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
Nursing home report
Accura Healthcare of Carroll
Carroll, IA · Medicare-certified · 65 beds
Needs attention
For-profitChain member
1 of 5 overall
1-star overall. Accura Healthcare of Carroll has the lowest overall rating, with a 1-star health inspection rating, 2-star staffing, and nurse staffing below the federal benchmark (3.31 vs 4.1 hours per resident per day); no fines were reported in the last 24 months.
Facility ratings
Health inspections
Staffing
3.306 hrs/resident/day
Quality measures
Last inspection: December 23, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.306.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 0.80
- Nurse aides
- 2.11
- Weekend nursing
- 2.77
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
27.5%Worsening
Residents with a fall causing major injury
3.9%Worsening
Residents with pressure ulcers (bedsores)
9.4%Worsening
Residents with a urinary tract infection
3.9%Worsening
Residents who lost too much weight
4.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
17.9%Improving
Residents whose ability to walk got worse
17.8%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
15.1%Worsening
Short-stay residents newly given an antipsychotic
4.4%Steady
Residents with a long-term catheter
1.3%Improving
Residents with new or worsening incontinence
25.5%Worsening
Residents with depressive symptoms
2.9%Improving
Long-stay residents given the seasonal flu vaccine
93%Steady
Long-stay residents given the pneumonia vaccine
92.8%Improving
Short-stay residents given the seasonal flu vaccine
44%Steady
Short-stay residents given the pneumonia vaccine
77.2%Improving
What the inspectors found
The home failed to provide enough food and fluids to keep residents healthy. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited October 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — 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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 3 days
Medicare/Medicaid payment denial
Mar 13, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ACCURA HEALTHCARE · 41 homes · 2.4 stars avg
- Occupancy
- 48.8 residents on an average day (75% of 65 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 24 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.