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Establishment profile

ACCURA HEALTHCARE OF SHENANDOAH

1203 SOUTH ELM STREET, SHENANDOAH, IA, 51601
Operated by Accura HealthCare · 1 of 4 establishments
623110Nursing Care Facilities (Skilled Nursing Facilities)
EIN 851565207

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OSHA inspections
1
over 2 years
Violations
1
$8,000 in penalties
Penalties
$8,000
$8,000 avg
Accident investigations on record
1 OSHA follow-up

Summary

ACCURA HEALTHCARE OF SHENANDOAH has accumulated 1 OSHA violation across 1 inspection over 2 years of recorded history, with $8,000 in total assessed penalties.

The establishment sits in the 34th percentile for violations within its industry-state peer group of 168 employers. The most recent enforcement activity was recorded 2 years ago.

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

Agency coverage

ACCURA HEALTHCARE OF SHENANDOAH 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, CPSC product recalls, or NHTSA vehicle recalls.

OSHA workplace safety

Inspections
1
0.5 / yr · last 2 yrs
Violations
1
0.5 / yr
Penalties
$8,000
$8,000 avg / violation
Inspection trigger · referral
1 of 1

100% of inspections at this establishment produced 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. 1 distinct standard shown · 1 citation in this view · $8,000 in penalties.

CFR sectionCitationsInspectionsTotal penaltyFirst citedLast cited
29 CFR 1910.1000 A0211$8,000May 2024May 2024

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

34th

Below average violations in NAICS 6231 within IA. Peer group: 168 employers. This establishment has 1 OSHA violation; peer median is 2.

Fewer violationsMore violations
Penalty percentile
97th
peer median: $344
Inspection frequency
0th
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
15.3
vs industry
+10.8
TRIR
15.3
vs industry
+9.0

Reported for 50 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
6.3
BLS SOII 2024
Industry avg DART
4.5
BLS SOII 2024
Self-reported TRIR
15.3
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

Referral
1

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 SHENANDOAH. Verify directly with Occupational Safety and Health Administration

Activity timeline

Data refreshed
Weekly
First OSHA inspection
Most recent activity
2 years ago

No federal enforcement activity has been recorded against this establishment in 2+ years. Most recent activity: 2 years 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 SHENANDOAH. Verify directly with Wage and Hour Division

Mine safety (MSHA)

No MSHA mine safety violations on file for ACCURA HEALTHCARE OF SHENANDOAH. 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 SHENANDOAH. 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 SHENANDOAH. Verify directly with Office of Foreign Labor Certification

Environmental compliance (EPA)

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

CMS nursing-home record

CCN 165529 · Chain: ACCURA HEALTHCARE

Overall rating
1 of 5 stars
Certified beds
42
Deficiencies (3y)
22
CMS fines
$8,414

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. 32 citations across 5 surveys · 2 immediate jeopardy · 1 actual-harm · 5 complaint-triggered · 32 marked corrected.

Survey dateF-TagSeverityDescriptionTypeCorrected
Sep 20250725E
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
StandardOct 2025
Sep 20250727E
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
ComplaintOct 2025
Sep 20250803E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
StandardOct 2025
Sep 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
StandardOct 2025
Sep 20250865E
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies
StandardOct 2025
Sep 20250550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
StandardOct 2025
Sep 20250584D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
StandardOct 2025
Sep 20250641D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
StandardOct 2025
Sep 20250645D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
StandardOct 2025
Sep 20250695D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
StandardOct 2025
Sep 20250880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
StandardOct 2025
Oct 20240656E
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
StandardNov 2024
Oct 20240727E
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
StandardNov 2024
Oct 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
StandardNov 2024
Oct 20240880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
StandardNov 2024
Oct 20240582D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies
StandardNov 2024
Oct 20240641D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
StandardNov 2024
Oct 20240658D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
StandardNov 2024
Sep 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
ComplaintSep 2024
Dec 20230609K (IJ)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
ComplaintDec 2023
Dec 20230600J (IJ)
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
ComplaintDec 2023
Dec 20230550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
ComplaintDec 2023
Jun 20230684G (harm)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
StandardJul 2023
Jun 20230730E
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies
StandardJul 2023
Jun 20230801E
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
StandardJul 2023
Jun 20230803E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
StandardJul 2023
Jun 20230812E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
StandardJul 2023
Jun 20230814E
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies
StandardJul 2023
Jun 20230880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
StandardJul 2023
Jun 20230585D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies
StandardJul 2023
Jun 20230658D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
StandardJul 2023
Jun 20230689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
StandardJul 2023

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.

Inspection history

DateTriggerViolationsSeriousPenalty
2023-12-06Referral1$8,000

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 SHENANDOAH is one of 4 establishments rolled up under the parent organization Accura HealthCare.

Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of Accura HealthCare across all 4 of its tracked locations is viewable on the parent profile.

Other employers in this industry and state

Other employers in nursing care facilities (skilled nursing facilities) within IA, ordered by federal enforcement volume:

Other locations under this parent

Other establishments operated by Accura HealthCare, ordered by federal enforcement volume:

Related searches

About this data

This profile aggregates federal enforcement records on ACCURA HEALTHCARE OF SHENANDOAH from every major federal compliance and enforcement source. 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 Accura HealthCare, which operates 4 establishments in our dataset.

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 SHENANDOAH's OSHA violation history?
ACCURA HEALTHCARE OF SHENANDOAH has 1 OSHA inspection on record with 1 violation and $8,000 in total penalties.
How does ACCURA HEALTHCARE OF SHENANDOAH's safety record compare to its industry?
ACCURA HEALTHCARE OF SHENANDOAH operates in the nursing care facilities (skilled nursing facilities) industry. The industry average Total Recordable Incident Rate (TRIR) is 6.3. ACCURA HEALTHCARE OF SHENANDOAH's self-reported DART rate is 15.28 compared to an industry average of 4.5.