Staffing
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.52 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.52 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on May 8, 2025 cited 6 deficiencies.
View inspection evidenceCMS-published records list 71 ownership or control parties.
CMS records show an ownership change effective February 2025.
View ownership evidenceCMS groups this facility with a chain covering 43 facilities across 4 states or territories.
View chain evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
10 currently connected nursing homes share this CMS organization identity with AVIV HEALTHCARE OF THE MIDWEST LLC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 9, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2025
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2025
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2025
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2025
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 9, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 9 across IA, NE.
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 10 across IA, NE, PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 10 across IA, NE, PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 5 across IA, PA.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 9, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 1 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 11 across IA, NE, PA, TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 14 across IA, IN, NE, PA, TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Feb 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 9 across IA, NE.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Feb 1, 2025
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 9 across IA, NE.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Feb 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 9 across IA, NE.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 9 across IA, NE.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Feb 1, 2025
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 9 across IA, NE.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 80%
Association date reported to CMS: Feb 1, 2025
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 9 across IA, NE.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Feb 1, 2025
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Feb 1, 2025
Other facilities connected through this exact CMS organization identity: 9 across IA, NE.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 9 across IA, NE.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 9, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2025
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across IA.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 8 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 43 | 2.3 | 3.1 |
| Mon Jun | 42 | 2.5 | 3.2 |
| Fri May | 41 | 2.4 | 3.2 |
| Wed Apr | 38 | 2.4 | 3.3 |
| Sun Mar | 37 | 2.4 | 3.1 |
| Sun Feb | 37 | 2.4 | 3.1 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 22, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2025)
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2025)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2025)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2025)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2025)
Implement a program that monitors antibiotic use.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2025)
Plan the resident's discharge to meet the resident's goals and needs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 30, 2024)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 30, 2024)
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 30, 2024)
Assess the resident when there is a significant change in condition
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 30, 2024)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 30, 2024)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 30, 2024)
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 30, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 30, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 30, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2023)
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2023)
Assure that each resident’s assessment is updated at least once every 3 months.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2023)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2023)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2023)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2023)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2023)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2023)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2023)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2023)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
7 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: ACCURA HEALTHCARE OF MUSCATINE LLC.
PREMIER ESTATES OF MUSCATINE, LLC → ACCURA HEALTHCARE OF MUSCATINE LLC
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
8 deficiencies were recorded.
CMS · Recorded event date · View related evidence
10 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 2.963 | 2.61 |
| RN categories | 0.56 | 0.43 |
Contract staff accounted for 2.8% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.063 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.304 | 0.611 | 0.783 | 1.389 | 0% | 91 |
| 2025Q3 | 3.116 | 0.527 | 0.715 | 1.372 | 0% | 92 |
| 2025Q4 | 3.026 | 0.586 | 0.59 | 1.413 | 0.3% | 92 |
| 2026Q1 | 2.861 | 0.523 | 0.547 | 1.367 | 2.8% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.