Accura Healthcare of CarlisleCMS ratings, inspections and fines
- Address
- 680 Cole Street, Carlisle, IA 50047
- CCN
- 165255
- Ownership type
- For-profit, limited liability company
- Certified beds
- 80
- Chain
- None in the CMS record
- Residents per day
- 75
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Accura Healthcare of Carlisle an overall rating of 1 of 5 stars. The last standard survey was on 21 May 2026. The latest survey cycle has 16 health citations. The median for nursing homes in Iowa is 5. CMS lists 1 fine of $37,177 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Warren County median | Iowa median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 6 homes in the county, 387 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Iowa median |
|---|---|---|---|
| Cycle 1 (latest) | 21 May 2026 | 16 | 5 |
| Cycle 2 | 31 Jul 2025 | 19 | 5 |
| Cycle 3 | No date | 11 | 5 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 16 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 May 2026 | F0584 | 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. | E | Standard survey | 22 Jun 2026 |
| 21 May 2026 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Standard survey | 22 Jun 2026 |
| 21 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 22 Jun 2026 |
| 21 May 2026 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 22 Jun 2026 |
| 21 May 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Standard survey | 22 Jun 2026 |
| 21 May 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 22 Jun 2026 |
| 21 May 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 22 Jun 2026 |
| 21 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 22 Jun 2026 |
| 21 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 22 Jun 2026 |
| 21 May 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 22 Jun 2026 |
| 21 May 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 22 Jun 2026 |
| 21 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 22 Jun 2026 |
| 21 May 2026 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Complaint investigation | 22 Jun 2026 |
| 29 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 13 Feb 2026 |
| 29 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 13 Feb 2026 |
| 29 Jan 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 13 Feb 2026 |
Survey cycle 2: 19 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 31 Jul 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 1 Aug 2025 |
| 31 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Aug 2025 |
| 31 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Aug 2025 |
| 31 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 1 Aug 2025 |
| 31 Jul 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 1 Aug 2025 |
| 31 Jul 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 1 Aug 2025 |
| 31 Jul 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D | Complaint investigation | 1 Aug 2025 |
| 31 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 1 Aug 2025 |
| 3 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 19 Apr 2025 |
| 3 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 19 Apr 2025 |
| 3 Apr 2025 | F0688 | 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. | D | Complaint investigation | 19 Apr 2025 |
| 3 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 19 Apr 2025 |
| 3 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 4 Mar 2025 |
| 3 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Mar 2025 |
| 3 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 19 Apr 2025 |
| 15 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 13 Feb 2025 |
| 15 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 13 Feb 2025 |
| 15 Jan 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 13 Feb 2025 |
| 15 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 13 Feb 2025 |
Survey cycle 3: 11 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 20 Sep 2024 |
| 28 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 20 Sep 2024 |
| 28 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 20 Sep 2024 |
| 28 Aug 2024 | F0693 | 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. | D | Standard survey | 20 Sep 2024 |
| 28 Aug 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 20 Sep 2024 |
| 28 Aug 2024 | F0727 | 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. | F | Standard survey | 20 Sep 2024 |
| 28 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 20 Sep 2024 |
| 8 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 31 May 2024 |
| 8 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 31 May 2024 |
| 8 May 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 31 May 2024 |
| 10 Aug 2023 | F0761 | 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. | D | Complaint investigation | 31 Aug 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 31 Jul 2025 | Fine | $37,177 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Iowa median | Iowa average (CMS) |
|---|---|---|---|
| All nurse staff | 3.11 | 3.70 | 3.82 |
| Registered nurses (RN) | 0.47 | 0.70 | 0.74 |
| Licensed practical nurses (LPN) | 0.48 | 0.56 | |
| Nurse aides | 2.17 | 2.51 | |
| All nurse staff, weekends | 2.88 | 3.30 | 3.37 |
- Nurse staff turnover in a year
- 52.1%
- Nurse staff turnover, Iowa median
- 41.9%
- RN turnover in a year
- 45.5%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 29.7% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.7% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 7.7% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.7% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 30.5% | 18.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Legal Business Name Not Available
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Warren County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| The Village | Indianola | 5 of 5 | 1 | $0 | 15 Jan 2026 | |
| Regency Care Center | Norwalk | 1 of 5 | 21 | $78,497 | 12 May 2026 | |
| Norwalk Nursing and Rehabilitation Center | Norwalk | 3 of 5 | 1 | $0 | 31 Dec 2025 | |
| Good Samaritan - Indianola | Indianola | 1 of 5 | 12 | $20,316 | 14 May 2026 | |
| Westview of Indianola Care Center | Indianola | 5 of 5 | 0 | $0 | 11 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Accura Healthcare of Carlisle (CCN 165255). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/accura-healthcare-of-carlisle-carlisle-ia-165255/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Accura Healthcare of Carlisle last inspected?
- The latest inspection with a citation in the CMS record was on 21 May 2026. It was a standard survey and a complaint investigation. It gave 13 citations. The standard survey before the last one was on 31 Jul 2025.
- Who operates Accura Healthcare of Carlisle?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is Accura Healthcare of Carlisle a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Iowa as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.