Average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Accura Healthcare Of Sioux City, Llc during CMS and state inspections, most recent first.
Kitchen Sanitation Deficiency: Surveyors observed food debris in a double-door refrigerator and on a clean dish cart, crusted lime buildup on the dishwasher and coffee machine tray, and black spots on the wall and corner above the dishwashing area. Facility policy and dietary guidance required regular cleaning of refrigerators and daily cleaning of dishwasher exteriors, and the DM stated these areas should be free of debris and buildup.
Failure to notify the Ombudsman of hospital transfers for two residents. One resident had moderate cognitive impairment and a recent hospital stay related to toe amputations from neuropathy and poor circulation, and another resident also returned from a hospital stay. Facility records showed neither resident was included on the monthly Ombudsman transfer notification, and the BOM stated she was unaware hospital transfers needed to be reported.
A resident with diagnoses including anxiety, depression, bipolar disorder, schizophrenia, and mild neurocognitive disorder did not have an updated PASRR after a negative Level I result. The record also did not reflect current diagnoses or medication orders, including divalproex, quetiapine, and mirtazapine. The Administrator acknowledged the PASRR was not updated and that the facility lacked a formal policy and was not following standard practice.
Failure to follow physician orders for oxygen monitoring and record updates. A resident with anemia, OSA, and insomnia had orders for daily and PRN O2 checks and oxygen to keep sats above 92%, but the facility did not document the updated PRN order in the EHR, did not record the correct medication end date, and missed multiple O2 checks. The care plan also did not reflect the need for O2 monitoring or possible O2 supplementation, and the Administrator stated the verbal order change had not been implemented.
A resident with HTN, ESRD, and dependence on renal dialysis did not receive all required pre- and post-dialysis assessments and documentation. The physician ordered full VS and weight checks before and after dialysis on M/W/F, but nursing staff missed multiple dialysis evaluations over the review period. The facility policy required assessment of VS, physical condition, vascular access, and documentation in progress notes, and the Administrator stated she was not aware the assessments were not being completed.
A resident with HTN, ESRD, and dialysis dependence had orders for daily BP checks and provider notification for systolic readings above 160 or below 90. The care plan directed staff to report abnormal vital signs, but staff did not notify the physician on multiple occasions when BP readings exceeded the ordered parameters. The Administrator stated staff were expected to notify the provider when BP readings were outside parameters and that the facility had no formal physician-notification policy.
Kitchen Sanitation Deficiency
Penalty
Summary
Proper sanitary conditions were not maintained in the kitchen area where food was prepared. During a kitchen walkthrough, the double-door refrigerator was observed with scattered food debris inside, and a cart holding clean dishes also had scattered food debris present. The dishwasher had white, flaky, crusted lime buildup along the top and sides, and similar lime buildup was observed on the coffee machine tray. Black spots were also seen on the wall and in the corner above the dishwashing area. Facility policy stated that refrigerators are to be cleaned thoroughly inside and outside with detergent and sanitizer at least monthly or as needed, with spills and leaks cleaned as they occur. The Food and Nutrition Services in Healthcare Facilities guidance stated that the exterior of dishwashers and other appliances should be cleaned daily. In interviews, the Dietary Manager stated that the refrigerator and dish cart should be free of food debris and that the dishwashing area should not have black spots on the walls or crusted lime buildup on the dishwasher exterior. The Administrator stated that the Dietary Manager had cleaned and sanitized the refrigerator, dishwasher, and dishwashing area walls, and also stated that the kitchen is expected to remain clean and sanitary at all times.
Failure to Notify Ombudsman of Hospital Transfers
Penalty
Summary
The facility failed to notify the Long-Term Care Ombudsman of hospital transfers for 2 of 3 residents reviewed, Resident #31 and Resident #43. Resident #31’s MDS showed entry to the facility after a short-term general hospital stay on 6/11/25 and a BIMS score of 9, indicating moderate cognitive impairment. A family member stated that Resident #31 had been in the hospital related to amputations of a couple of toes due to severe neuropathy and poor circulation. However, a facility-provided Notice of Transfer Form to the Long Term Care Ombudsman for June 2025 did not include Resident #31. Resident #43’s MDS showed entry to the facility after a short-term general hospital stay on 9/9/25, but a facility-provided Notice of Transfer Form to the Long Term Care Ombudsman for September 2025 did not include Resident #43. The Business Office Manager stated she was unaware that residents who went to the hospital should be on the Ombudsman notification and verified that Resident #31 and Resident #43 were not on the appropriate notification sheet. The Administrator stated her expectation was for the appropriate notification to the Ombudsman for hospital visits and discharges. The facility policy titled Notice of Transfer or Discharge Process, dated 4/21/25, stated that a copy of the notice must be sent monthly for this type of discharge or transfer to the Office of the State Long-Term Care Ombudsman by mail, fax, or email.
