Nursing HomeInspections

Accura Healthcare of Carlisle

Nursing home in Carlisle, IA

Medicare & Medicaid certified1★ overall (CMS)

Call (515) 989-0871Send a messageMap ↗

Public-record details

Address
680 Cole Street, Carlisle, IA 50047
Phone
(515) 989-0871
Listed under
For-profit
Medicare CCN
165255
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
2 of 5
Certified beds
80
Average residents per day
75
Ownership
For-profit, limited Liability company
Legal business name
Legal Business Name Not Available
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 1995
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165255. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 21, 2026. CMS lists 46 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 10, 2023 to May 21, 2026): 25 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
May 21, 2026Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
May 21, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
May 21, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
May 21, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights		D
Potential for more than minimal harm, isolated
May 21, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 21, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 21, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 21, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 21, 2026Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 21, 2026Honor 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.
Resident Rights		E
Potential for more than minimal harm, pattern
May 21, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern
May 21, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 46. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $37,177 in the last three years.

Jul 31, 2025Fine: $37,177

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.11 hours
Registered nurse (RN) time per resident per day
0.47 hours
Nurse aide time per resident per day
2.17 hours
Total nurse staffing on weekends
2.88 hours
Nursing staff turnover (yearly)
52%
RN turnover (yearly)
46%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.