRD), which is 1.17 hours above the 3.48 total HPRD floor that the CMS Minimum Staffing Standards rule (89 FR 40876, May 2024) phases in for rural-facility facilities by May 2029.

Staffing mix: RN 0.756 HPRD, LPN 0.701 HPRD, CNA 3.189 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2029 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.

Weekend RN staffing: 0.719 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.

Total nurse staff turnover: 19.1% annualized — low.

RN-specific turnover: 0% annualized. RN turnover above 50% is the single strongest correlate with QM rating decline in CMS's own internal analyses.

Administrator turnover events in the most recent reporting window: 1. Multiple administrator changes in a 12-month window is associated with substantial leadership-discontinuity risk during the next standard survey.

Chain Context and Facility Type

Accura Healthcare Of Le Mars is operated as part of Accura Healthcare, a chain operating 38 Medicare-certified facilities (CMS chain identifier 8). Chain-operated facilities tend to share corporate compliance staff, standard operating procedures, and survey-prep resources — but also share enforcement exposure when CMS designates a chain-wide issue under the system-wide quality assurance framework.

Provider type designation: Medicare And Medicaid.

The facility is classified by CMS as rural (outside metropolitan statistical areas). Rural SNFs face different challenges — referral pipeline depth, RN availability, ambulance distance for transfers — and CMS applies certain modifiers to the staffing minimums under hardship exemption pathways for rural facilities.

How Accura Healthcare Of Le Mars Compares to Peers in Iowa

Peer comparisons use a same-state cohort of 200 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.

FileFlo Compliance Indicator

FileFlo's compliance indicator for Accura Healthcare Of Le Mars is 90/100 (Survey-Ready). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.

Why This Page Exists

FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.

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How Are You Using This Page?

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Frequently asked questions about Accura Healthcare Of Le Mars

What is Accura Healthcare Of Le Mars's CMS overall Five-Star rating?

Accura Healthcare Of Le Mars (CCN 165311) holds a CMS overall Five-Star rating of 5 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.

Is Accura Healthcare Of Le Mars Medicare-certified, and where is it located?

Accura Healthcare Of Le Mars is a Medicare-certified skilled nursing facility (CMS Certification Number 165311) in Le Mars, Iowa.

How survey-ready is Accura Healthcare Of Le Mars?

FileFlo scores Accura Healthcare Of Le Mars's CMS survey-readiness at 90/100 (Survey-Ready). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.

Which CMS Conditions of Participation must Accura Healthcare Of Le Mars meet?

As a Medicare-certified skilled nursing facility, Accura Healthcare Of Le Mars is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.

How can Accura Healthcare Of Le Mars prepare for its next CMS survey?

Run FileFlo's free CMS survey-readiness audit for Accura Healthcare Of Le Mars — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.

Conditions of Participation Accura Healthcare Of Le Mars is surveyed against

The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:

Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →

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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile

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