Failure to Update PASRR for Resident With New Psychiatric Diagnoses
Penalty
Summary
The facility failed to refer one resident with a negative Level I PASRR result for a Level II PASRR evaluation and determination after the resident was later identified with newly evident or possible serious mental disorder, intellectual disability, or other related condition. Resident #7’s clinical record showed diagnoses of anxiety disorder, depression, bipolar disease, schizophrenia, and mild neurocognitive disorder, and the MDS assessment documented a BIMS score of 15, indicating no cognitive impairment. The resident’s medical diagnosis list included other schizophrenia and mild neurocognitive disorder, and the clinical orders included divalproex sodium for mood stability related to bipolar disorder, quetiapine for bipolar-related insomnia, and mirtazapine for depressive disorder. The clinical record lacked an updated PASRR to reflect the diagnoses of anxiety disorder, schizophrenia, and mild neurocognitive disorder, and it also did not update medications per current orders. In interview, the Administrator stated the facility failed to update the resident’s PASRR and acknowledged the facility lacked a formal policy and was not following its standard practice.
Failure to Follow Physician Orders for Oxygen Monitoring
Penalty
Summary
The facility failed to follow physician orders and maintain professional standards of care for one resident by not entering the updated oxygen monitoring order and the correct medication end date in the electronic record. Resident #8 had diagnoses of anemia, obstructive sleep apnea, and insomnia, and the MDS documented a BIMS score of 14 with no cognitive impairment. The clinical orders included checking oxygen levels daily and as needed, as well as oxygen 2 to 5 liters per nasal cannula to keep oxygen levels greater than 92%. The facility did not check oxygen levels on four consecutive days, and the care plan did not indicate that oxygen levels required monitoring or that oxygen supplementation might be needed to maintain oxygen levels above 92%. During interview, the resident stated she had previously experienced shortness of breath and required oxygen, and said she had had an oxygen concentrator in her room, though she could not recall when. The Administrator stated the facility had received a verbal physician order to change oxygen monitoring to PRN but had not implemented the change and said the orders were still being processed; the Administrator also stated the facility did not have a policy for following physician orders and instead followed standard practices.
Failure to Complete Required Dialysis Assessments
Penalty
Summary
Safe, appropriate dialysis care and services were not provided for a resident who required dialysis. Resident #2 had diagnoses of hypertension, end-stage renal disease, and dependence on renal dialysis, and the MDS documented a BIMS score of 15, indicating no cognitive impairment. A physician order dated 6/11/25 directed staff to obtain a full set of vital signs and the resident’s weight before and after dialysis on Monday, Wednesday, and Friday. Clinical record review showed that the facility did not complete all required dialysis evaluations for Resident #2 during the look-back period from September 2025 through December 1, 2025. The dialysis assessments were not completed on 9/5/25, 9/12/25, 9/29/25, 11/3/25, 11/23/25, 11/28/25, and 12/1/25. The facility’s Dialysis Care & Monitoring policy required pre- and post-dialysis assessment and documentation, including vital signs, physical condition, vascular access site assessment, and documentation in progress notes. During an interview on 12/3/25, the Administrator stated she was not aware the dialysis assessments were not being completed and said she expected staff to perform all pre- and post-dialysis assessments and adjust the schedule as needed for holidays.
Failure to Notify Physician of Elevated Blood Pressure
Penalty
Summary
The facility failed to notify the physician when a resident's blood pressure exceeded the established notification parameters. Resident #2 had diagnoses of hypertension, end-stage renal disease, and dependence on renal dialysis, and the MDS documented a BIMS score of 15, indicating no cognitive impairment. The care plan directed staff to monitor vital signs and report abnormal findings to the provider. Clinical orders dated 8/17/25 required daily blood pressure checks and provider notification if systolic blood pressure was below 90 or above 160. During the 30-day look-back period from 11/3/25 through 12/3/25, the Weights and Vital Signs report showed multiple dates when staff did not notify the physician after blood pressure readings exceeded the ordered parameters. In interview, the Administrator stated she expected staff to notify the physician when blood pressure readings exceeded established parameters and stated the facility did not have a formal policy regarding physician notification, saying, "We follow standard practice."
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Sioux City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Luke's Regional Medical Center Snf | 3.1 mi | ★★★★★ | 0 | 0 |
| Holy Spirit Retirement Home | 3.1 mi | ★★★★★ | 10 | 0 |
| Casa De Paz Health Care Center | 3.6 mi | ★★★★★ | 11 | 0 |
| Sunrise Retirement Community | 4.6 mi | ★★★★★ | 4 | 0 |
| Westwood Specialty Care | 4.9 mi | ★★★★★ | 16 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.