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Establishment profile

ACCURA HEALTHCARE OF CRESCO

701 VERNON ROAD, CRESCO, IA, 52136
Operated by American Management Services, LLC
623312Assisted Living Facilities for the Elderly
EIN 822277737

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OSHA inspections
3
over 4 years
Violations
11
$47,350 in penalties
Penalties
$47,350
$4,305 avg
Accident investigations on record
1 hospitalizations · 1 National Emphasis Program inspections

Summary

ACCURA HEALTHCARE OF CRESCO has accumulated 11 OSHA violations across 3 inspections over 4 years of recorded history, with $47,350 in total assessed penalties.

The establishment sits in the 97th percentile for violations within its industry-state peer group of 33 employers. Inspection frequency runs at the 100th percentile. The most recent enforcement activity was recorded 1 year ago.

Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.

Agency coverage

ACCURA HEALTHCARE OF CRESCO appears in OSHA workplace safety and CMS nursing home enforcement records only. No matching records were found in WHD wage enforcement, MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, UVA Corporate Prosecution Registry, CPSC product recalls, or NHTSA vehicle recalls.

OSHA workplace safety

Inspections
3
0.8 / yr · last 4 yrs
Violations
11
2.8 / yr
Penalties
$47,350
$4,305 avg / violation
73% serious27% other
Inspection trigger · referral
2 of 3
Inspection trigger · complaint
1 of 3

67% of inspections at this establishment produced violations, with 2 inspections producing serious-or-greater violations.

Most-cited OSHA standards

Top OSHA standards cited at this employer, ranked by citation count. Standards (CFR sections) cluster citations into safety themes -- machine guarding, lockout-tagout, hazard communication, fall protection, process safety, etc. A concentration on one or two sections reveals a pattern that individual citations don’t. 11 distinct standards shown · 11 citations in this view · $47,350 in penalties.

CFR sectionCitationsInspectionsTotal penaltyFirst citedLast cited
29 CFR 1910.0134 F0111$9,000Aug 2022Aug 2022
29 CFR 1910.0134 K11$9,000Aug 2022Aug 2022
29 CFR 1910.0134 E0111$9,000Aug 2022Aug 2022
29 CFR 1910.0036 D0111$6,028Dec 2024Dec 2024
29 CFR 1910.0147 C0111$5,023Dec 2024Dec 2024
88.4 - CODE OF IOWA (2021)11$4,186Dec 2024Dec 2024
29 CFR 1910.0022 A0111$4,018Dec 2024Dec 2024
29 CFR 1904.0033 A11$1,095Aug 2022Aug 2022
29 CFR 1910.0147 C04 I11Dec 2024Dec 2024
29 CFR 1910.0157 G0111Dec 2024Dec 2024
29 CFR 1910.0134 C0311Aug 2022Aug 2022

Source: OSHA inspection citations (violation_detail). CFR section codes can be looked up at osha.gov/laws-regs for the formal standard text. Per-inspection detail and the specific violation descriptions are available by expanding individual inspections below.

Peer comparison

97th

Worse on violations than nearly every other employer in NAICS 6233 within IA. Peer group: 33 employers. This establishment has 11 OSHA violations; peer median is 2.

Fewer violationsMore violations
Penalty percentile
100th
peer median: $797
Inspection frequency
100th
peer median: 1

Safety self-report (OSHA 300A)

Recordable injury rates the employer filed with OSHA’s Injury Tracking Application. DART covers cases with days away, restricted, or transferred; TRIR is the total recordable case rate.

DART rate
2.3
vs industry
−1.1
TRIR
4.6
vs industry
−0.9

Reported for 55 average annual employees at this establishment.

Source: OSHA ITA Form 300A (employer self-reported). Rates are per 100 full-time equivalent workers. Establishments below the ~10-FTE threshold are not required to report.

Industry benchmark

Industry avg TRIR
5.5
BLS SOII 2024
Industry avg DART
3.4
BLS SOII 2024
Self-reported TRIR
4.6
OSHA ITA Form 300A (employer self-reported)

BLS rates reflect industry-wide averages. Self-reported figures come from OSHA’s Injury Tracking Application; absence of self-reported data does not necessarily indicate non-compliance — many establishments fall below the ITA reporting threshold.

Inspection breakdown

Complaint
1
Referral
2

Complaint- and accident-triggered inspections are stronger risk signals than routine planned inspections.

OSHA severe injury reports

No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for ACCURA HEALTHCARE OF CRESCO. Verify directly with Occupational Safety and Health Administration

OSHA accident events

Accidents, fatalities, and catastrophes documented during OSHA inspections at this employer. Each entry links to the inspection that recorded it.

DateEventInjuriesHospitalizedFatalities
May 13, 2022Infectious Disease11

Source: OSHA accident investigations. Narratives are recorded by the inspecting officer and may be truncated.

Activity timeline

Data refreshed
Weekly
First OSHA inspection
Most recent activity
1 year ago

Most recent federal enforcement activity recorded 1 year ago. Data on this page is refreshed weekly.

