Accura Healthcare of Carroll
2241 North West Street · Carroll, IA · 51401 · 7127929284
65 certified beds For profit - Corporation Chain: Accura Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
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: 3 of 5
| Total nurse hours / resident-day | 3.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.40 | 0.55–0.75 |
| Weekend hours / resident-day | 2.77 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (53 in the current record)
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Potential for harm · D April 2, 2026
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 24, 2026 · Resident Rights
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Potential for harm · E April 2, 2026
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.
Corrected April 24, 2026 · Resident Rights
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Potential for harm · E April 2, 2026
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 24, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 2, 2026
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected April 24, 2026 · Resident Assessment and Care Planning
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Potential for harm · E April 2, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 24, 2026 · Resident Assessment and Care Planning
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Potential for harm · E April 2, 2026
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 24, 2026 · Nursing and Physician Services
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Potential for harm · D April 2, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected April 24, 2026 · Pharmacy Service
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Potential for harm · D April 2, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 24, 2026 · Nutrition and Dietary
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Potential for harm · F April 2, 2026
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected April 24, 2026 · Administration
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Potential for harm · F April 2, 2026
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected April 24, 2026 · Administration
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Potential for harm · D April 2, 2026
Provide and implement an infection prevention and control program.
Corrected April 24, 2026 · Infection Control
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Potential for harm · D April 2, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 24, 2026 · Quality of Life and Care
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Potential for harm · E April 2, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 24, 2026 · Pharmacy Service
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Potential for harm · D April 2, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 24, 2026 · Pharmacy Service
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Potential for harm · D December 23, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 31, 2026 · Nursing and Physician Services
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Potential for harm · D October 15, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · E October 15, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 16, 2025 · Nursing and Physician Services
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Potential for harm · E June 24, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 25, 2025 · Resident Rights
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Potential for harm · D June 24, 2025 · found via complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected June 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 24, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 24, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 24, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 24, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected June 25, 2025 · Pharmacy Service
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Actual harm · G March 13, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 11, 2025 · Quality of Life and Care
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Actual harm · G March 13, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected April 11, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 13, 2025 | Payment Denial | 3 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165455 · certified since April 15, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.