Accura Healthcare of Cascade LLC
701 North Johnson Street NW, Cascade, IA 52033
Cascade, Iowa · CMS verdict
On the federal five-star scale, Accura Healthcare of Cascade LLC shows above-average quality that runs above Iowa's state average of 3.1.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Accura Healthcare of Cascade LLC in Cascade, Iowa holds a CMS overall rating of 5 of 5 stars and a PlainElderCare Quality & Compliance Index of 85 of 100 (grade B). Its CMS inspection record lists a limited number of deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (lighter deficiency book)
Its CMS deficiency count sits in the lighter U.S. deficiency tercile (≤16). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 85 is built
Each segment is a dimension's weighted points toward the score, summing to 85.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Accura Healthcare of Cascade LLC's lighter CMS deficiency book
Quality ratings
On Care Compare (data as of April 2026), the overall star is a roll-up of three separately tracked sub-ratings: health inspection, staffing, and quality measures. The comparison chart below shows where each one sits relative to Iowa.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Cascade, Iowa. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. With occupancy around 93%, bed usage here sits in the range typical of a stabilized facility.
Same-ownership peers
Within Iowa, Accura Healthcare of Cascade LLC is one of 91 for profit - limited liability company nursing homes CMS rates. Its 5-star overall rating sits above the for profit - limited liability company-segment average of 2.7 stars, ahead of roughly 85% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented a limited number of deficiencies at this facility; the counts are in Facility details below. CMS has levied no enforcement penalties over the equivalent window. A handful of documented findings is common even among well-run facilities; the F-tag scope and severity codes on the full report distinguish isolated paperwork issues from resident-harm findings.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Accura Healthcare of Cascade LLC's upper-tercile stars compare to Iowa
CMS five-star sub-ratings (0–5) for this facility against the Iowa facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Iowa state average. Higher is better on all four CMS measures.
Where Accura Healthcare of Cascade LLC ranks in Iowa
Among the 388 CMS-rated nursing homes in Iowa, Accura Healthcare of Cascade LLC’s 5-star overall rating is higher than 78% of them. The bars show how all Iowa homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
86 Iowa homes share this 5-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 46 |
| Residents | 43 |
| Ownership | For profit - Limited Liability company |
| County | Dubuque |
| Penalties | 0 |
| Deficiencies | 3 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Accura Healthcare of Cascade LLC? ▾
CMS rates Accura Healthcare of Cascade LLC at 5 out of 5 stars overall. How its three sub-ratings compare with the Iowa average is charted above.
How much does a nursing home cost per month in Iowa? ▾
CareScout's 2025 survey puts Iowa's median semi-private nursing home rate at $9,277 per month ($111,325 per year), with private rooms averaging $10,038 per month.
What services does Accura Healthcare of Cascade LLC offer? ▾
Accura Healthcare of Cascade LLC operates as a skilled nursing facility. For the specific care and therapy services, contact the facility: CMS data covers capacity, ownership, ratings, and inspections, not a service menu.
Does Accura Healthcare of Cascade LLC have any deficiencies or penalties? ▾
Accura Healthcare of Cascade LLC has few deficiencies and no penalties recorded by CMS; the counts are in the Facility details table. Small counts like this show up even at strong facilities; ask the facility directly what each finding involved and how it was resolved.
What are the alternatives to a nursing home in Iowa? ▾
In Iowa, alternatives include assisted living ($5,381/mo), home health aides ($7,836/mo), and adult day care ($1,614/mo).
Keep reading
Also see the Iowa elder-care overview and highest-rated states. Provider ID: 165568.
Read our methodology - how this data is sourced, computed, and verified.