The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Accura Healthcare of Carlisle
Carlisle, IA · Medicare-certified · 80 beds
Needs attention
For-profitChain member
1 of 5 overall
Accura Healthcare of Carlisle has an overall rating of 1 out of 5 stars, with 1-star health inspections and 2-star staffing and quality measures. It has reported nurse staffing below the federal benchmark (2.97 vs. 4.1 hours per resident per day) and $37,177 in fines in the last 24 months, with a recent federal penalty.
Facility ratings
Health inspections
Staffing
2.9692 hrs/resident/day
Quality measures
Last inspection: January 29, 2026Penalties, last 24 months: $37,177recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9692.
Staffing detail
- Registered nurses
- 0.50
- Licensed practical nurses
- 0.42
- Nurse aides
- 2.04
- Weekend nursing
- 2.60
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 55%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
29.2%Worsening
Residents with a fall causing major injury
4.6%Worsening
Residents with pressure ulcers (bedsores)
3.3%Worsening
Residents with a urinary tract infection
1.1%Steady
Residents who lost too much weight
6.6%Worsening
Residents who were physically restrained
0.4%Improving
Residents needing more help with daily activities
27.7%Worsening
Residents whose ability to walk got worse
17.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
28.2%Improving
Short-stay residents newly given an antipsychotic
3.4%Steady
Residents with a long-term catheter
0.7%Improving
Residents with new or worsening incontinence
34.7%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
88.2%Steady
Long-stay residents given the pneumonia vaccine
16.5%Worsening
Short-stay residents given the pneumonia vaccine
40.8%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $37,177 was recorded.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $46,488 in total fines.
- $37,177
Federal fine
Jul 31, 2025
- $9,311
Federal fine
Jun 15, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ACCURA HEALTHCARE · 41 homes · 2.4 stars avg
- Occupancy
- 74.9 residents on an average day (94% of 80 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.