B
Monticello Nursing & Rehab Center
71/100 score
0.70 hrs RN staffing
4 deficiencies
Accura Healthcare of Cascade LLC
701 North Johnson Street NW, Cascade, IA 52033
Operator
ACCURA HEALTHCARE OF THE HEARTLAND · 2 facilities
- Provider number (CCN)
- 165568
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified beds
- 46
- Phone
- (563) 852-3277
- CMS data as of
- July 1, 2026
B
What the records show
CMS rates Accura Healthcare of Cascade LLC 2 out of 5 stars overall, with 2 of 5 for health inspections, 4 of 5 for staffing, 4 of 5 for quality measures. Federal inspectors cited 5 health deficiencies across the last three survey cycles, most recently surveyed in 2025, 1 at actual-harm level or higher, 1 still recorded as uncorrected. CMS lists no fines or payment denials for this facility in the covered period.
Facility Assessment
1 federal violation at this facility remains unresolved. Inspectors recorded 1 citation at the actual-harm level or worse in the last three survey cycles.
Reviews, Ratings and Official Records
This page reviews Accura Healthcare of Cascade LLC using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
At or above the 2024 benchmark — above average inspection record.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.56 — At or above the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
5
Outstanding
1
Actual harm or worse (G–L)
1
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★☆☆☆ (2/5)
Health inspection: ★★☆☆☆ (2/5)
Quality: ★★★★☆ (4/5)
Staffing: ★★★★☆ (4/5)
|
|
NursingHomeGrade Score
|
66/100 |
Loaded into NursingHomeGrade on August 7, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.56 hrs |
|---|---|
| IA median | 0.69 hrs |
| National average | 0.69 hrs |
Registered nurse turnover: 37.5% · Total nursing staff turnover: 30.6%
Staffing figures are the values CMS published in its file processed July 1, 2026, drawn from payroll-based journal reporting.
Inspection Records Covered
- Most recent standard health survey: May 15, 2025.
- Citations shown below span 2 recorded inspection cycles.
- Survey dates on file range from June 1, 2023 to May 28, 2026.
Source records: CMS Care Compare profile for provider 165568 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
1 actual harm issue found among 5 total deficiencies. 4 corrected. — 1 still outstanding
Most recent inspection (July 3, 2025)
G
Actual harm — isolated
F0600
Status: Outstanding — Plan Filed
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 — Deficient, Provider has plan of correction, corrected June 15, 2026
D
Potential harm — isolated
F0940
Status: Corrected
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies — Deficient, Provider has date of correction, corrected July 11, 2025
D
Potential harm — isolated
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected March 23, 2026
E
Potential harm — pattern
F0812
Status: Corrected
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected May 31, 2025
Inspection cycle 3 (June 1, 2023)
E
Potential harm — pattern
F0921
Status: Corrected
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies — Deficient, Provider has date of correction, corrected June 2, 2023
Fines and Enforcement Actions
CMS lists no fines and no payment denials for Accura Healthcare of Cascade LLC in the enforcement records covering the last three years, as published in the file processed July 1, 2026.
Ownership and Contact Information
- Facility name
- Accura Healthcare of Cascade LLC
- Address
- 701 North Johnson Street NW, Cascade, IA 52033
- Phone
- (563) 852-3277
- Provider number (CCN)
- 165568
- Ownership type
- For profit - Limited Liability company
- Operator
- ACCURA HEALTHCARE OF THE HEARTLAND · 2 facilities
- Medicare/Medicaid certified since
- January 1, 2006
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- July 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in Cascade
Compare local nursing homes using the same CMS-backed grading method.
A
MercyOne Dyersville Senior Care
95/100 score
1.18 hrs RN staffing
0 deficiencies
A
Anamosa Care Center
83/100 score
0.72 hrs RN staffing
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B
Hawkeye Care Center Dubuque
77/100 score
0.91 hrs RN staffing
3 deficiencies
F
Grand Meadows Senior Living & Health Care
22/100 score
Not reported RN staffing
7 deficiencies
Sources and Methodology
- CMS Provider Information (file processed July 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
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