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Nursing HomeMedicaid Investigative

Accura Healthcare of Carlisle

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

680 Cole Street, Carlisle, IA 5004780 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Accura Healthcare of Carlisle Nursing Home in Carlisle, IA — Street View
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4/ 10
moderate Risk

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

Source: Medicare data

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 2026
RN Hours
0.50hrs
67%
Registered nurses for medical care
Total Nursing
2.97hrs
72%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
55%
Lower is better (< 30% = good)

Both 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

Medicare Rating
2/ 5
Better Than Avg

3

measures

Worse Than Avg

11

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility16.5%
Worse than Avg
Here
16.5%
US
93.4%
IA
93.9%
Warren
93.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
IA
4.1%
Warren
23.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility27.7%
Worse than Avg
Here
27.7%
US
14.4%
IA
17.6%
Warren
11.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility34.7%
Worse than Avg
Here
34.7%
US
19.4%
IA
25.9%
Warren
20.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility29.2%
Worse than Avg
Here
29.2%
US
15.4%
IA
19.4%
Warren
14.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility28.2%
Worse than Avg
Here
28.2%
US
19.5%
IA
20.7%
Warren
26.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility40.8%
Worse than Avg
Here
40.8%
US
81.8%
IA
84.0%
Warren
84.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.4%
Worse than Avg
Here
3.4%
US
1.6%
IA
2.0%
Warren
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
2penalties
Well above state avg (6.2)
26 complaint-triggered
$46,488 in fines

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, 2026Complaint
3
0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Jul 31, 2025Routine
6
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0656Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0690Potential for harm · IsolatedCorrected

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.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 31, 2025Complaint
2
0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0851Potential for harm · IsolatedCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Apr 3, 2025Complaint
4
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0688Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 3, 2025Complaint
3
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jan 15, 2025Complaint
4
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0842Potential for harm · PatternCorrected

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · IsolatedCorrected

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

10total
25deficiencies
Apr 6, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Jan 29, 2026Complaint
Clean

Fed violations: 3, State violations: 1

Sep 10, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Jul 31, 2025Inspection
Clean

Fed violations: 8, State violations: 1

Apr 19, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Apr 3, 2025Complaint
Clean

Fed violations: 4, State violations: 0

Mar 3, 2025Complaint
Clean

Fed violations: 3, State violations: 1

Feb 13, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Accura Healthcare of Carlisle

Organization Type

for profit

Chain Affiliation

Chain Name

Accura Healthcare

Chain Size

41 facilities nationwide

Chain avg rating: 2.4/5 · Rank 27 of 37 (Worst)

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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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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