Elmwood Care Center

    222 15th St, Onawa, IA, 51040
    3.6 · 23 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Understaffed facility causing neglect, avoid

    I placed a loved one here because options are limited in the area and I regret it. For the high price the facility was understaffed and poorly managed-we saw neglect (delayed call lights/oxygen, missed doctor visits), inadequate feeding/weight loss, pressure sores/bedsores, filthy rooms and rude staff. A few nurses went above and beyond, but overall I would not recommend-look for other options before sending your elders here.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.61 · 23 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      1.7
    • Staff

      2.1
    • Meals

      1.0
    • Amenities

      1.0
    • Value

      1.0

    Pros

    • Nurses who go above and beyond
    • Excellent, dedicated daily staff effort in some departments
    • Positive impact on some residents
    • Comfortable and safe environment reported by some families
    • Enjoyable interactions with certain department staff
    • Some residents and families had a better experience

    Cons

    • Lack of care and general neglect
    • Malnutrition and unexplained weight loss
    • Inadequate feeding and assistance with meals
    • Delayed or no timely doctor visits and medical attention
    • Delayed oxygen administration
    • Pressure ulcers / bed sores
    • Resident death reported in connection with care issues
    • Understaffing and staffing shortages
    • Poor management and administrative problems
    • Rude staff attitude and lack of people skills
    • Lack of compassion from staff
    • Filthy rooms and poor cleanliness
    • Delayed call light responses
    • No rehab services provided
    • High price relative to quality
    • Reports recommending moving elders / do not recommend
    • Mention of potential intent to close down

    Summary review

    Overall sentiment across the reviews is mixed but leans strongly negative, with recurring and serious concerns about the quality of care and facility operations. A substantial portion of reviewers describe neglectful treatment—citing malnutrition, unexplained weight loss, inadequate feeding assistance, delayed medical attention, pressure ulcers (bed sores), and at least one death linked by a reviewer to the facility’s care. Multiple reviewers explicitly say they would not recommend the facility and urge families to seek other options before placing a loved one here. There are repeated statements that the facility is understaffed and that this understaffing directly impacts care responsiveness and quality.

    Care quality and clinical concerns: The most alarming and frequent themes are clinical in nature. Reviewers report delayed or absent doctor visits, delayed oxygen administration, lack of proper feeding assistance, and the development of pressure ulcers. These are serious, specific failures raised more than once, and reviewers connect them to poor monitoring and inadequate clinical oversight. Several summaries mention malnutrition or weight loss and at least one reviewer ties these outcomes to neglect. There are also notes that no rehabilitation services were provided in some cases. Taken together, these clinical complaints suggest systemic problems with timely medical response, basic nursing care tasks, and wound/prevention care.

    Staff and management: Reports about staff are polarized. On the negative side, many reviewers describe understaffing, staff with poor people skills, rude attitudes, and a lack of compassion. Delayed call light responses and claims of neglect are attributed to not having enough hands on deck. Management is repeatedly criticized as poor, and reviewers imply that administrative failures contribute to staffing, training, and oversight problems. On the positive side, multiple reviewers single out nurses and certain departmental staff as going above and beyond, offering excellent daily effort and positively affecting residents. These positive mentions appear to reference specific individuals or teams rather than facility-wide performance, indicating there are committed caregivers despite organizational failures.

    Facilities, cleanliness, and environment: Several reviewers describe unclean or filthy rooms, which exacerbates concerns about overall care standards and infection risk. Conversely, a minority of reviewers found the environment comfortable, safe, and conducive to happiness for residents. This split suggests that experiences vary by unit or over time; some families encounter acceptable conditions while others find significant cleanliness and maintenance issues.

    Dining, activities, and rehabilitation: Dining-related complaints focus on inadequate feeding assistance and neglect at meal times, which reviewers connect to weight loss and malnutrition. There are also reports that rehabilitation services were not provided as expected. Positive comments do not emphasize dining or activities so much as individual caregiver interactions, indicating that activity programming and structured rehab may be inconsistent or deprioritized.

    Costs, availability, and broader concerns: Reviewers note the facility is one of few options in the area, which raises concerns because people feel constrained in choices despite high prices. Several reviewers explicitly say the cost is not justified by the level of care received. One reviewer mentions an "intent to close down," which, if accurate, could explain staffing instability and management issues, but this appears as an isolated report in the summaries provided.

    Patterns and overall impression: The dominant pattern is a facility with uneven performance—some caregivers and departments provide compassionate, attentive care, while systemic problems (especially understaffing and poor management) lead to significant lapses: delayed medical response, missed or inadequate feeding, bedsores, and poor cleanliness. The positives are meaningful but localized; they do not counterbalance the frequent, serious allegations of neglect and clinical failures. For a family evaluating Elmwood Care Center, these reviews suggest a high-risk profile: potential for very good individual caregivers but persistent institutional weaknesses that have led to harmful outcomes for some residents. Prospective residents and families should investigate current staffing levels, clinical oversight, cleanliness protocols, and incident/inspection records, and consider alternative facilities if they can, given the recurring severity of the reported issues.

    Location

    Map showing location of Elmwood Care Center

    About Elmwood Care Center

    Elmwood Care Center, now known as Accura HealthCare of Onawa, sits in Onawa, Iowa, and offers assisted living, skilled nursing, rehabilitation, and memory care services, where residents can get help with activities of daily living like dressing, bathing, and eating, along with medication management when needed, and staff are always around 24 hours a day if someone needs help in an emergency, which is good if someone's worried about getting the right support at all hours. The campus has Stonebridge Suites for assisted living plus areas for skilled nursing, all sharing a focus on privacy and residents keeping as much independence as they can with some staff support, and folks have options for staying with respite care or settling in for long-term care, which is aimed at helping residents maintain their abilities and manage aging changes. You'll find several room types-studio, one-bedroom, two-bedroom and semi-private-so residents can choose what makes them comfortable, and no one needs to worry about making meals every day as staff prepare nutritious, balanced food for everyone. There's help for personal care like grooming and dressing, and staff can monitor insulin levels for residents with diabetes or help with moving from a bed to a wheelchair, and the place has laundry and housekeeping services to keep things clean. The community also provides transportation for medical appointments and errands, which makes things simpler for those who don't drive, and there's a hair salon on site for grooming needs when folks want a haircut without leaving the building.

    Therapy services, including physical, occupational, and speech therapy, are available for both short-term rehab and long-term needs, so people recovering from surgery or illness can regain strength and skills, and the therapy team is experienced with exercises like mobility training and balance work, or even home evaluations for safety. The staff includes licensed nurses and therapy professionals who work together on personalized care plans, with a focus on recovery, independence and well-being, and you'll find services for hospice, palliative, and terminal care, plus memory care and support for residents with Alzheimer's or other types of dementia. Social and wellness activities are part of daily life, including recreational therapy, exercise classes, arts and crafts, group outings, music therapy, and time for one-on-one connection, which keeps people moving and engaged, and helps emotional well-being too. Common indoor spaces are used for socializing, and the facility makes sure to organize trips and community events outside to keep life interesting, helping residents stay connected with each other and with the local area.

    Elmwood Care Center, working within Iowa Health Care Association networks and alongside local hospice providers, keeps a welcoming and community-focused spirit, and the staff want to provide compassionate, individualized attention. There are different payment options, including private pay, Social Security, Veteran's benefits, and commercial insurance, and fees differ based on care level and room type, with estimates for things like respite visits or adding a second person. Whether someone's looking for daily support, memory care, rehab, or end-of-life care, the team at Elmwood Care Center aims to meet those needs with services centered on the resident's health, independence, and engagement.

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