Accura HealthCare of Shenandoah

    1203 S Elm St, Shenandoah, IA, 51601
    4.3 · 29 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Compassionate staff inconsistent leadership care

    I moved my grandfather here after Elm Heights (which had been wonderful), and my feelings are mixed. The nurses, office staff, and many caregivers were compassionate, attentive, and the facility was very clean - the meals (pudding!) and kindness made Rosemary content. But I also saw understaffing, inconsistent and sometimes poor care, safety concerns, favoritism and lazy supervision, and very small rooms/bathrooms with activities that weren't accessible. I'm grateful for the caring staff who go the extra mile, but leadership problems and uneven care left me unhappy and hesitant to recommend.

    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

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    4.31 · 29 reviews

    Overall rating

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

      3.7
    • Staff

      4.1
    • Meals

      3.7
    • Amenities

      2.0
    • Value

      4.3

    Pros

    • Compassionate, considerate, and loving nursing staff
    • Attentive nurses and staff who go the extra mile
    • Friendly and respectful caregivers
    • Amazing and helpful office staff
    • Accommodating staff responsive to resident needs
    • Clean facility with a pleasant smell
    • Residents report being well fed and happy
    • Food generally okay; pudding singled out positively
    • Some residents specifically content (e.g., 'Rosemary content')
    • Available activities on the schedule

    Cons

    • Allegations of leadership corruption, power abuse, and favoritism
    • Perception of lazy supervisors and some lazy staff
    • Uncomfortable atmosphere reported by some reviewers
    • Understaffing concerns impacting care
    • Instances where admission or care were declined ('turned her down')
    • Safety concerns and reports of poor quality of care
    • Inconsistent quality of care across staff and shifts
    • Rooms, bathrooms, and closets noted as small
    • Activities available but not accessible to residents
    • At least one reviewer found care worse than alternative facilities (Elm Heights)
    • Negative experiences reported alongside overwhelmingly positive ones

    Summary review

    Overall sentiment across these review summaries is mixed but leans toward appreciation for front-line caregivers and the physical cleanliness of the facility, juxtaposed with serious concerns about leadership, staffing consistency, and some aspects of care and access.

    Care and staff: The strongest and most consistent positive theme is praise for direct-care staff. Multiple reviewers describe nurses and caregivers as compassionate, attentive, considerate, and willing to go the extra mile. Families and residents report kindness, respect, and responsiveness from both clinical and office staff. Several comments single out office personnel as "amazing," and some reviewers explicitly state that residents were "well fed" and "happy." However, this positive picture is not uniform: other reviews describe lazy supervisors and some staff, and several reviewers note inconsistent care quality. That inconsistency appears to create very different experiences—some residents receive excellent, loving care while others or their families report substandard attention.

    Clinical quality, safety, and staffing: A recurrent negative pattern involves understaffing and safety/quality concerns. Reviewers mention being turned down for care and raise safety concerns that suggest staffing shortages or a mismatch between resident needs and available services. Understaffing is linked in the reviews to poor quality of care in certain cases. These problems are amplified by allegations about management behavior—claims of favoritism, power abuse, and even corruption— which, if accurate, could undermine morale and accountability and help explain variability in staff performance and resident outcomes.

    Facility, rooms, and environment: The facility itself is generally described as very clean with a pleasant smell, which is a meaningful positive for residents and visitors. Dining gets mixed but mostly positive comments: meals are described as "okay," with specific praise for pudding and some "nice" lunches; several residents are described as well fed. Physical accommodations are a clear negative in multiple summaries—rooms, bathrooms, and closets are described as small, and some reviewers explicitly say rooms could be larger. An "uncomfortable atmosphere" is reported by some, which may relate to staff dynamics, leadership issues, or the physical constraints of rooms.

    Activities and accessibility: Activities are listed as available, which is positive, but multiple reviewers note that the activities are not accessible to residents. This suggests either scheduling, mobility, staffing to escort residents, or communication issues that prevent residents from taking advantage of programmed events.

    Management and culture: The most troubling and recurring criticisms relate to leadership and supervisory issues. Terms like "corruption," "power abuse," and "favoritism" appear alongside reports of lazy supervisors. These comments point to perceived management dysfunction that could directly impact staffing decisions, staff morale, fairness in assignment of duties, and ultimately resident care. Because several reviewers contrast their experience here unfavorably with other facilities (one specifically names Elm Heights as providing better care), there is an indication that management shortcomings are materially affecting family decisions and perceptions.

    Overall assessment and patterns: In sum, reviews present a facility with strong, compassionate front-line caregivers and a clean environment with generally acceptable dining—attributes that make many residents and families satisfied. At the same time, significant concerns about leadership, staffing levels, consistency of care, safety, small room sizes, and accessibility of activities create a mixed reputation. Experiences appear polarized: some residents receive "wonderful care" and praise the "best staff ever," while others report negative experiences severe enough to worry about safety or cause families to seek alternative facilities.

    Recommendations implied by reviewers' patterns: To improve overall satisfaction and reduce variability, management should address leadership and supervision concerns, investigate allegations of favoritism or power misuse, and take concrete steps to reliably staff shifts so that activities and care needs are consistently met. Attention to resident room size and storage could improve comfort, and continued focus on maintaining cleanliness and the positive dining aspects will sustain strengths. Transparent communication with families about staffing, safety measures, and activity access would likely reduce anxiety and reconcile some of the divergent experiences reflected in these reviews.

    Location

    Map showing location of Accura HealthCare of Shenandoah

    About Accura HealthCare of Shenandoah

    Elm Heights Care Center is a senior living community located in Shenandoah, Iowa, offering a welcoming environment designed to support residents with a range of care needs. At Elm Heights Care Center, nutritious, well-balanced meals are a fundamental aspect of daily living, with chefs and meal planners ensuring that each dish provides the right mix of vitamins and minerals. Dining is more than just nourishment—meals are prepared using high-quality ingredients and crafted to be both delicious and satisfying, creating an experience that residents look forward to every day.

    The care offered at Elm Heights Care Center spans multiple levels, including independent living, assisted living, memory care, and skilled nursing. The center prides itself on delivering compassionate support tailored to each individual's requirements, fostering a sense of security and well-being among residents. Every aspect is designed to help residents maintain their independence while also offering the right amount of assistance with daily activities as needed.

    Elm Heights Care Center stands out for its vibrant and engaging activities program. Residents are invited to participate in a variety of social, physical, mental, and emotional engagements, allowing them to remain active and connected within their community. The dedicated staff at Elm Heights Care Center strive to promote a warm, friendly atmosphere, cultivating strong relationships not only among residents but also between residents and caregivers.

    Above all, Elm Heights Care Center aims to provide a comfortable and enriching senior living experience. The environment encourages dignity, respect, and an active lifestyle, with staff working diligently to create a joyful and caring community. High standards in dining, activities, and resident engagement are evident, making Elm Heights Care Center a desirable choice for seniors seeking quality care and a supportive place to call home.

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