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Accura Healthcare of Carlisle

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Accura Healthcare of Carlisle is a for profit - limited liability company facility in Carlisle, IA with 80 certified beds and a 1-star overall CMS rating. The facility has 42 deficiency records on file. Total penalties: $46K.

680 Cole Street, Carlisle, IA 50047

Phone: 5159890871

Overall Rating

1/5

Health Inspection

1/5

Staffing

3/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
165255
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
80
Residents
73
In Hospital
No
County
Warren
Last Inspection
Jul 31, 2025

Staffing Data

RN Hours
0.58 (nat'l avg: 0.68)
LPN Hours
0.48
CNA Hours
2.24
Total Nursing Hours
3.31 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
48.0%
RN Turnover
58.3%

What the CMS Record Reveals About Accura Healthcare of Carlisle

Accura Healthcare of Carlisle operates 80 certified beds in Carlisle, IA with approximately 73 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (3★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 42 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $46K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.31 total nursing hours per resident day (national average 3.89), with RN coverage at 0.58 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Accura Healthcare of Carlisle falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 48.0%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (42 most recent)

D — Isolated - Minimal harm Jul 31, 2025 Tag: 0851

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

Category: Administration Deficiencies

Corrected: Aug 1, 2025

E — Pattern - Minimal harm Jul 31, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 1, 2025

D — Isolated - Minimal harm Jul 31, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 1, 2025

D — Isolated - Minimal harm Jul 31, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Aug 1, 2025

D — Isolated - Minimal harm Jul 31, 2025 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 1, 2025

G — Isolated - Actual harm Jul 31, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 1, 2025

D — Isolated - Minimal harm Jul 31, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 1, 2025

D — Isolated - Minimal harm Jul 31, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 1, 2025

D — Isolated - Minimal harm Apr 3, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 19, 2025

D — Isolated - Minimal harm Apr 3, 2025 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 19, 2025

D — Isolated - Minimal harm Apr 3, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 19, 2025

D — Isolated - Minimal harm Apr 3, 2025 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 19, 2025

G — Isolated - Actual harm Mar 3, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 19, 2025

D — Isolated - Minimal harm Mar 3, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 4, 2025

D — Isolated - Minimal harm Mar 3, 2025 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Mar 4, 2025

E — Pattern - Minimal harm Jan 15, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 13, 2025

E — Pattern - Minimal harm Jan 15, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 13, 2025

E — Pattern - Minimal harm Jan 15, 2025 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Feb 13, 2025

D — Isolated - Minimal harm Jan 15, 2025 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Feb 13, 2025

E — Pattern - Minimal harm Aug 28, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 20, 2024

D — Isolated - Minimal harm Aug 28, 2024 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Sep 20, 2024

E — Pattern - Minimal harm Aug 28, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 20, 2024

F — Widespread - Minimal harm Aug 28, 2024 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 20, 2024

D — Isolated - Minimal harm Aug 28, 2024 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 20, 2024

D — Isolated - Minimal harm Aug 28, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 20, 2024

D — Isolated - Minimal harm Aug 28, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 20, 2024

E — Pattern - Minimal harm May 8, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: May 31, 2024

D — Isolated - Minimal harm May 8, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: May 31, 2024

D — Isolated - Minimal harm May 8, 2024 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: May 31, 2024

D — Isolated - Minimal harm Aug 10, 2023 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Aug 31, 2023

D — Isolated - Minimal harm Jun 15, 2023 Tag: 0925

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

Category: Environmental Deficiencies

Corrected: Jul 7, 2023

E — Pattern - Minimal harm Jun 15, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 7, 2023

E — Pattern - Minimal harm Jun 15, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 7, 2023

G — Isolated - Actual harm Jun 15, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 29, 2023

D — Isolated - Minimal harm Jun 15, 2023 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 7, 2023

D — Isolated - Minimal harm Jun 15, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jul 7, 2023

D — Isolated - Minimal harm Jun 15, 2023 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 7, 2023

D — Isolated - Minimal harm Jun 15, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 7, 2023

D — Isolated - Minimal harm Jun 15, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 7, 2023

D — Isolated - Minimal harm Jun 15, 2023 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Jul 7, 2023

D — Isolated - Minimal harm Mar 29, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 16, 2023

D — Isolated - Minimal harm Mar 29, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 16, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 25.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.4% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.3% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 33.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 54.4% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 19.2% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 29.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 88.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 2.2% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 33.3% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 26.8% Yes

Penalty History 2 penalties totaling $46K

Date Type Amount
Jul 31, 2025 Fine $37K
Jun 15, 2023 Fine $9K

Frequently Asked Questions

What is the overall CMS rating for Accura Healthcare of Carlisle?
Accura Healthcare of Carlisle has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (2★).
What are the staffing levels at Accura Healthcare of Carlisle?
Accura Healthcare of Carlisle reports 3.31 total nursing hours per resident day (national average: 3.89). RN hours are 0.58 per resident day (national average: 0.68). Nursing staff turnover is 48.0%.
How many beds does Accura Healthcare of Carlisle have?
Accura Healthcare of Carlisle has 80 certified beds with approximately 73 residents. The facility is located at 680 Cole Street, Carlisle, IA 50047.
Does Accura Healthcare of Carlisle have any deficiencies on record?
Yes, Accura Healthcare of Carlisle has 42 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Accura Healthcare of Carlisle received any fines or penalties?
Yes, Accura Healthcare of Carlisle has received 2 penalties totaling $46K.
Who owns Accura Healthcare of Carlisle?
Accura Healthcare of Carlisle is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Accura Healthcare of Carlisle last inspected?
The most recent health inspection for Accura Healthcare of Carlisle was on Jul 31, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Accura Healthcare of Carlisle?
Accura Healthcare of Carlisle is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial