Occupancy rate
88%
In line with Iowa averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Accura HealthCare of Carlisle
Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Accura HealthCare of Carlisle
Accura Healthcare of Carlisle provides a range of services including long-term care, memory care, rehabilitation, respite care, and skilled nursing. The facility focuses on person-centered care, ensuring that each resident receives tailored support. It aims to create a welcoming environment where residents can thrive and feel at home.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
80
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
87.5%
Residents per day
70
Occupancy rate
87.5%
Residents per day
70
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
13% of new residents, usually for short-term rehab.
Typical stay
23 days
Private pay
55% of new residents, often for short stays.
Typical stay
4 - 5 months
Medicaid
32% of new residents, often for long-term daily care.
Typical stay
10 - 11 months
Finances and operations
Privately-owned community
Home revenue
$4.1M
Operating loss
-$331.7K
Privately-owned community
Home revenue
$4.1M
Operating loss
-$331.7K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.4M
80-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with Iowa averageOccupied beds
70 / 80
Average residents
51 per day
Facility TypeFree Standing Nf/snf
StatusActive
CountyWarren
License Number910796
CMS Certification Number165311
Certification TypeFALSE
Accura HealthCare of Carlisle is administrated by Kaylyn Fisher.
Rehabilitation Services
Respite Care
Skilled Nursing
Rehabilitation
Hospice Care
Email
[email protected]
Fax5159890007
Specific ProgramsLong-term Care, Memory Care, Rehabilitation, Respite Care, Skilled Nursing, Hospice Care
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
31 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date
September 10, 2025
62 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
Inspection Report Summary for Accura HealthCare of Carlisle
The most recent inspection on September 10, 2025 found the facility to be in substantial compliance with no deficiencies noted. Prior inspections showed multiple deficiencies related to resident care, including issues with assessments, care planning, infection control, medication administration, and accident prevention. Several complaint investigations were substantiated over time, involving concerns such as failure to treat residents with dignity, inadequate supervision, and improper handling of medications and infection control. Enforcement actions such as immediate jeopardy findings related to fire safety and resident harm were noted in earlier reports, but no fines or license suspensions were listed in the available reports. The facility appears to have made improvements recently, as the latest revisit confirmed correction of prior deficiencies and substantial compliance.
Health Inspection History
Inspections
Total health inspections
3
Iowa average 4.9
Last Health inspection on May 2025
Total health citations
17
Iowa average 21.7
Citations per inspection
5.67
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 17 citations resulted from standard inspections; and 3 of 17 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
2
2
122% worse than Iowa averageIowa average: 0.9
0 critical citations
2 serious citations
15 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 29, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 29, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 29, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 29, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
May 29, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
May 29, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
May 29, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
May 29, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
Akron Care Center, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
2.0
0
42
-
City Of Akron
$4.7M
$2.1M
46.1%
165595
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
5.7
2
39
-
American Healthcare Associates Inc
$4.1M
$2.5M
59.9%
165311
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
7.0
1
65
-
-
$7.1M
$3.0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
3.9
4
40
-
Accura Healthcare Of The Heartland Llc
$2.0M
$1.0M
47.4%
165082
Altoona Nursing and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Altoona
106
-
-
-
-
0
0
0.0
0
-
A+
-
-
-
-
-
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
87
Employees
77
Contractors
10
Staff to resident ratio
2.23:1
12% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
31
Average shift
6.7 hours
9% worse than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
18,914
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
36
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.6 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
1.2%
228 contractor hours this quarter
Physical Therapy Assistant: 3
Speech Language Pathologist: 2
Qualified Social Worker: 1
Respiratory Therapy Technician: 1
Occupational Therapy Assistant: 1
Physical Therapy Aide: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 36 | 0 | 36 | 9,108 | 91 | 100% | 6.6 |
| Medication Aide/Technician | 16 | 0 | 16 | 2,583 | 91 | 100% | 6.3 |
| Registered Nurse | 6 | 0 | 6 | 2,334 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 9 | 0 | 9 | 1,313 | 91 | 100% | 7.2 |
| RN Director of Nursing | 2 | 0 | 2 | 924 | 66 | 73% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Dietitian | 1 | 0 | 1 | 454 | 57 | 63% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 435 | 63 | 69% | 6.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 380 | 53 | 58% | 7.2 |
| Other Dietary Services Staff | 3 | 0 | 3 | 162 | 33 | 36% | 4.9 |
| Speech Language Pathologist | 0 | 2 | 2 | 117 | 53 | 58% | 2.2 |
| Physical Therapy Assistant | 0 | 3 | 3 | 68 | 38 | 42% | 1.8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 31 | 20 | 22% | 1.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 8 | 2 | 2% | 3.9 |
| Physical Therapy Aide | 0 | 1 | 1 | 3 | 2 | 2% | 1.4 |
| Medical Director | 0 | 1 | 1 | 1 | 1 | 1% | 1 |
| Qualified Social Worker | 0 | 1 | 1 | 1 | 3 | 3% | 0.3 |
36 Certified Nursing Assistant
% of Days
100%
16 Medication Aide/Technician
% of Days
100%
6 Registered Nurse
% of Days
100%
9 Licensed Practical Nurse
% of Days
100%
2 RN Director of Nursing
% of Days
73%
1 Nurse Practitioner
% of Days
71%
1 Administrator
% of Days
65%
1 Dietitian
% of Days
63%
1 Dental Services Staff
% of Days
69%
1 Clinical Nurse Specialist
% of Days
58%
3 Other Dietary Services Staff
% of Days
36%
2 Speech Language Pathologist
% of Days
58%
3 Physical Therapy Assistant
% of Days
42%
1 Respiratory Therapy Technician
% of Days
22%
1 Occupational Therapy Assistant
% of Days
2%
1 Physical Therapy Aide
% of Days
2%
1 Medical Director
% of Days
1%
1 Qualified Social Worker
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
39 residents
Residents by payment source
Medicare
1 resident (2.6%)
Medicaid
20 residents (51.3%)
Private pay or other
18 residents (46.2%)
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.1
11% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.3
10% better than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
19.3%
Percent of long-stay residents whose need for help with daily activities has increased
19.3%
In line with Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
17.6%
Percent of long-stay residents whose ability to move independently worsened
17.6%
11% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.1%
19% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.6%
Percent of long-stay residents experiencing one or more falls with major injury
0.6%
83% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.9%
Percent of long-stay high risk residents with pressure ulcers
0.9%
80% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.6%
Percent of long-stay residents with a urinary tract infection
2.6%
5% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.1%
Percent of long-stay residents who lose too much weight
7.1%
42% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.1%
Percent of long-stay residents who have depressive symptoms
4.1%
6% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.6%
Percent of long-stay residents who received an antipsychotic medication
16.6%
13% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
5% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
18% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Accura HealthCare of Carlisle based on CMS SNF Cost Reports.
Occupancy Rate
80.5%
↑ 15.1pp vs 2022
Net Income
-$331.7K
↑ ~$376.6K vs 2022
Total Payroll
$2.9M
↑ ~$601.1K vs 2022
Profit Margin
-8.1%
↑ 13.6pp vs 2022
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