PlainNursing
CMS Nursing Home Compare · August 2026

Accura Healthcare of Carroll

2241 North West Street, Carroll, IA 51401

Accura Healthcare of Carroll, a 65-bed for profit - corporation nursing facility in Carroll, IA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #346 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 7127929284

Build a private shortlist as you compare, saved on this device, no account needed.

Subscribe to CMS updates for this home (RSS) for inspection findings and Care Compare snapshot refreshes, no email.

1 / 5
Much below average · CMS overall · nat'l 3.0
#346 of 385
In-state rank among rated IA homes
2.93
Well below average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 2 serious

The verdict

Accura Healthcare of Carroll, a 65-bed for profit - corporation nursing facility in Carroll, IA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #346 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#346 of 385
In-state rank among rated IA homes
2.93
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 387 IA nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

2/5

Quality Measures

3/5

Long-Stay Quality

1/5

Facility Information

Provider Number
165455
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
65
Residents
49
In Hospital
No
County
Carroll
Last Inspection
Apr 2, 2026

Staffing Data

How the 2.93 total nursing hours per resident-day are staffed:

RN Hours
0.50 (nat'l avg: 0.69)
LPN Hours
0.72
CNA Hours
1.71
Total Nursing Hours
2.93 (nat'l avg: 3.86)
PT Hours
0.02
Nursing Turnover
44.2%
RN Turnover
42.9%

What the CMS Record Reveals About Accura Healthcare of Carroll

According to CMS Nursing Home Compare, Accura Healthcare of Carroll ranks #346 of 385 rated nursing homes in IA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Accura Healthcare of Carroll operates 65 certified beds in Carroll, IA with approximately 49 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 2★ · quality 3★).

The inspection file contains 50 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Staffing is reported at 2.93 total nursing hours per resident day (national average 3.86), with RN coverage at 0.50 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Accura Healthcare of Carroll falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 44.2% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.

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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm Jun 8, 2026 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: Jun 17, 2026

D - Isolated - Minimal harm Jun 8, 2026 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 17, 2026

D - Isolated - Minimal harm Apr 2, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 24, 2026

D - Isolated - Minimal harm Apr 2, 2026 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 24, 2026

D - Isolated - Minimal harm Apr 2, 2026 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Apr 24, 2026

D - Isolated - Minimal harm Apr 2, 2026 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Apr 24, 2026

D - Isolated - Minimal harm Apr 2, 2026 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 24, 2026

D - Isolated - Minimal harm Apr 2, 2026 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 24, 2026

D - Isolated - Minimal harm Apr 2, 2026 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Apr 24, 2026

E - Pattern - Minimal harm Apr 2, 2026 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: Apr 24, 2026

E - Pattern - Minimal harm Apr 2, 2026 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: Apr 24, 2026

E - Pattern - Minimal harm Apr 2, 2026 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 24, 2026

E - Pattern - Minimal harm Apr 2, 2026 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 24, 2026

E - Pattern - Minimal harm Apr 2, 2026 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Apr 24, 2026

F - Widespread - Minimal harm Apr 2, 2026 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: Apr 24, 2026

F - Widespread - Minimal harm Apr 2, 2026 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: Apr 24, 2026

D - Isolated - Minimal harm Dec 23, 2025 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: Jan 31, 2026

D - Isolated - Minimal harm Oct 15, 2025 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: Oct 16, 2025

E - Pattern - Minimal harm Oct 15, 2025 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: Oct 16, 2025

D - Isolated - Minimal harm Jun 24, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jun 25, 2025

D - Isolated - Minimal harm Jun 24, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 25, 2025

D - Isolated - Minimal harm Jun 24, 2025 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 25, 2025

D - Isolated - Minimal harm Jun 24, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 25, 2025

E - Pattern - Minimal harm Jun 24, 2025 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 25, 2025

E - Pattern - Minimal harm Jun 24, 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: Jun 25, 2025

D - Isolated - Minimal harm Mar 13, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 24, 2025

D - Isolated - Minimal harm Mar 13, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 24, 2025

D - Isolated - Minimal harm Mar 13, 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: Mar 25, 2025

D - Isolated - Minimal harm Mar 13, 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 26, 2025

D - Isolated - Minimal harm Mar 13, 2025 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 14, 2025

D - Isolated - Minimal harm Mar 13, 2025 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Mar 18, 2025

D - Isolated - Minimal harm Mar 13, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Mar 25, 2025

D - Isolated - Minimal harm Mar 13, 2025 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: Mar 14, 2025

E - Pattern - Minimal harm Mar 13, 2025 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 18, 2025

E - Pattern - Minimal harm Mar 13, 2025 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: Mar 17, 2025

E - Pattern - Minimal harm Mar 13, 2025 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 24, 2025

E - Pattern - Minimal harm Mar 13, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 25, 2025

G - Isolated - Actual harm Mar 13, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 11, 2025

G - Isolated - Actual harm Mar 13, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 11, 2025

E - Pattern - Minimal harm Dec 24, 2024 Tag: 0925

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

Category: Environmental Deficiencies

Corrected: Jan 13, 2025

C - Widespread - No harm May 9, 2024 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: May 23, 2024

D - Isolated - Minimal harm May 9, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: May 23, 2024

D - Isolated - Minimal harm May 9, 2024 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 23, 2024

E - Pattern - Minimal harm May 9, 2024 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: May 23, 2024

D - Isolated - Minimal harm Mar 14, 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: Mar 15, 2024

D - Isolated - Minimal harm Mar 14, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Mar 15, 2024

D - Isolated - Minimal harm Mar 14, 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: Mar 15, 2024

E - Pattern - Minimal harm Mar 14, 2024 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: Mar 15, 2024

E - Pattern - Minimal harm Mar 14, 2024 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: Mar 15, 2024

D - Isolated - Minimal harm Aug 16, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 5, 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 15.7% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 4.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 21.4% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 10.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 25.5% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.7% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 2.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 94.3% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 93.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 87.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 44.0% No

Penalty History

Date Type Amount
Mar 13, 2025 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Accura Healthcare of Carroll, both outside IA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Accura Healthcare of Carroll

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The IA registry aggregates state averages and the highest-rated homes in this cohort. View IA registry
  • Peer homes near 65 beds show how CMS stars vary at a similar scale in IA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Accura Healthcare of Carroll?
Accura Healthcare of Carroll has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (3★).
Where does Accura Healthcare of Carroll rank among nursing homes in IA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Accura Healthcare of Carroll ranks 346th among 385 rated nursing homes in IA (#346 of 385). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Accura Healthcare of Carroll?
Accura Healthcare of Carroll reports 2.93 total nursing hours per resident day (national average: 3.86). RN hours are 0.50 per resident day (national average: 0.69). Nursing staff turnover is 44.2%.
How many beds does Accura Healthcare of Carroll have?
Accura Healthcare of Carroll has 65 certified beds with approximately 49 residents. The facility is located at 2241 North West Street, Carroll, IA 51401.
Does Accura Healthcare of Carroll have any deficiencies on record?
Yes, Accura Healthcare of Carroll has 50 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Accura Healthcare of Carroll received any fines or penalties?
No, Accura Healthcare of Carroll has no fines or penalties on record.
Who owns Accura Healthcare of Carroll?
Accura Healthcare of Carroll is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Accura Healthcare of Carroll last inspected?
The most recent health inspection for Accura Healthcare of Carroll was on Apr 2, 2026. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Accura Healthcare of Carroll?
Accura Healthcare of Carroll 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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

Found this useful? Share Accura Healthcare of Carroll's record.