Based on need, and evaluated on a case-by-case scenario, Accura HealthCare reserves the right to determine whether it is best to enroll someone directly into the CNA course, prior to joining our team, or request that someone join our team in a non-certified capacity for a predetermined allotted time, prior to investing in paying for someone’s CNA course and testing. ABOUT ACCURA HEALTHCARE: Accura HealthCare is a Midwest-based healthcare company that manages and operates over 50 skilled nursing care, assisted living, independent living, and memory care communities throughout Iowa, Minnesota, South Dakota, and Nebraska.