Accura Healthcare of Carlisle
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (18 vs median 5)
- High RN turnover (58%)
Bottom 25% in IA · Below recommended RN staffing · Worst in ACCURA HEALTHCARE chain · $46,488 in fines
What this means for your family
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are only 67% of the national benchmark, which can affect medication management and response times. The facility has 11 deficiencies, which is above the state average. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
3
measures
11
measures
2
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of 46 deficiencies across recent surveys, with 28 triggered by family complaints. The most recurring problems involve infection control, resident care planning and assessments, and basic care quality. While most issues show correction dates, some recent serious deficiencies from January 2026 regarding abuse reporting and pest control remain uncorrected, suggesting ongoing quality concerns that families should carefully consider.
Jan 29, 2026Complaint3
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Jul 31, 2025Routine6
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 31, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Apr 3, 2025Complaint4
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 3, 2025Complaint3
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jan 15, 2025Complaint4
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Federal Penalties
Fine
Jul 31, 2025
$37,177
Fine
Jun 15, 2023
$9,311
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Apr 6, 2026ComplaintClean
Fed violations: 0, State violations: 0
Jan 29, 2026ComplaintClean
Fed violations: 3, State violations: 1
Sep 10, 2025InspectionClean
Fed violations: 0, State violations: 0
Jul 31, 2025InspectionClean
Fed violations: 8, State violations: 1
Apr 19, 2025ComplaintClean
Fed violations: 0, State violations: 0
Apr 3, 2025ComplaintClean
Fed violations: 4, State violations: 0
Mar 3, 2025ComplaintClean
Fed violations: 3, State violations: 1
Feb 13, 2025ComplaintClean
Fed violations: 0, State violations: 0
Ownership & Operations
Who Operates This Facility
Accura Healthcare of Carlisle
for profit
Chain Affiliation
Accura Healthcare
41 facilities nationwide
Chain avg rating: 2.4/5 · Rank 27 of 37 (Worst)
Ownership & Management
Owners
Undisclosed
Ownership Data Not Available · Organization
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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