Deficiency Index

Accura Healthcare of Cherokee, LLC

Cherokee, Iowa · CCN 165425

22 surveys since 2010, 3 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
78
Surveys
22
Harm or worse
3
Immediate jeopardy
1
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file17/22

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
44
Ownership
For profit - Corporation
Chain
ACCURA HEALTHCARE
County
Cherokee · rural
Medicare-certified since
2000

CMS ratings

Overall
3
Health inspection
3
Staffing
4
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=14, floor 20).

Last survey on record

Jan 8, 2026

305 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.693.63
Registered-nurse hours per resident day0.60—
Annual nurse turnover42.9%44.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$8,021 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ19.1%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD763.6%E218.2%F19.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 11 of the 78 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F5502×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F6441×

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  • F6571×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6841×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

In the surveyor’s words

From the most serious findings on record at Accura Healthcare of Cherokee, LLC, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF689Dec 17, 2024

    Based on clinical record review, staff interviews and facility policy review, the facility failed to ensure residents with impaired cognition were unable to exit the facility unattended for 1 of 4 residents reviewed for elopement (Resident # 1). This failure resulted in the resident leaving the facility without staff knowledge and therefore causing an Immediate Jeopardy to the health, safety, and security of the residents. The facility failed to ensure residents needing a mechanical lift were provided safe and appropriate transfers to prevent injuries for 4 of 4 residents reviewed (Resident # 2, #5, #6 & #7). […]

  • No harm, potential for more than minimal, widespreadF880Oct 10, 2024

    Based on observation, infection control policy and staff interview, the facility failed to initiate a legionella water program for the facility. The facility reported a total census of 34 residents. Findings include: Interview on 10/9/24 at 1:13 p.m., with Staff A, Maintenance Director revealed he did not do any testing or monitoring of the program. He only checks water temperatures once a week. Review of facility provided policy titled Legionella undated revealed the facility will utilize sound clinical and infection control practices to quickly identify and treat any potential Legionnaires' related illnesses. Sound engineering, preventive maintenance and housekeeping practices will be utilized to minimize the risk of exposing residents and team members to the legionella bacteria. […]

  • No harm, potential for more than minimal, patternF804Jan 8, 2026

    Based on observations, resident and staff interviews and policy review the facility failed to ensure proper temperatures for foods served to residents. The facility reported a census of 39 residents. Findings include:1. Interview on 01/06/2026 at 10:48 a.m., Resident #1 stated that he eats his meals in his room and the food is half-ass warm when it comes. He further revealed this happens all the time.2. Interview on 01/05/2026 at 12:45 p.m., Resident #28 revealed she eats her meals in her room and the food is always cold when it arrives to her room. 3. During an ongoing observation on 01/07/26 at 12:22 p.m., the Dietary Manager (DM) dished the room trays in the kitchen and covered the plate. Staff immediately took the room trays to the residents' rooms and delivered them. […]

  • No harm, potential for more than minimal, patternF812Jul 13, 2023

    Based on observation and staff interview, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. The facility reported a census of 36 residents. Findings include: 1) During initial tour of the kitchen on 7/10/23 at 10:47 a.m. the Dietary Supervisor (DS) worked in the kitchen. The following were noted: a. A stainless steel table where the robo coupe sat had multiple papers and binders with crumbs around and under the items. b. The shelf underneath had pans sitting upside down on it and the shelf had a dusting of a white substance. c. The door by the freezer had dirt and grit around the baseboard and the bottom of the door frame on both sides. d. […]

  • No harm, potential for more than minimal, patternF812Apr 21, 2022

    Based on observations and staff interviews the facility failed to ensure that food prepared and packaged shall be clearly dated, at time the original container became opened. The facility identified a census of 34 residents. Findings include: An initial kitchen tour conducted on 4/18/22 at 10:04 AM, of the kitchen revealed the following containers previously opened and stored in the kitchen ready for service: a. Sour cream with no open date. b. Four containers of 1 gallon salad dressing with no open date. c. Four bottles of salad dressing with no open date. d. A 5 pound container of cottage cheese with no open date. e. Two containers of BBQ sauce with no open date. f. Three containers of mustard with no open date. g. Caramel sauce with no open date. h. […]

Read 22 findings in full →The most serious and the most recent: 22 of 78 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 8, 2026Standard3 findings
  • Oct 30, 2025Complaint1 finding
  • Dec 17, 2024Complaint1 finding · 1 harm
  • Oct 10, 2024Standard3 findings
  • Jul 13, 2023Standard3 findings
  • Apr 21, 2022Standard2 findings
  • Feb 18, 2021Standard1 finding
  • Jul 30, 2020Complaint1 finding
Show the 14 earlier surveys
  • Jul 18, 2019Standard9 findings
  • Sep 4, 2018Complaint3 findings
  • Apr 16, 2018Standard14 findings
  • Feb 16, 2017Standard1 finding
  • Feb 18, 2016Standard2 findings
  • Mar 5, 2015Standard5 findings
  • Dec 19, 2013—2 findings
  • Mar 26, 2013—3 findings
  • Nov 1, 2012—5 findings
  • Jul 25, 2012—1 finding
  • Jan 23, 2012—2 findings · 1 harm
  • Nov 10, 2011—10 findings
  • Feb 2, 2011—2 findings · 1 harm
  • Oct 22, 2010—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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