Accura Healthcare of Carlisle

680 Cole Street · Carlisle, IA · 50047 · 5159890871

80 certified beds For profit - Limited Liability company Chain: Accura Healthcare Part of a CCRC

Why this verdict

  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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Red flags

Total nurse staffing below 3.0 hours per resident-day

2.97 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 43
Serious harm & abuse 20% 82
Staffing 20% 55
Federal penalties 15% 67
Trend 10% 83
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day2.973.48 min · 4.1 strong
RN hours / resident-day0.500.55–0.75
Weekend hours / resident-day2.60≈ weekday level
Nursing turnover / year48%median 45%
Fines (3-yr window)1 · $37,177

Inspection citations (43 in the current record)

  • Potential for harm · D January 29, 2026 · found via complaint

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

    Corrected February 13, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 29, 2026 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected February 13, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 29, 2026 · found via complaint

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

    Corrected February 13, 2026 · Environmental

  • Actual harm · G July 31, 2025

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

    Corrected August 1, 2025 · Quality of Life and Care

  • Potential for harm · D July 31, 2025

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

    Corrected August 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 31, 2025

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

    Corrected August 1, 2025 · Quality of Life and Care

  • Potential for harm · D July 31, 2025

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

    Corrected August 1, 2025 · Quality of Life and Care

  • Potential for harm · D July 31, 2025

    Ensure that residents are free from significant medication errors.

    Corrected August 1, 2025 · Pharmacy Service

  • Potential for harm · D July 31, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 1, 2025 · Infection Control

  • Potential for harm · E July 31, 2025 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected August 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 31, 2025 · found via complaint

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

    Corrected August 1, 2025 · Administration

  • Potential for harm · D April 3, 2025 · found via complaint

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

    Corrected April 19, 2025 · Quality of Life and Care

  • Potential for harm · D April 3, 2025 · found via complaint

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

    Corrected April 19, 2025 · Quality of Life and Care

  • Potential for harm · D April 3, 2025 · found via complaint

    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.

    Corrected April 19, 2025 · Quality of Life and Care

  • Potential for harm · D April 3, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected April 19, 2025 · Infection Control

  • Actual harm · G March 3, 2025 · found via complaint

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

    Corrected April 19, 2025 · Quality of Life and Care

  • Potential for harm · D March 3, 2025 · found via complaint

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

    Corrected March 4, 2025 · Resident Rights

  • Potential for harm · D March 3, 2025 · found via complaint

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

    Corrected March 4, 2025 · Quality of Life and Care

  • Potential for harm · D January 15, 2025 · found via complaint

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

    Corrected February 13, 2025 · Resident Rights

  • Potential for harm · E January 15, 2025 · found via complaint

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

    Corrected February 13, 2025 · Pharmacy Service

  • Potential for harm · E January 15, 2025 · found via complaint

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

    Corrected February 13, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E January 15, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected February 13, 2025 · Infection Control

  • Potential for harm · D August 28, 2024

    Ensure each resident receives an accurate assessment.

    Corrected September 20, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 28, 2024

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

    Corrected September 20, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 28, 2024

    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.

    Corrected September 20, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
July 31, 2025Fine$37,177

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165255 · certified since June 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.