Wage & Hour Division (WHD)

No WHD wage, overtime, or child-labor enforcement cases on file for ACCURA HEALTHCARE OF CRESCO. Verify directly with Wage and Hour Division

Mine safety (MSHA)

No MSHA mine safety violations on file for ACCURA HEALTHCARE OF CRESCO. Verify directly with Mine Safety and Health Administration

Labor relations (NLRB)

No NLRB unfair labor practice charges or union representation cases on file for ACCURA HEALTHCARE OF CRESCO. Verify directly with National Labor Relations Board

Visa & labor certification (OFLC) — historical

No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for ACCURA HEALTHCARE OF CRESCO. Verify directly with Office of Foreign Labor Certification

Environmental compliance (EPA)

No EPA inspections or formal enforcement actions on file for ACCURA HEALTHCARE OF CRESCO. Verify directly with Environmental Protection Agency

CMS nursing-home record

CCN 165490 · Chain: ACCURA HEALTHCARE

CMS abuse icon
Overall rating
1 of 5 stars
Certified beds
46
Deficiencies (3y)
57
CMS fines
$0

Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →

CMS Care Compare deficiencies

Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 57 citations across 10 surveys · 1 actual-harm · 37 complaint-triggered.

Survey dateF-TagSeverityDescriptionTypeCorrected
Jan 20260727F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies
Complaint
Jan 20260882F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies
Standard
Jan 20260812E
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
Jan 20260865E
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies
Standard
Jan 20260580D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Standard
Jan 20260641D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Standard
Jan 20260644D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Standard
Jan 20260657D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Standard
Jan 20260686D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint
Jan 20260689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard
Jan 20260868D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies
Standard
Jan 20260880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard
Nov 20250628D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies
Complaint
Nov 20250656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint
Nov 20250694D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Complaint
Oct 20250569D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies
Complaint
Oct 20250676D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Complaint
Oct 20250684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint
Oct 20250755D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint
May 20250689G (harm)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint
May 20250943E
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
May 20250580D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Complaint
May 20250600D
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
May 20250609D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
May 20250610D
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
Jan 20250607E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard
Jan 20250812E
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
Jan 20250656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard
Jan 20250684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Standard
Jan 20250698D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Standard
Jan 20250757D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Standard
Jan 20250625B
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies
Standard
Jun 20240727F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies
Complaint
Jun 20240689E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint
Jun 20240725E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
Complaint
Jun 20240761E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
Complaint
Jun 20240835E
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
Complaint
Jun 20240921E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Complaint
Jun 20240609D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
Jun 20240657D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Complaint
Jun 20240684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint
Mar 20240689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint
Feb 20240801E
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies
Standard
Feb 20240812E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Complaint
Feb 20240839E
Employ staff that are licensed, certified, or registered in accordance with state laws.
Administration Deficiencies
Complaint
Feb 20240865E
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies
Complaint
Feb 20240880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint
Feb 20240550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Complaint
Feb 20240578D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
Standard
Feb 20240657D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Complaint
Feb 20240658D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Standard
Feb 20240677D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Complaint
Feb 20240868D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies
Complaint
Feb 20240623B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Complaint
Nov 20230880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint
Nov 20230677D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Complaint
Aug 20230658D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Complaint

Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.

Federal criminal prosecution record

No federal criminal prosecutions, plea agreements, or deferred-prosecution agreements on file for ACCURA HEALTHCARE OF CRESCO. Verify directly with UVA Corporate Prosecution Registry

Inspection history

DateTriggerViolationsSeriousPenalty
2025-07-15Referral0$0
2024-10-11Complaint65$19,255
2022-05-23Referral53$28,095

Source: OSHA IMIS. Citation amounts reflect initially assessed penalties; final amounts after appeal may differ.

In the news

Part of a larger organization

ACCURA HEALTHCARE OF CRESCO is one of 1 establishments rolled up under the parent organization American Management Services, LLC.

Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of American Management Services, LLC across all 1 of its tracked locations is viewable on the parent profile.

Other employers in this industry and state

Other employers in assisted living facilities for the elderly within IA, ordered by federal enforcement volume:

Related searches

About this data

This profile aggregates federal enforcement records on ACCURA HEALTHCARE OF CRESCO from every major federal compliance and enforcement source plus the UVA Corporate Prosecution Registry. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.

Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup American Management Services, LLC.

OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.

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Frequently asked

What is ACCURA HEALTHCARE OF CRESCO's OSHA violation history?
ACCURA HEALTHCARE OF CRESCO has 3 OSHA inspections on record with 11 violations and $47,349.5 in total penalties.
How does ACCURA HEALTHCARE OF CRESCO's safety record compare to its industry?
ACCURA HEALTHCARE OF CRESCO operates in the assisted living facilities for the elderly industry. The industry average Total Recordable Incident Rate (TRIR) is 5.5. ACCURA HEALTHCARE OF CRESCO's self-reported DART rate is 2.31 compared to an industry average of 3.4.