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
Data as of July 1, 2026
1 of 5 overall
Accura Healthcare of Carlisle in Carlisle, IA has a 1 out of 5 star overall rating, with a 1-star health inspection rating, 3-star staffing, and 2-star quality measures. It has a recent federal penalty, $37,177 in fines over the last 24 months, and reported nurse staffing of 3.11 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.1119 hrs/resident/day
Quality measures
Last inspection: May 21, 2026Penalties, last 24 months: $37,177recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1119.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.48
- Nurse aides
- 2.17
- Weekend nursing
- 2.88
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 46%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
25%36.4%Worsening
Residents with a fall causing major injury
5.5%3.1%Improving
Residents with pressure ulcers (bedsores)
3.5%0%Improving
Residents with a urinary tract infection
4.2%0%Improving
Residents who lost too much weight
5%8.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.6%30.8%Worsening
Residents whose ability to walk got worse
13.6%5%Improving
Long-stay residents on antianxiety or sleep medication
31.1%20.3%Improving
Short-stay residents newly given an antipsychotic
—7.7%—
Residents with a long-term catheter
0%1.1%Worsening
Residents with new or worsening incontinence
39%23.4%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—88.2%—
Long-stay residents given the pneumonia vaccine
11%16.9%Improving
Short-stay residents given the pneumonia vaccine
40%30.8%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 home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — 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
- 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: 1 fine · $37,177 in total fines.
- $37,177
Federal fine
Jul 31, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ACCURA HEALTHCARE · 43 homes · 2.3 stars avg
- Occupancy
- 75 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.