Sunny Hill Care Center
Tama · 0.9 mi · 57 beds
Citations0Substantiated0
Accura Healthcare of Toledo
403 Grandview Drive, Toledo, IA, 52342
Nursing home55 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 4 deficiencies against Accura Healthcare of Toledo in Toledo, Iowa at its most recent standard inspection on 2026-01-08, 1 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
55certified beds
4deficiencies at the last inspection
1immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.16
Potential for minimal harmThe least serious band.1
Most recentDDDDEDDBDDEDDDDDJE
The last 18 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-04-28 · from a complaint · No actual harm, potential for more than minimal 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 · F0689 · 2026-01-08 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2026-01-08 · standard survey · No actual harm, potential for more than minimal harm
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · F0791 · 2026-01-08 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-11-21 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2024-11-21 · from a complaint · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2024-11-21 · from a complaint · No actual harm, potential for more than minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · F0851 · 2024-11-21 · standard survey · No actual harm, potential for minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-08-22 · from a complaint · No actual harm, potential for more than minimal harm
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · F0825 · 2024-08-22 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2023-12-12 · from a complaint · No actual harm, potential for more than minimal harm
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 · F0578 · 2023-12-12 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2023-12-12 · standard survey · No actual harm, potential for more than minimal harm
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 · F0656 · 2023-12-12 · standard survey · No actual harm, potential for more than minimal harm
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 · F0657 · 2023-12-12 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2023-12-12 · from a complaint · No actual harm, potential for more than minimal 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 · F0689 · 2023-07-13 · from a complaint · Immediate jeopardy to resident health or safety
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · F0726 · 2023-07-13 · from a complaint · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home1 of 5
Nurse hours per resident per dayReported by the home to CMS2.89317
Nursing staff turnoverShare of nursing staff who left in a year56.5%
Ownership
Who owns Accura Healthcare of Toledo
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| AVIV HEALTHCARE OF THE MIDWEST LLC | Organization | NOT APPLICABLE | since 04/01/2025 |
| AVENUE94 LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| AVIV HEALTHCARE HOLDINGS LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| KIMMONS HEALTHCARE INVESTMENTS LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| KTL ENTERPRISES LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| LITTLE RIVER INVESTMENTS LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| ZRR OPCO LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| ALLEN, BRADY | Individual | NOT APPLICABLE | since 02/01/2025 |
| KLEINSASSER, MEGAN | Individual | NOT APPLICABLE | since 02/01/2025 |
| LENEAVE, TED | Individual | NOT APPLICABLE | since 02/01/2025 |
| TOTI, LISA | Individual | NOT APPLICABLE | since 02/01/2025 |
| ACCURA MANAGEMENT CONSULTING SERVICES LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
Part of the ACCURA HEALTHCARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Contact
Ask Accura Healthcare of Toledo a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 165450.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction